Teaching LLMs to Recommend and Defer in Underrepresented Epilepsy Care
arXiv cs.LG1mo4 min read
arXiv:2606.31036v1 Announce Type: new Abstract: Specialist epilepsy expertise is scarce in resource-constrained settings, making LLM-based decision support attractive for frontline clinicians managing longitudinal treatment. Such systems must adapt to local prescribing practice and know when to defer. We study this problem in Ugandan pediatric epilepsy care, predicting anti-seizure medication regimens from longitudinal unstructured clinic notes. Standard prompting achieves non-trivial agreement with physician prescriptions, but neurologist review shows that many errors reflect distribution-mis