‘Why am I paying for their time?’: Doctor caught using ChatGPT has everyone arguing

[Kingofthereal]

Most people are dumber than what people think. This is why it’s important to understand when it comes to doctors…. You can get multiple OPINIONS!

 

[Seoul Gleou]

We knew this would happen

AI is the new calculator

You can use an abacus to do math if you want, but there are better tools to help you

 

[Field Marshall Bradley]

It can be very efficient and effective if used properly…. It’s a repository of immediate data…. Use it like a medical research library… it’s supposed to be a tool to make you better at your job. At least for now

 

[Field Marshall Bradley]

They always use some sort of diagnosis lookup system anyway. If AI is betten than Epic or whatever theyre currently using and helps them do their jobs better I'm all for it.

Facts…. Had plenty of doctors take live notes on a laptop or use a speech to text software of some sort doing a visit.

They could have been accessing some type of medical database even then…..

 

[Still Benefited]

I would prefer my doctor to use Chat GPT/Google. Problem is yall think these doctors actually know and remember everything. Or have the type of experience that helps to give a better diagnosis. A doctor could give a more informed diagnosis if he went to a forum where people were discussing their illness and how theyve been misdiagnosed

 

[feelosofer]

Is Chat GPT sewing the stitches/sutures?

The other thing is too. Chat GPT helps you work smarter but you still have to have a working knowledge of the subject. I see AI as a tool to increase efficiency not a get out of jail free card.

 

[ReasonableMatic]

The combination of doctors using education and computers for references is normal.

This has been going on since FOREVER, wait til they find out Santa ain’t real

 

[Pool_Shark]

Why is he posting that on the internet instead of submitting an article to a newspaper?

 

[jwinfield]

Spoiler: thread continued

Spoiler: full text & large images

1/37
@mayankja1n
Took my dad in to the doctor cus he sliced his finger with a knife and the doctor was using ChatGPT

Based on the chat history, it’s for every patient.

2/37
@JeremyNguyenPhD
Did you like that he was using ChatGPT or were you disappointed?

How about your Dad?

Also: 4o?! Dude, if I'm going to a doctor, the least they could do is use o3



3/37
@mayankja1n
I just found it funny. I was only paying attention to his screen to think of AI tools to sell to doctors anyways.

He was using it for patient notes and didn’t give it any identifying information that would violate patient privacy so I’m proud of that doctor for getting with the times.



4/37
@Bfaviero
pretty sure he's just doing it to short-cut the writeup, not the diagnosis itself



5/37
@mayankja1n
Ya exactly. Not much to diagnose with a cut finger anyways.

I wouldn’t even care if he’s using to diagnose since he still applies his knowledge to differentials, it’s just like an intern suggesting ideas that he has to ultimately approve.

But regardless, since it’s for the basic use case of just generating notes, don’t think he’s even doing anything technically disallowed.



6/37
@aj_kourabi
i actually think this is great, looks like its saving him time on writing up post visit notes



7/37
@mayankja1n
Ya I agree. As long as there’s a human in the loop. Anyways he was just doing the medical equivalent of generating a readme file.

The only reason I was paying attention to his screen in the first place was to see his process to think of AI tools to make life easier



8/37
@inductionheads

9/37
@kregenrek
Peanut M&M Carbs Calculation???

10/37
@SeedOilDsrspctr
This looks more like he is using this to help with documentation which I totally understand



11/37
@stevemur
Hope the doctor didn’t have one of these signs

12/37
@DrSiyabMD
Looks like he is using it to generate his note and not do the actual doctoring part. Excellent use of AI, saves a lot of time



13/37
@Aizkmusic
Nothing wrong with this EXCEPT he's not on an org account (the footer is the standard account). Org accounts (allegedly) don't train data on inputs.



14/37
@bnj
Looks like he’s using it for paperwork and not a diagnosis



15/37
@BasedDeptGnrl
This isn't concerning...

16/37
@andrewdsouza
At least use o3. Good God man. What did they teach you in medical school



17/37
@Saul_Loveman
This is illegal in the United States… it breaks hipaa compliance. Your doctors can just give data to @sama ? Wild



18/37
@DefiApes
Looks like he’s just using it to create a note template, which takes up most of our time and is considered “busy work”

I do hope he’s personalizing it a bit tho according to the patient and not just copy pasting lol



19/37
@RogerSeheult
He should be using a HIPPA compliant platform like in Doximity (needs to have a BAA). We are coming out with a MedCram video on this in the next day or so. In the meantime, here’s a blog on the topic.

Revolutionizing Clinical Workflow: How HIPAA-Compliant AI Like Doximity GPT Streamlines Patient Care - Medcram Blog



20/37
@michaelgrowth
Well this is hyper illegal (depending on country).

Can’t just use a PERSONAL ChatGPT to feed it potentially sensitive info lol

Granted would it be ok to google questions / check medical books for confirmations?

If not, why?



21/37
@pastelETH
by the way, doctors SHOULD be doing this (and then obviously cross-referencing their findings with official documentation)



22/37
@KadriJibraan
the vibe doctor



23/37
@BTCGandalf
I want my doctor to use chatGPT as well.



24/37
@KieranO
Next time request he uses o3



25/37
@garybasin
This is fine? Faster than copy pasting a word doc



26/37
@ajsharp
My brother in Christ, you’re an MD, pay the $200/mo for the smarter machines please



27/37
@thanosthinking
we’re cooked



28/37
@sunny051488
I have never seen a doctor dress like that inside a medical building



29/37
@ruslanjabari
raw doggin chatgpt is crazy



30/37
@SalehOfTomorrow
Vibe diagnostics



31/37
@here4impact
glad he is funneling patient data into openai's talons



32/37
@thanosthinking
malpractice



33/37
@amaldorai
Looks like he saw a patient who was considering sacrificing his son.



34/37
@prmshra


[Quoted tweet]
By the way, it’s actually really smart he’s not using o3. This is just for notes. Why waste time and compute on o3 for something this basic?


35/37
@punk3178
Any doctor not using it is not fulfilling their potential



36/37
@irl_danB
this is great and should be encouraged if not expected



37/37
@RealSamRogers
Yo @grok translate this

To post tweets in this format, more info here: https://www.thecoli.com/threads/tips-and-tricks-for-posting-the-coli-megathread.984734/post-52211196

Looks like he’s using it to take notes. I’ve used it before when in a meeting or a call and I’m taking notes in a scattered way, paste it in ChatGPT and it organizes it coherently.

Much different than him typing in “patient’s stomach hurts”

 

[Kasper KArr]

once you set a system prompt/prompt to respond with a specific output template, it can be huge time saver.

edit:

Spoiler: example # Medical Report Generator System Prompt

You are an expert medical scribe and clinical documentation specialist. Your task is to generate professional, structured medical reports from brief clinical inputs. Follow these instructions precisely to create standardized documentation that adheres to medical best practices.

## Input Processing Instructions

- Before generating any report, ask the user for all pertinent information including:
  * Chief complaint and mechanism of injury
  * Timing of the incident/onset
  * Current symptoms and severity
  * Allergies, medications, and medical history
  * Any examination findings they've observed
  * Planned or recommended interventions
- Wait for the user's response before proceeding with report generation
- Parse all available information and expand using standard medical terminology and phrasing
- Make reasonable clinical inferences when appropriate (e.g., timing, severity, common associated symptoms)
- Do not fabricate major clinical details not suggested by the input

## Output Format Requirements

Always structure your response as a formal medical note with the following sections:

1. **History of Present Illness (HP)**
   - Begin with "HP." on the first line
   - Describe the presenting problem including onset, duration, severity, and associated symptoms
   - Use complete sentences in professional clinical language
   - Include the mechanism of injury when provided

2. **Medical Background**
   - List "Allergies:", "Medications:", and "Medical History:" on separate lines
   - Under "Medical History:", include a subsection labeled "General:"
   - If not specified in the input, use "None" as the default value
   - Format these as single-line entries for clarity

3. **Physical Exam**
   - Start with "Physical Exam:" header
   - Organize findings by body system or region (e.g., "Skin:", "General:", "Neurovascular:")
   - Document relevant positive and negative findings
   - Use clinical terminology (e.g., "No acute distress", "Sensation intact")

4. **Assessment and Plan**
   - Begin with "Assessment and Plan:" header
   - Clearly state the diagnosis or clinical impression
   - Document recommended treatments, referrals, and follow-up instructions
   - Include patient education points when appropriate

## Style Guidelines

- Use concise, objective medical language throughout
- Write in third person, present tense for exam findings
- Avoid subjective language, excessive detail, or speculation
- Maintain a professional, clinical tone
- Do not include patient identifiers unless explicitly provided
- Format output as plain text with clear section separation

## Example Output Template

HP.
Patient presents with [chief complaint] [mechanism of injury if applicable]. The [injury/condition] occurred [timeframe]. Patient reports [symptoms] and [severity]. [Additional relevant history].

Allergies: [List or None]
Medications: [List or None]
Medical History:
General: [General medical history or None]

Physical Exam:
[System/Region]: [Findings]
[System/Region]: [Findings]
[System/Region]: [Findings]

Assessment and Plan:
[Diagnosis/impression]. [Treatment plan]. [Referrals if applicable]. [Patient instructions]. [Follow-up recommendations].

## After Generating Report

After generating the report, ask the user if they would like to make any amendments or if they would like to keep the report as is.

So paste this into ChatGPT everything ? Or is there a way I can have this already made

 

[bnew]

So paste this into ChatGPT everything ? Or is there a way I can have this already made

if you have a output examples or a template you can ask chatgt to help you create a proompt by showing it example input and example output the prompt it generates is suppose to produce.

like if you tried that example prompt with the same info from the screenshot it should come out in a similar format

left index finger laceration with kitchen knife surgical referral for wound care and sutures

 

[Robbie3000]

I have a younger cousin who is a doctor. I asked her a question and she says hold up, let me google that. It threw me for a loop then I realized we put doctors on a pedestal. At the end of the day, they are just mechanics for the human body. They need diagnostic tools.