new

Get trending papers in your email inbox!

Subscribe

Daily Papers

byAK and the research community

Feb 16

The Ethics of ChatGPT in Medicine and Healthcare: A Systematic Review on Large Language Models (LLMs)

With the introduction of ChatGPT, Large Language Models (LLMs) have received enormous attention in healthcare. Despite their potential benefits, researchers have underscored various ethical implications. While individual instances have drawn much attention, the debate lacks a systematic overview of practical applications currently researched and ethical issues connected to them. Against this background, this work aims to map the ethical landscape surrounding the current stage of deployment of LLMs in medicine and healthcare. Electronic databases and preprint servers were queried using a comprehensive search strategy. Studies were screened and extracted following a modified rapid review approach. Methodological quality was assessed using a hybrid approach. For 53 records, a meta-aggregative synthesis was performed. Four fields of applications emerged and testify to a vivid exploration phase. Advantages of using LLMs are attributed to their capacity in data analysis, personalized information provisioning, support in decision-making, mitigating information loss and enhancing information accessibility. However, we also identifies recurrent ethical concerns connected to fairness, bias, non-maleficence, transparency, and privacy. A distinctive concern is the tendency to produce harmful misinformation or convincingly but inaccurate content. A recurrent plea for ethical guidance and human oversight is evident. Given the variety of use cases, it is suggested that the ethical guidance debate be reframed to focus on defining what constitutes acceptable human oversight across the spectrum of applications. This involves considering diverse settings, varying potentials for harm, and different acceptable thresholds for performance and certainty in healthcare. In addition, a critical inquiry is necessary to determine the extent to which the current experimental use of LLMs is necessary and justified.

  • 2 authors
·
Mar 21, 2024

Documenting Ethical Considerations in Open Source AI Models

Background: The development of AI-enabled software heavily depends on AI model documentation, such as model cards, due to different domain expertise between software engineers and model developers. From an ethical standpoint, AI model documentation conveys critical information on ethical considerations along with mitigation strategies for downstream developers to ensure the delivery of ethically compliant software. However, knowledge on such documentation practice remains scarce. Aims: The objective of our study is to investigate how developers document ethical aspects of open source AI models in practice, aiming at providing recommendations for future documentation endeavours. Method: We selected three sources of documentation on GitHub and Hugging Face, and developed a keyword set to identify ethics-related documents systematically. After filtering an initial set of 2,347 documents, we identified 265 relevant ones and performed thematic analysis to derive the themes of ethical considerations. Results: Six themes emerge, with the three largest ones being model behavioural risks, model use cases, and model risk mitigation. Conclusions: Our findings reveal that open source AI model documentation focuses on articulating ethical problem statements and use case restrictions. We further provide suggestions to various stakeholders for improving documentation practice regarding ethical considerations.

  • 5 authors
·
Jun 26, 2024

A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions

With the advent of Large Language Models (LLMs), medical artificial intelligence (AI) has experienced substantial technological progress and paradigm shifts, highlighting the potential of LLMs to streamline healthcare delivery and improve patient outcomes. Considering this rapid technical progress, in this survey, we trace the recent advances of Medical Large Language Models (Med-LLMs), including the background, key findings, and mainstream techniques, especially for the evolution from general-purpose models to medical-specialized applications. Firstly, we delve into the foundational technology of Med-LLMs, indicating how general models can be progressively adapted and refined for the complicated medical tasks. Secondly, the wide-ranging applications of Med-LLMs are investigated across various healthcare domains, as well as an up-to-date review of existing Med-LLMs. The transformative impact of these models on daily medical practice is evident through their ability to assist clinicians, educators, and patients. Recognizing the importance of responsible innovation, we discuss the challenges associated with ensuring fairness, accountability, privacy, and robustness. Ethical considerations, rigorous evaluation methodologies, and the establishment of regulatory frameworks are crucial for building trustworthiness in the real-world system. We emphasize the need for ongoing scrutiny and development to maintain high standards of safety and reliability. Finally, we anticipate possible future trajectories for Med-LLMs, identifying key avenues for prudent expansion. By consolidating these insights, our review aims to provide professionals and researchers with a thorough understanding of the strengths and limitations of Med-LLMs, fostering a balanced and ethical approach to their integration into the healthcare ecosystem.

  • 9 authors
·
Jun 5, 2024

Red teaming ChatGPT via Jailbreaking: Bias, Robustness, Reliability and Toxicity

Recent breakthroughs in natural language processing (NLP) have permitted the synthesis and comprehension of coherent text in an open-ended way, therefore translating the theoretical algorithms into practical applications. The large language models (LLMs) have significantly impacted businesses such as report summarization software and copywriters. Observations indicate, however, that LLMs may exhibit social prejudice and toxicity, posing ethical and societal dangers of consequences resulting from irresponsibility. Large-scale benchmarks for accountable LLMs should consequently be developed. Although several empirical investigations reveal the existence of a few ethical difficulties in advanced LLMs, there is little systematic examination and user study of the risks and harmful behaviors of current LLM usage. To further educate future efforts on constructing ethical LLMs responsibly, we perform a qualitative research method called ``red teaming'' on OpenAI's ChatGPTIn this paper, ChatGPT refers to the version released on Dec 15th. to better understand the practical features of ethical dangers in recent LLMs. We analyze ChatGPT comprehensively from four perspectives: 1) Bias 2) Reliability 3) Robustness 4) Toxicity. In accordance with our stated viewpoints, we empirically benchmark ChatGPT on multiple sample datasets. We find that a significant number of ethical risks cannot be addressed by existing benchmarks, and hence illustrate them via additional case studies. In addition, we examine the implications of our findings on AI ethics and harmal behaviors of ChatGPT, as well as future problems and practical design considerations for responsible LLMs. We believe that our findings may give light on future efforts to determine and mitigate the ethical hazards posed by machines in LLM applications.

  • 4 authors
·
Jan 30, 2023

Medical Hallucinations in Foundation Models and Their Impact on Healthcare

Foundation Models that are capable of processing and generating multi-modal data have transformed AI's role in medicine. However, a key limitation of their reliability is hallucination, where inaccurate or fabricated information can impact clinical decisions and patient safety. We define medical hallucination as any instance in which a model generates misleading medical content. This paper examines the unique characteristics, causes, and implications of medical hallucinations, with a particular focus on how these errors manifest themselves in real-world clinical scenarios. Our contributions include (1) a taxonomy for understanding and addressing medical hallucinations, (2) benchmarking models using medical hallucination dataset and physician-annotated LLM responses to real medical cases, providing direct insight into the clinical impact of hallucinations, and (3) a multi-national clinician survey on their experiences with medical hallucinations. Our results reveal that inference techniques such as Chain-of-Thought (CoT) and Search Augmented Generation can effectively reduce hallucination rates. However, despite these improvements, non-trivial levels of hallucination persist. These findings underscore the ethical and practical imperative for robust detection and mitigation strategies, establishing a foundation for regulatory policies that prioritize patient safety and maintain clinical integrity as AI becomes more integrated into healthcare. The feedback from clinicians highlights the urgent need for not only technical advances but also for clearer ethical and regulatory guidelines to ensure patient safety. A repository organizing the paper resources, summaries, and additional information is available at https://github.com/mitmedialab/medical hallucination.

  • 25 authors
·
Feb 25, 2025

Stronger Together: on the Articulation of Ethical Charters, Legal Tools, and Technical Documentation in ML

The growing need for accountability of the people behind AI systems can be addressed by leveraging processes in three fields of study: ethics, law, and computer science. While these fields are often considered in isolation, they rely on complementary notions in their interpretation and implementation. In this work, we detail this interdependence and motivate the necessary role of collaborative governance tools in shaping a positive evolution of AI. We first contrast notions of compliance in the ethical, legal, and technical fields; we outline both their differences and where they complement each other, with a particular focus on the roles of ethical charters, licenses, and technical documentation in these interactions. We then focus on the role of values in articulating the synergies between the fields and outline specific mechanisms of interaction between them in practice. We identify how these mechanisms have played out in several open governance fora: an open collaborative workshop, a responsible licensing initiative, and a proposed regulatory framework. By leveraging complementary notions of compliance in these three domains, we can create a more comprehensive framework for governing AI systems that jointly takes into account their technical capabilities, their impact on society, and how technical specifications can inform relevant regulations. Our analysis thus underlines the necessity of joint consideration of the ethical, legal, and technical in AI ethics frameworks to be used on a larger scale to govern AI systems and how the thinking in each of these areas can inform the others.

  • 4 authors
·
May 9, 2023

The Case for Animal-Friendly AI

Artificial intelligence is seen as increasingly important, and potentially profoundly so, but the fields of AI ethics and AI engineering have not fully recognized that these technologies, including large language models (LLMs), will have massive impacts on animals. We argue that this impact matters, because animals matter morally. As a first experiment in evaluating animal consideration in LLMs, we constructed a proof-of-concept Evaluation System, which assesses LLM responses and biases from multiple perspectives. This system evaluates LLM outputs by two criteria: their truthfulness, and the degree of consideration they give to the interests of animals. We tested OpenAI ChatGPT 4 and Anthropic Claude 2.1 using a set of structured queries and predefined normative perspectives. Preliminary results suggest that the outcomes of the tested models can be benchmarked regarding the consideration they give to animals, and that generated positions and biases might be addressed and mitigated with more developed and validated systems. Our research contributes one possible approach to integrating animal ethics in AI, opening pathways for future studies and practical applications in various fields, including education, public policy, and regulation, that involve or relate to animals and society. Overall, this study serves as a step towards more useful and responsible AI systems that better recognize and respect the vital interests and perspectives of all sentient beings.

  • 5 authors
·
Mar 2, 2024

Ethically-Aware Participatory Design of a Productivity Social Robot for College Students

College students often face academic and life stressors affecting productivity, especially students with Attention Deficit Hyperactivity Disorder (ADHD) who experience executive functioning challenges. Conventional productivity tools typically demand sustained self-discipline and consistent use, which many students struggle with, leading to disruptive app-switching behaviors. Socially Assistive Robots (SARs), known for their intuitive and interactive nature, offer promising potential to support productivity in academic environments, having been successfully utilized in domains like education, cognitive development, and mental health. To leverage SARs effectively in addressing student productivity, this study employed a Participatory Design (PD) approach, directly involving college students and a Student Success and Well-Being Coach in the design process. Through interviews and a collaborative workshop, we gathered detailed insights on productivity challenges and identified desirable features for a productivity-focused SAR. Importantly, ethical considerations were integrated from the onset, facilitating responsible and user-aligned design choices. Our contributions include comprehensive insights into student productivity challenges, SAR design preferences, and actionable recommendations for effective robot characteristics. Additionally, we present stakeholder-derived ethical guidelines to inform responsible future implementations of productivity-focused SARs in higher education.

  • 2 authors
·
Nov 30, 2025