This study evaluated an artificial intelligence (AI) system based on a large language model (LLM) in conducting complex patient assessments, comparing its acceptability to that of human basic physician trainees (BPTs) during a divisional clinical examination (DCE). Compared with BPTs, Artificial Intelligence Deployment of Conversational Support (AI-DOCS) scored higher on empathy 5.0 vs 4.5 (P = 0.038), with no significant difference in politeness and comprehensiveness. AI-DOCS also elicited important clinical information that was not divulged to human examiners. Further research is needed to explore the integration of AI-DOCS into clinical workflows.
Competing Interest StatementThe authors have declared no competing interest.
Funding StatementThis study did not receive any funding.
Author DeclarationsI confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.
Yes
The details of the IRB/oversight body that provided approval or exemption for the research described are given below:
The study was conducted with approval from the Central Adelaide Local Health Network Human Research Ethics Committee (reference number 20824) and individual patient consent.
I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.
Yes
I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).
Yes
I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.
Yes
Data AvailabilityData sharing are limited by patient confidentiality and ethical approvals.
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