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A Role-specific Guided Large Language Model for Ophthalmic Consultation Based on Stylistic Differentiation

Ophthalmology consultations are crucial for diagnosing, treating, and preventing eye diseases. However, the growing demand for consultations exceeds the availability of ophthalmologists. By leveraging large pre-trained language models, we can design effective dialogues for specific scenarios, aiding in consultations. Traditional fine-tuning strategies for question-answering tasks are impractical due to increasing model size and often ignoring patient-doctor role function during consultations. In this paper, we propose EyeDoctor, an ophthalmic medical questioning large language model that enhances accuracy through doctor-patient role perception guided and an augmented knowledge base with external disease information. Experimental results show EyeDoctor achieves higher question-answering precision in ophthalmology consultations. Notably, EyeDoctor demonstrated a 7.25% improvement in Rouge-1 scores and a 10.16% improvement in F1 scores on multi-round datasets compared to second best model ChatGPT, highlighting the importance of doctor-patient role differentiation and dynamic knowledge base expansion for intelligent medical consultations. EyeDoc also serves as a free available web based service and souce code is available at https://github.com/sperfu/EyeDoc.

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