<p>The use of ChatGPT (Open AI, San Francisco, CA) has risen meteorically since its release in November 2022. While there are concerns about the utility of ChatGPT, the exploration of its use in clinical medicine to decrease administrative burden on physicians and deliver digestible information has begun. Patients or family members who seek information about Mohs Micrographic Surgery (MMS) may utilize platforms such as ChatGPT to better understand the procedure. Our study sought to evaluate if ChatGPT provides valuable and accurate information in addressing patient concerns utilizing the FACE-Q Skin Cancer Module™ – Cancer Worry. We prospectively recruited all willing patients with a new diagnosis of basal cell carcinoma or squamous cell carcinoma who had never had MMS to participate. Upon agreement, patients were given a baseline survey including the FACE-Q Skin Cancer Module™ – Cancer Worry to complete. Then, patients were encouraged to ask up to 3 questions to ChatGPT regarding any part of their diagnosis or treatment plan including intra operative considerations, post operative care, and general dermatologic concerns. After the answers were compiled, patients were given time to read the responses. They were then asked to answer the FACE-Q Skin Cancer Module™ – Cancer Worry a second time. Differences in the baseline and secondary modules were calculated. Subsequently, ChatGPT generated responses were reviewed and analyzed for overall themes and medical accuracy. Our pilot study demonstrated that ChatGPT provided accurate and largely useful information for preoperative patient questions. However, ChatGPT alone cannot replace the consultation and targeted information given by healthcare providers. Instead, questions patients ask ChatGPT may assist providers in understanding patient anxieties, and how best to address these concerns during consultation and surgery.</p>

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Can ChatGPT facilitate Mohs surgery consultation?

  • Kishan M. Shah,
  • Michael J. Davis,
  • Hesham Alshaikh,
  • Catherine Payulert,
  • Anthony Rossi,
  • Erica Lee,
  • Kishwer Nehal

摘要

The use of ChatGPT (Open AI, San Francisco, CA) has risen meteorically since its release in November 2022. While there are concerns about the utility of ChatGPT, the exploration of its use in clinical medicine to decrease administrative burden on physicians and deliver digestible information has begun. Patients or family members who seek information about Mohs Micrographic Surgery (MMS) may utilize platforms such as ChatGPT to better understand the procedure. Our study sought to evaluate if ChatGPT provides valuable and accurate information in addressing patient concerns utilizing the FACE-Q Skin Cancer Module™ – Cancer Worry. We prospectively recruited all willing patients with a new diagnosis of basal cell carcinoma or squamous cell carcinoma who had never had MMS to participate. Upon agreement, patients were given a baseline survey including the FACE-Q Skin Cancer Module™ – Cancer Worry to complete. Then, patients were encouraged to ask up to 3 questions to ChatGPT regarding any part of their diagnosis or treatment plan including intra operative considerations, post operative care, and general dermatologic concerns. After the answers were compiled, patients were given time to read the responses. They were then asked to answer the FACE-Q Skin Cancer Module™ – Cancer Worry a second time. Differences in the baseline and secondary modules were calculated. Subsequently, ChatGPT generated responses were reviewed and analyzed for overall themes and medical accuracy. Our pilot study demonstrated that ChatGPT provided accurate and largely useful information for preoperative patient questions. However, ChatGPT alone cannot replace the consultation and targeted information given by healthcare providers. Instead, questions patients ask ChatGPT may assist providers in understanding patient anxieties, and how best to address these concerns during consultation and surgery.