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Virtual patients using large language models: Scalable, contextualized simulation of clinician-patient dialog with feedback.
J Med Internet Res
January 2025
Division of General Internal Medicine, Mayo Clinic College of Medicine and Science, 200 First St SW, Rochester, US.
Background: Virtual patients (VPs) are computer screen-based simulations of patient-clinician encounters. VP use is limited by cost and low scalability.
Objective: Show proof-of-concept that VPs powered by large language models (LLMs) generate authentic dialogs, accurate representations of patient preferences, and personalized feedback on clinical performance; and explore LLMs for rating dialog and feedback quality.
From speech acts to communicative acts: social network debates about sexual consent.
Front Sociol
January 2025
Department of Sociology, University of Barcelona, Barcelona, Spain.
Introduction: Understanding consent is essential to combat sexual violence, a deeply rooted social problem. Amidst its complexities, the scientific literature has emphasized the shortcomings of only considering the speech act-whether the victim-survivor said "yes" or not. Instead, sociological research underscores the need to analyze the whole communicative act where different elements lead to either a power relationship where there is no consent or a dialogic relationship where freedom is granted.
View Article and Find Full Text PDFAdvance care planning for patient with chronic obstructive pulmonary disease: An evolutionary concept analysis.
Jpn J Nurs Sci
January 2025
Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.
Aim: This study aimed to analyze the concept of advance care planning (ACP) for patients with chronic obstructive pulmonary disease (COPD), by systematically clarifying the attributes, antecedents, consequences, surrogate terms, related concepts, and historical transition of the concept.
Methods: Following Rodgers' method of concept analysis, the academic development of concepts related to ACP for patients with COPD, as well as changes in the concept over time, is comprehensively organized and described. A search formula for relevant literature was created using the two keywords "chronic obstructive pulmonary disease" and "advance care planning".
Background: Women's football (soccer), despite official recognition and growing popularity, is perceived as a gender-non-typical sport. This contradiction can be implicitly transmitted by society and acts as a condition of conflict in the self-consciousness of teenage female football players (TFFPs). In this study, the model of self-consciousness is defined as the semantic structures generated in the dialogic interaction "person - sociocultural environment".
View Article and Find Full Text PDFTraveling with a desirable destination: a dialogical analysis of professional identity formation among freshman medical students.
BMC Med Educ
November 2024
Department of Medical Education, Health Professions Education Research Center, Education Development Center, Tehran University of Medical Sciences, Tehran, Iran.
Background: We aimed to examine medical students' perceptions regarding their professional identity and explore their creative narratives utilizing the Dialogical-Self Theory (DST).
Methods: This is a mixed-method study. First-year medical students at Tehran University of Medical Sciences (TUMS, Tehran, Iran wrote a creative narrative about their perspectives on their future profession.
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