Evidence map›Paper›PMID 37971399›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

Black Box Warning: Large Language Models and the Future of Infectious Diseases Consultation.

Ilan S Schwartz, Katherine E Link, Roxana Daneshjou, Nicolás Cortés-Penfield

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed.

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  6. Observational
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  10. A Theoretical Framework forInfection and drug resistance · 2026
    Article
  11. Review
  12. Review
  13. Artificial intelligence in clinical microbiology: results from the first National survey by the Italian association of clinical microbiologists.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  14. Article
  15. Article
  16. Article
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  20. Article

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Ilan S SchwartzDivision of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0002-7522-0281
Katherine E LinkDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, NewYork, New York, USA.
Roxana DaneshjouDepartment of Dermatology, Stanford School of Medicine, Stanford, California, USA.
Nicolás Cortés-PenfieldDivision of Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large language models (LLMs) are artificial intelligence systems trained by deep learning algorithms to process natural language and generate text responses to user prompts. Some approach physician performance on a range of medical challenges, leading some proponents to advocate for their potential use in clinical consultation and prompting some consternation about the future of cognitive specialties. However, LLMs currently have limitations that preclude safe clinical deployment in performing specialist consultations, including frequent confabulations, lack of contextual awareness crucial for nuanced diagnostic and treatment plans, inscrutable and unexplainable training data and methods, and propensity to recapitulate biases. Nonetheless, considering the rapid improvement in this technology, growing calls for clinical integration, and healthcare systems that chronically undervalue cognitive specialties, it is critical that infectious diseases clinicians engage with LLMs to enable informed advocacy for how they should-and shouldn't-be used to augment specialist care.

Indexed as

Communicable DiseasesDrug LabelingArtificial IntelligenceHumansLanguageReferral and Consultationartificial intelligencechatbotChatGPTnatural language processingworkforce

Identifiers

PMID37971399
PMCPMC11006107

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.