MIMIC-III
mimic-iii-dfe4f786·2 events·first seen 15d agoAliases: MIMIC-III
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Computational audit finds ClinicalBERT amplifies demographic bias beyond training data distributions
Researchers present a systematic audit of representational bias in ClinicalBERT, a BERT-based model pretrained on MIMIC-III clinical discharge summaries, using two probing methodologies: Log Probability Bias Analysis and Masked Language Model probing across 98 clinical sentence templates and eight intersectional race-gender combinations. Of 32 statistically significant findings, 65.6% contradict observed corpus distributions, rising to 80% for Black patients and 87.5% for agency attribution under MLM probing. The key finding is that bias in ClinicalBERT operates predominantly through model-internal amplification rather than simple inheritance from training data, which has direct implications for clinical AI safety and deployment. This challenges the assumption that auditing training corpora is sufficient to characterize model bias.
Sentence-Level Clinical Provenance Categorization for Multidisciplinary Hospital Summarization Using Fine-Tuned Llama-3
This pilot study presents a pipeline for categorizing sentence-level clinical provenance across multi-source hospital notes, targeting structured summarization in high-complexity settings like the NICU. The authors fine-tune Llama-3 8B and 70B models on MedSecId (MIMIC-III annotations), achieving Macro F1 above 92% in-domain. Cross-domain evaluation reveals a scale-dependent transfer effect: SFT substantially improves the 70B model (+7% Macro F1) but yields only marginal gains for the 8B model. A quantized fine-tuned 70B model outperforms its full-precision baseline while reducing compute, suggesting quantized adaptation is viable for structured clinical NLP tasks.