arXiv Machine Learning August 27, 2026 By Natasha Ureyang, Sebastian Porsdam Mann, Yuxin Liu, Zuriel Hassirim, Melanie Almonte, Wenhao Chen, Joyce Ng, Thant Nay Lin, Aung Thiha, Gerald CH Koh, Brian David Earp, Pin Sym Foong

Large Language Model Few-Shot Prompting with Dilemma Training Outperforms Human Surrogates in Predicting Patient Preferences

Read the original on arXiv Machine Learning →

The paper introduces P4-DT, a personalized patient preference predictor that uses dilemma training to elicit context‑dependent decision reasoning. In a study of 12 patient‑surrogate pairs, P4‑DT achieved 81.7% accuracy in predicting patient treatment choices, outperforming unassisted surrogates (55.0%) and surrogates aided by a simpler P4 model (61.7%). The authors show that incorporating contextual scenarios and open‑ended text into prompts improves accuracy by 15 percentage points over static value ratings.

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