DoctorAgents: an agentic framework to iteratively refine AutoML pipeline for small clinical temporal data

Clinical machine learning (ML) has the potential to support high-stakes medical decision-making, but reliable deployment is often constrained by scarce, heterogeneous, and temporal complexity. Developing effective ML pipelines for such data remains time-consuming and error-prone, while existing automated machine learning (AutoML) systems only partially address this challenge because they largely rely on brute-force search over predefined spaces and lack explicit reasoning and memory. We therefore reformulate AutoML for small clinical data from exhaustive search to reasoning-driven refinement. We propose DoctorAgents, an agentic AI framework that autonomously constructs and optimizes end-to-end ML pipelines through specialized large language model (LLM) agents for generation, validation, and refinement. DoctorAgents backpropagates natural-language feedback through textual gradient descent to perform targeted updates without exhaustive search. Experiments across diverse clinical tasks show that DoctorAgents consistently outperforms established AutoML baselines while producing more interpretable task-specific representations.

What Could the Agent See at 19:05? Generating Temporal Enterprise Scenarios from Real Research and Replaying Them to Evaluate Agents

Enterprise AI agents act across many apps whose data changes continuously, so an answer is correct only relative to what data existed and who could see it at the moment it was asked. Offline evaluation today grades against a single static snapshot, effectively the end of the episode. So, it can only evaluate one situation, the final one, even though every earlier moment of the episode is a different situation that invites its own realistic questions with its own correct answers. Recreating each of those moments as a separate snapshot would mean re-provisioning a whole tenant per instant, which is prohibitively costly; and even a single snapshot leaks future state hidden inside records and cannot represent the multi-app, time-ordered way real work happens. Our system closes two gaps at once: it generates a realistic, persona-driven, temporally-evolving enterprise world from real research, and replays that world at any chosen moment to evaluate any pluggable agent. A schema-inferred temporal description drives a deterministic-plus-LLM rebuild of each record's past state; because the queryable moments are finite, all rebuilds are precomputed into a compact difference cache, making evaluation a fast, reproducible lookup with no model in the path. We describe the design, an architecture spanning both flows, and early experience evaluating enterprise agents.

Improving Patient Subtyping on Longitudinal Data using Representations from Mamba-based Architecture

Effective sub-typing (also known as grouping or clustering) of patients using their electronic health record (EHR) data can greatly inform precision medicine efforts. However, subtyping temporal EHR datasets is known to be challenging due to inherent EHR issues, including complexity and irregularity. In this study, we propose a self-supervised Mamba-based model that learns effective EHR representations and enables enhanced patient subtyping. We evaluate the proposed model on public and private real-world EHR datasets to classify the data based on the available labels and subtype patients based on the representations learned from the model. Through an extensive set of experiments, we demonstrate that our model's design choices lead to better performance compared to competitive baseline models for prediction. Moreover, we evaluate several clustering techniques to demonstrate that our findings offer valuable insights into subtyping patients based on temporal records from EHR models\footnote{Our implementations are available at https://github.com/healthylaife/triplet_mamba.

TEDD: Robust Detection of Unstable Temporal Features

When working with real-world temporal data, it is common to encounter features whose distribution is changing over time. The naive employment of Machine Learning models on this unstable data might lead to rapidly degrading performance, especially if the new distribution is much different from what was previously seen during training. In order to cope with this problem, it is critical to automatically identify features that are changing over time. With these features detected, data scientists and other practitioners will be able to mitigate the issue (for instance, by applying data transformations), deploying more robust models that retain high performance for longer periods of time. In this paper, we describe which temporal changes a feature should not suffer from, and propose TEDD, a technique to a) identify when a dataset might lead to an unstable Machine Learning model and b) automatically detect which features cause such lack of robustness. In order to achieve it, we leverage a regression model to highlight which features contribute to a good prediction of an instance's timestamp. We compare our approach to other methods in real and synthetic data, testing their detection capability on all simple change patterns. We show that our method: detects all types of basic changes, both for numerical and categorical features; can detect multivariate drifts; returns a comparable value measuring the amount of change of each feature; requires no parameter tuning; and is scalable both on number of features and instances of the dataset.