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      Enhancing Expert Panel Discussions in Pediatric Palliative Care: Innovative Scenario Development and Summarization With ChatGPT-4

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      1 , 2 , 3 , 4 , 5 , 6 , 2 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 1 , 14 , 15 , 1 , 16 , 17 , 1 ,
      ,
      Cureus
      Cureus
      chat generative pre-trained transformer, picu multidisciplinary approach, pediatric palliative critical care, patient and family-centered care, human-ai scenario development, ethical considerations, do-not-resuscitate (dnr) conflicts discussion, medical conferences, expert panel discussions, artificial intelligence chatgpt-4

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          Abstract

          This study presents a novel approach to enhance expert panel discussions in a medical conference through the use of ChatGPT-4 (Generative Pre-trained Transformer version 4), a recently launched powerful artificial intelligence (AI) language model. We report on ChatGPT-4's ability to optimize and summarize the medical conference panel recommendations of the first Pan-Arab Pediatric Palliative Critical Care Hybrid Conference, held in Riyadh, Saudi Arabia. ChatGPT-4 was incorporated into the discussions in two sequential phases: first, scenarios were optimized by the AI model to stimulate in-depth conversations; second, the model identified, summarized, and contrasted key themes from the panel and audience discussions. The results suggest that ChatGPT-4 effectively facilitated complex do-not-resuscitate (DNR) conflict resolution by summarizing key themes such as effective communication, collaboration, patient and family-centered care, trust, and ethical considerations. The inclusion of ChatGPT-4 in pediatric palliative care panel discussions demonstrated potential benefits for enhancing critical thinking among medical professionals. Further research is warranted to validate and broaden these insights across various settings and cultures.

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          ChatGPT: five priorities for research

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            Artificial Hallucinations in ChatGPT: Implications in Scientific Writing

            While still in its infancy, ChatGPT (Generative Pretrained Transformer), introduced in November 2022, is bound to hugely impact many industries, including healthcare, medical education, biomedical research, and scientific writing. Implications of ChatGPT, that new chatbot introduced by OpenAI on academic writing, is largely unknown. In response to the Journal of Medical Science (Cureus) Turing Test - call for case reports written with the assistance of ChatGPT, we present two cases one of homocystinuria-associated osteoporosis, and the other is on late-onset Pompe disease (LOPD), a rare metabolic disorder. We tested ChatGPT to write about the pathogenesis of these conditions. We documented the positive, negative, and rather troubling aspects of our newly introduced chatbot’s performance.
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              Evaluating the Feasibility of ChatGPT in Healthcare: An Analysis of Multiple Clinical and Research Scenarios

              This paper aims to highlight the potential applications and limits of a large language model (LLM) in healthcare. ChatGPT is a recently developed LLM that was trained on a massive dataset of text for dialogue with users. Although AI-based language models like ChatGPT have demonstrated impressive capabilities, it is uncertain how well they will perform in real-world scenarios, particularly in fields such as medicine where high-level and complex thinking is necessary. Furthermore, while the use of ChatGPT in writing scientific articles and other scientific outputs may have potential benefits, important ethical concerns must also be addressed. Consequently, we investigated the feasibility of ChatGPT in clinical and research scenarios: (1) support of the clinical practice, (2) scientific production, (3) misuse in medicine and research, and (4) reasoning about public health topics. Results indicated that it is important to recognize and promote education on the appropriate use and potential pitfalls of AI-based LLMs in medicine.
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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                28 April 2023
                April 2023
                : 15
                : 4
                : e38249
                Affiliations
                [1 ] Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, Riyadh, SAU
                [2 ] Pediatric Intensive Care Unit, Pediatric Department, King Faisal Specialist Hospital & Research Centre, Riyadh, SAU
                [3 ] Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, SAU
                [4 ] Medical Education Department, College of Medicine, King Saud University, Riyadh, SAU
                [5 ] Department of Otolaryngology, College of Medicine, King Saud University, Riyadh, SAU
                [6 ] Critical Care Department, College of Medicine, King Saud University, Riyadh, SAU
                [7 ] Pediatric Critical Care Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, SAU
                [8 ] Pediatric Intensive Care Unit, King Saud Medical City, Riyadh, SAU
                [9 ] Critical Care Department, King Faisal Specialist Hospital & Research Centre, Riyadh, SAU
                [10 ] Pediatric Critical Care Medicine, King Saud University Medical City, Riyadh, SAU
                [11 ] Biomedical Engineering Department, Faculty of Electrical and Computer Engineering, Beirut Arab University, Beirut, LBN
                [12 ] Pediatric Critical Care Department, King Saud University, Riyadh, SAU
                [13 ] Department of Pediatrics, King Saud University, Riyadh, SAU
                [14 ] Department of Family and Community Medicine, King Saud University, Riyadh, SAU
                [15 ] Department of Pediatric Nephrology, King Saud University, Riyadh, SAU
                [16 ] Pediatric Intensive Care Unit, King Saud University Medical City, Riyadh, SAU
                [17 ] Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, SAU
                Author notes
                Mohamad-Hani Temsah temsah1@ 123456yahoo.com
                Article
                10.7759/cureus.38249
                10143975
                37122982
                9dbe20f8-4d52-41d6-ab66-e9c0fd65e670
                Copyright © 2023, Almazyad et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 28 April 2023
                Categories
                Pediatrics
                Healthcare Technology
                Palliative Care

                chat generative pre-trained transformer,picu multidisciplinary approach,pediatric palliative critical care,patient and family-centered care,human-ai scenario development,ethical considerations,do-not-resuscitate (dnr) conflicts discussion,medical conferences,expert panel discussions,artificial intelligence chatgpt-4

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