Abstract:Large language models (LLMs) present a valuable technology for various applications in healthcare, but their tendency to hallucinate introduces unacceptable uncertainty in critical decision-making situations. Human-AI collaboration (HAIC) can mitigate this uncertainty by combining human and AI strengths for better outcomes. This paper presents a novel guided deferral system that provides intelligent guidance when AI defers cases to human decision-makers. We leverage LLMs' verbalisation capabilities and internal states to create this system, demonstrating that fine-tuning smaller LLMs with data from larger models enhances performance while maintaining computational efficiency. A pilot study showcases the effectiveness of our deferral system.