@inproceedings{lu-etal-2026-one,
title = "One Panel Does Not Fit All: Case-Adaptive Multi-Agent Deliberation for Clinical Prediction",
author = "Lu, Yuxing and
Lin, Yushuhong and
Zhang, Jason",
editor = "T.Y.S.S., Santosh and
Rodriguez, Juan Diego and
de Gibert, Ona",
booktitle = "Proceedings of the 64th Annual Meeting of the {A}ssociation for {C}omputational {L}inguistics ({ACL} 2026)",
month = jul,
year = "2026",
address = "San Diego, California, United States",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2026.acl-srw.75/",
pages = "844--860",
ISBN = "979-8-89176-393-7",
abstract = "Large language models applied to clinical prediction exhibit case-level heterogeneity: simple cases yield consistent outputs, while complex cases produce divergent predictions under minor prompt changes. Existing single-agent strategies sample from one role-conditioned distribution, and multi-agent frameworks use fixed roles with flat majority voting, discarding the diagnostic signal in disagreement. We propose CAMP (Case-Adaptive Multi-agent Panel), where an attending-physician agent dynamically assembles a specialist panel tailored to each case{'}s diagnostic uncertainty. Each specialist evaluates candidates via three-valued voting (KEEP/REFUSE/NEUTRAL), enabling principled abstention outside one{'}s expertise. A hybrid router directs each diagnosis through strong consensus, fallback to the attending physician{'}s judgment, or evidence-based arbitration that weighs argument quality over vote counts. On diagnostic prediction and brief hospital course generation from MIMIC-IV across four LLM backbones, CAMP consistently outperforms strong baselines while consuming fewer tokens than most competing multi-agent methods, with voting records and arbitration traces offering transparent decision audits."
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<abstract>Large language models applied to clinical prediction exhibit case-level heterogeneity: simple cases yield consistent outputs, while complex cases produce divergent predictions under minor prompt changes. Existing single-agent strategies sample from one role-conditioned distribution, and multi-agent frameworks use fixed roles with flat majority voting, discarding the diagnostic signal in disagreement. We propose CAMP (Case-Adaptive Multi-agent Panel), where an attending-physician agent dynamically assembles a specialist panel tailored to each case’s diagnostic uncertainty. Each specialist evaluates candidates via three-valued voting (KEEP/REFUSE/NEUTRAL), enabling principled abstention outside one’s expertise. A hybrid router directs each diagnosis through strong consensus, fallback to the attending physician’s judgment, or evidence-based arbitration that weighs argument quality over vote counts. On diagnostic prediction and brief hospital course generation from MIMIC-IV across four LLM backbones, CAMP consistently outperforms strong baselines while consuming fewer tokens than most competing multi-agent methods, with voting records and arbitration traces offering transparent decision audits.</abstract>
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%0 Conference Proceedings
%T One Panel Does Not Fit All: Case-Adaptive Multi-Agent Deliberation for Clinical Prediction
%A Lu, Yuxing
%A Lin, Yushuhong
%A Zhang, Jason
%Y T.Y.S.S., Santosh
%Y Rodriguez, Juan Diego
%Y de Gibert, Ona
%S Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026)
%D 2026
%8 July
%I Association for Computational Linguistics
%C San Diego, California, United States
%@ 979-8-89176-393-7
%F lu-etal-2026-one
%X Large language models applied to clinical prediction exhibit case-level heterogeneity: simple cases yield consistent outputs, while complex cases produce divergent predictions under minor prompt changes. Existing single-agent strategies sample from one role-conditioned distribution, and multi-agent frameworks use fixed roles with flat majority voting, discarding the diagnostic signal in disagreement. We propose CAMP (Case-Adaptive Multi-agent Panel), where an attending-physician agent dynamically assembles a specialist panel tailored to each case’s diagnostic uncertainty. Each specialist evaluates candidates via three-valued voting (KEEP/REFUSE/NEUTRAL), enabling principled abstention outside one’s expertise. A hybrid router directs each diagnosis through strong consensus, fallback to the attending physician’s judgment, or evidence-based arbitration that weighs argument quality over vote counts. On diagnostic prediction and brief hospital course generation from MIMIC-IV across four LLM backbones, CAMP consistently outperforms strong baselines while consuming fewer tokens than most competing multi-agent methods, with voting records and arbitration traces offering transparent decision audits.
%U https://aclanthology.org/2026.acl-srw.75/
%P 844-860
Markdown (Informal)
[One Panel Does Not Fit All: Case-Adaptive Multi-Agent Deliberation for Clinical Prediction](https://aclanthology.org/2026.acl-srw.75/) (Lu et al., ACL 2026)
ACL