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Brandon Ho

Publications and source records attributed to Brandon Ho.

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Domain-Adapted Small Language Models for Reliable Clinical Triage

Accurate and consistent Emergency Severity Index (ESI) assignment remains a persistent challenge in emergency departments, where highly variable free-text triage documentation contributes to mistriage and workflow inefficiencies. This study evaluates whether open-source small language models (SLMs) can serve as reliable, privacy-preserving decision-support tools for clinical triage. We systematically compared multiple SLMs across diverse prompting pipelines and found that clinical vignettes, concise summaries of triage narratives, yielded the most accurate predictions. The SLM, Qwen2.5-7B, demonstrated the strongest balance of accuracy, stability, and computational efficiency. Through large-scale domain adaptation using expert-curated and silver-standard pediatric triage data, fine-tuned Qwen2.5-7B models substantially reduced discordance and clinically significant errors, outperforming all baseline SLMs and advanced proprietary large language models (LLMs, e.g., GPT-4o). These findings highlight the feasibility of institution-specific SLMs for reliable, privacy-preserving ESI decision support and underscore the importance of targeted fine-tuning over more complex inference strategies.

cs.CL

Let's Think in Two Steps: Mitigating Agreement Bias in MLLMs with Self-Grounded Verification

Verifiers--functions assigning rewards to agent behavior--have been key to AI progress in math, code, and games. However, extending gains to domains without clear-cut success criteria remains a challenge: while humans can recognize desired outcomes, translating this intuition into scalable rules is nontrivial. Multimodal LLMs (MLLMs) offer a promising solution, given their world knowledge, human-preference alignment, and reasoning capabilities. We evaluate MLLM verifiers across web navigation, computer use, and robotics, spanning 13+ models, 28+ designs, and thousands of trajectories from diverse agents. We identify a critical limitation: a strong tendency for MLLMs to over-validate agent behavior--a phenomenon we term agreement bias. This bias is pervasive, resilient to test-time scaling, and can harm applications relying on MLLM judgments/rewards (e.g., self-improvement, steering, online supervision). We discuss several considerations for evaluating and designing MLLM verifiers, and introduce SGV, a lightweight method that better leverages their capabilities by modulating (un)conditional generation. First, an MLLM is elicited to generate broad priors about desired behavior, independent of the data under evaluation. Then, conditioned on self-generated priors, it reasons over and evaluates a candidate trajectory. Our methods yield more human-aligned verifiers, improving failure detection by 25pp and accuracy by 14pp. In self-improvement and online supervision, they boost task completion of a GUI specialist in OSWorld, a diffusion policy in robomimic, and a ReAct agent in VisualWebArena--surpassing the previous state of the art by 20pp. As a byproduct, we release an update of VisualWebArena featuring strong agent baselines, more human-aligned oracles, container parallelism with high fidelity and proper resets, >10x speedups, and VWA-Lite, a 1/3 subset with comparable evaluation fidelity.

cs.AI

Towards Learning Scalable Agile Dynamic Motion Planning for Robosoccer Teams with Policy Optimization

In fast-paced, ever-changing environments, dynamic Motion Planning for Multi-Agent Systems in the presence of obstacles is a universal and unsolved problem. Be it from path planning around obstacles to the movement of robotic arms, or in planning navigation of robot teams in settings such as Robosoccer, dynamic motion planning is needed to avoid collisions while reaching the targeted destination when multiple agents occupy the same area. In continuous domains where the world changes quickly, existing classical Motion Planning algorithms such as RRT* and A* become computationally expensive to rerun at every time step. Many variations of classical and well-formulated non-learning path-planning methods have been proposed to solve this universal problem but fall short due to their limitations of speed, smoothness, optimally, etc. Deep Learning models overcome their challenges due to their ability to adapt to varying environments based on past experience. However, current learning motion planning models use discretized environments, do not account for heterogeneous agents or replanning, and build up to improve the classical motion planners' efficiency, leading to issues with scalability. To prevent collisions between heterogenous team members and collision to obstacles while trying to reach the target location, we present a learning-based dynamic navigation model and show our model working on a simple environment in the concept of a simple Robosoccer Game.

cs.RO