Theorem1.Let Pi represent the distribution of all seen training samples (including all previous Agoodtrade-offbetween themodel'scomplexityandgeneralization performance, observedfrom Eq. (12), is allowing each component to learn the underlying data distribution of a unique target set. By satisfying the ideal selection process (Eq.(22) of the paper) and also consideringthateachcomponent Gtfinishedthetrainingon Mkt atTkt,weassumethatthedynamic 4 expansion modelG can be seen as a single modelh trained on all previously learnt memories Maximal Interfered Retrieval (MIR), [1] is one of 5 themostpopular memory-based approaches, whichusesamemory bufferwithasample selection criterion. Since Pi would involve several underlying data distributions as the number of training steps (i) increases, the diversity in the memory plays an important role to ensure a tight GB in Eq.(15). G be single model which consists of a classifierh HandaVAEmodelv. M be a memory buffer updated at the training stepTi. Figure 1: The learning process of the proposed ODDL-S, which consists of three phases.

Diplomacyisacomplex environment, where training requires significant time. The action is an allocation of the player's coins across the fields: the player decides how manyof itsccoins to put in each of the fields, choosing c1,c2,...,cf where Pf Finally, Blotto is a single-turn (i.e.

AI scribes are transforming clinical documentation at scale. However, their real-world performance remains understudied, especially regarding their impacts on patient safety. To this end, we initiate a mixed-methods study of patient safety issues raised in feedback submitted by AI scribe users (healthcare providers) in a large U.S. hospital system. Both quantitative and qualitative analysis suggest that AI scribes may induce various patient safety risks due to errors in transcription, most significantly regarding medication and treatment; however, further study is needed to contextualize the absolute degree of risk.

Clinician burnout has motivated the growing adoption of ambient medical scribes in the clinic. In this work, we introduce a custom-built ambient scribe application integrated into the EHR system at Included Health, a personalized all-in-one healthcare company offering telehealth services. The application uses Whisper for transcription and a modular in-context learning pipeline with GPT-4o to automatically generate SOAP notes and patient instructions. Testing on mock visit data shows that the notes generated by the application exceed the quality of expert-written notes as determined by an LLM-as-a-judge. The application has been widely adopted by the clinical practice, with over 540 clinicians at Included Health using the application at least once. 94% (n = 63) of surveyed clinicians report reduced cognitive load during visits and 97% (n = 66) report less documentation burden when using the application. Additionally, we show that post-processing notes with a fine-tuned BART model improves conciseness. These findings highlight the potential for AI systems to ease administrative burdens and support clinicians in delivering efficient, high-quality care.

Howard's Policy Iteration (HPI) is a classic algorithm for solving Markov Decision Problems (MDPs). HPI uses a "greedy" switching rule to update from any non-optimal policy to a dominating one, iterating until an optimal policy is found. Despite its introduction over 60 years ago, the best-known upper bounds on HPI's running time remain exponential in the number of states -- indeed even on the restricted class of MDPs with only deterministic transitions (DMDPs). Meanwhile, the tightest lower bound for HPI for MDPs with a constant number of actions per state is only linear. In this paper, we report a significant improvement: a subexponential upper bound for HPI on DMDPs, which is parameterised by the bit-size of the rewards, while independent of the discount factor. The same upper bound also applies to DMDPs with only two possible rewards (which may be of arbitrary size).

Following an interaction with a patient, physicians are responsible for the submission of clinical documentation, often organized as a SOAP note. A clinical note is not simply a summary of the conversation but requires the use of appropriate medical terminology. The relevant information can then be extracted and organized according to the structure of the SOAP note. In this paper we analyze two different approaches to generate the different sections of a SOAP note based on the audio recording of the conversation, and specifically examine them in terms of note consistency. The first approach generates the sections independently, while the second method generates them all together. In this work we make use of PEGASUS-X Transformer models and observe that both methods lead to similar ROUGE values (less than 1% difference) and have no difference in terms of the Factuality metric. We perform a human evaluation to measure aspects of consistency and demonstrate that LLMs like Llama2 can be used to perform the same tasks with roughly the same agreement as the human annotators. Between the Llama2 analysis and the human reviewers we observe a Cohen Kappa inter-rater reliability of 0.79, 1.00, and 0.32 for consistency of age, gender, and body part injury, respectively. With this we demonstrate the usefulness of leveraging an LLM to measure quality indicators that can be identified by humans but are not currently captured by automatic metrics. This allows scaling evaluation to larger data sets, and we find that clinical note consistency improves by generating each new section conditioned on the output of all previously generated sections.

The recent rise in popularity of Hyperparameter Optimization (HPO) for deep learning has highlighted the role that good hyperparameter (HP) space design can play in training strong models. In turn, designing a good HP space is critically dependent on understanding the role of different HPs. This motivates research on HP Importance (HPI), e.g., with the popular method of functional ANOVA (f-ANOVA). However, the original f-ANOVA formulation is inapplicable to the subspaces most relevant to algorithm designers, such as those defined by top performance. To overcome this issue, we derive a novel formulation of f-ANOVA for arbitrary subspaces and propose an algorithm that uses Pearson divergence (PED) to enable a closed-form calculation of HPI. We demonstrate that this new algorithm, dubbed PED-ANOVA, is able to successfully identify important HPs in different subspaces while also being extremely computationally efficient.

This work describes the development and validation of a fully automated deep learning model, iDAScore v2.0, for the evaluation of embryos incubated for 2, 3, and 5 or more days. The model is trained and evaluated on an extensive and diverse dataset including 181,428 embryos from 22 IVF clinics across the world. For discriminating transferred embryos with known outcome (KID), we show AUCs ranging from 0.621 to 0.708 depending on the day of transfer. Predictive performance increased over time and showed a strong correlation with morphokinetic parameters. The model has equivalent performance to KIDScore D3 on day 3 embryos while significantly surpassing the performance of KIDScore D5 v3 on day 5+ embryos. This model provides an analysis of time-lapse sequences without the need for user input, and provides a reliable method for ranking embryos for likelihood to implant, at both cleavage and blastocyst stages. This greatly improves embryo grading consistency and saves time compared to traditional embryo evaluation methods.