Statistics, Not Scale: Modular Medical Dialogue with Bayesian Belief Engine

Large language models are increasingly deployed as autonomous diagnostic agents, yet they conflate two fundamentally different capabilities: natural-language communication and probabilistic reasoning. We argue that this conflation is an architectural flaw, not an engineering shortcoming. We introduce BMBE (Bayesian Medical Belief Engine), a modular diagnostic dialogue framework that enforces a strict separation between language and reasoning: an LLM serves only as a sensor, parsing patient utterances into structured evidence and verbalising questions, while all diagnostic inference resides in a deterministic, auditable Bayesian engine. Because patient data never enters the LLM, the architecture is private by construction; because the statistical backend is a standalone module, it can be replaced per target population without retraining. This separation yields three properties no autonomous LLM can offer: calibrated selective diagnosis with a continuously adjustable accuracy-coverage tradeoff, a statistical separation gap where even a cheap sensor paired with the engine outperforms a frontier standalone model from the same family at a fraction of the cost, and robustness to adversarial patient communication styles that cause standalone doctors to collapse. We validate across empirical and LLM-generated knowledge bases against frontier LLMs, confirming the advantage is architectural, not informational.

Pitch Accent Detection improves Pretrained Automatic Speech Recognition

We show the performance of Automatic Speech Recognition (ASR) systems that use semi-supervised speech representations can be boosted by a complimentary pitch accent detection module, by introducing a joint ASR and pitch accent detection model. The pitch accent detection component of our model achieves a significant improvement on the state-of-the-art for the task, closing the gap in F1-score by 41%. Additionally, the ASR performance in joint training decreases WER by 28.3% on LibriSpeech, under limited resource fine-tuning. With these results, we show the importance of extending pretrained speech models to retain or re-learn important prosodic cues such as pitch accent.