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Main Authors: Strong, Joshua, Men, Qianhui, Noble, Alison
Format: Preprint
Published: 2024
Subjects:
Online Access:https://arxiv.org/abs/2406.07212
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author Strong, Joshua
Men, Qianhui
Noble, Alison
author_facet Strong, Joshua
Men, Qianhui
Noble, Alison
contents Large language models (LLMs) offer a valuable technology for various applications in healthcare. However, their tendency to hallucinate and the existing reliance on proprietary systems pose challenges in environments concerning critical decision-making and strict data privacy regulations, such as healthcare, where the trust in such systems is paramount. Through combining the strengths and discounting the weaknesses of humans and AI, the field of Human-AI Collaboration (HAIC) presents one front for tackling these challenges and hence improving trust. This paper presents a novel HAIC guided deferral system that can simultaneously parse medical reports for disorder classification, and defer uncertain predictions with intelligent guidance to humans. We develop methodology which builds efficient, effective and open-source LLMs for this purpose, for the real-world deployment in healthcare. We conduct a pilot study which showcases the effectiveness of our proposed system in practice. Additionally, we highlight drawbacks of standard calibration metrics in imbalanced data scenarios commonly found in healthcare, and suggest a simple yet effective solution: the Imbalanced Expected Calibration Error.
format Preprint
id arxiv_https___arxiv_org_abs_2406_07212
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Trustworthy and Practical AI for Healthcare: A Guided Deferral System with Large Language Models
Strong, Joshua
Men, Qianhui
Noble, Alison
Computation and Language
Artificial Intelligence
Human-Computer Interaction
Large language models (LLMs) offer a valuable technology for various applications in healthcare. However, their tendency to hallucinate and the existing reliance on proprietary systems pose challenges in environments concerning critical decision-making and strict data privacy regulations, such as healthcare, where the trust in such systems is paramount. Through combining the strengths and discounting the weaknesses of humans and AI, the field of Human-AI Collaboration (HAIC) presents one front for tackling these challenges and hence improving trust. This paper presents a novel HAIC guided deferral system that can simultaneously parse medical reports for disorder classification, and defer uncertain predictions with intelligent guidance to humans. We develop methodology which builds efficient, effective and open-source LLMs for this purpose, for the real-world deployment in healthcare. We conduct a pilot study which showcases the effectiveness of our proposed system in practice. Additionally, we highlight drawbacks of standard calibration metrics in imbalanced data scenarios commonly found in healthcare, and suggest a simple yet effective solution: the Imbalanced Expected Calibration Error.
title Trustworthy and Practical AI for Healthcare: A Guided Deferral System with Large Language Models
topic Computation and Language
Artificial Intelligence
Human-Computer Interaction
url https://arxiv.org/abs/2406.07212