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editorial
. 2023 May 21;15(5):e39305. doi: 10.7759/cureus.39305

Table 1. Summary table of ten key suggestions for implementing LLMs in medicine.

Ten Key Suggestions for LLMs in Medicine
1. Transfer learning, domain adaptation, few-shot learning, and zero-shot learning
2. Reinforcement learning with expert feedback according to an explicit code of ethics
3. Dynamic model with emphasis on more recent and more cited work
4. Robust and specific evaluation metrics and benchmarks, along with clinical validation
5. Data privacy, fairness-aware provisions, and diverse stakeholder involvement
6. Inclusion of patients, caregivers, and other diverse perspectives
7. Education and training prerequisites for the users
8. A regulatory framework for their development, validation, deployment, maintenance, and monitoring
9. Addressing cost and resource implications, exploring efficient models and cloud-based resources
10. Ethical considerations, unbiased models, and mitigation strategies for potential risks and limitations