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Design a doc-QA system for a healthcare customer that reliably says 'I don't know' instead of guessing.

In high-stakes domains a wrong answer is worse than no answer, but a system that always abstains is useless. The selective-prediction design, the layered abstention triggers, and the two metrics that govern the tradeoff.

Updated Aug 2026 · Grounded in real Forward Deployed Engineer interview loops and written to a senior-engineer editorial bar.

In high-stakes domains a wrong answer is worse than no answer, but a system that always abstains is useless. The selective-prediction design, the layered abstention triggers, and the two metrics that govern the tradeoff.

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