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LLMs can construct powerful representations and streamline sample-efficient supervised learning

LLMs generate global and local rubrics to standardize multimodal inputs, significantly outperforming clinical baselines on 15 EHRSHOT tasks via sample-efficient supervised learning.

Ilker Demirel, Lawrence Shi, Zeshan Hussain, David Sontag

Published 2026Atlanta Poster Session 3 · Thu, Dec 10, 10:00 AM–1:00 PM local time · Hall C1arXiv ↗OpenReview ↗

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Abstract

As real-world datasets become more complex and heterogeneous, supervised learning is often bottlenecked by input representation design. Modeling multimodal data, such as time-series, free text, and structured records, often requires non-trivial domain expertise. We propose an agentic pipeline to streamline this process. First, an LLM analyzes a small but diverse subset of text-serialized input examples in-context to synthesize a global rubric, which acts as a programmatic specification for extracting and organizing evidence. This rubric is then used to transform naive text-serializations of inputs into a more standardized format for downstream models. We also describe local rubrics, which are task-conditioned interpretive summaries generated by an LLM. Across 15 clinical tasks from the EHRSHOT benchmark, our rubric approaches significantly outperform count-feature models, naive LLM baselines, and a clinical foundation model pretrained on orders of magnitude more data. Beyond performance, rubrics offer operational advantages such as being easy to audit, cost-effectiveness at scale, and facilitating tabular representations.