Physician Usability and Output Quality Evaluation of a Retrieval-Augmented Language Model System for Specialty Medical Consultation: A Human-Computer Interaction Study
Stanford University
Summary
The goal of this study is to test an artificial intelligence (AI) tool called SAGE. SAGE helps primary care doctors with questions that often need a specialist. Primary care doctors are the doctors people usually see first. SAGE reviews a case and suggests what a specialist might advise. The main questions it aims to answer are: * Do doctors make sound, timely care decisions when they use SAGE? * Do those decisions match what a specialist would advise? Researchers will compare the decisions doctors make with and without SAGE. Doctors in the study will: * Review made-up patient cases (these are not real patients) * Make a decision for each case, their usual way and with SAGE
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Physician practicing in primary care internal medicine and/or family medicine * Attending physician, or resident physician at postgraduate year 2 (PGY-2) or higher * Stanford-affiliated (faculty, staff, or trainee) * Able to complete a single, approximately 60-minute remote (Zoom) session conducted in English Exclusion Criteria: * Not currently practicing in primary care internal medicine or family medicine * Member of the study team or otherwise involved in the development of SAGE * Unable to complete the remote study session
Interventions
- OtherSAGE (AI clinical decision support)
SAGE is an artificial intelligence (AI) based clinical decision support tool. It generates specialty-informed recommendations for a primary care consultation question. Physicians review the SAGE output while making a management decision for the synthetic case.
- OtherStandard eConsult
A standard electronic consultation (eConsult) format, without SAGE. Physicians review this information while making a management decision for the synthetic case.
Location
- Stanford UniversityStanford, California