Actionable companion · Assessment and evidence of learning
From evidence to district action: Global Health care Professionals’ Perceptions of Large Language Model Use In Practice: Cross-Sectional Survey Study
AI-assisted editorial implementation guide. The district actions are proposed applications, not findings or recommendations attributed to the original authors. No additional peer review is asserted.
Evidence and context
Health-professions education context: test transfer to K–12 rather than assuming it.
Original authors’ abstract, reproduced under the linked source license:
Abstract Background ChatGPT is a large language model-based chatbot developed by OpenAI. ChatGPT has many potential applications to health care, including enhanced diagnostic accuracy and efficiency, improved treatment planning, and better patient outcomes. However, health care professionals’ perceptions of ChatGPT and similar artificial intelligence tools are not well known. Understanding these attitudes is important to inform the best approaches to exploring their use in medicine. Objective Our aim was to evaluate the health care professionals’ awareness and perceptions regarding potential applications of ChatGPT in the medical field, including potential benefits and challenges of adoption. Methods We designed a 33-question online survey that was distributed among health care professionals via targeted emails and professional Twitter and LinkedIn accounts. The survey included a range of questions to define respondents’ demographic characteristics, familiarity with ChatGPT, perceptions of this tool’s usefulness and reliability, and opinions on its potential to improve patient care, research, and education efforts. Results One hundred and fifteen health care professionals from 21 countries responded to the survey, including physicians, nurses, researchers, and educators. Of these, 101 (87.8%) had heard of ChatGPT, mainly from peers, social media, and news, and 77 (76.2%) had used ChatGPT at least once. Participants found ChatGPT to be helpful for writing manuscripts (n=31, 45.6%), emails (n=25, 36.8%), and grants (n=12, 17.6%); accessing the latest research and evidence-based guidelines (n=21, 30.9%); providing suggestions on diagnosis or treatment (n=15, 22.1%); and improving patient communication (n=12, 17.6%). Respondents also felt that the ability of ChatGPT to access and summarize research articles (n=22, 46.8%), provide quick answers to clinical questions (n=15, 31.9%), and generate patient education materials (n=10, 21.3%) was helpful. However, there are concerns regarding the use of ChatGPT, for example, the accuracy of responses (n=14, 29.8%), limited applicability in specific practices (n=18, 38.3%), and legal and ethical considerations (n=6, 12.8%), mainly related to plagiarism or copyright violations. Participants stated that safety protocols such as data encryption (n=63, 62.4%) and access control (n=52, 51.5%) could assist in ensuring patient privacy and data security. Conclusions Our findings show that ChatGPT use is widespread among health care professionals in daily clinical, research, and educational activities. The majority of our participants found ChatGPT to be useful; however, there are concerns about patient privacy, data security, and its legal and ethical issues as well as the accuracy of its information. Further studies are required to understand the impact of ChatGPT and other large language models on clinical, educational, and research outcomes, and the concerns regarding its use must be addressed systematically and through appropriate methods.
A 90-day district pilot
- Days 1–15 · Appraise. Have the curriculum lead and a teacher read the methods and limitations. Record the study design, sample, comparator, outcomes and evidence gaps. Define a local question that the study can help inform.
- Days 16–30 · Design. Redesign one low-stakes assessment: require a first attempt, an AI-assisted revision, a source-check log and a short oral explanation. Use the same rubric for the comparison task. Name an accountable owner and set the baseline, success threshold and budget before implementation.
- Days 31–60 · Test. Start with a small voluntary cohort, preserve an accessible non-AI route and require teacher review. Use synthetic or de-identified examples; approve data handling and tool terms through district processes.
- Days 61–90 · Decide. Blind-score reasoning, factual accuracy and unaided transfer on a fresh task. Record suspected misconduct separately from demonstrated evidence. Compare with baseline, document uncertainty and stop or revise if learning worsens, access is unequal or critical errors persist.
The board decision brief
Report the learning problem, evidence quality, participating population, total cost including review time, measured benefit, errors, access differences and remaining uncertainties. Make a dated recommendation to stop, revise or expand. A positive perception survey alone does not establish learning improvement.
Attribution and reuse
Ecem Ozkan; Aysun Tekin; Mahmut Can Ozkan; Daniel Cabrera; Alexander Niven; Yue Dong. Global Health care Professionals’ Perceptions of Large Language Model Use In Practice: Cross-Sectional Survey Study. JMIR Medical Education (2025-05-12). https://doi.org/10.2196/58801
Companion prepared 2026-10-30. Original authorship and DOI are preserved. The abstract is an attributed source extract; the implementation plan is new AI-assisted editorial material, offered under the same CC BY 4.0 license. This guide has not undergone independent peer review.