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  1. Article ; Online: Pressure on GPs in England: appointments, workforce, and patient complexity.

    Armitage, Richard

    Postgraduate medical journal

    2024  

    Language English
    Publishing date 2024-04-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1093/postmj/qgae050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Large language models must serve clinicians, not the reverse.

    Armitage, Richard

    The Lancet. Infectious diseases

    2024  Volume 24, Issue 5, Page(s) 453–454

    MeSH term(s) Humans ; Language
    Language English
    Publishing date 2024-02-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(24)00140-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Performance of generative pre-trained Transformer-4 (GPT-4) in RCOG diploma-style questions.

    Armitage, Richard

    Postgraduate medical journal

    2024  

    Language English
    Publishing date 2024-03-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1093/postmj/qgae038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: ChatGPT does not neglect a neglected disease, if appropriately prompted.

    Armitage, Richard

    The Lancet. Infectious diseases

    2024  Volume 24, Issue 3, Page(s) e155

    MeSH term(s) Neglected Diseases/drug therapy ; Artificial Intelligence
    Language English
    Publishing date 2024-01-16
    Publishing country United States
    Document type Letter
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(24)00028-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Media coverage of A&E pressure as a potential driver of emergency admissions.

    Armitage, Richard

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2024  Volume 74, Issue 741, Page(s) 176

    MeSH term(s) Humans ; Hospitalization ; Patient Admission ; Emergency Service, Hospital
    Language English
    Publishing date 2024-03-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/bjgp24X736917
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Performance of GPT-4 in Membership of the Royal College of Paediatrics and Child Health-style examination questions.

    Armitage, Richard

    BMJ paediatrics open

    2024  Volume 8, Issue 1

    Abstract: The large language model (LLM) ChatGPT has been shown to have considerable utility across medicine and healthcare. This paper aims to explore the capabilities of GPT-4 (Generative Pre-trained Transformer 4) in answering Membership of the Royal College of ...

    Abstract The large language model (LLM) ChatGPT has been shown to have considerable utility across medicine and healthcare. This paper aims to explore the capabilities of GPT-4 (Generative Pre-trained Transformer 4) in answering Membership of the Royal College of Paediatrics and Child Health (MRCPCH) written paper-style questions. GPT-4 was subjected to four publicly available sample papers designed for those preparing to sit MRCPCH theory components. The model received no specialised training or reinforcement. The average score across all four papers was 78.1%. The model provided reasoning for its answers despite this not being required by the questions. This performance strengthens the case for incorporating LLMs into supporting roles for practising clinicians and medical education in paediatrics.
    MeSH term(s) Humans ; Child ; Child Health ; Medicine ; Education, Medical ; Electric Power Supplies ; Health Facilities
    Language English
    Publishing date 2024-03-20
    Publishing country England
    Document type Letter
    ISSN 2399-9772
    ISSN (online) 2399-9772
    DOI 10.1136/bmjpo-2024-002575
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Is it ethically permissible for GPs to promote non-directed altruistic kidney donation to healthy adults?

    Armitage, Richard

    Journal of medical ethics

    2024  

    Abstract: Doctors hold coexisting ethical duties to avoid causing deliberate harm to their patients (non-maleficence), to act in patients' best interests (beneficence), to respect patients' right to self-determination (autonomy) and to ensure that costs and ... ...

    Abstract Doctors hold coexisting ethical duties to avoid causing deliberate harm to their patients (non-maleficence), to act in patients' best interests (beneficence), to respect patients' right to self-determination (autonomy) and to ensure that costs and benefits are fairly distributed among patients (justice). In the context of non-directed altruistic kidney donations (NDAKD), doctors' duties of autonomy and justice are in tension with those of non-maleficence and beneficence. This article examines these competing duties across three scenarios in which general practitioners (GPs) could promote NDAKD to healthy adults. In the first-when a healthy adult patient prompts the GP to discuss NDAKD-the GP is ethically obligated to counsel the patient about NDAKD to respect their autonomy, yet this does not constitute any form of promotion of NDAKD. In the remaining scenarios, healthy adult patients are unaware of the possibility of NDAKD. In the second, it is ethically permissible for GPs to indirectly raise awareness of NDAKD among healthy adults by displaying recruitment campaign material to non-specified groups of patients in their waiting rooms. In the third, it is ethically impermissible for GPs to directly promote NDAKD to individual healthy adults by raising the possibility of NDAKD with such individuals. The major counterarguments raised against this position are problems with kinds of counselling that fail to reach expected professional standards, rather than problems with the ethical claims made in this article.
    Language English
    Publishing date 2024-03-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 194927-5
    ISSN 1473-4257 ; 0306-6800
    ISSN (online) 1473-4257
    ISSN 0306-6800
    DOI 10.1136/jme-2023-109728
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: A primary care model to improve quality of life for older autistic people.

    Armitage, Richard C

    The lancet. Healthy longevity

    2024  Volume 4, Issue 8, Page(s) e371

    MeSH term(s) Humans ; Quality of Life ; Autistic Disorder/therapy ; Primary Health Care
    Language English
    Publishing date 2024-03-11
    Publishing country England
    Document type Letter ; Comment
    ISSN 2666-7568
    ISSN (online) 2666-7568
    DOI 10.1016/S2666-7568(23)00107-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Misrepresentations of evidence in "gender-affirming care is preventative care".

    Armitage, Richard

    Lancet regional health. Americas

    2023  Volume 24, Page(s) 100567

    Language English
    Publishing date 2023-08-03
    Publishing country England
    Document type Journal Article
    ISSN 2667-193X
    ISSN (online) 2667-193X
    DOI 10.1016/j.lana.2023.100567
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Spiritual care and primary healthcare.

    Armitage, Richard

    The Lancet regional health. Europe

    2023  Volume 28, Page(s) 100641

    Language English
    Publishing date 2023-04-18
    Publishing country England
    Document type Journal Article
    ISSN 2666-7762
    ISSN (online) 2666-7762
    DOI 10.1016/j.lanepe.2023.100641
    Database MEDical Literature Analysis and Retrieval System OnLINE

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