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The intelligent image models lack an understanding of diagnostic and treatment logic, and have not considered textual information such as symptoms and signs. Large language models like ChatGPT, can learn medical knowledge, understand, and generate human natural language, offering new technologies for medical knowledge-based intelligent question answering and the creation of smart medical documents. Therefore, our team plan to verify large language models' feasibility and effectiveness in ophthalmology clinics for medical history collection and examination recommendations during consultations, comparing its performance with traditional methods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Large language models in consultation | Experimental | After the patient signs the informed consent form, the large language model completes the medical history collection and recommends examinations. |
|
| Traditional consultation | No Intervention | After the patient signs the informed consent form, doctor completes the medical history collection and recommends examinations. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Consultation Model of large language model in Ophthalmology Clinics | Other | Large language model completes the medical history collection and recommends examinations. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Medical History Collection Scoring | The medical history collection is performed using the standard outpatient medical record form. The scoring criteria are developed collaboratively by clinical doctors from multiple specialties and researchers. Scoring is independently conducted in a blinded manner by higher-level specialists. | through study completion, up to 1 week. |
| Measure | Description | Time Frame |
|---|---|---|
| Accuracy of Recommended Tests | The gold standard for both the experimental and control groups consists of test items independently selected by senior specialists, who are not involved in the study. | through study completion, up to 1 week. |
| Duration of Medical History Collection |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhongshan Ophthalmic Center, Sun Yat-sen University | Guangzhou | Guangdong | China |
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The experimental group uses the developed system to record the consultation and medical record writing completion times, while the control group records the consultation time through audio recording and the medical record writing completion time through the developed system. |
| through study completion, up to 1 week. |
| Patient satisfaction | Collected through a questionnaire. | through study completion, up to 1 week. |