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Large language models improve clinical decision making of medical students through patient simulation and structured feedback: a randomized controlled trial

Large Language Models Enhance Medical Students’ Clinical Decision-Making

Study Overview

This study examines how Large Language Models (LLMs) can improve medical students’ clinical decision-making (CDM) through patient simulations and feedback.

Key Findings

We developed AI prompts that simulate patients with various symptoms for realistic medical conversations. In our trial:

  • The control group had simulated conversations without feedback.
  • The feedback group received AI-generated feedback on their performance.

We evaluated their performance using the Clinical Reasoning Indicator — History Taking Inventory (CRI-HTI). The results showed:

  • Both groups started with similar scores.
  • After four training sessions, the feedback group significantly outperformed the control group.
  • Improvements were noted in creating context and securing information, key aspects of CDM.

Practical Solutions and Value

This study suggests that AI-simulated conversations with structured feedback can effectively enhance training for medical students. This approach can:

  • Be a cost-effective addition to traditional training methods.
  • Better prepare students for real-life medical interactions.

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Clinical trials are essential for developing safe and effective treatments. Extending their benefits into daily medical practice is crucial.

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