arXiv AI August 18, 2026 By Bernardo Modenesi, Jody Lin, Kimberly Kaphingst, Angela Zhu, Maya Wheeler, Peilu Zhang, Angela Fagerlin

Prompting is not enough: supervised baselines and leakage control for measuring shared decision-making with LLMs in pediatric encounters

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arXiv:2608. 14792v1 Announce Type: cross Abstract: Objectives: To determine whether zero-shot prompting of a large language model (LLM) is sufficient to detect shared decision-making (SDM) behaviors in real clinical encounters, and whether supervised learning adds value under patient-grouped, nested evaluation.

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