Cited by 31Artificial Intelligence in Healthcare and EducationInnovations in Medical EducationArtificial Intelligence in Education

Large Language Models and Medical Education: Preparing for a Rapid Transformation in How Trainees Will Learn to be Doctors

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Ravi, Akshay, Neinstein, Aaron, Murray, Sara G.·2023·ATS Scholar

Abstract

Artificial intelligence has the potential to revolutionize health care but has yet to be widely implemented. In part, this may be because, to date, we have focused on easily predicted rather than easily actionable problems. Large language models (LLMs) represent a paradigm shift in our approach to artificial intelligence because they are easily accessible and already being tested by frontline clinicians, who are rapidly identifying possible use cases. LLMs in health care have the potential to reduce clerical work, bridge gaps in patient education, and more. As we enter this era of healthcare delivery, LLMs will present both opportunities and challenges in medical education. Future models should be developed to support trainees to develop skills in clinical reasoning, encourage evidence-based medicine, and offer case-based training opportunities. LLMs may also change what we continue teaching trainees with regard to clinical documentation. Finally, trainees can help us train and develop the LLMs of the future as we consider the best ways to incorporate LLMs into medical education. Ready or not, LLMs will soon be integrated into various aspects of clinical practice, and we must work closely with students and educators to make sure these models are also built with trainees in mind to responsibly chaperone medical education into the next era.

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Research works printed but not linked: 4

  1. [6]Chui M Hall B Mayhew H Singla A Sukharevsky A McKinsey and Co 2022 https://www.mckinsey.com/capabilities/quantumblack/our-insights/the-state-of-ai-in-2022-and-a-half-decade-in-review
  2. [9]Murray SG Wachter RM Cucina RJ Discrimination by artificial intelligence in a commercial electronic health record—a case study Health Aff Forefr https://www.healthaffairs.org/content/forefront/discrimination-artificial-intelligence-commercial-electronic-health-record-case-study
  3. [27]Lucy L Bamman D Association for Computational Linguistics 2021 48 55 https://aclanthology.org/2021.nuse-1.5
  4. [32]International Conference on Machine Learning (ICML) 2023 https://icml.cc/Conferences/2023/llm-policy

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Authors
Ravi, A., Neinstein, A., & Murray, S. G.
Affiliations
  • Department of Medicine
  • University of California, San Francisco (US)
Corresponding author
Ravi, Akshay
Venue
ATS Scholar
Published
2023-06-14
Volume
4
Issue
3
Pages
282-292
ISSN
2690-7097 (ISSN-L)
OpenAlex
W4380627488
Cited by
31
References
26
Citations by year
2026: 5 · 2025: 12 · 2024: 12 · 2023: 2
FWCI
1.24
Type
journal article
Language
en
Open access
Locations
  • ATS Scholar (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Physical Sciences › Computer Science › Information Systems › Artificial Intelligence in Education
Keywords
large language models, medical education, artificial intelligence in healthcare, clinical reasoning, evidence-based medicine, case-based training, clinical documentation, trainee engagement, LLM training data, patient education

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