Cadence: A Benchmark Evaluation of the Narrative Velocity Framework for Next Clinical Event Prediction in MIMIC-IV
This study introduces the Cadence model, a Narrative Velocity framework utilizing self-distilled PubMedBERT embeddings within a residual MLP, which demonstrates statistically significant improvements in next clinical event prediction accuracy and time-to-event regression over strong baselines on the MIMIC-IV dataset while highlighting specific calibration and generalization challenges.