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Over the study period, OPD declined while MIPD adoption increased substantially, driven primarily by rapid growth in RPD, which may reflect increasing institutional experience and maturation of the technique.
While clinicians knew where and how to annotate complex concepts in patient notes, in twelve of fourteen tasks they faced barriers to replicating those intuitions with LLMs, which highlighted open problems for HCI research to bridge the gaps between AI data work tools and clinical users' needs.
This work proposes expert-guided g-computation, or egg-computation, which combines the complementary strengths of both approaches by connecting the Gantt charts commonly used to map patient trajectories with the causal DAG literature, and develops an LLM-assisted pipeline that reliably scales up expert reasoning.
The GPT-5-mini LLM showed moderate overall accuracy in assessing pediatric acuity and demonstrated a tendency to prioritize younger children, similar to human performance, which highlights the need for pediatric-specific LLM evaluation and optimization before clinical use.
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