Tuesday, June 20, 2023

20: Kazakhstan



When Doctors Use a Chatbot to Improve Their Bedside Manner Despite the drawbacks of turning to artificial intelligence in medicine, some physicians find that ChatGPT improves their ability to communicate empathetically with patients. ........ On Nov. 30 last year, OpenAI released the first free version of ChatGPT. Within 72 hours, doctors were using the artificial intelligence-powered chatbot. ......... Most surprising to Dr. Lee, though, was a use he had not anticipated — doctors were asking ChatGPT to help them communicate with patients in a more compassionate way. ........ In one survey, 85 percent of patients reported that a doctor’s compassion was more important than waiting time or cost. In another survey, nearly three-quarters of respondents said they had gone to doctors who were not compassionate. And a study of doctors’ conversations with the families of dying patients found that many were not empathetic. ............. Enter chatbots, which doctors are using to find words to break bad news and express concerns about a patient’s suffering, or to just more clearly explain medical recommendations. ..........

the help he and other doctors on his staff got from ChatGPT to communicate regularly with patients.

......... He asked his team to write a script for how to talk to these patients compassionately. “A week later, no one had done it,” he said. All he had was a text his research coordinator and a social worker on the team had put together, and “that was not a true script,” he said. So Dr. Pignone tried ChatGPT, which replied instantly with all the talking points the doctors wanted. ........... The ultimate result, which ChatGPT produced when asked to rewrite it at a fifth-grade reading level, began with a reassuring introduction ......... “Doctors are famous for using language that is hard to understand or too advanced,” he said. “It is interesting to see that even words we think are easily understandable really aren’t.” .......... The fifth-grade level script, he said, “feels more genuine.” ............ “Most doctors are pretty cognitively focused, treating the patient’s medical issues as a series of problems to be solved,” Dr. White said. As a result, he said, they may fail to pay attention to “the emotional side of what patients and families are experiencing.” .......... In long, compassionately worded answers to Dr. Moore’s prompts, the program gave him the words to explain to his friend the lack of effective treatments .......... It also suggested ways to break bad news when his friend asked if she would be able to attend an event in two years .......... for a doctor to admit to using a chatbot this way “would be admitting you don’t know how to talk to patients.” .......... It’s time-consuming to read the letters of referral and medical histories and then decide whether to grant acceptance to a patient. But when he shared that information with ChatGPT, it “was able to decide, with accuracy, within minutes, what it took doctors a month to do,” Dr. Kohane said. ............ Dr. Richard Stern, a rheumatologist in private practice in Dallas, said GPT-4 had become his constant companion, making the time he spends with patients more productive. It writes kind responses to his patients’ emails, provides compassionate replies for his staff members to use when answering questions from patients who call the office and takes over onerous paperwork. ......... It was the sort of letter that would take a few hours of Dr. Stern’s time but took ChatGPT just minutes to produce. ...... After receiving the bot’s letter, the insurer granted the request. .



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