Exploring the feasibility of developing an education tool for pattern identification using a large language model: focusing on the case of a simulated patient with fatigue symptom and dual deficiency of the heart-spleen pattern

거대언어모델을 활용한 변증 교육도구 개발 가능성 탐색: 피로주증의 심비양허형 모의환자에 대한 사례구축을 중심으로

Objective : This study aims to assess the potential of utilizing large language models in pattern identification education by developing a simulated patient with fatigue and dual deficiency of the heart-spleen pattern. Methods : A simulated patient dataset was constructed using the clinical practice examination module provided by the National Institute for Korean Medicine Development. The dataset was divided into patient characteristics, sample questions, and responses, and utilized to design the system, assistant, and user prompts, respectively. A web-based interface was developed using the Django framework and WebSocket. Results : We developed a simulated fatigue patient representing dual deficiency of the heart-spleen pattern through prompt engineering. To make practical tools, we further implemented web-based interfaces for the examinee's and evaluator's roles. The interface for examinees allows one to examine the simulated patient and provides access to a personalized number for future access. In addition, the interface for evaluators included a page that provided an overview of each examinees' chat history and evaluation criteria in real-time. Conclusion : This study is the first development of an educational tool integrated with a large language model for pattern identification education, which is expected to be widely applied to Korean medicine education.