Selective Fine-tuning on LLM-labeled Data May Reduce Reliance on Human Annotation: A Case Study Using Schedule-of-Event Table Detection

Large Language Models (LLMs) have demonstrated their efficacy across a broad spectrum of tasks in healthcare applications. However, often LLMs need to be fine-tuned on task-specific expert annotated data to achieve optimal performance, which can be expensive and time consuming. In this study, we fine-tune PaLM-2 with parameter efficient fine-tuning (PEFT) using noisy labels obtained from gemini-pro 1.0 for the detection of Schedule-of-Event (SoE) tables, which specify care plan in clinical trial protocols. We introduce a filtering mechanism to select high-confidence labels for this table classification task, thereby reducing the noise in the auto-generated labels. We show that fine-tuned PaLM-2 with those labels achieves performance that exceeds the gemini-pro 1.0 and other LLMs. Furthermore, its performance is close to a PaLM-2 fine-tuned on labels obtained from non-expert annotators. Our results show that leveraging LLM-generated labels through powerful models like gemini-pro can potentially serve as a viable strategy for improving LLM performance through fine-tuning in specialized tasks, particularly in domains where expert annotations are scarce, expensive, or time-consuming to obtain.

Equitable Restless Multi-Armed Bandits: A General Framework Inspired By Digital Health

Restless multi-armed bandits (RMABs) are a popular framework for algorithmic decision making in sequential settings with limited resources. RMABs are increasingly being used for sensitive decisions such as in public health, treatment scheduling, anti-poaching, and -- the motivation for this work -- digital health. For such high stakes settings, decisions must both improve outcomes and prevent disparities between groups (e.g., ensure health equity). We study equitable objectives for RMABs (ERMABs) for the first time. We consider two equity-aligned objectives from the fairness literature, minimax reward and max Nash welfare. We develop efficient algorithms for solving each -- a water filling algorithm for the former, and a greedy algorithm with theoretically motivated nuance to balance disparate group sizes for the latter. Finally, we demonstrate across three simulation domains, including a new digital health model, that our approaches can be multiple times more equitable than the current state of the art without drastic sacrifices to utility. Our findings underscore our work's urgency as RMABs permeate into systems that impact human and wildlife outcomes. Code is available at https://github.com/google-research/socialgood/tree/equitable-rmab

Modeling the Uncertainty in Electronic Health Records: a Bayesian Deep Learning Approach

Deep learning models have exhibited superior performance in predictive tasks with the explosively increasing Electronic Health Records (EHR). However, due to the lack of transparency, behaviors of deep learning models are difficult to interpret. Without trustworthiness, deep learning models will not be able to assist in the real-world decision-making process of healthcare issues. We propose a deep learning model based on Bayesian Neural Networks (BNN) to predict uncertainty induced by data noise. The uncertainty is introduced to provide model predictions with an extra level of confidence. Our experiments verify that instances with high uncertainty are harmful to model performance. Moreover, by investigating the distributions of model prediction and uncertainty, we show that it is possible to identify a group of patients for timely intervention, such that decreasing data noise will benefit more on the prediction accuracy for these patients.