arXiv AI By Kenya S. Andrews, Mesrob I. Ohannessian, Elena Zheleva

See Me, Believe Me: Causality, Intersectionality, and Interventions Improving the Appearance of Patients

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arXiv:2410. 01227v2 Announce Type: replace-cross Abstract: In the context of medical records, patients often experience testimonial injustice, where the textual account undermines the validity of their experiences.

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arXiv AI
5d ago

Same Illness, Different Voice: Restating the Patient's Account Narrows Narrative Anchoring in Clinical Language Models

The study evaluates how clinical language models perform when patient narratives are presented in different voices—clinical, socioeconomic, and cultural—using 1,000 MedQA cases paired with three retellings each. All 12 tested models show a significant drop in accuracy (about 26% more errors) when the patient speaks in a marked voice, a penalty that persists even when the original vignette is included verbatim and is not explained by measured retelling properties. The authors find that rewriting the patient’s account into a clinical vignette before answering can halve this accuracy gap, though structured schema pipelines and additional reasoning tools offer limited improvements.

By Prabhjot Singh, Pritam Deka, Vijay Chennareddy