Martin Chavez, MD

Artificial intelligence (AI) has recently gained significant public attention, primarily driven by the launch of a noteworthy program by OpenAI called Chat Generative Pre-trained Transformer (ChatGPT). This large language model is an AI system that enables users to interact with it using plain language. In just the first 2 months since its release, over 100 million subscribers have registered to use ChatGPT.

AI is now deeply integrated into our daily lives, pervading a wide array of smart devices such as phones, tablets, and numerous other gadgets that we rely on every day. These sophisticated technologies operate seamlessly in the background, often without us being consciously aware of their presence. Nevertheless, we greatly appreciate the way they enhance our lives by simplifying tasks and streamlining our routines.

A key factor contributing to ChatGPT’s popularity is its ability to accept input in the form of prompts in plain English. Our team published a comprehensive journal article showcasing examples of how this technology can be utilized by general ob.gyn. practitioners. ChatGPT has the potential to streamline work flow, generate letters to insurance companies, draft clinical plans, and assist with various other routine tasks in any ob.gyn. practice environment.

As with any new technology, it is essential for users to familiarize themselves with its capabilities and understand its limitations. A critical aspect to consider with the current version of ChatGPT is that it was developed using information primarily sourced from the Internet up until September 2021. This limitation is especially significant in the field of medicine, where practitioners consistently seek the most up-to-date and current information to inform their decisions.

However, it is expected that, in the near future, these programs will gain access to real-time information from a diverse range of sources, including but not limited to the Internet. This development will enhance the program’s utility and relevance in medical contexts.

Another limitation of ChatGPT is its propensity to “hallucinate.” Large language models are trained to respond to the best of their abilities, occasionally attempting to fill knowledge gaps with fabricated information. Being aware of these limitations enables users to recognize the program’s potential while also understanding the need for careful monitoring.

Our expertise and clinical knowledge are crucial in guiding and refining this technology, ensuring that it serves as a valuable tool in the ever-evolving landscape of medicine.

Another crucial factor to consider is that users must adhere to all guidelines and policies established within their work environment. This entails complying with HIPAA regulations and ensuring that any information generated by these programs is thoroughly examined before being integrated into practice work flows. As an increasing number of organizations develop specific guidelines for such technologies, the aim is to safeguard patients, users, and the organization itself. The individuals utilizing these technologies must exercise utmost caution and refrain from storing or sharing any sensitive or proprietary information.

The aim of this article is not to provide an exhaustive overview, but rather to offer a selection of examples and inspire readers to consider adopting these programs. By doing so, we hope to facilitate the exploration of innovative approaches that can improve the practice of ob.gyn.

The first example illustrates a common scenario that we frequently encounter – the situation in which an insurance company denies coverage for specific care or treatment for a patient. In fact, this was one of the first examples that was demonstrated by others on social media as a possible benefit for this technology. It effectively demonstrated the ability to save time and surmount the challenges of writer’s block that we occasionally encounter.
 

Prompt input:

“Write a letter to the insurance company who is denying cervical length surveillance for a patient with a short cervix and add references.”

ChatGPT response:

[Your Name]

[Your Address]

[City, State, Zip Code]

[Date]

[Insurance Company Name]

[Claims Department]

[Insurance Company Address]

[City, State, Zip Code]

Re: Request for Reconsideration – Cervical Length Surveillance

Policy Number: [Policy Number]

Insured: [Patient’s Name]

Date of Birth: [Patient’s Date of Birth]

Claim Number: [Claim Number]

Date of Service: [Date of Service]

Dear Claims Reviewer,

I am writing to request a reconsideration of the denial for cervical length surveillance for my patient, [Patient’s Name], who has been diagnosed with a short cervix. As a healthcare provider, I strongly believe that this is a medically necessary service for the patient in order to prevent preterm birth and its associated complications.

A short cervix is a well-established risk factor for preterm birth, and numerous studies have shown the efficacy of cervical length surveillance in the prevention and management of preterm birth. I kindly request that you reconsider the coverage for this essential service and refer to the following authoritative sources:

Berghella, V., & Saccone, G. (2019). Fetal fibronectin testing for reducing the risk of preterm birth. Cochrane Database of Systematic Reviews, 2019(7). doi:10.1002/14651858.CD004843.pub3

American College of Obstetricians and Gynecologists (2016). Practice Bulletin No. 171: Management of Preterm Labor. Obstetrics & Gynecology, 128(4), e155-e164. doi:10.1097/AOG.0000000000001711

Society for Maternal-Fetal Medicine (SMFM), McIntosh, J., Feltovich, H., Berghella, V., & Manuck, T. (2016). The role of routine cervical length screening in selected high- and low-risk women for preterm birth prevention. American Journal of Obstetrics & Gynecology, 215(3), B2-B7. doi:10.1016/j.ajog.2016.03.015

By denying coverage for cervical length surveillance, the insurance company is putting [Patient’s Name] at an increased risk for preterm birth and the numerous health complications that can accompany it, both for the mother and the infant. It is crucial to provide this service in order to improve health outcomes and reduce the risk of costly neonatal intensive care unit (NICU) admissions and long-term medical issues.

I kindly request that you review this case with the provided references and reconsider the coverage for cervical length surveillance for [Patient’s Name]. Thank you for your attention to this matter. Please feel free to contact me if you require any further information or clarification.

Sincerely,

[Your Name]

[Your Title]

[Your Phone Number]

[Your Email Address]

The document took less than 15 seconds to generate, it is well written and concise, and can also be utilized as a template for future use. But as mentioned above, it is important to confirm all the information within the document. For example, references 1 and 3 in the ChatGPT-generated letter above include document objective identifiers that do not correctly correspond to the reference.

Other uses that the reader might consider: patient education, helping to answer a patient question utilizing appropriate grade-level language, dietary plans for a patient - the potential list is endless. Another key aspect of utilizing these types of programs is understanding how to effectively ask a question. This involves providing ample detail about the inquiry you wish to have answered by the program. With some practice and review of guidance on how to do this from the Internet, one can become highly proficient at crafting questions and generating relevant responses. But as mentioned above, it is important to keep in mind that all information generated by this program needs to be vetted prior to utilization.

This groundbreaking technology is not only here to stay but will continue to become increasingly pervasive. It is already being integrated into conventional search engines such as Google and Bing. Microsoft has ambitious plans to incorporate this innovation into its entire suite of Office products. Just imagine working on a document and seeking assistance for editing or rephrasing, effortlessly searching your inbox for all emails containing a specific phrase or topic, or even crafting a PowerPoint presentation for a lecture while receiving help with both content and formatting. These scenarios offer just a glimpse of how AI programs can significantly assist and enhance our workflow.

I also anticipate that our patients will increasingly adopt this type of technology to generate customized lists of questions tailored to their specific medical conditions, which they can then ask their health care providers. Often, our patients express uncertainty about the appropriate questions to ask during a particular visit. Now envision a scenario in which they can effortlessly obtain a comprehensive list of relevant questions, specifically designed for their office consultation. This would empower them to engage more actively in their health care and enhance communication with their clinical team.

I highly recommend that readers explore and experiment with these programs. By doing so, we can provide valuable assistance and guidance not only within our specific medical specialties but also for our patients. In this way, we can effectively harness the power of technology to improve patient care and optimize our office work flow, ultimately benefiting both our patients and our practices.

Dr. Chavez is professor, department of obstetrics and gynecology, at NYU Long Island School of Medicine and director of maternal and fetal medicine at NYU Langone Hospital–Long Island, both in Mineola, N.Y. He has no disclosures.

Artificial intelligence (AI) has recently gained significant public attention, primarily driven by the launch of a noteworthy program by OpenAI called Chat Generative Pre-trained Transformer (ChatGPT). This large language model is an AI system that enables users to interact with it using plain language. In just the first 2 months since its release, over 100 million subscribers have registered to use ChatGPT.

AI is now deeply integrated into our daily lives, pervading a wide array of smart devices such as phones, tablets, and numerous other gadgets that we rely on every day. These sophisticated technologies operate seamlessly in the background, often without us being consciously aware of their presence. Nevertheless, we greatly appreciate the way they enhance our lives by simplifying tasks and streamlining our routines.

A key factor contributing to ChatGPT’s popularity is its ability to accept input in the form of prompts in plain English. Our team published a comprehensive journal article showcasing examples of how this technology can be utilized by general ob.gyn. practitioners. ChatGPT has the potential to streamline work flow, generate letters to insurance companies, draft clinical plans, and assist with various other routine tasks in any ob.gyn. practice environment.

As with any new technology, it is essential for users to familiarize themselves with its capabilities and understand its limitations. A critical aspect to consider with the current version of ChatGPT is that it was developed using information primarily sourced from the Internet up until September 2021. This limitation is especially significant in the field of medicine, where practitioners consistently seek the most up-to-date and current information to inform their decisions.

However, it is expected that, in the near future, these programs will gain access to real-time information from a diverse range of sources, including but not limited to the Internet. This development will enhance the program’s utility and relevance in medical contexts.

Another limitation of ChatGPT is its propensity to “hallucinate.” Large language models are trained to respond to the best of their abilities, occasionally attempting to fill knowledge gaps with fabricated information. Being aware of these limitations enables users to recognize the program’s potential while also understanding the need for careful monitoring.

Our expertise and clinical knowledge are crucial in guiding and refining this technology, ensuring that it serves as a valuable tool in the ever-evolving landscape of medicine.

Another crucial factor to consider is that users must adhere to all guidelines and policies established within their work environment. This entails complying with HIPAA regulations and ensuring that any information generated by these programs is thoroughly examined before being integrated into practice work flows. As an increasing number of organizations develop specific guidelines for such technologies, the aim is to safeguard patients, users, and the organization itself. The individuals utilizing these technologies must exercise utmost caution and refrain from storing or sharing any sensitive or proprietary information.

The aim of this article is not to provide an exhaustive overview, but rather to offer a selection of examples and inspire readers to consider adopting these programs. By doing so, we hope to facilitate the exploration of innovative approaches that can improve the practice of ob.gyn.

The first example illustrates a common scenario that we frequently encounter – the situation in which an insurance company denies coverage for specific care or treatment for a patient. In fact, this was one of the first examples that was demonstrated by others on social media as a possible benefit for this technology. It effectively demonstrated the ability to save time and surmount the challenges of writer’s block that we occasionally encounter.
 

Prompt input:

“Write a letter to the insurance company who is denying cervical length surveillance for a patient with a short cervix and add references.”

ChatGPT response:

[Your Name]

[Your Address]

[City, State, Zip Code]

[Date]

[Insurance Company Name]

[Claims Department]

[Insurance Company Address]

[City, State, Zip Code]

Re: Request for Reconsideration – Cervical Length Surveillance

Policy Number: [Policy Number]

Insured: [Patient’s Name]

Date of Birth: [Patient’s Date of Birth]

Claim Number: [Claim Number]

Date of Service: [Date of Service]

Dear Claims Reviewer,

I am writing to request a reconsideration of the denial for cervical length surveillance for my patient, [Patient’s Name], who has been diagnosed with a short cervix. As a healthcare provider, I strongly believe that this is a medically necessary service for the patient in order to prevent preterm birth and its associated complications.

A short cervix is a well-established risk factor for preterm birth, and numerous studies have shown the efficacy of cervical length surveillance in the prevention and management of preterm birth. I kindly request that you reconsider the coverage for this essential service and refer to the following authoritative sources:

Berghella, V., & Saccone, G. (2019). Fetal fibronectin testing for reducing the risk of preterm birth. Cochrane Database of Systematic Reviews, 2019(7). doi:10.1002/14651858.CD004843.pub3

American College of Obstetricians and Gynecologists (2016). Practice Bulletin No. 171: Management of Preterm Labor. Obstetrics & Gynecology, 128(4), e155-e164. doi:10.1097/AOG.0000000000001711

Society for Maternal-Fetal Medicine (SMFM), McIntosh, J., Feltovich, H., Berghella, V., & Manuck, T. (2016). The role of routine cervical length screening in selected high- and low-risk women for preterm birth prevention. American Journal of Obstetrics & Gynecology, 215(3), B2-B7. doi:10.1016/j.ajog.2016.03.015

By denying coverage for cervical length surveillance, the insurance company is putting [Patient’s Name] at an increased risk for preterm birth and the numerous health complications that can accompany it, both for the mother and the infant. It is crucial to provide this service in order to improve health outcomes and reduce the risk of costly neonatal intensive care unit (NICU) admissions and long-term medical issues.

I kindly request that you review this case with the provided references and reconsider the coverage for cervical length surveillance for [Patient’s Name]. Thank you for your attention to this matter. Please feel free to contact me if you require any further information or clarification.

Sincerely,

[Your Name]

[Your Title]

[Your Phone Number]

[Your Email Address]

The document took less than 15 seconds to generate, it is well written and concise, and can also be utilized as a template for future use. But as mentioned above, it is important to confirm all the information within the document. For example, references 1 and 3 in the ChatGPT-generated letter above include document objective identifiers that do not correctly correspond to the reference.

Other uses that the reader might consider: patient education, helping to answer a patient question utilizing appropriate grade-level language, dietary plans for a patient - the potential list is endless. Another key aspect of utilizing these types of programs is understanding how to effectively ask a question. This involves providing ample detail about the inquiry you wish to have answered by the program. With some practice and review of guidance on how to do this from the Internet, one can become highly proficient at crafting questions and generating relevant responses. But as mentioned above, it is important to keep in mind that all information generated by this program needs to be vetted prior to utilization.

This groundbreaking technology is not only here to stay but will continue to become increasingly pervasive. It is already being integrated into conventional search engines such as Google and Bing. Microsoft has ambitious plans to incorporate this innovation into its entire suite of Office products. Just imagine working on a document and seeking assistance for editing or rephrasing, effortlessly searching your inbox for all emails containing a specific phrase or topic, or even crafting a PowerPoint presentation for a lecture while receiving help with both content and formatting. These scenarios offer just a glimpse of how AI programs can significantly assist and enhance our workflow.

I also anticipate that our patients will increasingly adopt this type of technology to generate customized lists of questions tailored to their specific medical conditions, which they can then ask their health care providers. Often, our patients express uncertainty about the appropriate questions to ask during a particular visit. Now envision a scenario in which they can effortlessly obtain a comprehensive list of relevant questions, specifically designed for their office consultation. This would empower them to engage more actively in their health care and enhance communication with their clinical team.

I highly recommend that readers explore and experiment with these programs. By doing so, we can provide valuable assistance and guidance not only within our specific medical specialties but also for our patients. In this way, we can effectively harness the power of technology to improve patient care and optimize our office work flow, ultimately benefiting both our patients and our practices.

Dr. Chavez is professor, department of obstetrics and gynecology, at NYU Long Island School of Medicine and director of maternal and fetal medicine at NYU Langone Hospital–Long Island, both in Mineola, N.Y. He has no disclosures.

Artificial intelligence (AI) has recently gained significant public attention, primarily driven by the launch of a noteworthy program by OpenAI called Chat Generative Pre-trained Transformer (ChatGPT). This large language model is an AI system that enables users to interact with it using plain language. In just the first 2 months since its release, over 100 million subscribers have registered to use ChatGPT.

AI is now deeply integrated into our daily lives, pervading a wide array of smart devices such as phones, tablets, and numerous other gadgets that we rely on every day. These sophisticated technologies operate seamlessly in the background, often without us being consciously aware of their presence. Nevertheless, we greatly appreciate the way they enhance our lives by simplifying tasks and streamlining our routines.

A key factor contributing to ChatGPT’s popularity is its ability to accept input in the form of prompts in plain English. Our team published a comprehensive journal article showcasing examples of how this technology can be utilized by general ob.gyn. practitioners. ChatGPT has the potential to streamline work flow, generate letters to insurance companies, draft clinical plans, and assist with various other routine tasks in any ob.gyn. practice environment.

As with any new technology, it is essential for users to familiarize themselves with its capabilities and understand its limitations. A critical aspect to consider with the current version of ChatGPT is that it was developed using information primarily sourced from the Internet up until September 2021. This limitation is especially significant in the field of medicine, where practitioners consistently seek the most up-to-date and current information to inform their decisions.

However, it is expected that, in the near future, these programs will gain access to real-time information from a diverse range of sources, including but not limited to the Internet. This development will enhance the program’s utility and relevance in medical contexts.

Another limitation of ChatGPT is its propensity to “hallucinate.” Large language models are trained to respond to the best of their abilities, occasionally attempting to fill knowledge gaps with fabricated information. Being aware of these limitations enables users to recognize the program’s potential while also understanding the need for careful monitoring.

Our expertise and clinical knowledge are crucial in guiding and refining this technology, ensuring that it serves as a valuable tool in the ever-evolving landscape of medicine.

Another crucial factor to consider is that users must adhere to all guidelines and policies established within their work environment. This entails complying with HIPAA regulations and ensuring that any information generated by these programs is thoroughly examined before being integrated into practice work flows. As an increasing number of organizations develop specific guidelines for such technologies, the aim is to safeguard patients, users, and the organization itself. The individuals utilizing these technologies must exercise utmost caution and refrain from storing or sharing any sensitive or proprietary information.

The aim of this article is not to provide an exhaustive overview, but rather to offer a selection of examples and inspire readers to consider adopting these programs. By doing so, we hope to facilitate the exploration of innovative approaches that can improve the practice of ob.gyn.

The first example illustrates a common scenario that we frequently encounter – the situation in which an insurance company denies coverage for specific care or treatment for a patient. In fact, this was one of the first examples that was demonstrated by others on social media as a possible benefit for this technology. It effectively demonstrated the ability to save time and surmount the challenges of writer’s block that we occasionally encounter.
 

Prompt input:

“Write a letter to the insurance company who is denying cervical length surveillance for a patient with a short cervix and add references.”

ChatGPT response:

[Your Name]

[Your Address]

[City, State, Zip Code]

[Date]

[Insurance Company Name]

[Claims Department]

[Insurance Company Address]

[City, State, Zip Code]

Re: Request for Reconsideration – Cervical Length Surveillance

Policy Number: [Policy Number]

Insured: [Patient’s Name]

Date of Birth: [Patient’s Date of Birth]

Claim Number: [Claim Number]

Date of Service: [Date of Service]

Dear Claims Reviewer,

I am writing to request a reconsideration of the denial for cervical length surveillance for my patient, [Patient’s Name], who has been diagnosed with a short cervix. As a healthcare provider, I strongly believe that this is a medically necessary service for the patient in order to prevent preterm birth and its associated complications.

A short cervix is a well-established risk factor for preterm birth, and numerous studies have shown the efficacy of cervical length surveillance in the prevention and management of preterm birth. I kindly request that you reconsider the coverage for this essential service and refer to the following authoritative sources:

Berghella, V., & Saccone, G. (2019). Fetal fibronectin testing for reducing the risk of preterm birth. Cochrane Database of Systematic Reviews, 2019(7). doi:10.1002/14651858.CD004843.pub3

American College of Obstetricians and Gynecologists (2016). Practice Bulletin No. 171: Management of Preterm Labor. Obstetrics & Gynecology, 128(4), e155-e164. doi:10.1097/AOG.0000000000001711

Society for Maternal-Fetal Medicine (SMFM), McIntosh, J., Feltovich, H., Berghella, V., & Manuck, T. (2016). The role of routine cervical length screening in selected high- and low-risk women for preterm birth prevention. American Journal of Obstetrics & Gynecology, 215(3), B2-B7. doi:10.1016/j.ajog.2016.03.015

By denying coverage for cervical length surveillance, the insurance company is putting [Patient’s Name] at an increased risk for preterm birth and the numerous health complications that can accompany it, both for the mother and the infant. It is crucial to provide this service in order to improve health outcomes and reduce the risk of costly neonatal intensive care unit (NICU) admissions and long-term medical issues.

I kindly request that you review this case with the provided references and reconsider the coverage for cervical length surveillance for [Patient’s Name]. Thank you for your attention to this matter. Please feel free to contact me if you require any further information or clarification.

Sincerely,

[Your Name]

[Your Title]

[Your Phone Number]

[Your Email Address]

The document took less than 15 seconds to generate, it is well written and concise, and can also be utilized as a template for future use. But as mentioned above, it is important to confirm all the information within the document. For example, references 1 and 3 in the ChatGPT-generated letter above include document objective identifiers that do not correctly correspond to the reference.

Other uses that the reader might consider: patient education, helping to answer a patient question utilizing appropriate grade-level language, dietary plans for a patient - the potential list is endless. Another key aspect of utilizing these types of programs is understanding how to effectively ask a question. This involves providing ample detail about the inquiry you wish to have answered by the program. With some practice and review of guidance on how to do this from the Internet, one can become highly proficient at crafting questions and generating relevant responses. But as mentioned above, it is important to keep in mind that all information generated by this program needs to be vetted prior to utilization.

This groundbreaking technology is not only here to stay but will continue to become increasingly pervasive. It is already being integrated into conventional search engines such as Google and Bing. Microsoft has ambitious plans to incorporate this innovation into its entire suite of Office products. Just imagine working on a document and seeking assistance for editing or rephrasing, effortlessly searching your inbox for all emails containing a specific phrase or topic, or even crafting a PowerPoint presentation for a lecture while receiving help with both content and formatting. These scenarios offer just a glimpse of how AI programs can significantly assist and enhance our workflow.

I also anticipate that our patients will increasingly adopt this type of technology to generate customized lists of questions tailored to their specific medical conditions, which they can then ask their health care providers. Often, our patients express uncertainty about the appropriate questions to ask during a particular visit. Now envision a scenario in which they can effortlessly obtain a comprehensive list of relevant questions, specifically designed for their office consultation. This would empower them to engage more actively in their health care and enhance communication with their clinical team.

I highly recommend that readers explore and experiment with these programs. By doing so, we can provide valuable assistance and guidance not only within our specific medical specialties but also for our patients. In this way, we can effectively harness the power of technology to improve patient care and optimize our office work flow, ultimately benefiting both our patients and our practices.

Dr. Chavez is professor, department of obstetrics and gynecology, at NYU Long Island School of Medicine and director of maternal and fetal medicine at NYU Langone Hospital–Long Island, both in Mineola, N.Y. He has no disclosures.