Cohort-Anchored Foundation Models for Electronic Health Records: From Risk Scores to Auditable Peer Cohorts
Foundation models have achieved remarkable performance across medical question answering, imaging, and electronic health record (EHR) tasks, yet reliable clinical deployment remains challenging due to limited interpretability, vulnerability to distribution shift, and weak alignment with clinician reasoning. We argue that these limitations arise because existing approaches prioritize representation learning while treating patient comparison as an emergent property rather than a primary source of
Record details
Published: 20 June 2026
Source: arXiv
Category: Research
Topics: Safety & alignment · Healthcare · Transparency
Retrieved: 14 July 2026
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ethics.ai (20 June 2026), “Cohort-Anchored Foundation Models for Electronic Health Records: From Risk Scores to Auditable Peer Cohorts,” evidence record 750, https://ethics.ai/record/750 (originally published by arXiv).
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