ChatGPT and The Future of Medical Writing

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“In Press” papers have undergone full peer review and have been accepted for publication in Radiology.

This article will undergo


copyediting, layout, and proof review before it is published in its final version. Please note that during production of the final
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ChatGPT and the Future of Medical Writing

Manuscript Type: Reviews and Commentary - Perspectives

Dr. Som Biswas


Fellow in Pediatric Radiology

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Department of Radiology, UTHSC College of Medicine Memphis: The University of
Tennessee Health Science Center College of Medicine, Memphis, USA. Zip 38103.

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Correspondence Address: Dr. Som Biswas, Department of Radiology, UTHSC College of
Medicine Memphis: The University of Tennessee Health Science Center College of Medicine
Memphis, Tennessee, USA, ZIP-38103.
Email: ssbinmemphis@gmail.com
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Funding

The author declares that no funds, grants, or other support were received during the preparation
of this manuscript.

See also the editorials by Shen et al and Kitamura.


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This copy is for personal use only. To order printed copies, contact reprints@rsna.org
Summary

Providing proof by example that the future of medical writing is going to be heavily dependent

on artificial intelligence and chatbots.

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Introduction

The human author of this article would like to state that this entire article was written by ChatGPT.

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Unless otherwise indicated, the headings and subheadings were used as input in its user interface.

The editing was then done by the human author. Thus, we see that artificial intelligence has come

to a level at par, if not above human authors. The use of chatbots and natural language processing

(NLP) technology, such as GPT (Generative Pre-trained Transformer), has the potential to

revolutionize the field of medical writing, albeit with caution. Some potential applications of GPT
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in medical writing are listed in the Table.

What is Chat GPT?

GPT (Generative Pre-training Transformer) is a type of artificial intelligence (AI) model

developed by the company Open AI and has been designed to generate human-like text. GPT is a

type of language model, which means that it has been trained on a large dataset of text and is able
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to generate new text that is similar to the text it was trained on. It has been particularly successful

in the field of NLP, which involves the development of computer systems that are able to

understand, interpret, and generate human language.

GPT is often used in chatbots, which are computer programs that are designed to hold

conversations with human users through text or voice input. Chatbots that use GPT are able to
generate responses to user questions or prompts that are similar to how a human would respond,

making them more effective at simulating human conversation.

What is Natural language processing (NLP)?

NLP is a field of artificial intelligence (AI) and computer science that focuses on the interaction

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between computers and human (natural) languages. It involves developing algorithms and systems

that can understand, interpret, and generate human language. NLP has a wide range of applications,

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including machine translation, text summarization, sentiment analysis, and language generation.

It is used in a variety of industries, including healthcare, finance, and customer service, to improve

efficiency and automate tasks that involve the processing of human language.
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Use of Chat GPT in medical writing:

The use of chatbots and NLP technology, such as GPT, has the potential to revolutionize the field

of medical writing by automating certain tasks and improving the efficiency of the writing process.

For example, chatbots that use GPT could be used to extract information from electronic medical

records, assist with literature searches, or provide guidance on writing style and formatting. By

using chatbots and NLP, medical writers can potentially create more accurate and consistent

documents faster and with less effort.


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For example, a chatbot trained on medical writing could potentially assist a medical writer by

generating draft text for a document based on prompts and requirements provided by the writer.

The writer could then review and edit the generated text as needed to ensure accuracy and clarity.

Additionally, chatbots and NLP to automate the review and editing process, allowing multiple
reviewers to provide feedback and suggestions on a document in real-time, allowing for more

efficient collaboration. Overall, the use of these technologies in medical writing has the potential

to improve the speed and accuracy of document creation.

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Chat GPT’s essay for Radiology in Training: Perspective reflecting the opinion of the

resident or fellow in clinical radiology or imaging sciences encompassing issue specific to

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trainee experience in research, clinical practice, ethics, and health policy.

As a resident or fellow in clinical radiology or imaging sciences, I have had the opportunity to gain

a wide range of skills and knowledge that will be valuable in my future career. One of the most

rewarding aspects of my training has been the opportunity to work with patients and to use my
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knowledge and skills to improve their health and well-being.

One of the challenges of training in radiology is the ever-evolving nature of the field. Technology

is constantly advancing, and it is important to stay up-to-date on the latest techniques and practices.

This can be both exciting and overwhelming, as there is always more to learn and new skills to

acquire. However, it is also one of the things that makes radiology such a rewarding and dynamic

field.
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Another challenge of training in radiology is the high level of responsibility that comes with the

job. As a radiologist, I will be responsible for making important diagnostic and treatment decisions,

and it is crucial that I am able to do so accurately and confidently. This requires not only a strong

foundation in medical knowledge, but also the ability to think critically and to communicate

effectively with patients and other healthcare professionals.


Despite these challenges, I am confident that my training in radiology will prepare me for a

rewarding and fulfilling career. I am grateful for the opportunity to work with experienced

radiologists and other healthcare professionals, and I am excited to continue learning and growing

as a clinician. Overall, my training in radiology has been an enriching and rewarding experience,

and I am excited to see where it will take me in the future.

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Will chat GPT replace human medical writer?

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However, it is important to note that language models such as chat GPT are not yet able to fully

replace human medical writers, as they do not have the same level of understanding and expertise

in the field of medicine. In addition, the use of language models in medical writing raises ethical

concerns, such as the potential for errors or biases in the generated text. It will be important for
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organizations and individuals using language models in medical writing to carefully consider these

issues and ensure that the quality and accuracy of the documents produced are maintained. Medical

writers will still be responsible for ensuring the accuracy and integrity of the information being

communicated, as well as adhering to ethical and regulatory guidelines.

Human author’s cautions


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This section was authored by the human author. Several concerns arise with using ChatGPT or

other AI-powered language models in the writing process.

1. Ethics: The use of AI in writing raises concerns about authorship and accountability for the

content that is generated. Although chat GPT generates articles that have less plagiarism,

they are not completely free of it and need editing by human authors. Also letters of
recommendation and personal statements based on works created by chat GPT can be raise

authenticity concerns.

2. Legal issues: There are several legal issues to consider when using ChatGPT or other AI-

powered language models:

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➢ Copyright: When AI-generated text is used for commercial purposes, it's important

to ensure that the use of AI-generated text does not infringe on any existing

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copyrights.

➢ Compliance: In some fields such as healthcare and legal, the use of AI-generated

text may be subject to regulations and compliance. Currently no laws exist

regarding utilization of AI in medical literature.


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➢ Medico-legal issues; Provider documentation into the patient’s medical record

including radiology reports created by AI could lead to errors and thus lawsuits.

Questions of accountability will then arise regarding these reports.

3. Innovation: As chat GPT is based on prior data fed to it, eventually it will lead to repetitive

text generation and lack of creativity. ChatGPT and other AI-generated text may lack the
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creativity and originality that human authors bring to their work. Also easy automated text

generation can also lead to less engaged students regarding coursework and assignments,

in medical schools and colleges across the world.

4. Accuracy: There is a concern that AI-generated text may not be accurate or may contain

errors. The current version of ChatGPT does not offer any assessment of content accuracy.
5. Bias: AI models are trained on large amounts of data, which may include bias. Therefore,

there is a concern that the text generated by AI may perpetuate or amplify bias.

6. Transparency: The use of AI in the writing process and identification of text that has been

generated by a machine should be made clear.

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Overall, while AI-powered language models like ChatGPT, are powerful tools that could assist

human writers in some tasks. However, as we move forward with adopting this technology, it will

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be important to consider the limitations and potential risks of using AI in the writing process.
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Human author’s cautions

Three Fabricated References – they are not cited in the body of this manuscript:

1. Graham F. Daily briefing: Will ChatGPT kill the essay assignment? Nature. 2022 Dec 12.

doi: 10.1038/d41586-022-04437-2. Epub ahead of print. PMID: 36517680.

2. Stokel-Walker C. AI bot ChatGPT writes smart essays - should professors worry? Nature.

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2022 Dec 9. doi: 10.1038/d41586-022-04397-7. Epub ahead of print. PMID: 36494443.

3. Castelvecchi D. Are ChatGPT and AlphaCode going to replace programmers? Nature.

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2022 Dec 8. doi: 10.1038/d41586-022-04383-z. Epub ahead of print. PMID: 36481949.
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Table: Summarizing the Uses of GPT in Medical Writing Created by Human Author

CATEGORIES WITH EXAMPLES

Patient Care

Radiology and medical report creation.

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Patient specific forms and handouts:

Virtual assistants.

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Clinical decision support.

Diagnostics.

Medication management.

Patient education.
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Monitoring and follow-up.

Language translation.

Medical Publishing

Abstract and summary generation.

Article generation.

Literature review.
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Peer-review.

Medical Administration

Medical billing and coding.

Scheduling and calendar management.


Meeting summaries.

Provider Education

Curriculum development.

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Continuing education.

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Acknowledgement

The author acknowledges this article was generated by ChatGPT (powered by OpenAI's

language model, GPT-3; http://openai.com). The editing was performed by the author.

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Author Biography

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Dr. Som Biswas is a 2nd year fellow in the Department of Pediatric Radiology at the Le Bonheur

Children’s Hospital, University of Tennessee health Science Centre, Memphis, USA.


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