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MedGellan: LLM-Generated Medical Guidance to Support Physicians

Created by
  • Haebom

Author

Debodeep Banerjee, Burcu Sayin, Stefano Teso, Andrea Passerini

Outline

MedGellan is a lightweight, annotation-free framework for generating clinical guidelines from medical records. It uses a large-scale language model (LLM) to generate clinical guidelines for diagnosis prediction from medical records, which doctors then use to make their own diagnoses. It uses a Bayesian-inspired prompting strategy to respect the temporal order of clinical data. Initial experiments have shown that LLM-generated guidelines using MedGellan improve diagnostic performance, particularly in terms of recall and F1 score. Given that errors in medical decision-making can have serious consequences, and that full automation is challenging, we present a hybrid framework that combines human supervision and machine intelligence.

Takeaways, Limitations

Takeaways:
Presenting the possibility of developing a lightweight medical diagnosis support system using LLM.
Confirming the possibility of improving diagnostic accuracy by considering temporal order through Bayesian prompting strategy.
Suggesting the possibility of improving diagnostic performance by improving recall and F1 score.
Limitations:
Only initial experimental results are presented and further validation is needed.
Further research is needed for application in real clinical settings.
The limitations and bias issues of LLM need to be considered.
Generalization performance verification is needed for various medical datasets.
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