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Paper · arXiv

Discriminative Representation Learning for Clinical Prediction

Foundation models in healthcare have largely adopted self supervised pretraining objectives inherited from natural language processing and computer vision, emphasizing reconstruction and large scale representation learning prior to downstream adaptation. We revisit this paradigm in outcome centric clinical prediction settings and argue that, when high quality supervision is available, direct outcome alignment may provide a stronger inductive bias than generative pretraining. We propose a supervised deep learning framework that explicitly shapes representation geometry by maximizing inter class separation relative to within class variance, thereby concentrating model capacity along clinica...

AuthorsYang Zhang, Li Fan, Samuel Lawrence et al.
Primary categorycs.LG
Published21 March 2026
Last updated at source21 March 2026
cs.LG
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