Disclaimer and the curbside consultant

0:00 so chat GPT continues to take the World by storm it's being used so many different ways in healthcare today in today's video I want to show you how you can actually use it in your day-to-day activities as a doctor or as a resident the first three prompts I'm going to cover are actually all focused on patient career directly looking at drug and drug interactions looking at how to use chat TPT as a curbside console for example and the last three I'm going to focus more on medical documentation to boost your productivity so a quick disclaimer about chat gbt really whenever using chatgpt for medical care you should really be using it out of an abundance of caution and you should really use it at your own discretion what I'm showing here are just examples on how you can leverage this technology but I think that a lot needs to be done to make sure that this is safe and this is accurate so anything that's actually put out of chat GPT always make sure to

0:46 fact check it to make sure that it's actually correct and also make sure that you're not putting in patient sensitive data that could potentially violate HIPAA for example so the first use case I want to show of chat CPT is to use it as a medical consultant and so this is basically whenever you're wanting to do a curbside so for example if you're a physician in the ER do you want to consult ID or infectious disease about a question or if you're a surgeon trying to console Internal Medicine about a question chat TPT actually does a pretty good job as serving as a basic curbside consultant and so the first example I want to show is that I asked chat TPT please assume the role of an experienced Interventional cardiologist with over 20 years experience in treating chest pain heart attacks and heart arrhythmias so I am an emergency room physician and would like to discuss the case of a 65 year old male patient with a history of Strokes that presented with severe chest pain in his right arm with radiation to the fingers what lab should I get what medication should I start and what other diagnosis should I really be considering and so chat CPT does a pretty good job about this it says as an AI language model I am not a medical professional that's great I can know it but I could

1:54 provide some basic information and so they reiterate the case here and then it also points out that it's really important to rule out life-threatening causes first which is great because that's what you should be doing in the emergency room so they provide a differential diagnosis which includes acute coronary syndrome including Mis or heart attacks pulmonary embolisms aortic dissections PVD cervical radiculopathy and also msk sort of causes they also provide you with a lab of the labs and the tacit that you should use CBC BMP tropes BNP EKG chest x-rays and then also provides a list of medications if they're applicable but now let's say I want to dive deeper if the patient has a pulmonary embolism what signs and symptoms labs and treatments should I perform and so when it says here if you suspect a PE you should then have these signs and symptoms sudden onset shortness of breath to kidney attack tachycardia hypoxia cyanosis and then it also suggests some Labs that you should order and it's really nice because it also says that the gold standard for diagnosing a PE is going to be the ctpa or the CT pulmonary angiography and it also provides some treatment options here and so I think that this is overall a really good way to be able to approach

3:06 and be able to think about your differential diagnosis you can basically ask chat gbt for things to follow up on saying you know I think it might be a PE which else should I be doing we can also go more further than that we can say that I am concerned that the patient may have a pulmonary embolism or a heart attack can you please provide a table indicating the lab values that would distinguish these two conditions and