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Dr. Harvey Castro - GPT Healthcare.pdf

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Slides from Artificial Intelligence Innovation Summit hosted by Gerald "Solutionman" Haman

Dr. Harvey Castro - GPT Healthcare.pdf

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How ChatGPT could revolutionize
healthcare: The Good, Bad & Unknown
1
Emergency
Physician, ChatGPT
healthcare expert,
and Author of
ChatGPT &
Healthcare:
Unlocking the
Potential of Patient
Empowerment
Harvey Castro MD, MBA
2
ChatGPT IQ of 155 superior to 99.9 test
takers.
Scientific America March 28, 2023
GPT = Generative Pre-Trained Transformer
ChatGPT was created by OpenAI, which has gone from
an open-source company to a for-profit company
supported by $1 billion from Microsoft.
Each model created 2, 3, 3.5, and 4 has been
incrementally better
ChatGPT (3.5) was launched in November 2022; 1
million users in 5 days
GPT-4 launched March 2023
3
After training on massive amounts of
content, the fine-tuning involves:
Supervised learning – human trainers
played the parts of both users and the AI
assistant
Reinforcement learning from human
feedback (RLHF) – human trainers ranked
the AI responses, and these rankings
served as rewards. Reinforcement
learning came from the gaming industry
and is all about rewards and penalties.
How does it work?
4
Better Prepare your questions with ChatGPT
or “GPT.”
Ask your doctor better questions ( often, we
do not
Know what to ask
Pre-patient visit (PT point of view): The Good
5
Have ChatGPT open and help create follow
up
Questions
Future ( see your doctor and have the
computer out
Together, work on the disease).
Patient visit (PT point of view): The Good
6
* vetted information on information. Later we
Will have a GPT that patients can ask and get
Replies
For now, better websites and better
discharge Instructions
Post-Patient visit (PT point of view): The Good

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Dr. Harvey Castro - GPT Healthcare.pdf

  • 1. How ChatGPT could revolutionize healthcare: The Good, Bad & Unknown 1 Emergency Physician, ChatGPT healthcare expert, and Author of ChatGPT & Healthcare: Unlocking the Potential of Patient Empowerment Harvey Castro MD, MBA
  • 2. 2 ChatGPT IQ of 155 superior to 99.9 test takers. Scientific America March 28, 2023 GPT = Generative Pre-Trained Transformer ChatGPT was created by OpenAI, which has gone from an open-source company to a for-profit company supported by $1 billion from Microsoft. Each model created 2, 3, 3.5, and 4 has been incrementally better ChatGPT (3.5) was launched in November 2022; 1 million users in 5 days GPT-4 launched March 2023
  • 3. 3 After training on massive amounts of content, the fine-tuning involves: Supervised learning – human trainers played the parts of both users and the AI assistant Reinforcement learning from human feedback (RLHF) – human trainers ranked the AI responses, and these rankings served as rewards. Reinforcement learning came from the gaming industry and is all about rewards and penalties. How does it work?
  • 4. 4 Better Prepare your questions with ChatGPT or “GPT.” Ask your doctor better questions ( often, we do not Know what to ask Pre-patient visit (PT point of view): The Good
  • 5. 5 Have ChatGPT open and help create follow up Questions Future ( see your doctor and have the computer out Together, work on the disease). Patient visit (PT point of view): The Good
  • 6. 6 * vetted information on information. Later we Will have a GPT that patients can ask and get Replies For now, better websites and better discharge Instructions Post-Patient visit (PT point of view): The Good
  • 7. 7 * vetted information on information. Later we will have a GPT that patients can ask and get Replies For now, better websites and better discharge Instructions Post-Patient visit (PT point of view): The Good
  • 8. 8 Every 42-72 days, Medical data double Why not use GPT to help keep us up today? GPT to access the latest information. Example: Doctors use Update ( they are working on ChatGPT and update) so that, in real-time, you will Get medical information. Pre-patient visit MD point of View
  • 9. 9 Doc uses Persona to help talk to patients of different ages and languages.  Create better discharge instructions Patient visits MD point of view:
  • 10. 10 Hallucinations Not trained since Sept 2021 Not trained in healthcare ( BioGPT) Biases Huge Carbon footprint Ethics Internet gap Today's price, but what about tomorrow's prices? Correlate living longer? The Bad:
  • 11. BAD 11 HIPAA in the USA, The General Data Protection Regulation (GDPR), and Privacy laws around the world For now, just parts of the EMR that do not use. Ex: Discharge instructions Samsung issue: Ban ChatGPT at work after an employee exposed sensitive proprietary Samsung Code into ChatGPT. Dependency on AI Doctors’ Overuse of CT (technology) vs. the Art of Medicine Privacy
  • 12. 12 Unknown The Unknown? What will happen? Hindsight will tell us the unintended consequences Regional benefits and different rules: More healthcare uses in countries that have less healthcare. Example 3rd world counties ( Africa). Future #HIMSS23EUROPE
  • 13. 13 Future of ChatGPT 4 (Multimod al) DERMATOLOGY: Upload dermatology images for diagnosis and treatment. It is also a means to monitor response to therapy via teledermatology OPHTHALMOLOGY: Analyze retinal images and external eye photos. Assist in monitoring eye surgery e.g. Oculoplastic surgery DENTAL: Upload oral images for diagnosis and treatment. Analyze dental xrays and monitor oral surgery and orthodontics WOUND CARE: Stage burn injuries and monitor progress during recovery MEDICAL DEVICES: Upload waveforms from devices and photos of implants and prostheses EMERGENCY MEDICINE: Can potentially help assess an emergency in the field or the ER and make recommendations ADDICTION MEDICINE: Help identify unknown medications and make immediate treatment recommendations
  • 14. 14 What general categories can ChatGPT do? ChatGPT Other AI models should be able to do most of not all of these Text generation: Pre-authorization letter Summarization: Multiple progress notes, radiology reports, discharge summaries, etc. Question answering search engine, patient portal chatbot Paraphrasing Sentiment analysis
  • 15. 15 Future? ChatGPT 5? Near future: Duolingo Max – explains answers and role play where you can practice using language in different scenarios Kahn Academy– AI tutor Morgan Stanley Microsoft Bing Epic EHR: will this help the quintuple aim of medicine? API Plugin (Big Companies) #HIMSS23EUROPE
  • 16. 16 Plug-In Added capacities Expedia Instacart Shop Browser: will permit Internet browsing on the current topic OpenTable Wolfram
  • 17. 17 AutoGPT Added capacities without you activating doing the workd Give it some tasks, and it will write some of its prompts Good with multi-step processes It can search the Internet, so more current than ChatGPT or GPT-4 It can interact with apps, software, and online and local computer services, like web browsers and word processors Operates via the command line interface (CLI) Open-source and considered experimental at this point https://autogpt.net/
  • 18. BioGPT and other LLM Will it be BioGPT? Bard? PaLm II? 18 How ChatGPT could revolutionize healthcare
  • 19. 19 YOUR GPT (no internet) AI WARS Microsoft plans in Healthcare and on your computer Google Bard AI WARS: Google Bard, MSFT Openai, Elon Musk TruthGPT,
  • 20. 20 Harvey Castro MD, MBA Contact me All Major Social media outlets under @harveycastroMD Check out my AI & healthcare podcast on Spotify or theGptpodcast.com