OkulandelayoUmhlahlandlela olandelayo
I-ChatGPT yoSokhemisi
Izinhlelo zokusebenza
UMHLAHLANDLELA WOKUSEBENZA
Ukusebenzisa i-ChatGPT ekuxilongweni okuhlukile
Amamodeli ezilimi amakhulu afana ne-GPT-4 angaveza izinhlu zokuxilongwa okuzwakalayo ezihlukene kusukela encazelweni yecala, futhi ezifundweni ezishicilelwe ngokuvamile zihlanganisa ukuxilongwa okulungile.
Kuleli khasi4 amaminithi afundiwe
Uhlolojikelele
Akuwona amadivaysi okuxilonga aqinisekisiwe. Ukusetshenziswa kwabo okuphephe kakhulu kuwumbono wesibili ohlelekile wokucabanga ukuthi udokotela awuhlola esigulini, futhi odokotela abawaqondayo amandla abo kanye nezindlela zabo zokwehluleka bazuza kakhulu kubo.
I-Deep Dive
Ubufakazi obuningi buvela kumavignette wamacala. Encwadini yocwaningo ye-JAMA yango-2023, u-Kanjee kanye nozakwabo bahlole i-GPT-4 ezimeni ezinzima ezingama-70 ezivela ku-New England Journal of Medicine izinkomfa ze-clinicopathological. Ukuxilongwa kokugcina kuvele kumehluko wemodeli cishe kumaphesenti angama-64 wamacala futhi kwaba ukuxilongwa kwayo okuphezulu cishe ngamaphesenti angama-39. Uhlolo olungahleliwe lukaGoh nozakwabo, olushicilelwe ku-JAMA Network Open ngo-2024, lwanikeza odokotela abangama-50 i-GPT-4 kanye nezinsiza ezijwayelekile noma izinsiza ezijwayelekile zodwa ezimweni zokuxilonga ezihlelekile. Ukufinyelela ku-GPT-4 akuzange kuthuthukise ngokuphawulekayo amaphuzu okucabanga okuxilonga odokotela. I-GPT-4 ukusebenza yodwa, nokho, ithole amaphuzu aphezulu kakhulu kunodokotela abasebenzise izinsiza ezijwayelekile kuphela. Enye incazelo iwukuthi odokotela babengazi ukuthi ithuluzi lisetshenziswa kanjani kahle, noma babengalethembi lapho lingavumelani nabo. Izinhlelo zocwaningo ezifana ne-Google's AMIE nazo zihloliwe engxoxweni yokuxilonga kanye nokwenza umehluko, kube nemiphumela eqinile ezifundweni ezilawulwayo. Le miphumela idinga ukufundwa ngokucophelela. Uchungechunge lwezikesi ezishicilelwe lungaba kudatha yokuqeqeshwa yamamodeli. Ama-Vignette afika esevele ehlanziwe, nokutholakele okufanelekile okukhethiwe futhi kwafingqiwe, kuyilapho iziguli zangempela ziletha ulwazi olungaphelele, oluphikisanayo kanye nolungashiwongo. Ukuthola "ukuxilongwa okulungile endaweni ethile ohlwini" kuklomelisa uhlu olude, olungase lubangele ukuhlolwa okwengeziwe. Umbono oyiphutha ovamile ukuthi ukunemba kwebhentshimakhi kulingana nokunemba kombhede. Ayikwenzi. Izindlela ezaziwayo zokwehluleka zihlanganisa ukucabanga okuqinisekayo kodwa okungalungile, izinkomba ezisunguliwe noma imikhawulo yelebhu, ukusekela kunoma yikuphi ukuxilongwa umsebenzisi asikisela kukho, ukwethula isisindo ngokweqile kwezincwadi ezivamile, kanye nezimo ezibucayi zesikhathi lapho incazelo ishiya izimpawu ezibalulekile. Ubumfihlo buyinkinga ehlukile. Ukufaka ulwazi lwesiguli olukhonjwayo ku-chatbot yomthengi ngaphandle kwesivumelwano esisebenzisana nebhizinisi kungephula i-HIPAA, ngakho odokotela kufanele basebenzise amathuluzi inhlangano yabo ewagunyazile.
I-Strategic Impact
Yakha ukukhetha
Idizayini yezinga lohlelo lokusebenza inquma ukuthi i-AI iyathuthukisa yini imiphumela yangempela.
Ithimba kanye nokusebenza komsebenzi
Ukuhlanganiswa okuhle kokuhamba komsebenzi kudala izinzuzo zokukhiqiza abasebenzisi abangazethemba.
Ingozi nokuphepha
Amacala okusetshenziswa ahlelwe kahle anciphisa ukukhathala okushintshile kanye nengozi yokuqaliswa.
Ikusasa Lokusebenzisa i-ChatGPT Lokuhlonza Okuhlukile
I-Diagnostic AI isuka ezingxoxweni ezivamile iye kumathuluzi akhelwe kuma-EHR nezinkundla zobufakazi, lapho ingabona khona idatha ehlelekile futhi icaphune imithombo. Lokho kungase kunciphise amaphutha athile, kodwa kwengeza ingozi yokuthi odokotela bahlehlisele ukusikisela okuzethembayo. Uhlolo lwe-Goh lukhomba embuzweni ovulekile: indlela odokotela namamodeli okufanele basebenzisane ngayo, hhayi nje ukuthi imodeli iyodwa inembe kangakanani. Izifundo ezingase zibhekwe neziguli zangempela kanye nemiphumela yangempela kuseyivelakancane uma kuqhathaniswa namabhentshimakhi e-vignette. Kuze kube yilapho kukhona okwengeziwe, indawo evikelekayo ukuthi lawa mathuluzi anganweba ukucatshangelwa kabusha okuhlukile futhi okusheshayo. Udokotela usengumnikazi wokuxilongwa.
Ukuqaliswa Komhlaba Wangempela
Udokotela uthayipha isifinyezo esingahlonziwe semfiva, ukuqubuka, i-eosinophilia kanye nesinqamuleli esisha ethuluzini le-AI lesistimu yakhe yezempilo eligunyaziwe futhi acele ukuxilonga okungenakuphuthelwa. I-DRESS ivela ohlwini, futhi ubuyekeza umugqa wesikhathi womuthi.
Isakhamuzi sibuza imodeli ukuthi yikuphi okutholakele okungahlukanisa kangcono ukuxilonga kwakhe okuthathu okuphezulu kwe-dyspnea ebabazekayo, bese sisebenzisa impendulo ukuhlela ukuhlolwa okugxilile nezivivinyo, hhayi ukuxazulula inkinga.
Udokotela onakekela okuyisisekelo osola ukugula okubangelwa amagciwane ucela imodeli ukuthi iphikisane nokuxilongwa kwakhe okuphambili futhi abhale lokho okungenzeka ukuthi uyashoda. Lokhu ukuhlola okwenziwe ngamabomu ekubambeni ihange.
Udokotela uthola izinhlu ezimbili ezihlukene zezilinganiso ngemva kokubuza umbuzo ofanayo kabili ngamagama ahluke kancane, futhi ukuthatha njengophawu ukuhleleka kwemodeli akukona ukuhlawumbisela okungenzeka.
Izingozi & Guardrails
Ukuzenzakalela inqubo ephukile kungakhulisa izinkinga ezikhona.
Amaqembu angase azenze ngokuzenzakalelayo futhi asuse ukwahlulela komuntu okudingekayo.
Ikhwalithi ingakhukhuleka uma okuphumayo kungahlolwa ngokuqhubekayo.
Ukuqalisa Umhlahlandlela
Imephu yokuhamba komsebenzi kwamanje futhi uhlonze isinyathelo sokungqubuzana okuphezulu kakhulu.
Chaza izindawo zokuhlola abantu ngaphambi kokuzenzakalela okugcwele.
Qeqesha abasebenzisi ngokwaziswa, izindlela zokukhuphuka, namazinga ekhwalithi.
Landelela imiphumela yezinga lomsebenzi ukuze uqinisekise inani eliqhubekayo.
Qhubeka Uhlole
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Imibuzo evame ukubuzwa
Yini Ukusebenzisa i-ChatGPT Ekuxilongeni Okuhlukile?
Amamodeli ezilimi amakhulu afana ne-GPT-4 angaveza izinhlu zokuxilongwa okuzwakalayo ezihlukene kusukela encazelweni yecala, futhi ezifundweni ezishicilelwe ngokuvamile zihlanganisa ukuxilongwa okulungile. Akuwona amadivaysi okuxilonga aqinisekisiwe. Ukusetshenziswa kwabo okuphephe kakhulu kuwumbono wesibili ohlelekile wokucabanga ukuthi udokotela awuhlola esigulini, futhi odokotela abawaqondayo amandla abo kanye nezindlela zabo zokwehluleka bazuza kakhulu kubo.
Esivivinyweni sika-Kanjee nozakwethu sango-2023 se-GPT-4 ezimeni ze-NEJM ze-clinicopathological, mayelana nokuthi ukuxilongwa kokugcina kwaba kangaki noma kuphi lapho kuhlukaniswa imodeli?
Ukuxilongwa kokugcina bekumehluko cishe kumaphesenti angama-64 wamacala futhi kwaba ukuxilongwa okuphezulu cishe ngamaphesenti angama-39.
Wawuyini umphumela oyinhloko we-2024 Goh et al. ukuhlolwa okungahleliwe?
Odokotela abane-GPT-4 abaphumelelanga kakhulu kunodokotela ngezinsiza ezijwayelekile, nokho imodeli iyodwa yathola amaphuzu aphezulu. Lokho kukhomba indlela abantu abasebenzisa ngayo ithuluzi.
Kungani amabhentshimakhi e-vignette edlula ukuthi imodeli ingenza kahle kangakanani ngeziguli zangempela?
Okutholakele okuhlelwe kusengaphambili kanye nokungcoliswa kwedatha yokuqeqeshwa okungenzeka kokubili kwenza ama-vignette abe lula kunokuhlangana kwangempela okungcolile.
Udokotela uyabuza, "Kungaba i-lupus?" ekuqaleni kwesicelo sakhe. Iyiphi imodi yokwehluleka lokhu okumemayo?
Amamodeli avame ukuvumelana nohlaka olunikezwayo, ngakho ukusikisela ekuxilongweni kudonsela umehluko kukho.
Kungani ukufaka amaphuzu "ukuxilongwa okulungile noma kuphi ohlwini" kuyisinyathelo esinephutha?
Uhlu olude cishe luqukethe impendulo, kodwa umehluko omude ekusebenzeni kungaholela ekusebenzeni okwengeziwe nokungenasidingo.
Qhubeka ufunda
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