Participatory Assessment of Large Language Model Applications in an Academic Medical Center
Journal:
arXiv
Published Date:
Dec 9, 2024
Abstract
Although Large Language Models (LLMs) have shown promising performance in
healthcare-related applications, their deployment in the medical domain poses
unique challenges of ethical, regulatory, and technical nature. In this study,
we employ a systematic participatory approach to investigate the needs and
expectations regarding clinical applications of LLMs at Lausanne University
Hospital, an academic medical center in Switzerland. Having identified
potential LLM use-cases in collaboration with thirty stakeholders, including
clinical staff across 11 departments as well nursing and patient
representatives, we assess the current feasibility of these use-cases taking
into account the regulatory frameworks, data protection regulation, bias,
hallucinations, and deployment constraints. This study provides a framework for
a participatory approach to identifying institutional needs with respect to
introducing advanced technologies into healthcare practice, and a realistic
analysis of the technology readiness level of LLMs for medical applications,
highlighting the issues that would need to be overcome LLMs in healthcare to be
ethical, and regulatory compliant.