Ethical Considerations and Fundamental Principles of Large Language Models in Medical Education: Viewpoint

作者全名："Li, Zhui; Li, Fenghe; Wang, Xuehu; Fu, Qining; Ren, Wei"

作者地址："[Li, Zhui; Li, Fenghe; Wang, Xuehu; Fu, Qining; Ren, Wei] Chongqing Med Univ, Affiliated Hosp 1, Dept Vasc Surg, 1 Youyi Rd, Chongqing 400016, Peoples R China"

通信作者："Ren, W (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Vasc Surg, 1 Youyi Rd, Chongqing 400016, Peoples R China."

来源：JOURNAL OF MEDICAL INTERNET RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001297047500006

JCR分区：Q1

影响因子：7.4

年份：2024

卷号：26

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：medical education; artificial intelligence; large language models; AI; LLMs; ethics; academic integrity; privacy and data risks; data security; data protection; intellectual property rights; educational research; medical ethics

摘要："This viewpoint article first explores the ethical challenges associated with the future application of large language models (LLMs)in the context of medical education. These challenges include not only ethical concerns related to the development of LLMs,such as artificial intelligence (AI) hallucinations, information bias, privacy and data risks, and deficiencies in terms of transparencyand interpretability but also issues concerning the application of LLMs, including deficiencies in emotional intelligence, educationalinequities, problems with academic integrity, and questions of responsibility and copyright ownership. This paper then analyzesexisting AI-related legal and ethical frameworks and highlights their limitations with regard to the application of LLMs in thecontext of medical education. To ensure that LLMs are integrated in a responsible and safe manner, the authors recommend thedevelopment of a unified ethical framework that is specifically tailored for LLMs in this field. This framework should be basedon 8 fundamental principles: quality control and supervision mechanisms; privacy and data protection; transparency andinterpretability; fairness and equal treatment; academic integrity and moral norms; accountability and traceability; protection andrespect for intellectual property; and the promotion of educational research and innovation. The authors further discuss specificmeasures that can be taken to implement these principles, thereby laying a solid foundation for the development of a comprehensiveand actionable ethical framework. Such a unified ethical framework based on these 8 fundamental principles can provide clearguidance and support for the application of LLMs in the context of medical education. This approach can help establish a balancebetween technological advancement and ethical safeguards, thereby ensuring that medical education can progress withoutcompromising the principles of fairness, justice, or patient safety and establishing a more equitable, safer, and more efficientenvironment for medical education"

基金机构：　

基金资助正文：We used the cross-language capabilities of ChatGPT-4 and ChatGPT-4o to enhance the language used in this paper. The revisionswere reviewed by all the authors and subsequently refined and polished by American Journal Experts to ensure publication quality.We thank Ms Ding Ding for her assistance in the literature search.