Artificial intelligence is beating doctors at diagnosis.

Today, we'll show you how to add AI to your practice and how to use it wisely.

Welcome to the Carlet Psychiatry Podcast, keeping psychiatry honest since 2003.

I'm Chris Hagan, the editor-in-chief of the Carlat Psychiatry Report.

And I'm Kelly Newsom, a psychiatric MP, and a dedicated reader of every issue.

I remember a time in the late 1990s when the debate was over expertise or evidence.

The question went something like this.

Would a patient with leukemia get better

care in the hands of a seasoned oncologist, or a novice who had an encyclopedic knowledge of

every randomized controlled oncology trial? Today, we have invented such a savant. Their name is

CHATGPT, and in a recent trial, they outperformed all the experts.

Ethan Goh and colleagues compared diagnostic accuracy among 50 physicians against ChatGBT.

Each were given six cases to diagnose. The physicians were correct 75% of the time, but ChatGBTGT outperform them with 92% accuracy.

The AI was version 4 of ChatGBT.

Okay, so the robot is beating the experts, but let's not give up hope.

What if we combine the two so the doctors use

CHAPT to enhance their own diagnostic skills? The study also looked at that, but surprisingly

the doctors did no better when they used CHATGPT as a helper.

Those results from 2024 were confirmed this year in a similar study of 20 physicians.

This one didn't use chat GBT.

They used AMIE, a specialized AI that is souped up for diagnostic acumen.

AMIE, or Amy, was nearly twice as accurate as physicians working on their own.

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