English

MedGellan: LLM-Generated Medical Guidance to Support Physicians

Artificial Intelligence 2025-09-10 v3 Computation and Language

Abstract

Medical decision-making is a critical task, where errors can result in serious, potentially life-threatening consequences. While full automation remains challenging, hybrid frameworks that combine machine intelligence with human oversight offer a practical alternative. In this paper, we present MedGellan, a lightweight, annotation-free framework that uses a Large Language Model (LLM) to generate clinical guidance from raw medical records, which is then used by a physician to predict diagnoses. MedGellan uses a Bayesian-inspired prompting strategy that respects the temporal order of clinical data. Preliminary experiments show that the guidance generated by the LLM with MedGellan improves diagnostic performance, particularly in recall and F1F_1 score.

Keywords

Cite

@article{arxiv.2507.04431,
  title  = {MedGellan: LLM-Generated Medical Guidance to Support Physicians},
  author = {Debodeep Banerjee and Burcu Sayin and Stefano Teso and Andrea Passerini},
  journal= {arXiv preprint arXiv:2507.04431},
  year   = {2025}
}