arXiv subjects

Nikita Mehandru

Publications and source records attributed to Nikita Mehandru.

8 recordsLinked to original sources

arXiv2026

ER-Reason: A Benchmark Dataset for LLM Clinical Reasoning in the Emergency Room

Existing benchmarks for evaluating the clinical reasoning capabilities of large language models (LLMs) often lack a clear definition of "clinical reasoning" as a construct, fail to capture the full breadth of interdependent tasks within a clinical workflow, and rely on stylized vignettes rather than real-world clinical documentation. As a result, recent studies have found significant discrepancies between LLM performance on stylized benchmarks derived from medical licensing exams and their performance in real-world prospective studies. To address these limitations, we introduce ER-Reason, a benchmark designed to evaluate LLM reasoning as clinical evidence accumulates across decision-making tasks spanning the full workflow of emergency medicine. ER-Reason comprises 25,174 de-identified clinical notes from 3,437 patients, supporting evaluation across all stages of the emergency department workflow: triage intake, treatment selection, disposition planning, and final diagnosis. Crucially, evaluation in ER-Reason extends beyond diagnostic accuracy to include stepwise Script Concordance Test (SCT)-style questions grounded in real patient cases, which assess whether LLMs update their diagnostic beliefs in the correct direction and magnitude as clinical evidence accumulates, scored against 2,555 emergency physician annotations. We evaluate reasoning and non-reasoning LLMs on ER-Reason, and show that our tasks provide a more nuanced view of how LLM reasoning fails on real patient cases than existing benchmarks allow.

cs.CL↗

arXiv2025

Reflections from Research Roundtables at the Conference on Health, Inference, and Learning (CHIL) 2025

The 6th Annual Conference on Health, Inference, and Learning (CHIL 2025), hosted by the Association for Health Learning and Inference (AHLI), was held in person on June 25-27, 2025, at the University of California, Berkeley, in Berkeley, California, USA. As part of this year's program, we hosted Research Roundtables to catalyze collaborative, small-group dialogue around critical, timely topics at the intersection of machine learning and healthcare. Each roundtable was moderated by a team of senior and junior chairs who fostered open exchange, intellectual curiosity, and inclusive engagement. The sessions emphasized rigorous discussion of key challenges, exploration of emerging opportunities, and collective ideation toward actionable directions in the field. In total, eight roundtables were held by 19 roundtable chairs on topics of "Explainability, Interpretability, and Transparency," "Uncertainty, Bias, and Fairness," "Causality," "Domain Adaptation," "Foundation Models," "Learning from Small Medical Data," "Multimodal Methods," and "Scalable, Translational Healthcare Solutions."

cs.LG↗

arXiv2025

Sustaining Human Agency, Attending to Its Cost: An Investigation into Generative AI Design for Non-Native Speakers' Language Use

AI systems and tools today can generate human-like expressions on behalf of people. It raises the crucial question about how to sustain human agency in AI-mediated communication. We investigated this question in the context of machine translation (MT) assisted conversations. Our participants included 45 dyads. Each dyad consisted of one new immigrant in the United States, who leveraged MT for English information seeking as a non-native speaker, and one local native speaker, who acted as the information provider. Non-native speakers could influence the English production of their message in one of three ways: labeling the quality of MT outputs, regular post-editing without additional hints, or augmented post-editing with LLM-generated hints. Our data revealed a greater exercise of non-native speakers' agency under the two post-editing conditions. This benefit, however, came at a significant cost to the dyadic-level communication performance. We derived insights for MT and other generative AI design from our findings.

cs.HC↗

arXiv2025

BioAgents: Democratizing Bioinformatics Analysis with Multi-Agent Systems

Creating end-to-end bioinformatics workflows requires diverse domain expertise, which poses challenges for both junior and senior researchers as it demands a deep understanding of both genomics concepts and computational techniques. While large language models (LLMs) provide some assistance, they often fall short in providing the nuanced guidance needed to execute complex bioinformatics tasks, and require expensive computing resources to achieve high performance. We thus propose a multi-agent system built on small language models, fine-tuned on bioinformatics data, and enhanced with retrieval augmented generation (RAG). Our system, BioAgents, enables local operation and personalization using proprietary data. We observe performance comparable to human experts on conceptual genomics tasks, and suggest next steps to enhance code generation capabilities.

cs.AI↗

arXiv2024

Recent Advances, Applications, and Open Challenges in Machine Learning for Health: Reflections from Research Roundtables at ML4H 2023 Symposium

The third ML4H symposium was held in person on December 10, 2023, in New Orleans, Louisiana, USA. The symposium included research roundtable sessions to foster discussions between participants and senior researchers on timely and relevant topics for the \ac{ML4H} community. Encouraged by the successful virtual roundtables in the previous year, we organized eleven in-person roundtables and four virtual roundtables at ML4H 2022. The organization of the research roundtables at the conference involved 17 Senior Chairs and 19 Junior Chairs across 11 tables. Each roundtable session included invited senior chairs (with substantial experience in the field), junior chairs (responsible for facilitating the discussion), and attendees from diverse backgrounds with interest in the session's topic. Herein we detail the organization process and compile takeaways from these roundtable discussions, including recent advances, applications, and open challenges for each topic. We conclude with a summary and lessons learned across all roundtables. This document serves as a comprehensive review paper, summarizing the recent advancements in machine learning for healthcare as contributed by foremost researchers in the field.

cs.LG↗

arXiv2023

Physician Detection of Clinical Harm in Machine Translation: Quality Estimation Aids in Reliance and Backtranslation Identifies Critical Errors

A major challenge in the practical use of Machine Translation (MT) is that users lack guidance to make informed decisions about when to rely on outputs. Progress in quality estimation research provides techniques to automatically assess MT quality, but these techniques have primarily been evaluated in vitro by comparison against human judgments outside of a specific context of use. This paper evaluates quality estimation feedback in vivo with a human study simulating decision-making in high-stakes medical settings. Using Emergency Department discharge instructions, we study how interventions based on quality estimation versus backtranslation assist physicians in deciding whether to show MT outputs to a patient. We find that quality estimation improves appropriate reliance on MT, but backtranslation helps physicians detect more clinically harmful errors that QE alone often misses.

cs.CL↗

arXiv2023

Large Language Models as Agents in the Clinic

Recent developments in large language models (LLMs) have unlocked new opportunities for healthcare, from information synthesis to clinical decision support. These new LLMs are not just capable of modeling language, but can also act as intelligent "agents" that interact with stakeholders in open-ended conversations and even influence clinical decision-making. Rather than relying on benchmarks that measure a model's ability to process clinical data or answer standardized test questions, LLM agents should be assessed for their performance on real-world clinical tasks. These new evaluation frameworks, which we call "Artificial-intelligence Structured Clinical Examinations" ("AI-SCI"), can draw from comparable technologies where machines operate with varying degrees of self-governance, such as self-driving cars. High-fidelity simulations may also be used to evaluate interactions between users and LLMs within a clinical workflow, or to model the dynamic interactions of multiple LLMs. Developing these robust, real-world clinical evaluations will be crucial towards deploying LLM agents into healthcare.

cs.HC↗

arXiv2022

Beyond General Purpose Machine Translation: The Need for Context-specific Empirical Research to Design for Appropriate User Trust

Machine Translation (MT) has the potential to help people overcome language barriers and is widely used in high-stakes scenarios, such as in hospitals. However, in order to use MT reliably and safely, users need to understand when to trust MT outputs and how to assess the quality of often imperfect translation results. In this paper, we discuss research directions to support users to calibrate trust in MT systems. We share findings from an empirical study in which we conducted semi-structured interviews with 20 clinicians to understand how they communicate with patients across language barriers, and if and how they use MT systems. Based on our findings, we advocate for empirical research on how MT systems are used in practice as an important first step to addressing the challenges in building appropriate trust between users and MT tools.

cs.HC↗