Use of ChatGPT for doctors and Medical students - Dr Habibur Rahim

ChatGPT offers several key benefits for doctors, enhancing their efficiency and patient care:

Quick Access to Medical Information: Provides easy access to the latest medical knowledge and guidelines.
Efficient Documentation: Helps generate medical notes, summaries, and reports, saving time on administrative tasks.
Patient Education: Simplifies complex medical information for better patient understanding.
Research Assistance: Streamlines research with summaries and literature reviews.
Learning Tool: Supports continuous learning and exam preparation.
Time-Saving: Automates routine clinical tasks, allowing more focus on patient care.
Decision Support: Offers preliminary insights and treatment options.
Bilingual Communication: Assists with translation in multilingual settings.
Follow-Up Support: Helps create customized care plans for patients.
Improved Workflow: Optimizes clinical workflows, reducing burnout.
In summary, ChatGPT improves doctors' efficiency, supports learning, and enhances patient communication and care.

1. Usage of ChatGPT from medical perspective Dr Ahmad Habibur Rahim MD (Neonatology) MBBS, Dhaka Medical College Email: [email protected]

2. Important Considerations: Verification: Always verify clinical information, especially for critical patient decisions, as ChatGPT is not a replacement for clinical judgment or detailed medical databases. Confidentiality: Avoid sharing sensitive patient information or protected health information (PHI) with ChatGPT. Continuous Learning: Use ChatGPT to supplement your learning, not as the sole source of medical information.

3. Paid or Free account?

4. General Information and Clinical Decision Support Use Case: To quickly access medical knowledge, protocols, or drug information, medical personnel can ask ChatGPT for summaries of diseases, drug doses, or diagnostic criteria. Example: You: "Can you explain the diagnostic criteria for sepsis in neonates?" ChatGPT Response: "Sepsis in neonates is diagnosed based on a combination of clinical signs such as temperature instability, lethargy, and feeding intolerance, alongside laboratory markers like elevated C-reactive protein (CRP), white blood cell abnormalities, and blood cultures..."

5. 2. Creating Patient Education Materials Use Case: Medical personnel often need to simplify complex medical information for patients. ChatGPT can help write easy-to-understand explanations of diseases, medications, or procedures. Example: You: "Explain type 2 diabetes for a patient in simple terms." ChatGPT Response: "Type 2 diabetes happens when your body doesn’t use insulin properly. Insulin helps sugar move from your blood into your cells, but with diabetes, sugar stays in the blood and makes your blood sugar levels too high..."

6. 3. Documentation and Charting Assistance Use Case: For medical personnel who spend considerable time documenting, ChatGPT can assist in drafting medical notes, discharge summaries, or referral letters. Example: You: "Create a discharge summary for a patient with pneumonia." ChatGPT Response: "Patient Name: [Name]. Diagnosis: Community-acquired pneumonia. Course of Treatment: Antibiotics (Amoxicillin/Clavulanate 875 mg BID for 7 days), supportive care, and oxygen therapy. Discharge Condition: Improved oxygenation, fever resolved...

7. 4. Medical Research Assistance Use Case: ChatGPT can help you brainstorm research ideas, summarize medical research papers, or explain complex medical studies in simpler terms. Example: You: "Summarize the latest findings on the treatment of neonatal jaundice." ChatGPT Response: "Recent studies suggest that phototherapy remains the first-line treatment for neonatal jaundice, especially in cases of hyperbilirubinemia. Studies are exploring alternative treatments like metalloporphyrins, though they are still experimental..."

8. 5. Training and Education for Medical personnel Use Case: ChatGPT can be used as a tool for continuous learning, from reviewing anatomy and pharmacology to practicing clinical scenarios. Example: You: "Give me a quiz on neonatal resuscitation." ChatGPT Response: "1. What is the correct compression to ventilation ratio during neonatal resuscitation? 2. What are the indications for initiating positive pressure ventilation (PPV) in a newborn?"

9. 6. Protocol and Guidelines Review Use Case: You can request ChatGPT to remind you of clinical guidelines, protocols, or dosing regimens for specific drugs. Example: You: "Give me the dosing protocol for dopamine in neonates." ChatGPT Response: "The typical starting dose for dopamine in neonates is 5 mcg/kg/min, titrated upward based on response, with a maximum of 20 mcg/kg/min depending on the clinical situation..."

10. 7. Communication and Counseling Patients' Families Use Case: ChatGPT can assist with framing sensitive conversations, like counseling the family of a critically ill patient or explaining complex procedures. Example: You: "How do I explain the prognosis of perinatal asphyxia to a parent?" ChatGPT Response: "Perinatal asphyxia means that the baby did not get enough oxygen during birth. This can affect the baby’s brain and other organs. The doctors are doing everything they can to help the baby recover, but some babies may face developmental challenges as they grow..."

11. 8. Writing Articles or Educational Content Use Case: ChatGPT can help healthcare professionals write articles, blog posts, or create content for educating the public. Example: You: "Write a blog post about the importance of vaccination in children." ChatGPT Response: "Vaccines are one of the most effective ways to protect children from dangerous diseases like measles, polio, and whooping cough. By vaccinating your child, you help protect them from serious illness and also contribute to herd immunity..."

12. 9. Translating Medical Information for Multilingual Settings Use Case: In multilingual healthcare settings, ChatGPT can assist in translating medical documents or patient information into different languages. Example: You: "Translate this patient information on asthma management into Bangla." ChatGPT Response: "[Translated text]"

13. English text OCR!

14. And Many more!

15. Tips to Get the best result Don’t copy paste!

16. 1. Be Specific with Your Queries The more specific your questions, the better the results. Provide clear context so ChatGPT can generate more accurate and relevant responses. Example 1: Instead of asking, "Tell me about neonatal diseases," ask, "What are the common causes of respiratory distress in neonates?" Example 2: Instead of "Tell me about diabetes treatment," ask, *"What are the guidelines for insulin therapy in type 2 diabetes?"

17. 2. Use Follow-Up Questions You can get deeper insights by building on ChatGPT's initial responses. Feel free to ask clarifying or follow-up questions. Example 1: After getting an answer on neonatal jaundice, you can ask, "What are the risk factors for developing severe jaundice?" Example 2: If you receive information about medication dosing, ask for more details: "Can you explain how dopamine titration is done in neonates?"

18. 3. Request Step-by-Step Explanations For complex processes, asking for a breakdown can make the explanation clearer. Example: "Explain the steps in neonatal resuscitation after birth."

19. 4. Use ChatGPT for Summaries If you are dealing with large amounts of information, ask for summaries to make the content easier to digest. Example: "Summarize the latest guidelines on neonatal sepsis management."

20. 5. Ask for Templates or Formats If you’re working on documentation or patient communication, ask ChatGPT to provide templates or formats to speed up the process. Example: "Provide a template for a neonatal discharge summary."

21. 6. Use Role-Play for Practice Use ChatGPT for scenario-based training, such as practicing how to communicate difficult medical information to patients. Example: "Pretend you are a parent, and I need to explain perinatal asphyxia to you."

22. 7. Ask for Multiple Perspectives To get well-rounded answers, ask ChatGPT to provide multiple options or perspectives on a topic. Example: "What are the different treatment options for neonatal sepsis, and how do they compare?"

23. 8. Refine Results with Specific Criteria You can guide ChatGPT by providing specific criteria for the response, such as focusing on certain regions, populations, or guidelines. Example: "Summarize the WHO guidelines on childhood immunization in low-resource countries."

24. 9. Use It for Brainstorming/ Ask for example Use ChatGPT to brainstorm ideas for articles, research topics, or patient education programs. Example: "Give me ideas for health awareness campaigns focusing on maternal health in rural areas."

25. 10. Language Translation or Simplification If you work with a diverse patient population, ask ChatGPT to translate or simplify medical terms for better understanding. Example 1: "Translate 'pneumonia treatment plan' into Bangla." Example 2: "Explain hypertension in simple terms for a patient with no medical background."

26. 11. Clarify Unfamiliar Terms If ChatGPT uses terms that are too technical or unfamiliar, ask it to define them or simplify. Example: "Can you simplify the term 'hypoxic-ischemic encephalopathy' for me?"

27. 12. Ask for References or Guidelines When you need more authoritative backing, request references to official guidelines or studies to improve the accuracy of information. Example: "Can you provide references to the latest BSMMU guidelines for neonatal jaundice?"

28. 13. Test Different Phrasing If you’re not satisfied with an answer, rephrase your question. Slight changes in wording can lead to better results. Example: If "What are the causes of neonatal respiratory distress?" doesn’t yield the desired depth, try "Can you explain the primary etiologies behind respiratory distress in newborns?"

29. 14. Use ChatGPT for Comparative Analysis/ Table Ask ChatGPT to compare different treatments, protocols, or diagnostic criteria to make informed decisions. Example: "Compare the use of caffeine and theophylline in treating neonatal apnea."

30. 15. Stay Aware of Limitations Remember that ChatGPT doesn't have access to real-time data or the latest medical research beyond its training. Use it for guidance, but always confirm with up-to-date sources for critical medical decisions.

31. ChatGPT Customization 1. Clearly Define Your Purpose Begin by explicitly stating the purpose of your interaction. This helps ChatGPT understand the context and deliver more relevant responses. If the goal is well-defined, ChatGPT can tailor its answers to meet specific needs. Example: “I am looking for medical explanations that can be easily understood by patients.”

32. 2. Provide Specific Instructions The more specific and clear your instructions, the better the results. Avoid vague requests and instead focus on exactly what you need. This reduces the chance of receiving irrelevant information. Example: “Provide a 3-paragraph explanation of neonatal sepsis, with each paragraph covering causes, symptoms, and treatment.”

33. 3. Define the Language and Tone If you want ChatGPT to respond in a particular tone or style, it’s important to specify this in the instructions. Whether you prefer a formal, conversational, or simplified tone, mentioning this will help tailor the response to your expectations. Example: “Use simple, everyday language that non-medical professionals can understand.” Or: “Provide the answer using technical medical terminology.”

34. 4. Set a Response Format You can instruct ChatGPT to respond in specific formats such as bullet points, numbered lists, steps, or even templates. This can be particularly helpful when you need structured content like reports or outlines. Example: “Give me the steps for diagnosing pneumonia in a bulleted list.”

35. 5. Give Contextual Information To ensure that responses are more relevant, provide contextual details. If you want answers based on specific guidelines, regions, or situations, mentioning these factors will fine-tune the response. Example: “Provide information on child vaccination guidelines according to WHO recommendations.”

36. 6. Specify What to Focus On and What to Exclude Clearly mention what should be included in the response and what to avoid. This helps focus the discussion on what matters most, eliminating distractions or irrelevant content. Example: “Focus only on newborn care, excluding information about older children.”

37. 7. Ask for Multiple Perspectives or Options If you're seeking comprehensive answers, ask for multiple viewpoints, comparisons, or different options for a given problem. This allows ChatGPT to explore various approaches and present them clearly. Example: “Explain three different treatment options for neonatal jaundice and compare their effectiveness.”

38. 8. Request Simplified Explanations for Complex Topics When dealing with technical or complex subjects, it’s helpful to ask for simplified explanations or analogies. This ensures that the information is accessible to a broader audience. Example: “Explain heart failure as if you are speaking to a patient with no medical background.”

39. 9. Provide Feedback and Iterate If the responses you receive are not exactly what you need, give feedback or refine your prompts. The more you interact and adjust, the closer you will get to your desired outcome. Example: “The last response was too technical. Can you simplify it further?”

40. 10. Use Role-Play for Practical Scenarios If you are preparing for a particular situation, such as counseling a patient or explaining a medical condition, you can role-play the scenario with ChatGPT. This customization can help practice communication and decision-making skills. Example: “Pretend you are a parent of a newborn with respiratory distress, and I am explaining the treatment options to you.”

41. 11. Request References or Expert Opinions If you need authoritative answers or want to base responses on established guidelines or research, ask ChatGPT to include references or expert opinions where applicable. Example: “Can you provide references to recent research studies on neonatal care?”

42. 12. Monitor and Adjust Customization Settings As you interact more, periodically review how well the customization settings are working for you. If you notice that some responses are off track, adjust the instructions accordingly to better refine future interactions. Example: “The answers are too long. Please keep responses under 200 words.”

43. 13. Specify Language Preferences If you’re working with multilingual audiences or need content in a specific language, clearly state your preference. ChatGPT can work in many languages, so you can instruct it accordingly. Example: “Provide this information in both English and Bengali.”

44. 14. Request Grammar and Formatting Precision For more formal outputs like documentation or reports, you can ask ChatGPT to be precise with grammar, formatting, and sentence structure. This is especially useful when the text needs to be polished. Example: “Ensure the response is grammatically correct and properly formatted into paragraphs.”

45. 15. Use Repetition and Improvement If you regularly use ChatGPT for similar tasks, refine your instructions over time based on the results you're getting. You can create templates or specific prompts that yield consistently high-quality responses. Example: “Continue using the template format for patient counseling scenarios that we established earlier.”

46. What should be avoided!!! Sharing Personal or Sensitive Information Using It for Real-Time Medical or Legal Decisions Misinformation and False Claims Plagiarism Inappropriate, Harmful, or Offensive Content Manipulating for Malicious Purposes Impersonation or Misrepresentation Over-reliance on Complex Problem-Solving

47. Bypassing Content Moderation Using ChatGPT in Dangerous Real-Time Scenarios Ignoring Biases and Inaccuracies Heavy Automation for Unmonitored Responses Using ChatGPT for Cheating or Academic Dishonesty Excessive Load on Systems Using ChatGPT as a Substitute for Critical Thinking What should be avoided!!! Cont.

48. Demonstration part 02 Creating a profile Creating a thread Ideal prompts Make a comparative table Explanation in Bangla Using scientific writings

49. Will ChatGPT replace Doctors?

50. Thank you!