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Chronicles

The story behind the story

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Some US hospitals test if GPT-3 can cut the time staff spend replying to online queries; a study claims the first ChatGPT version replied better than doctors

Pilot program aims to see if AI will cut time that medical staff spend replying to online inquiries

Wall Street Journal Nidhi Subbaraman

Context & Ripple Effects

This pilot is an early attempt to put generative AI into the patient-message workflow rather than use it solely as a standalone information tool. Subsequent coverage shows that use case broadening from individual clinicians using ChatGPT for patient communication to AI-drafted MyChart replies used by thousands of clinicians.

The appeal is operational as well as editorial: a claimed quality advantage in one study gives hospitals a reason to test drafting assistance, but later reports of harmful and inaccurate medical-model responses show why message quality cannot be assumed from fluency alone.

First-order effects

  • Participating hospitals can test GPT-3 as a drafting layer for online patient inquiries, with the immediate objective of reducing staff time spent composing replies.
  • The study's claim that an early ChatGPT performed better than doctors on replies raises the profile of AI-assisted patient communication, while leaving hospitals to assess whether that result holds in their own workflow.

Second-order effects

  • Patient-portal and clinical-software providers gain pressure to embed reply-drafting capabilities into existing communications tools; the later MyChart deployment illustrates how this use case can move into a dominant work surface.
  • Clinicians' work shifts from writing every response from scratch toward reviewing, editing, and deciding when an AI draft is appropriate, making reliability and tone central product requirements.

Third-order effects

  • If these pilots scale, patient messaging could become a core workflow-native AI category, with competitive advantage accruing to tools integrated into clinical communication systems rather than general-purpose chatbots alone.
  • The pattern also makes evaluation and oversight a durable constraint: evidence of inconsistent or harmful medical answers means adoption is likely to depend on whether systems can support safe human review, not just faster drafting.

The trend: Generative AI is moving from general chat interfaces into high-volume healthcare communication workflows, where its value depends on integration and review rather than autonomous advice.

Discussion

  • @rhcm123 Robert Marchini on x
    I'm not disputing the findings of this study per se, just noting that random doctors answering questions in their spare time on /r/AskDocs might not be the kind of care standard most people are experiencing in their daily lives so we shouldn't read too much into this https://twit…
  • @talanhorne T. Alan Horne on x
    Dear everyone clamoring for free healthcare, You're about to get your wish. https://twitter.com/...
  • @apompliano @apompliano on x
    @AlacrityMD @FiSurgi The software is more empathetic than the doctors according to this data. I'm not here to defend the software, and have no dog in the fight, but find the results fascinating in these studies. https://twitter.com/...
  • @tamarhaspel Tamar Haspel on x
    Researchers pittted ChatGPT against genuine doctors, using actual patient questions. ChatGPT was more accurate and more empathetic. By a lot. HT @adamcifu https://jamanetwork.com/... https://twitter.com/...