Cited by 375Artificial Intelligence in Healthcare and EducationElectronic Health Records SystemsMachine Learning in Healthcare

Using ChatGPT to write patient clinic letters

Open access
Ali, Stephen R, Dobbs, Thomas D, Hutchings, Hayley A, Whitaker, Iain S·2023·The Lancet Digital Health

Abstract

The appropriate recording and communication of clinical information between clinicians and patients are of paramount importance. Recently there has been a much-needed drive to improve the information that is shared with patients.1 However, the preparation of clinical letters can be time consuming. Although there has been an increase in the use of letter templates and voice recognition systems, with the aim of improving efficiency, novel technologies such as natural language processing (NLP) and artificial intelligence (AI) have the power to revolutionise this area of practice.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/s2589-7500(23)00048-1

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • LLMs, with advanced natural language processing abilities, offer a more comprehensive understanding of the medical literature, patient data, and individualized care requirements.

    “LLMs, with advanced natural language processing abilities, offer a more comprehensive understanding of the medical literature, patient data, and individualized care requirements.146,147”

    From Artificial intelligence in diabetes management: Advancements, opportunities, and challenges (2023) · cites this paper as [146]

    In “Using ChatGPT to write patient clinic letters” (page not provided), the paper describes NLP’s ability to process language and tests ChatGPT letters generated from limited clinical input, including instructions involving national guidelines. It does not establish that LLMs have a more comprehensive understanding of medical literature, patient data, or individualized care requirements. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Both Chat GPT and ambient AI have shown promise in streamlining clinical documentation in a variety of settings.

    “Both Chat GPT and ambient AI have shown promise in streamlining clinical documentation in a variety of settings [5–7].”
  • Generation of inaccurate content can have severe negative consequences in health care.

    “Additionally, the generation of inaccurate content can have severe negative consequences in health care; therefore, this valid concern should be cautiously considered in health care practice [30,32,53,84].”
  • LLMs are built using natural language processing techniques and designed to recognize and understand the structure and meaning of human language, classify texts according to their content or purpose, and generate responses that are appropriate and coherent.

    “LLMs are built using natural language processing techniques and designed to recognize and understand the structure and meaning of human language, classify texts according to their content or purpose, and generate responses that are appropriate and coherent.146”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 6

  1. Jurafsky D, Martin JH. Speech and language processing, 3rd edn. Prentice Hall, 2009.
  2. Brown T, Mann B, Ryder N, et al. Language models are few-shot learners. arXiv 2020; published online July 22. https://doi.org/10.48550/ arXiv.2005.14165 (preprint). · DOI
  3. Vaswani A, Shazeer N, Parmar N, et al. Attention is all you need. NIPS'17: Proceedings of the 31st International Conference on Neural Information Processing Systems. December 2017 (abstr 5998-6008).
  4. Burke V, Greenberg D. Determining readability: how to select and apply easy-to-use readability formulas to assess the difficulty of adult literacy materials. Adult Basic Educ Lit 2010; 4: 34-42.
  5. Wang L-W, Miller MJ, Schmitt MR, Wen FK. Assessing readability formula differences with written health information materials: application, results, and recommendations. Res Social Adm Pharm 2013; 9: 503-16.
  6. Drury DJ, Kaur A, Dobbs T, Whitaker IS. The readability of outpatient plastic surgery clinic letters: are we adhering to plain English writing standards? Plast Surg Nurs 2021; 41: 27-33.

Cited by

Sorted by citations

Authors
Ali, S. R., Dobbs, T. D., Hutchings, H. A., & Whitaker, I. S.
Affiliations
  • Morriston Hospital (GB)
  • Swansea University (GB)
Corresponding author
Ali, Stephen R
Venue
The Lancet Digital Health
Publisher
Elsevier BV
Published
2023-04
Volume
5
Issue
4
Pages
e179-e181
ISSN
2589-7500 (ISSN-L)
OpenAlex
W4323350039
Cited by
375
References
1
Citations by year
2026: 38 · 2025: 92 · 2024: 143 · 2023: 101
FWCI
14.94
Type
journal article
Language
en
Open access
Locations
  • The Lancet Digital Health (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Health and Care Research Wales
  • Scar Free Foundation
  • BAPRAS
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning in Healthcare
Keywords
ChatGPT, artificial intelligence in healthcare, natural language processing, letter templates, voice recognition, patient communication

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review