Use of Chat GPT in healthcare and for hospitalists

What is OPENAI?

OpenAI is an artificial intelligence research laboratory.

What is CHATGPT?

ChatGPT is an AI chatbot designed & developed by OpenAI. The bot works by generating text responses based on human input. It was launched on November 30, 2022.

Who owns OPENAI CHATGPT?

OpenAI was founded in 2015 by Twitter owner Elon Musk, Greg Brockman, Ilya Sutskever, Wojciech Zaremba, and Sam Altman.

How can you start using Chat GPT?

Go to one of the links below and signup for free. The first link below is for chatGPT. The second one is for DALL.E which creates pictures based on your description. You just need to sign up with any one link and use both.

  1. chat.openai.com/chat

DALL·E 2 is a new AI system that can create realistic images and art from a description in natural language.

2. https://openai.com/dall-e-2/

Use of Chat GPT for hospitalists:

  1. Can come up with Differential diagnoses: We can ask for differential diagnoses by giving the scenario.

For example:

Our Prompt: “Differential diagnoses for elevated liver function tests and abdominal pain”

ChatGPT response: “Elevated liver function tests and abdominal pain can have a range of potential causes, including:

  1. Hepatitis: This is an inflammation of the liver that can be caused by viral infections, alcohol abuse, or certain medications.
  2. Alcoholic liver disease: Chronic alcohol abuse can lead to a range of liver problems, including fatty liver, alcoholic hepatitis, and cirrhosis.
  3. Fatty liver disease: This occurs when there is an accumulation of fat in the liver cells. It can be caused by obesity, high cholesterol, and diabetes.
  4. Gallstones: These are small, hard stones that form in the gallbladder and can cause abdominal pain and elevated liver function tests.
  5. Drug-induced liver injury: Some medications, such as acetaminophen, can cause liver damage.
  6. Liver cancer: This is a rare cause of elevated liver function tests and abdominal pain, but it is important to consider.

It is important to consult with a healthcare provider to determine the underlying cause and determine the appropriate treatment. A thorough medical history, physical examination, and possibly additional testing, such as imaging studies or liver biopsy, may be needed to make a diagnosis.”

2. Write letters

For example:

Our Prompt: “write a letter to my medial director saying that i am resigning from my job as a hospitalist.”

ChatGPT response: “Dear [Medical Director],

I am writing to inform you that I will be resigning from my position as a hospitalist at [Hospital Name]. My last day of work will be [Date].

I have greatly valued my time at [Hospital Name] and have learned so much during my tenure here. I am grateful for the opportunity to have worked with such a talented and dedicated team of healthcare professionals.

I have accepted a new position that I believe will allow me to further my career and personal goals, and I am excited for this new chapter in my life. However, I will always look back on my time at [Hospital Name] with fond memories and appreciation for the experiences and growth it provided me.

I will do my best to ensure a smooth transition and am available to assist in any way necessary during my remaining time at the hospital. Please let me know if there is anything I can do to make this process easier.

Thank you again for the opportunity to be a part of the [Hospital Name] team.

Sincerely, [Your Name]”

3. Writing Discharge instructions

For example:

Our Prompt: “discharge instructions for a patient with myocardial infarction”

ChatGPT response: “Discharge instructions for a patient who has had a myocardial infarction (heart attack) may include the following:

  1. Medication: It is important for the patient to take their prescribed medications as directed. This may include aspirin, blood thinners, beta blockers, and other medications to help reduce the risk of future heart attacks.
  2. Follow-up care: The patient should follow up with their healthcare provider as directed. This may include scheduling a virtual or in-person visit to check on their recovery.
  3. Lifestyle changes: The patient may need to make lifestyle changes to reduce their risk of future heart attacks. This may include quitting smoking, eating a healthy diet, and increasing physical activity.
  4. Cardiac rehabilitation: The patient may be referred to a cardiac rehabilitation program to help them recover and improve their heart health.
  5. Recognizing warning signs: The patient should be aware of the warning signs of a heart attack, such as chest pain, shortness of breath, and nausea, and seek immediate medical attention if they experience any of these symptoms.

It is important for the patient to follow these discharge instructions closely to ensure a smooth recovery and reduce the risk of future heart attacks.”

4. Progress notes and Consultation notes.

Chat GPT is able to create Consultation notes and Progress notes even now, but it is premature. It may not be usable by hospitalists to do that at this point as the result is not as good as the way we want it to be. It is not far away before we can use it for this purpose.

5. Summarizing and analyzing research papers: Chat GPT can analyze a lengthy note and create a synopsis. It probably will make our lives easier in future to be able to read long research papers in a short time.

6. Prior Authorization: ChatGPT can be used to assist with Prior authorization by reviewing patient’s medical records, identifying the necessary information, and generating the appropriate request letter. Of course, this has to be first integrated into the EMR system for physicians to use it.

7. Get shortened summary of a long YouTube video: Whether it is related to medicine or not, if the YouTube video is very long and you do not have time to listen to everything, you can get a short summary in a minute using ChatGPT.

8. Have fun: You can play with ChatGPT in any way you like. Try it in different ways and see what happens.

I asked ChatGPT to write a poem on Hospitalists. Below is what ChatGPT wrote.

In halls of white and sterile green,
Where sickness and health are often seen,
There stands a group of doctors true,
The hospitalists, a vital crew.

They tend to patients day and night,
With knowledge, skill, and hearts so bright,
They diagnose, treat, and ease the pain,
And help to heal the sick again.

Their work is hard and often long,
But they remain steadfast and strong,
For they know that in this holy place,
They save lives and put smiles on faces.

So let us thank the hospitalists,
For all the good that they persist,
In keeping us healthy and alive,
And for the care they always give.

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