ChatGPT Tutorial: Must-Know Prompts for Doctors

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 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 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 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 then he here it provides the lab test for for PES versus myocardial infarctions with a d dimer Trope levels BMP ckmv EKG and ABG changes so it actually did a really good job being able to summarize this in a quick manner so that if I had some disease or if you have some condition that you're not super familiar with you could basically use chat GPT to be able to summarize that information quickly now let's move on to the next prompt so sometimes we have those patients that come in and they have a laundry list of medications and it's really important to be able to understand which medications may be interacting with each other so that it may influence the medication of your prescribing or a medication that we may even need to take off of the list because there may be too much of a drug or drug interaction and so in this case I ask Chad TBT for a patient that is on isotreino which is basically high vitamin A for their acne I'm thinking about adding doxycycline as well and then can you tell me about any potential medication interactions I should be aware of and so from my own experience so far I've learned that basically isotretinoin and doxycycline can cause a higher risk of intracranial hypertension and so saying it does respond here combining isotretinoin and doxycycline may not be recommended both isotritino and endoxicin can increase the risk of intracranial hypertension or pseudoterber cerebrite so it actually does a pretty good job about identifying that and also provides some symptomatology and signs of increased intracranial hypertension and so that's always good to know too I wanted to do another example and so in this case we say please take on the role of a doctor with several decades of experience take the example list of medications below and tell me if there's any concerning medication attractions I should be aware of and so here we have current medications include Tylenol lysinopril Hydrochlorothiazide aspirin Warfarin and furosemide and then I'm thinking about adding onspronolactone which is another diuretic so it provides potential drug to drug interactions for medications that the patient is already on such as aspirin and Warfarin and then also goes through to add Hydrochlorothiazide ferocide and spironolactone which and says here that Hydrochlorothiazide and furosemide or diuretics water pills that help reduce fluid retention adding spironolactone another diuretic could potentially exacerbate the diuretic effect leading to excessive fluid loss dehydration or electrolyte imbalances particularly low potassium or sodium levels so that's really good to know and then say that we want to use chat TBT to actually help us with the prescription itself in terms of how how frequent to be doing lab checks and what labs to be checking at Baseline and also for the frequency of screening Labs moving forward I have decided to move forward with prescribing spiralactone can you please tell me what labs I should order and what frequency when prescribing spironolactone it's essential to monitor the following lats electrolytes renal function and blood pressure it provides the important fact that spironolactone can affect electrolyte levels particularly potassium so monitoring serum potassium and managing any hyperkalemia and the next problem I wanted to focus on was using chat gbt to actually help you connect with patients better so that you can provide better support and better Comfort whenever they're in a time of need and so in this example I mentioned regarding the patient above I am concerned that Mishi may be also suffering from anorexia nervosa how do you think I should best approach this as a doctor and then it punches out as a doctor addressing concerns about anorexia Universe requires a compassionate sensitive and multi-disciplinary approach it provides different sort of tips and suggestions including building a wrapper choosing the right moment to be opening up and it also provides you with the verbatim questions that you can directly use so it says for example you might ask how do you feel about your habits or can you tell me more about your relationship with food and your body and then it can also says that you can share your observations express your concerns about the patient's Health by sharing observations without a judgment or blame I've noticed you've lost a lot of weight recently and I'm concerned about how this may be affecting your health and so I think that this is really good and really helpful if for example you haven't dealt with anorexia nervosa for a long time or if you haven't dealt with a particular condition for a long time you can always think about how to approach that from a Compassionate Care standpoint and let's take this another one step further you can actually use chat TPT to kind of think about what the patient may be feeling and I see that this can be really useful in medical education for example when medical students are just starting to learn about how to deal with these sort of difficult conversations and challenging conversations and you can ask chat gbt can you tell me a little bit about the emotions and feelings that someone with anorexia nervosa may have particularly about their condition and so it goes on to say that some some common emotions that individuals with this condition may experience include fear control anxiety guilt or shame low self-esteem perfectionism depression isolation and so it goes through this whole thing and I think that this is really nice because whenever you're reading it before you go into the patient's room for example you're able to kind of put yourself in their shoes and think about what they may be experiencing and that really equips you to be a better compassionate doctor whenever you're talking with them through their challenges and through their care and I think that this is really interesting application in chat gbt to be able to help us connect with patients on an individual and an emotional level just by reading maybe through what the patient may be experiencing let's jump ships now over to the medical documentation prompts the first prompt I wanted to demonstrate in this category was using chat GPT to actually summarize text in a reading level that may be more appropriate for your patient for example the fifth grade reading level at the high school reading level versus a college reading level and so here I say can you please provide an explanation for house spironolactone can be used to treat hormonal acne explained at the fifth grade level and provide an analogy please and it initially punched out something that I thought wasn't the greatest in terms of having an analogy so then I was subsequently removed it but here we can see that after I said make the explanation a little bit simpler for a third grader level and also remove the analogy spironolactone is a medication that helps with hormonal acne hormonal acne helps when there are too many hormones in your body like androgens these hormones make your skin produce extra oil which causes pimples so spironolactone the medication that we're going to be prescribing in this encounter works by blocking these hormones when the hormones are blocked the skin doesn't make as much oil and so you get fewer pimples this helps your skin State cleaner and clearer so I thought this was a really good synopsis about how spermolactin works it's pretty simple and I feel like that's already able to be put into the after visit summary and here's an example of me actually using it to write that after visit summary in this prompt I'm saying I am planning to start spironolactone for a patient starting with 50 milligrams daily then increasing it to 100 milligrams daily please write an after visit summary about this explaining that it is being used to treat her acne and then tell her what potential side effects to then notify us about and they keep the explanation to a fifth grade level and succinct so it says Dear patient thank you for your visit today we discuss your acne wanted to start you on a medication called spironolactone and then it goes through the methodology or the pathophysiology of why it works and it goes with the side effects that would be concerning and then keep remember to keep all your appointments and let us know if you have any questions concerns so that's basically the after visit summary already so I don't actually necessarily need to be in the room typing this all out if I wanted to write this after visit summary the next prompt I wanted to cover in this section was also using chat gbt to be able to translate text so if we wanted to translate one of those after visit summaries for example I can ask chatgpt can you please translate the following explanation to Spanish chinese vietnamese and Arabic and so actually did a pretty good job and so I copy and pasted this basically into Google translator and actually was able to show that it did a pretty good job and so let's use strategypt to write another letter of medical necessity for an orthopedic surgeon trying to get an MRI for his patient and so here the prompt says that I am an orthopedic surgeon that specializes in joints a patient has been declined an MRI for his shoulder and I would like to get a letter of medical necessity for him to get his MRI I do a little bit of a brief summary about the patient he's a 60 year old male patient with a history of right shoulder pain progressively or saying despite physical therapy and science other conservative management brass compression ice on exam I provide the exam so that I think that he should be able to okay all right and so Chachi BT does a really good job of being able to generate a letter of medical necessity and I think that the best one-liners here is that it says here in light of these facts I respectfully request you reconsider the decision to deny coverage for an MRI of my patient's name right shoulder the MRI is medically necessary to provide a definitive diagnosis guide treatment decisions and ultimately improve the patient's quality of life so overall this is a really good letter of medical necessity that's written by chat GPT it only took a few minutes and then I can also ask this for citations as well like I did as above so that's it for this video guys I hope you like this video there's going to be a part two and probably a part three just because there's so many different ways that chat GPT can be used in day-to-day activities as a doctor so if you like this video go ahead and hit that like And subscribe button below and then I'll also be coming out with a book about chat GPT in healthcare and it's going to be more of a practical guide for doctors on how to leverage this technology so if you want to hear more about the upcoming book go ahead and go down to the descriptions below and there's a newsletter button and you can go ahead and join that and hear any exclusive updates or deals that's coming out alright see you guys bye foreign [Music]

Channel: Benjamin Tran, MD

Views: 5,419

Keywords: chatgpt, doctor, medicine, healthcare, artificial intelligence, digital health, technology, health, ai, machine learning, deep learning, innovation, future of health, future of ai, chatgpt for doctors, chatgpt tutorial, medical resident, med student

Id: SsBq-hmPYeU

Length: 13min 9sec (789 seconds)

Published: Sat Apr 29 2023