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Mahdi Ebnali, PhD

Job Title

Research Scientist

Academic Rank

Instructor

Department

Emergency Medicine

Authors

Mahdi Ebnali, Nima Ahmadi, Shiva Pourfalatoun, Abdullah Al-Taweel, Hamid Shokoohi

Principal Investigator

Mahdi Ebnali

Categories

Tags

Collaborative Clinician-AI Decision Support for Telemedicine

Scientific Abstract

AI systems, particularly Large Language Models (LMMs), has the potential to improve telemedicine. However, there is a need for further investigation to understand the effectiveness of AI decision support and human-AI collaboration in this context. This study examines the impact of AI-only and clinician-AI support systems on trust, acceptance, usability, and cognitive load in telemedicine scenarios. Twenty non-medical participants were randomly assigned to receive instructions from an AI-only or clinician-AI decision support system during simulated cardiopulmonary resuscitation (CPR) scenarios. We used ChatGPT 3, a widely used LMM, as the AI system. Participants’ responses were measured using trust and acceptance questionnaires, as well as a wearable wristband to collect physiological data. The results show that the clinician-AI scenario was perceived as more useful compared to the ChatGPT-only scenario. The collaborative approach also led to higher heart rate variability (HRV) and lower LF/HF rating, indicating potentially lower mental effort compared to ChatGPT-only. No significant differences were found in System Usability Scale (SUS) and electrodermal activity (EDA) levels between the scenarios. These findings highlight the importance of involving clinicians in AI-supported telemedicine. Further research should explore real-world applications to validate the results.

Lay Abstract

Advanced AI, like ChatGPT 3, can improve telemedicine. We studied how AI helps decisions and teamwork with doctors. People tried AI-only and doctor-AI teamwork in emergencies. The results favored doctor-AI teamwork, showing better acceptance and less mental effort. This highlights the need for doctors in AI-supported telemedicine. More real-life research is needed to validate these findings.

Clinical Implications

This study showcases AI’s potential to elevate telemedicine, particularly through clinician-AI collaboration. The engagement of clinicians enhances perceived usefulness of AI-supported telemedicine, and potentially reduces cognitive load during telemedicine interventions.