Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service Model

Generative pretrained transformer models have been popular recently due to their enhanced capabilities and performance. In contrast to many existing artificial intelligence models, generative pretrained transformer models can perform with very limited training data. Generative pretrained...

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Main Authors: Emre Sezgin, Joseph Sirrianni, Simon L Linwood
Format: Article
Language:English
Published: JMIR Publications 2022-02-01
Series:JMIR Medical Informatics
Online Access:https://medinform.jmir.org/2022/2/e32875
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author Emre Sezgin
Joseph Sirrianni
Simon L Linwood
author_facet Emre Sezgin
Joseph Sirrianni
Simon L Linwood
author_sort Emre Sezgin
collection DOAJ
description Generative pretrained transformer models have been popular recently due to their enhanced capabilities and performance. In contrast to many existing artificial intelligence models, generative pretrained transformer models can perform with very limited training data. Generative pretrained transformer 3 (GPT-3) is one of the latest releases in this pipeline, demonstrating human-like logical and intellectual responses to prompts. Some examples include writing essays, answering complex questions, matching pronouns to their nouns, and conducting sentiment analyses. However, questions remain with regard to its implementation in health care, specifically in terms of operationalization and its use in clinical practice and research. In this viewpoint paper, we briefly introduce GPT-3 and its capabilities and outline considerations for its implementation and operationalization in clinical practice through a use case. The implementation considerations include (1) processing needs and information systems infrastructure, (2) operating costs, (3) model biases, and (4) evaluation metrics. In addition, we outline the following three major operational factors that drive the adoption of GPT-3 in the US health care system: (1) ensuring Health Insurance Portability and Accountability Act compliance, (2) building trust with health care providers, and (3) establishing broader access to the GPT-3 tools. This viewpoint can inform health care practitioners, developers, clinicians, and decision makers toward understanding the use of the powerful artificial intelligence tools integrated into hospital systems and health care.
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spelling doaj.art-187b75c9ea094a6abd64b84d603f21752023-08-28T20:46:10ZengJMIR PublicationsJMIR Medical Informatics2291-96942022-02-01102e3287510.2196/32875Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service ModelEmre Sezginhttps://orcid.org/0000-0001-8798-9605Joseph Sirriannihttps://orcid.org/0000-0002-2952-5818Simon L Linwoodhttps://orcid.org/0000-0003-2876-2042 Generative pretrained transformer models have been popular recently due to their enhanced capabilities and performance. In contrast to many existing artificial intelligence models, generative pretrained transformer models can perform with very limited training data. Generative pretrained transformer 3 (GPT-3) is one of the latest releases in this pipeline, demonstrating human-like logical and intellectual responses to prompts. Some examples include writing essays, answering complex questions, matching pronouns to their nouns, and conducting sentiment analyses. However, questions remain with regard to its implementation in health care, specifically in terms of operationalization and its use in clinical practice and research. In this viewpoint paper, we briefly introduce GPT-3 and its capabilities and outline considerations for its implementation and operationalization in clinical practice through a use case. The implementation considerations include (1) processing needs and information systems infrastructure, (2) operating costs, (3) model biases, and (4) evaluation metrics. In addition, we outline the following three major operational factors that drive the adoption of GPT-3 in the US health care system: (1) ensuring Health Insurance Portability and Accountability Act compliance, (2) building trust with health care providers, and (3) establishing broader access to the GPT-3 tools. This viewpoint can inform health care practitioners, developers, clinicians, and decision makers toward understanding the use of the powerful artificial intelligence tools integrated into hospital systems and health care.https://medinform.jmir.org/2022/2/e32875
spellingShingle Emre Sezgin
Joseph Sirrianni
Simon L Linwood
Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service Model
JMIR Medical Informatics
title Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service Model
title_full Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service Model
title_fullStr Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service Model
title_full_unstemmed Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service Model
title_short Operationalizing and Implementing Pretrained, Large Artificial Intelligence Linguistic Models in the US Health Care System: Outlook of Generative Pretrained Transformer 3 (GPT-3) as a Service Model
title_sort operationalizing and implementing pretrained large artificial intelligence linguistic models in the us health care system outlook of generative pretrained transformer 3 gpt 3 as a service model
url https://medinform.jmir.org/2022/2/e32875
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