Automatic Patient Note Assessment without Strong Supervision

Jianing Zhou, Vyom Thakkar, R. Yudkowsky, S. Bhat, W. Bond
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引用次数: 2

Abstract

Training of physicians requires significant practice writing patient notes that document the patient’s medical and health information and physician diagnostic reasoning. Assessment and feedback of the patient note requires experienced faculty, consumes significant amounts of time and delays feedback to learners. Grading patient notes is thus a tedious and expensive process for humans that could be improved with the addition of natural language processing. However, the large manual effort required to create labeled datasets increases the challenge, particularly when test cases change. Therefore, traditional supervised NLP methods relying on labelled datasets are impractical in such a low-resource scenario. In our work, we proposed an unsupervised framework as a simple baseline and a weakly supervised method utilizing transfer learning for automatic assessment of patient notes under a low-resource scenario. Experiments on our self-collected datasets show that our weakly-supervised methods could provide reliable assessment for patient notes with accuracy of 0.92.
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自动病人笔记评估没有强有力的监督
医生的培训需要大量的练习来写病历,记录病人的医疗和健康信息以及医生的诊断推理。病人病历的评估和反馈需要经验丰富的教师,耗费大量的时间并延迟反馈给学习者。因此,对人类来说,给病人的笔记评分是一个冗长而昂贵的过程,可以通过增加自然语言处理来改进。然而,创建标记数据集所需的大量手工工作增加了挑战,特别是当测试用例更改时。因此,传统的依赖于标记数据集的监督式自然语言处理方法在这种低资源场景下是不切实际的。在我们的工作中,我们提出了一个无监督框架作为简单的基线和一个弱监督方法,利用迁移学习在低资源情况下自动评估患者笔记。在我们自己收集的数据集上的实验表明,我们的弱监督方法可以为患者笔记提供可靠的评估,准确率为0.92。
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