ED-Copilot: Reduce Emergency Department Wait Time with Language Model Diagnostic Assistance

In the emergency department (ED), patients undergo triage and multiple laboratory tests before diagnosis. This process is time-consuming, and causes ED crowding which significantly impacts patient mortality, medical errors, staff burnout, etc. This work proposes (time) cost-effective diagnostic assistance that explores the potential of artificial intelligence (AI) systems in assisting ED clinicians to make time-efficient and accurate diagnoses. Using publicly available patient data, we collaborate with ED clinicians to curate MIMIC-ED-Assist, a benchmark that measures the ability of AI systems in suggesting laboratory tests that minimize ED wait times, while correctly predicting critical outcomes such as death. We develop ED-Copilot which sequentially suggests patient-specific laboratory tests and makes diagnostic predictions. ED-Copilot uses a pre-trained bio-medical language model to encode patient information and reinforcement learning to minimize ED wait time and maximize prediction accuracy of critical outcomes. On MIMIC-ED-Assist, ED-Copilot improves prediction accuracy over baselines while halving average wait time from four hours to two hours. Ablation studies demonstrate the importance of model scale and use of a bio-medical language model. Further analyses reveal the necessity of personalized laboratory test suggestions for diagnosing patients with severe cases, as well as the potential of ED-Copilot in providing ED clinicians with informative laboratory test recommendations. Our code is available at https://github.com/cxcscmu/ED-Copilot.

Few-shot Text Classification with Dual Contrastive Consistency

In this paper, we explore how to utilize pre-trained language model to perform few-shot text classification where only a few annotated examples are given for each class. Since using traditional cross-entropy loss to fine-tune language model under this scenario causes serious overfitting and leads to sub-optimal generalization of model, we adopt supervised contrastive learning on few labeled data and consistency-regularization on vast unlabeled data. Moreover, we propose a novel contrastive consistency to further boost model performance and refine sentence representation. After conducting extensive experiments on four datasets, we demonstrate that our model (FTCC) can outperform state-of-the-art methods and has better robustness.