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Unregulated large language models produce medical device-like output

Gary E. Weissman, Toni Mankowitz, Genevieve P. Kanter

2025npj Digital Medicine46 citationsDOIOpen Access PDF

Abstract

Large language models (LLMs) show considerable promise for clinical decision support (CDS) but none is currently authorized by the Food and Drug Administration (FDA) as a CDS device. We evaluated whether two popular LLMs could be induced to provide device-like CDS output. We found that LLM output readily produced device-like decision support across a range of scenarios, suggesting a need for regulation if LLMs are formally deployed for clinical use.

Topics & Concepts

Computer scienceArtificial Intelligence in Healthcare and EducationMachine Learning in HealthcareBiomedical and Engineering Education