A Roadmap for Alignable Algorithmic Decision-Makers in the Medical Triage Domain

Artificial intelligence (AI) is increasingly being used in low- and high-stakes decision-making. However, safe and responsible use of AI decision-making systems must also consider human values and characteristics. A promising research direction is to develop novel methods and techniques to align AI systems with human values and intentions, potentially reducing undesirable or harmful behaviors while promoting greater human trust. In this paper, we highlight several promising approaches to this AI alignment problem, focusing on the use of large language models (LLMs) as alignable decision-makers. Specifically, these alignment approaches include several novel prompt-based techniques (using zero- or few-shot learning, persona narratives, or training on a large dataset of pluralistic values) and a technique based on transforming output word embeddings. We demonstrate the feasibility of these approaches for difficult decision-making in the medical triage domain, while also providing several promising future research directions to pursue.

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Publication Details

Published
2025-05-05
DOI
https://doi.org/10.1109/cai64502.2025.00203
Primary Topic
Machine Learning in Healthcare
Type
article
Field-Weighted Citation Impact
0.00

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article

A Roadmap for Alignable Algorithmic Decision-Makers in the Medical Triage Domain

Trevor Darrell, Arslan Basharat, Xiusi Chen, Taylor Sorensen et al.
Machine Learning in Healthcare
article

A Roadmap for Alignable Algorithmic Decision-Makers in the Medical Triage Domain

Trevor Darrell, Arslan Basharat, Xiusi Chen, Taylor Sorensen, Heng Ji, Brian Hu, David W. Chan, Yejin Choi
article en

Abstract

Artificial intelligence (AI) is increasingly being used in low- and high-stakes decision-making. However, safe and responsible use of AI decision-making systems must also consider human values and characteristics. A promising research direction is to develop novel methods and techniques to align AI systems with human values and intentions, potentially reducing undesirable or harmful behaviors while promoting greater human trust. In this paper, we highlight several promising approaches to this AI alignment problem, focusing on the use of large language models (LLMs) as alignable decision-makers. Specifically, these alignment approaches include several novel prompt-based techniques (using zero- or few-shot learning, persona narratives, or training on a large dataset of pluralistic values) and a technique based on transforming output word embeddings. We demonstrate the feasibility of these approaches for difficult decision-making in the medical triage domain, while also providing several promising future research directions to pursue.

University of Illinois Urbana-Champaign (US), University of Washington (US), Kitware (United States) (US), University of California, Berkeley (US)
Defense Advanced Research Projects Agency
Peace, Justice and strong institutions
Openalex Percentile: Top 92%
Machine Learning in Healthcare
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