Generative artificial intelligence (GenAI) represent an emerging paradigm within artificial intelligence, with applications throughout the medical enterprise. Assessing GenAI applications necessitates a comprehensive understanding of the clinical task and awareness of the variability in performance when implemented in actual clinical environments. Presently, a prevalent method for evaluating the performance of generative models relies on quantitative benchmarks. Such benchmarks have limitations and may suffer from train-to-the-test overfitting, optimizing performance for a specified test set at the cost of generalizability across other task and data distributions. Evaluation strategies leveraging human expertise and utilizing cost-effective computational models as evaluators are gaining interest. We discuss current state-of-the-art methodologies for assessing the performance of GenAI applications in healthcare and medical devices.

Generative AI enables automated, effective manipulation at scale. Despite the growing general ethical discussion around generative AI, the specific manipulation risks remain inadequately investigated. This article outlines essential inquiries encompassing conceptual, empirical, and design dimensions of manipulation, pivotal for comprehending and curbing manipulation risks. By highlighting these questions, the article underscores the necessity of an appropriate conceptualisation of manipulation to ensure the responsible development of Generative AI technologies.

We introduce the world's first clinical terminology for the Chinese healthcare community, namely MedCT, accompanied by a clinical foundation model MedBERT and an entity linking model MedLink. The MedCT system enables standardized and programmable representation of Chinese clinical data, successively stimulating the development of new medicines, treatment pathways, and better patient outcomes for the populous Chinese community. Moreover, the MedCT knowledge graph provides a principled mechanism to minimize the hallucination problem of large language models (LLMs), therefore achieving significant levels of accuracy and safety in LLM-based clinical applications. By leveraging the LLMs' emergent capabilities of generativeness and expressiveness, we were able to rapidly built a production-quality terminology system and deployed to real-world clinical field within three months, while classical terminologies like SNOMED CT have gone through more than twenty years development. Our experiments show that the MedCT system achieves state-of-the-art (SOTA) performance in semantic matching and entity linking tasks, not only for Chinese but also for English. We also conducted a longitudinal field experiment by applying MedCT and LLMs in a representative spectrum of clinical tasks, including electronic health record (EHR) auto-generation and medical document search for diagnostic decision making. Our study shows a multitude of values of MedCT for clinical workflows and patient outcomes, especially in the new genre of clinical LLM applications. We present our approach in sufficient engineering detail, such that implementing a clinical terminology for other non-English societies should be readily reproducible. We openly release our terminology, models and algorithms, along with real-world clinical datasets for the development.

Generative AI applications present unique design challenges. As generative AI technologies are increasingly being incorporated into mainstream applications, there is an urgent need for guidance on how to design user experiences that foster effective and safe use. We present six principles for the design of generative AI applications that address unique characteristics of generative AI UX and offer new interpretations and extensions of known issues in the design of AI applications. Each principle is coupled with a set of design strategies for implementing that principle via UX capabilities or through the design process. The principles and strategies were developed through an iterative process involving literature review, feedback from design practitioners, validation against real-world generative AI applications, and incorporation into the design process of two generative AI applications. We anticipate the principles to usefully inform the design of generative AI applications by driving actionable design recommendations.

We present a framework for the automated measurement of responsible AI (RAI) metrics for large language models (LLMs) and associated products and services. Our framework for automatically measuring harms from LLMs builds on existing technical and sociotechnical expertise and leverages the capabilities of state-of-the-art LLMs, such as GPT-4. We use this framework to run through several case studies investigating how different LLMs may violate a range of RAI-related principles. The framework may be employed alongside domain-specific sociotechnical expertise to create measurements for new harm areas in the future. By implementing this framework, we aim to enable more advanced harm measurement efforts and further the responsible use of LLMs.

As you've undoubtedly noticed, AI-related news is everywhere, and its influence continues to grow. Just last week, OpenAI released an iOS version of ChatGPT (an Android version is coming soon) that runs directly on your iPhone and adds the ability to speak your request for information into its interactive chatbot user interface. Now, Microsoft has announced that it's bringing a range of new generative AI-powered features to Windows 11 starting in June. The main component is called Windows Copilot, a set of text-driven assistive capabilities that make using your PC easier and more intuitive. The company also announced the ability to integrate Bing Chat plug-ins into Windows, meaning that many of the impressive capabilities Microsoft brought to its Bing search engine will be available directly in Windows.

The seeds of a machine learning (ML) paradigm shift have existed for decades, but with the ready availability of scalable compute capacity, a massive proliferation of data, and the rapid advancement of ML technologies, customers across industries are transforming their businesses. Just recently, generative AI applications like ChatGPT have captured widespread attention and imagination. We are truly at an exciting inflection point in the widespread adoption of ML, and we believe most customer experiences and applications will be reinvented with generative AI. AI and ML have been a focus for Amazon for over 20 years, and many of the capabilities customers use with Amazon are driven by ML. Our e-commerce recommendations engine is driven by ML; the paths that optimize robotic picking routes in our fulfillment centers are driven by ML; and our supply chain, forecasting, and capacity planning are informed by ML. Prime Air (our drones) and the computer vision technology in Amazon Go (our physical retail experience that lets consumers select items off a shelf and leave the store without having to formally check out) use deep learning.

Generative AI technologies are growing in power, utility, and use. As generative technologies are being incorporated into mainstream applications, there is a need for guidance on how to design those applications to foster productive and safe use. Based on recent research on human-AI co-creation within the HCI and AI communities, we present a set of seven principles for the design of generative AI applications. These principles are grounded in an environment of generative variability. Six principles are focused on designing for characteristics of generative AI: multiple outcomes & imperfection; exploration & control; and mental models & explanations. In addition, we urge designers to design against potential harms that may be caused by a generative model's hazardous output, misuse, or potential for human displacement. We anticipate these principles to usefully inform design decisions made in the creation of novel human-AI applications, and we invite the community to apply, revise, and extend these principles to their own work.