Principle 3: Provide Examples

** Prompt Engineering: Mastering AI Communication from Zero to Expert
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Principle 3: Provide Examples

 

Learning Objectives

1. Explain the difference between zero-shot, one-shot, and few-shot prompting.

2. Apply few-shot prompting to improve consistency in clinical documentation.

3. Design high-quality examples that match your hospital’s documentation standards.

4. Identify when too many examples harm output quality.

 

What Is Provide Examples?

Provide Examples means giving the AI one or more correct, high-quality examples of the output you want before asking it to generate new content. This technique — also called few-shot prompting — dramatically improves consistency and quality, especially for repetitive clinical documentation tasks.

 

Shot Types Compared

Shot Type

What It Means

When to Use in Healthcare

Zero-Shot

No example provided — AI uses general knowledge

New, one-off tasks; when no template exists yet

One-Shot

1 example provided before the task

Standardized forms where one template is enough (e.g., referral letters)

Few-Shot (2–5)

2–5 diverse examples before the task

Recurring tasks with variation (e.g., discharge summaries across diagnoses)

Over-Sampled (10+)

Too many examples — limits flexibility

Avoid: AI loses ability to handle edge cases not in examples

Real-Life Healthcare Example — Provide Examples

Maria Gonzalez (Patient Thread): Referral Letters

Maria’s nephrologist needs a formal referral. You will build a few-shot prompt

using examples from your hospital’s referral template library.

 

## Few shot (2 examples provided to the prompt)

Example 1 (given to the prompt):

Patient: A 55-year-old male with chronic back pain and bilateral leg numbness.

Referral: Referred to Dr. Ahmad, Orthopedic Surgery, for evaluation of lumbar stenosis.

Please review MRI results from 03/2025. Urgent: patient reports worsening leg weakness.

 

Example 2 (given to the prompt):

Patient: A 48-year-old female with atrial fibrillation, uncontrolled on Metoprolol.

Referral: Referred to Dr. Chen, Cardiology, for ECG evaluation and rhythm management review. Please review 14-day Holter monitor results attached.

 

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Now asking the prompt to generate a referral for Maria:

Patient: Maria Gonzalez, 62-year-old female with CKD Stage 2 and T2DM (HbA1c 10.2%, eGFR 52). Referral needed to: Nephrology for kidney disease management and diabetic nephropathy evaluation.

 

Result: AI produces a referral in the exact style, length, and clinical language of your examples — matching City General Hospital’s documentation standards without manual editing.

 

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