WEBVTT

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We're going to talk about artificial intelligence

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and we have Carlos Colonga from where again?

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Hospital Regional Materno Infantil de Especialidades

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de Monterrey. He's from Mexico. We have Em Gootee,

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who came as my medical media fellow from Turkey

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after graduating medical school, and I was fortunate

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to recruit her to stay on as one of my colleagues

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now at Cincinnati Children's, helping us in innovation.

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And Rami Shahaban, who I was introduced to years

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ago, who is an ENT surgeon who is now a Ph .D.

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and a professor in instructional technology at

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Utah State University. Rock on. All right. This

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is the team. They're going to update us on artificial

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intelligence. Take it away. So we are going to

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talk about AI, specifically regenerative AI use

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cases in medicine and medical education. and

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we have three categories of use cases research

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productivity and medical education So let's start

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with that poll question here. So which of the

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following is false? Is false. Okay. So that's

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tricky a little bit. ChatGBT can help to organize

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literature review. ChatGBT can analyze data within

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an Excel sheet. ChatGBT can run statistical analyses.

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ChatGBT can help in the research design. Or none

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of the above. So what do you think? Any thoughts

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here in the room? Do you think any of these are

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false or all of them are true? What about the

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unpaid version? It still doesn't. Yeah. Mike.

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Yeah. Oh, right. Yeah. We're talking about both

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of them, yes. Let's keep going. All of them are

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true. We are researching how ChatGPT can help

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us in the research process. I personally use

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ChatGPT in systematic review and meta -analysis.

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When you do systematic review, you screen thousands

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of articles, and then you have a title and abstract

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screening, and then the full text screen. And

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this process is intimidating. You have to have

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many people involved in that process. So we tried

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ChatGPT to do the title and abstract screening,

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as well as the full text screening, and it does

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a great job. Do you want to explain how to do

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it? Yeah, sure. I think we have the next slide

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here. Talking about that so we have punch of

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articles to go into title abstract screen And

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then we asked chat GVT this prompt. I'm conducting

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a systematic review of the use of AI in organ

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transplantation I need you to act as a data analyst

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Please analyze the attached excel sheet and screen

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the included articles for title abstract by the

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way that The AI in organ transplantation paper

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was published already so we used chatgbt in that

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use the following inclusion criteria we have

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some inclusion criteria here and then after screening

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the title and abstract so now we want chatgbt

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also to manipulate the document itself so it's

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not only just giving me text in a answer through

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chatgbt but also go inside the excel sheet and

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then read the data from excel sheet add columns

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to the Excel sheet and say whether this article

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is relevant or not relevant or maybe relevant.

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Because we don't trust ChatGPT a lot, I asked

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ChatGPT also to add a column to explain why ChatGPT

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decided that decision. So you have a better understanding

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about this data and if you don't agree with ChatGPT,

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you can manipulate the prompt, engineer the prompt

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to make it more accurate. Okay, and we get an

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excellent result with that. We had to do the

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human title and abstract screening also because

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we want to have a reliable answer, but we did

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inter -rater reliability between ChagVT and the

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human reliability, and the inter -rater reliability

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was excellent. So ChagVT could be used in that.

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part yeah so what is what is the first cycle

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and second so yeah okay so uh first we wanted

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to use chat gbt uh to give us yes or no question

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yes or no relevant or not relevant and then we

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just redesigned the prompt a little bit to make

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chat gbt say whether it's relevant not relevant

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and maybe relevant so we decided to consider

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all of these versions of the prompt and then

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make the inter -rater reliability between all

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of that columns. Question? I've done this, not

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for the exact same purpose, but I don't get the

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same answer each time. So my question is about

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reliability. I know humans are not reliable either,

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but it sounds like every time you offer this

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question, at least to ChatGPT, I haven't tried

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other ones, you get a slightly different answer.

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It approaches the problem like... for the first

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time every time? I think so. Yeah, so if you

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use ChatGPT in the general search, you get different

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answers, but we created custom GPT for that.

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So you can walk ChatGPT in serial of prompts

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until you get the most accurate results, which

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is just not that difference between if you run

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it multiple times, you get a slight difference.

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And we had to have human reliability here also

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to just make sure. that it is reliable. But that's

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a good potential for the future iterations for

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. I think also it might be one of the questions

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that, what is the AI limitations when you use

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it for an actual paper? and go for publishing,

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what is the disclosures that you do for the journals,

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do they have any limitations, do you have any

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extra information on that? Yeah, so we use ChatGPT

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here as a part of the methodology and part of

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the reliability process. We don't use it to,

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for example, as an act of plagiarism or writing,

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yes. So, yeah, our journals are very, yeah, of

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course, yeah. And we frankly say that this cycle

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of screening is done by . The second cycle of

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screening done by . Third cycle of screening

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is done by humans. So, yeah. You always have

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to have a human in the equations. So we have

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to take in mind that these AI models, they help

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us increase our efficiency. And sometimes we

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equate wrongly efficiency to productivity, but

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sometimes you get productivity out of the efficiency.

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So it helps us be more efficient. by accelerating

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how we do the work. But we always, at least in

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the medical and the science part, we have to

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have a human in the equation. Because we have

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to remember that even if we use the prompts that

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help you get the same results, because ChatGPT

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is a black box model that we don't know what

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it is trained about, and they're always changing

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the weights, it'll change. So it needs us to

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tell it what to do and to understand and read

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the answers of ChatGPT. Yeah, you want to move

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on to the next one? Yeah. So let's go to talk

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about Jenny AI, whose motto is use AI to supercharge

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your research paper. So what does it do? You

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open the Jenny AI, which is one of different

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academic models that has been fine -tuned with

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research papers. And you literally put your prompt.

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I want to write about this, this, and that. In

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this example, let's talk about pediatric interception.

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You put the prompt. And the first thing that

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you'll get is a suggestion. You can start writing

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this. You, because you're the surgeon that has

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the hand on the wheel, can say, yeah, I like

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it. I want to modify it. I want to change it

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in this and that way. And then, the next slide,

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please. You can also talk with its in -house

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chatbot. and say, hey, I really want to give

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it this pin. I want it to research specifically

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in this. And the chatbot will give you the answers

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that you're searching for. It will cite papers

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to you, and it can help you cite on your preferred

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type of citation specifications into your paper.

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Next, please. So here. You've decided that, yes,

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I like what it is saying. I also want you to

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add this, this, and that on my academic paper.

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And it gives you a little suggestion of the summary

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of the papers that you want to introduce. So

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we can see how this accelerates your paper writing,

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but you're still at the command of it. You're

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still in the helm. Next, please. So let's do

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an audience poll to see how you're feeling about

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this. So how recent are the articles suggested

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from the use of these AI models? So they have

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a cut -off date of 2023. They're older than five

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years, older than 10 years, and they're on par

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with the latest published research. What do you

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think? Any ideas? Can we see the answers from

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the international audience, please? I don't know

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if the poll is up. Oh. Can we see the poll results?

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Okay. How do people know what's up? Yeah. So,

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mostly, nowadays, they're mostly on par. We just

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have to research into what model we're using

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and what library they're using, but it is on

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par. We just have to remember that they're searching.

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for those latest articles in this specific type

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of library, which we'll talk about it at a later

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moment. Well, that was the moment, yeah. So...

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Also, there's another tool with the Gen -E AI.

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It's called Open Evidence, and I think you said

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this is the difference that this is not necessarily

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helping you write it, but it helps you do literature

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search. Exactly, which is amazing. This has been...

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This was part of the program accelerator over

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by Harvard team and the Magic Clinic. And they

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especially focus on the Elsevier Library. So

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you can ask any type of question. It will reply

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in a conversational manner, trying to answer

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your question while summarizing the papers, the

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latest papers that it's citing. So it gives you

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a conversational answer. And then at the end

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of it, It gives you the papers that you can personally

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check out to confirm what it's saying. If you

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want to press the details, it gives you a bigger

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summary. And then it suggests, hey, so you're

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talking about these things. It's like you just

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cited Dr. Russell's paper in the second part.

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Yeah, yeah. And if you wanted to go... Accurate.

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Yeah. And it also gives you suggestions. So I

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know you're talking about the appendectomy. Hey,

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you could also talk about this and that, which

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is up in the next slide. And you can ask follow

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-up questions. Yep, yep, yeah. So it's pretty

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great. So what would you say the personal practice

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changes for your part? For my part? Okay. So

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we are going to talk about the medical education

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part. Is that right? Medical education is coming

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next. Okay. We're going to first talk about the

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productivity part, but I think it kind of summarizes

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that large language models can enhance the efficiency

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and productivity when you do research by analyzing

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the large data sets for you, or you can use those

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tools to help you write. This is especially very

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important for the international audience that

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have, once you have something on hand and work

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on it, it's way easier. and writing something

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by yourself from scratch. So these large language

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models also can be an editor and help you write

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these papers. And we're gonna move on. Yeah,

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Jose. Dr. Holcomb, what's the JPS policy about

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these AI tools? I think we wanted to submit something.

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They asked if we used it. Yeah, so you can use

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it for background information, but you can't

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use generative AI, that is, to have AI write

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you the paper. And are you making sure it's not

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being used, or you have to disclose it somewhere?

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Well, first of all, if you used it and you disclosed

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it, it's probably not going to get accepted.

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But we have, we being Elsevier, has tools to...

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to figure out if it's been used or if it's being

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used. So that's sort of the policy is you can't

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use generative AI to create your paper, to write

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your paper. I think it's okay to use it. You

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could, for language, it's probably appropriate.

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And for literature, you know, background information,

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it's certainly appropriate. I think it all started

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a couple years ago when ChatGPT started getting

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used in different fields. The first couple papers

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were written and ChatGPT was among the authors.

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And I think it's not been permitted anymore.

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You cannot do that. But I don't know. Probably

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it's the same for all the journals. You cannot

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ask ChatGPT to write a section of it and show

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it in the authors. Yeah, most of the journals

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I see is just asking you to, if you want to use

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ChatGPT, you use it to just enhance the writing

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style, not create the ideas. So, yeah. And our

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next question, because we're going to talk about

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ChatGPT and other AI tools and how you use to

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enhance your daily productivity, not necessarily

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for research. And we asked the audience, how

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often do you use ChatGPT or similar AI tools?

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It could be Cloud, Gemini, anything. It's a spectrum

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from never to always. And one third is never.

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Whenever Todd sees those numbers. He kind of

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has a heart attack every time he sees people

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that never use chat, GPT, or AI. So if you first

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start with productivity part with MeetGeek, this

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is one of the tools that helps you. You basically

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synchronize this tool with your calendar. It

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jumps in. Meeting that you attach to your calendar

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and it takes notes for you and at the end of

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it It sends you a mail of the transcription notes

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and the summary And it basically tells like who

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was in the Hoover in the meeting what was the

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summary and what you need to do it goes with

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the recording and it assigns action items per

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person who are in the meaning and Fireflies is

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a similar one with the Miki if you go look in

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the internet to see meeting summarizer AI tools.

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They're like a bunch of them. Most of them does

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the same job. They're on different price points.

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Most of the time, it's just personal preference.

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They mostly do the same thing. I know you started

00:16:31.220 --> 00:16:33.759
using MeetGeek and then you transferred to Fireflies

00:16:33.759 --> 00:16:36.620
because we... Influenced you? Yeah, I think Firefly,

00:16:36.639 --> 00:16:39.580
yeah. So I use mid -gig, I use the paid version

00:16:39.580 --> 00:16:41.899
of mid -gig, and then Firefly is the free version,

00:16:41.980 --> 00:16:44.259
and then the paid version. And when you invite

00:16:44.259 --> 00:16:49.840
Rami to a meeting, shows up as four people. Rami,

00:16:49.899 --> 00:16:51.639
AI note -taker one, Rami, AI note -taker two.

00:16:51.639 --> 00:16:53.500
The human version is not there, is that right?

00:16:54.440 --> 00:16:59.019
So I think Firefly is... My personal preference

00:16:59.019 --> 00:17:03.980
is because it has also action items that So after

00:17:03.980 --> 00:17:06.779
the meeting it it gives you the action items

00:17:06.779 --> 00:17:10.680
for what's next so it's just to keep you Informed

00:17:10.680 --> 00:17:12.720
it is great. I use fireflies because of you guys.

00:17:12.759 --> 00:17:16.880
I started using Carlos also comes as a two people

00:17:16.880 --> 00:17:20.890
every meeting The issue that we've run into,

00:17:21.049 --> 00:17:23.150
because I was addicted to it, I needed it because

00:17:23.150 --> 00:17:26.150
it gives me takeaways and all the key points.

00:17:26.250 --> 00:17:28.990
Here's what you need to do. But then our hospital,

00:17:29.329 --> 00:17:32.430
people got worried, especially with some of the

00:17:32.430 --> 00:17:34.730
meetings I was having, that it was auto -recording

00:17:34.730 --> 00:17:38.109
everything. So you just have to figure out what's

00:17:38.109 --> 00:17:40.549
the safe way. At Cincinnati Children's, they

00:17:40.549 --> 00:17:44.559
now have... co -pilot approved by co -pilot that's

00:17:44.559 --> 00:17:46.920
approved by the hospital but even then our lawyers

00:17:46.920 --> 00:17:50.259
asked me to stop using it on half of my meetings

00:17:50.259 --> 00:17:52.400
because they're legally sensitive well you talk

00:17:52.400 --> 00:17:54.700
about confidential things yeah confidential things

00:17:54.700 --> 00:17:58.569
so um it's it's We're going to make progress

00:17:58.569 --> 00:18:00.869
with that because this is such a valuable tool,

00:18:00.950 --> 00:18:03.490
and we have to get past the security part of

00:18:03.490 --> 00:18:07.130
it, but it is game -changing. Especially if you're

00:18:07.130 --> 00:18:09.390
using an institution level, it needs to be a

00:18:09.390 --> 00:18:13.730
lot of preventative, like preventions be taking

00:18:13.730 --> 00:18:16.430
place for security purposes, especially like

00:18:16.430 --> 00:18:19.049
you and Dr. Winallman's level executive meetings,

00:18:19.269 --> 00:18:23.089
but like you and me in a meeting. Fireflies can

00:18:23.089 --> 00:18:25.430
record that. There's not going to be that one.

00:18:26.750 --> 00:18:30.460
We've actually. Added it to our platform. So

00:18:30.460 --> 00:18:32.980
we use a co -pilot and that's the only thing

00:18:32.980 --> 00:18:35.779
that's basically approved You know for Carl stores

00:18:35.779 --> 00:18:39.359
to use in regards to note -taking or getting

00:18:39.359 --> 00:18:42.759
information Recording stuff and then you know

00:18:42.759 --> 00:18:44.839
analyzing it afterwards I think it's the same

00:18:44.839 --> 00:18:47.559
at Cincinnati Children's and they keeps that

00:18:47.559 --> 00:18:50.940
they Generally send us like weekly AI guidelines

00:18:50.940 --> 00:18:54.339
of how should we use it? And what kind of information

00:18:54.339 --> 00:18:57.500
should not be used when you use co -pilot or

00:18:57.500 --> 00:18:59.410
ask for it? meeting summaries and everything.

00:18:59.670 --> 00:19:05.029
And I think that's a good step to endorse people

00:19:05.029 --> 00:19:09.250
to use with not giving away the secrets of the

00:19:09.250 --> 00:19:11.970
company, basically. Yeah, we have to have these

00:19:11.970 --> 00:19:14.109
talks. We have to learn how to use it because

00:19:14.109 --> 00:19:18.150
it's here to stay. We can't close our eyes and

00:19:18.150 --> 00:19:21.369
don't admit that everyone's using it to increase

00:19:21.369 --> 00:19:24.630
their efficiency and improve the way they manage

00:19:24.630 --> 00:19:28.180
their day -to -day lives. Zoom AI basically does

00:19:28.180 --> 00:19:30.579
the same thing because some companies have Zoom

00:19:30.579 --> 00:19:33.880
instead of Microsoft. But the plus I saw in the

00:19:33.880 --> 00:19:37.420
Zoom, if you're late to a meeting and you have

00:19:37.420 --> 00:19:39.960
Zoom AI companion, you can ask if your name is

00:19:39.960 --> 00:19:42.779
mentioned, what people ask you to do, and recap

00:19:42.779 --> 00:19:47.519
the meeting just before you join what happened.

00:19:47.740 --> 00:19:50.740
So I think that's a very cool thing. And if you're

00:19:50.740 --> 00:19:52.799
generally late to the meetings, I would definitely

00:19:52.799 --> 00:20:02.140
recommend. One minute? Okay, sorry. Okay, this

00:20:02.140 --> 00:20:04.859
is Todd's favorite. Read aloud GPT. We created

00:20:04.859 --> 00:20:07.759
for it. You can use this QR code and you can

00:20:07.759 --> 00:20:11.640
use it by yourself. It basically helps you listen

00:20:11.640 --> 00:20:13.880
to your long emails or any text that you need

00:20:13.880 --> 00:20:16.839
to listen to instead of you read. We know Todd

00:20:16.839 --> 00:20:20.809
talks, like have to not talk, sorry. He has to

00:20:20.809 --> 00:20:23.250
read a lot of things, the emails and everything.

00:20:23.509 --> 00:20:26.329
And sometimes, what do you call walk and talk?

00:20:26.670 --> 00:20:31.609
T 'walk. T 'walk. So it's hard to read when you

00:20:31.609 --> 00:20:34.569
walk. So you listen to it and you use the ChatGPT

00:20:34.569 --> 00:20:36.470
to have conversations. Instead of an audio book,

00:20:37.029 --> 00:20:39.009
I will drive. I'm about to drive to Cincinnati

00:20:39.009 --> 00:20:41.829
after this. And I will talk to ChatGPT for an

00:20:41.829 --> 00:20:44.579
hour about a book. So I'll say, summarize this

00:20:44.579 --> 00:20:46.660
book. And I will go back like a book club. I'll

00:20:46.660 --> 00:20:48.599
say, tell me now, what does it say about this?

00:20:48.640 --> 00:20:50.880
Tell me, let's go into chapter two. I want to

00:20:50.880 --> 00:20:53.180
know this. I don't get this. So I will have a

00:20:53.180 --> 00:20:56.660
conversation while I work out, while I am driving.

00:20:57.119 --> 00:20:59.819
And I think this is one of the most important

00:20:59.819 --> 00:21:04.799
ones for this audience here. Todd said he's getting

00:21:04.799 --> 00:21:06.299
a lot of requests for letter of recommendations.

00:21:06.940 --> 00:21:10.140
And we created this GPT for him. And you can

00:21:10.140 --> 00:21:12.279
use the QR code if you can't put the slides up

00:21:12.279 --> 00:21:16.390
here. But they keep saying we created GPTs. It's

00:21:16.390 --> 00:21:18.289
very easy to do. So if you're using the same

00:21:18.289 --> 00:21:20.349
prompts over and over and it's a series of prompts,

00:21:20.589 --> 00:21:23.349
you can create it and just keep reusing it. So

00:21:23.349 --> 00:21:25.910
when I have a letter that I have to write, it

00:21:25.910 --> 00:21:28.569
goes through M -Media for me. So when you use

00:21:28.569 --> 00:21:30.390
this QR code, you're going to go to this letter

00:21:30.390 --> 00:21:33.309
of recommendation GPT. All you need to do is

00:21:33.309 --> 00:21:36.569
upload the CV cover letter. Why are you writing

00:21:36.569 --> 00:21:37.910
this letter of recommendation? It's going to

00:21:37.910 --> 00:21:40.670
give you a draft. You can start working on it

00:21:40.670 --> 00:21:43.829
and personalize it for the candidate. We do not

00:21:43.829 --> 00:21:46.849
recommend the first thing you get from Chachapit

00:21:46.849 --> 00:21:49.369
to use it, but it's a great start for... It will

00:21:49.369 --> 00:21:54.750
sometimes be over... This person is from heaven.

00:21:54.990 --> 00:22:00.049
I actually almost always come back and say, I

00:22:00.049 --> 00:22:03.470
really don't know this person. I'm giving a reference,

00:22:03.690 --> 00:22:06.089
so please tone it down. And then it's like, this

00:22:06.089 --> 00:22:08.130
person is very good, blah, blah, blah. So you

00:22:08.130 --> 00:22:11.599
have to just tell it what you want. Like with

00:22:11.599 --> 00:22:14.079
Halpern, I'm going to say, please really tone

00:22:14.079 --> 00:22:17.779
this down. He's not that good. Do you want to

00:22:17.779 --> 00:22:21.119
do the medical education real fast? Yeah. Sure.

00:22:21.559 --> 00:22:25.730
Just one minute. We'll just talk quickly about

00:22:25.730 --> 00:22:28.470
that. The medical education part, if you want

00:22:28.470 --> 00:22:32.329
to have a personal trainer, we use also ChatGPT

00:22:32.329 --> 00:22:35.769
and other generative AI in that. You can, for

00:22:35.769 --> 00:22:39.329
example, ask ChatGPT to upload a guideline to

00:22:39.329 --> 00:22:42.049
ChatGPT and then ask ChatGPT to create a training

00:22:42.049 --> 00:22:44.789
session, an interactive training session between

00:22:44.789 --> 00:22:48.069
you and ChatGPT. Can we put the slides up? Thank

00:22:48.069 --> 00:22:53.789
you. Yeah, so you can ask ChatGPT to create a

00:22:53.789 --> 00:22:56.309
training session out of a guideline so it doesn't

00:22:56.309 --> 00:22:59.930
have to go into hallucinations or fabricating

00:22:59.930 --> 00:23:02.869
information. It takes the guideline and then

00:23:02.869 --> 00:23:04.750
it creates a series of interactive questions

00:23:04.750 --> 00:23:08.170
where you can interact with ChatGPT and get trained

00:23:08.170 --> 00:23:10.930
on specific things. So, for example, that's an

00:23:10.930 --> 00:23:14.970
appendicitis case that we ask ChatGPT to create

00:23:14.970 --> 00:23:17.710
problem -solving activities. And also we ask

00:23:17.710 --> 00:23:20.789
ChatGPT... to score these activities and give

00:23:20.789 --> 00:23:22.990
us feedback at the end. So that's the feedback

00:23:22.990 --> 00:23:27.109
that it gets at the end. On a similar note, you

00:23:27.109 --> 00:23:30.730
could also make it do any type of case, a step

00:23:30.730 --> 00:23:32.789
one, step two type of case, any type of case.

00:23:33.089 --> 00:23:36.170
You can ask for it. You do the correct prompt,

00:23:36.390 --> 00:23:39.670
and with that, it'll help you do the medical

00:23:39.670 --> 00:23:41.869
case in a step -by -step manner, and at the end,

00:23:41.890 --> 00:23:44.440
it will give you feedback. All right, this was

00:23:44.440 --> 00:23:46.519
awesome. I let us go way over. That's my fault.

00:23:46.579 --> 00:23:48.740
I'm sorry. AI is cool. Keep using it. This is

00:23:48.740 --> 00:23:51.720
phenomenal. These guys are great. We're going

00:23:51.720 --> 00:23:54.059
to keep doing series of courses throughout the

00:23:54.059 --> 00:23:57.160
year for these kind of questions. But guys, thank

00:23:57.160 --> 00:23:58.240
you so much. That was awesome.
