Daily Papers

Traditionally, AI research in medical diagnosis has largely centered on image analysis. While this has led to notable advancements, the absence of patient-reported symptoms continues to hinder diagnostic accuracy. To address this, we propose a Pre-Consultation Dialogue Framework (PCDF) that mimics real-world diagnostic procedures, where doctors iteratively query patients before reaching a conclusion. Specifically, we simulate diagnostic dialogues between two vision-language models (VLMs): a DocVLM, which generates follow-up questions based on the image and dialogue history, and a PatientVLM, which responds using a symptom profile derived from the ground-truth diagnosis. We additionally conducted a small-scale clinical validation of the synthetic symptoms generated by our framework, with licensed clinicians confirming their clinical relevance, symptom coverage, and overall realism. These findings indicate that the resulting DocVLM-PatientVLM interactions form coherent, multi-turn consultations paired with images and diagnoses, which we then use to fine-tune the DocVLM. This dialogue-based supervision leads to substantial gains over image-only training, highlighting the value of realistic symptom elicitation for diagnosis.

Conversational artificial intelligence has the potential to assist users in preliminary medical consultations, particularly in settings where access to healthcare professionals is limited. However, many existing medical dialogue systems operate in a single-turn question--answering paradigm or rely on template-based datasets, limiting conversational realism and multilingual applicability. In this work, we introduce MedAidDialog, a multilingual multi-turn medical dialogue dataset designed to simulate realistic physician--patient consultations. The dataset extends the MDDial corpus by generating synthetic consultations using large language models and further expands them into a parallel multilingual corpus covering seven languages: English, Hindi, Telugu, Tamil, Bengali, Marathi, and Arabic. Building on this dataset, we develop MedAidLM, a conversational medical model trained using parameter-efficient fine-tuning on quantized small language models, enabling deployment without high-end computational infrastructure. Our framework additionally incorporates optional patient pre-context information (e.g., age, gender, allergies) to personalize the consultation process. Experimental results demonstrate that the proposed system can effectively perform symptom elicitation through multi-turn dialogue and generate diagnostic recommendations. We further conduct medical expert evaluation to assess the plausibility and coherence of the generated consultations.

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the gap in mental healthcare accessibility by developing an LLM-powered dialogue system that replicates clinician behavior. Materials and Methods: We introduce TRUST, a framework of cooperative LLM modules capable of conducting formal diagnostic interviews and assessments for Post-Traumatic Stress Disorder (PTSD). To guide the generation of appropriate clinical responses, we propose a Dialogue Acts schema specifically designed for clinical interviews. Additionally, we develop a patient simulation approach based on real-life interview transcripts to replace time-consuming and costly manual testing by clinicians. Results: A comprehensive set of evaluation metrics is designed to assess the dialogue system from both the agent and patient simulation perspectives. Expert evaluations by conversation and clinical specialists show that TRUST performs comparably to real-life clinical interviews. Discussion: Our system performs at the level of average clinicians, with room for future enhancements in communication styles and response appropriateness. Conclusions: Our TRUST framework shows its potential to facilitate mental healthcare availability.

Perceiving multi-modal information and fulfilling dialogues with humans is a long-term goal of artificial intelligence. Pre-training is commonly regarded as an effective approach for multi-modal dialogue. However, due to the limited availability of multi-modal dialogue data, there is still scarce research on multi-modal dialogue pre-training. Yet another intriguing challenge emerges from the encompassing nature of multi-modal dialogue, which involves various modalities and tasks. Moreover, new forms of tasks may arise at unpredictable points in the future. Hence, it is essential for designed multi-modal dialogue models to possess sufficient flexibility to adapt to such scenarios. This paper proposes PaCE, a unified, structured, compositional multi-modal dialogue pre-training framework. It utilizes a combination of several fundamental experts to accommodate multiple dialogue-related tasks and can be pre-trained using limited dialogue and extensive non-dialogue multi-modal data. Furthermore, we propose a progressive training method where old experts from the past can assist new experts, facilitating the expansion of their capabilities. Experimental results demonstrate that PaCE achieves state-of-the-art results on eight multi-modal dialog benchmarks.

Since the launch of ChatGPT, a powerful AI Chatbot developed by OpenAI, large language models (LLMs) have made significant advancements in both academia and industry, bringing about a fundamental engineering paradigm shift in many areas. While LLMs are powerful, it is also crucial to best use their power where "prompt'' plays a core role. However, the booming LLMs themselves, including excellent APIs like ChatGPT, have several inherent limitations: 1) temporal lag of training data, and 2) the lack of physical capabilities to perform external actions. Recently, we have observed the trend of utilizing prompt-based tools to better utilize the power of LLMs for downstream tasks, but a lack of systematic literature and standardized terminology, partly due to the rapid evolution of this field. Therefore, in this work, we survey related prompting tools and promote the concept of the "Prompting Framework" (PF), i.e. the framework for managing, simplifying, and facilitating interaction with large language models. We define the lifecycle of the PF as a hierarchical structure, from bottom to top, namely: Data Level, Base Level, Execute Level, and Service Level. We also systematically depict the overall landscape of the emerging PF field and discuss potential future research and challenges. To continuously track the developments in this area, we maintain a repository at https://github.com/lxx0628/Prompting-Framework-Survey, which can be a useful resource sharing platform for both academic and industry in this field.

Recent advances in large-scale language modeling and generation have enabled the creation of dialogue agents that exhibit human-like responses in a wide range of conversational scenarios spanning a diverse set of tasks, from general chit-chat to focused goal-oriented discourse. While these agents excel at generating high-quality responses that are relevant to prior context, they suffer from a lack of awareness of the overall direction in which the conversation is headed, and the likelihood of task success inherent therein. Thus, we propose a framework in which dialogue agents can evaluate the progression of a conversation toward or away from desired outcomes, and use this signal to inform planning for subsequent responses. Our framework is composed of three key elements: (1) the notion of a "global" dialogue state (GDS) space, (2) a task-specific progression function (PF) computed in terms of a conversation's trajectory through this space, and (3) a planning mechanism based on dialogue rollouts by which an agent may use progression signals to select its next response.

Pre-trained language models based on general text enable huge success in the NLP scenario. But the intrinsical difference of linguistic patterns between general text and task-oriented dialogues makes existing pre-trained language models less useful in practice. Current dialogue pre-training methods rely on a contrastive framework and face the challenges of both selecting true positives and hard negatives. In this paper, we propose a novel dialogue pre-training model, FutureTOD, which distills future knowledge to the representation of the previous dialogue context using a self-training framework. Our intuition is that a good dialogue representation both learns local context information and predicts future information. Extensive experiments on diverse downstream dialogue tasks demonstrate the effectiveness of our model, especially the generalization, robustness, and learning discriminative dialogue representations capabilities.

Using large language models (LLMs) to assist psychological counseling is a significant but challenging task at present. Attempts have been made on improving empathetic conversations or acting as effective assistants in the treatment with LLMs. However, the existing datasets lack consulting knowledge, resulting in LLMs lacking professional consulting competence. Moreover, how to automatically evaluate multi-turn dialogues within the counseling process remains an understudied area. To bridge the gap, we propose CPsyCoun, a report-based multi-turn dialogue reconstruction and evaluation framework for Chinese psychological counseling. To fully exploit psychological counseling reports, a two-phase approach is devised to construct high-quality dialogues while a comprehensive evaluation benchmark is developed for the effective automatic evaluation of multi-turn psychological consultations. Competitive experimental results demonstrate the effectiveness of our proposed framework in psychological counseling. We open-source the datasets and model for future research at https://github.com/CAS-SIAT-XinHai/CPsyCoun

Pre-training models have been proved effective for a wide range of natural language processing tasks. Inspired by this, we propose a novel dialogue generation pre-training framework to support various kinds of conversations, including chit-chat, knowledge grounded dialogues, and conversational question answering. In this framework, we adopt flexible attention mechanisms to fully leverage the bi-directional context and the uni-directional characteristic of language generation. We also introduce discrete latent variables to tackle the inherent one-to-many mapping problem in response generation. Two reciprocal tasks of response generation and latent act recognition are designed and carried out simultaneously within a shared network. Comprehensive experiments on three publicly available datasets verify the effectiveness and superiority of the proposed framework.

Recommendation dialogue systems aim to build social bonds with users and provide high-quality recommendations. This paper pushes forward towards a promising paradigm called target-driven recommendation dialogue systems, which is highly desired yet under-explored. We focus on how to naturally lead users to accept the designated targets gradually through conversations. To this end, we propose a Target-driven Conversation Planning (TCP) framework to plan a sequence of dialogue actions and topics, driving the system to transit between different conversation stages proactively. We then apply our TCP with planned content to guide dialogue generation. Experimental results show that our conversation planning significantly improves the performance of target-driven recommendation dialogue systems.

Large language models (LLMs) are increasingly applied to outpatient referral tasks across healthcare systems. However, there is a lack of standardized evaluation criteria to assess their effectiveness, particularly in dynamic, interactive scenarios. In this study, we systematically examine the capabilities and limitations of LLMs in managing tasks within Intelligent Outpatient Referral (IOR) systems and propose a comprehensive evaluation framework specifically designed for such systems. This framework comprises two core tasks: static evaluation, which focuses on evaluating the ability of predefined outpatient referrals, and dynamic evaluation, which evaluates capabilities of refining outpatient referral recommendations through iterative dialogues. Our findings suggest that LLMs offer limited advantages over BERT-like models, but show promise in asking effective questions during interactive dialogues.

Medical dialogue systems (MDS) aim to provide patients with medical services, such as diagnosis and prescription. Since most patients cannot precisely describe their symptoms, dialogue understanding is challenging for MDS. Previous studies mainly addressed this by extracting the mentioned medical entities as critical dialogue history information. In this work, we argue that it is also essential to capture the transitions of the medical entities and the doctor's dialogue acts in each turn, as they help the understanding of how the dialogue flows and enhance the prediction of the entities and dialogue acts to be adopted in the following turn. Correspondingly, we propose a Dual Flow enhanced Medical (DFMed) dialogue generation framework. It extracts the medical entities and dialogue acts used in the dialogue history and models their transitions with an entity-centric graph flow and a sequential act flow, respectively. We employ two sequential models to encode them and devise an interweaving component to enhance their interactions. Experiments on two datasets demonstrate that our method exceeds baselines in both automatic and manual evaluations.

The professionalism of a human doctor in outpatient service depends on two core abilities: the ability to make accurate medical decisions and the medical consultation skill to conduct strategic, empathetic patient inquiry. Existing Large Language Models (LLMs) have achieved remarkable accuracy on medical decision-making benchmarks. However, they often lack the ability to conduct the strategic and empathetic consultation, which is essential for real-world clinical scenarios. To address this gap, we propose Doctor-R1, an AI doctor agent trained to master both of the capabilities by ask high-yield questions and conduct strategic multi-turn inquiry to guide decision-making. Our framework introduces three key components: a multi-agent interactive environment, a two-tiered reward architecture that separately optimizes clinical decision-making and communicative inquiry skills, and an experience repository to ground policy learning in high-quality prior trajectories. We evaluate Doctor-R1 on OpenAI's HealthBench and MAQuE, assessed across multi-facet metrics, such as communication quality, user experience, and task accuracy. Remarkably, Doctor-R1 surpasses state-of-the-art open-source specialized LLMs by a substantial margin with higher parameter efficiency and outperforms powerful proprietary models. Furthermore, the human evaluations show a strong preference for Doctor-R1 to generate human-preferred clinical dialogue, demonstrating the effectiveness of the framework.

This document presents a detailed description of the challenge on clarifying questions for dialogue systems (ClariQ). The challenge is organized as part of the Conversational AI challenge series (ConvAI3) at Search Oriented Conversational AI (SCAI) EMNLP workshop in 2020. The main aim of the conversational systems is to return an appropriate answer in response to the user requests. However, some user requests might be ambiguous. In IR settings such a situation is handled mainly thought the diversification of the search result page. It is however much more challenging in dialogue settings with limited bandwidth. Therefore, in this challenge, we provide a common evaluation framework to evaluate mixed-initiative conversations. Participants are asked to rank clarifying questions in an information-seeking conversations. The challenge is organized in two stages where in Stage 1 we evaluate the submissions in an offline setting and single-turn conversations. Top participants of Stage 1 get the chance to have their model tested by human annotators.

Dialogue systems are usually categorized into two types, open-domain and task-oriented. The first one focuses on chatting with users and making them engage in the conversations, where selecting a proper topic to fit the dialogue context is essential for a successful dialogue. The other one focuses on a specific task instead of casual talks, e.g., finding a movie on Friday night, or playing a song. These two directions have been studied separately due to their different purposes. However, how smoothly transitioning from social chatting to task-oriented dialogues is important for triggering business opportunities, and there is no public data focusing on such scenarios. Hence, this paper focuses on investigating the conversations starting from open-domain social chatting and then gradually transitioning to task-oriented purposes, and releases a large-scale dataset with detailed annotations for encouraging this research direction. To achieve this goal, this paper proposes a framework to automatically generate many dialogues without human involvement, in which any powerful open-domain dialogue generation model can be easily leveraged. The human evaluation shows that our generated dialogue data has a natural flow at a reasonable quality, showing that our released data has a great potential of guiding future research directions and commercial activities. Furthermore, the released models allow researchers to automatically generate unlimited dialogues in the target scenarios, which can greatly benefit semi-supervised and unsupervised approaches.

State-of-the-art conversational agents have advanced significantly in conjunction with the use of large transformer-based language models. However, even with these advancements, conversational agents still lack the ability to produce responses that are informative and coherent with the local context. In this work, we propose a dialog framework that incorporates both local knowledge as well as users' past dialogues to generate high quality conversations. We introduce an approach to build a dataset based on Reddit conversations, where outbound URL links are widely available in the conversations and the hyperlinked documents can be naturally included as local external knowledge. Using our framework and dataset, we demonstrate that incorporating local knowledge can largely improve informativeness, coherency and realisticness measures using human evaluations. In particular, our approach consistently outperforms the state-of-the-art conversational model on the Reddit dataset across all three measures. We also find that scaling the size of our models from 117M to 8.3B parameters yields consistent improvement of validation perplexity as well as human evaluated metrics. Our model with 8.3B parameters can generate human-like responses as rated by various human evaluations in a single-turn dialog setting.

Large language models (LLMs) hold great promise for assisting clinical interviews due to their fluent interactive capabilities and extensive medical knowledge. However, the lack of high-quality interview dialogue data and widely accepted evaluation methods has significantly impeded this process. So we propose CliniChat, a framework that integrates multi-source knowledge to enable LLMs to simulate real-world clinical interviews. It consists of two modules: Clini-Recon and Clini-Eval, each responsible for reconstructing and evaluating interview dialogues, respectively. By incorporating three sources of knowledge, Clini-Recon transforms clinical notes into systematic, professional, and empathetic interview dialogues. Clini-Eval combines a comprehensive evaluation metric system with a two-phase automatic evaluation approach, enabling LLMs to assess interview performance like experts. We contribute MedQA-Dialog, a high-quality synthetic interview dialogue dataset, and CliniChatGLM, a model specialized for clinical interviews. Experimental results demonstrate that CliniChatGLM's interview capabilities undergo a comprehensive upgrade, particularly in history-taking, achieving state-of-the-art performance.

We have reached a practical and realistic phase in human-support dialogue agents by developing a large language model (LLM). However, when requiring expert knowledge or anticipating the utterance content using the massive size of the dialogue database, we still need help with the utterance content's effectiveness and the efficiency of its output speed, even if using LLM. Therefore, we propose a framework that uses LLM asynchronously in the part of the system that returns an appropriate response and in the part that understands the user's intention and searches the database. In particular, noting that it takes time for the robot to speak, threading related to database searches is performed while the robot is speaking.

Most of the existing multi-modal models, hindered by their incapacity to adeptly manage interleaved image-and-text inputs in multi-image, multi-round dialogues, face substantial constraints in resource allocation for training and data accessibility, impacting their adaptability and scalability across varied interaction realms. To address this, we present the DeepSpeed-VisualChat framework, designed to optimize Large Language Models (LLMs) by incorporating multi-modal capabilities, with a focus on enhancing the proficiency of Large Vision and Language Models in handling interleaved inputs. Our framework is notable for (1) its open-source support for multi-round and multi-image dialogues, (2) introducing an innovative multi-modal causal attention mechanism, and (3) utilizing data blending techniques on existing datasets to assure seamless interactions in multi-round, multi-image conversations. Compared to existing frameworks, DeepSpeed-VisualChat shows superior scalability up to 70B parameter language model size, representing a significant advancement in multi-modal language models and setting a solid foundation for future explorations.

Follow-up question generation is an essential feature of dialogue systems as it can reduce conversational ambiguity and enhance modeling complex interactions. Conversational contexts often pose core NLP challenges such as (i) extracting relevant information buried in fragmented data sources, and (ii) modeling parallel thought processes. These two challenges occur frequently in medical dialogue as a doctor asks questions based not only on patient utterances but also their prior EHR data and current diagnostic hypotheses. Asking medical questions in asynchronous conversations compounds these issues as doctors can only rely on static EHR information to motivate follow-up questions. To address these challenges, we introduce FollowupQ, a novel framework for enhancing asynchronous medical conversation. FollowupQ is a multi-agent framework that processes patient messages and EHR data to generate personalized follow-up questions, clarifying patient-reported medical conditions. FollowupQ reduces requisite provider follow-up communications by 34%. It also improves performance by 17% and 5% on real and synthetic data, respectively. We also release the first public dataset of asynchronous medical messages with linked EHR data alongside 2,300 follow-up questions written by clinical experts for the wider NLP research community.

Large language models (LLMs) have demonstrated excellent capabilities in the field of biomedical question answering, but their application in real-world clinical consultations still faces core challenges. Existing systems rely on a one-way information transmission mode where patients must fully describe their symptoms in a single round, leading to nonspecific diagnostic recommendations when complaints are vague. Traditional multi-turn dialogue methods based on supervised learning are constrained by static data-driven paradigms, lacking generalizability and struggling to intelligently extract key clinical information. To address these limitations, we propose DoctorAgent-RL, a reinforcement learning (RL)-based multi-agent collaborative framework that models medical consultations as a dynamic decision-making process under uncertainty. The doctor agent continuously optimizes its questioning strategy within the RL framework through multi-turn interactions with the patient agent, dynamically adjusting its information-gathering path based on comprehensive rewards from the Consultation Evaluator. This RL fine-tuning mechanism enables LLMs to autonomously develop interaction strategies aligned with clinical reasoning logic, rather than superficially imitating patterns in existing dialogue data. Notably, we constructed MTMedDialog, the first English multi-turn medical consultation dataset capable of simulating patient interactions. Experiments demonstrate that DoctorAgent-RL outperforms existing models in both multi-turn reasoning capability and final diagnostic performance, demonstrating practical value in assisting clinical consultations. https://github.com/JarvisUSTC/DoctorAgent-RL

Under the pandemic of COVID-19, people experiencing COVID19-related symptoms or exposed to risk factors have a pressing need to consult doctors. Due to hospital closure, a lot of consulting services have been moved online. Because of the shortage of medical professionals, many people cannot receive online consultations timely. To address this problem, we aim to develop a medical dialogue system that can provide COVID19-related consultations. We collected two dialogue datasets -- CovidDialog -- (in English and Chinese respectively) containing conversations between doctors and patients about COVID-19. On these two datasets, we train several dialogue generation models based on Transformer, GPT, and BERT-GPT. Since the two COVID-19 dialogue datasets are small in size, which bear high risk of overfitting, we leverage transfer learning to mitigate data deficiency. Specifically, we take the pretrained models of Transformer, GPT, and BERT-GPT on dialog datasets and other large-scale texts, then finetune them on our CovidDialog tasks. We perform both automatic and human evaluation of responses generated by these models. The results show that the generated responses are promising in being doctor-like, relevant to the conversation history, and clinically informative. The data and code are available at https://github.com/UCSD-AI4H/COVID-Dialogue.

Student mental health is a sensitive issue that necessitates special attention. A primary concern is the student-to-counselor ratio, which surpasses the recommended standard of 250:1 in most universities. This imbalance results in extended waiting periods for in-person consultations, which cause suboptimal treatment. Significant efforts have been directed toward developing mental health dialogue systems utilizing the existing open-source mental health-related datasets. However, currently available datasets either discuss general topics or various strategies that may not be viable for direct application due to numerous ethical constraints inherent in this research domain. To address this issue, this paper introduces a specialized mental health dataset that emphasizes the active listening strategy employed in conversation for counseling, also named as ConvCounsel. This dataset comprises both speech and text data, which can facilitate the development of a reliable pipeline for mental health dialogue systems. To demonstrate the utility of the proposed dataset, this paper also presents the NYCUKA, a spoken mental health dialogue system that is designed by using the ConvCounsel dataset. The results show the merit of using this dataset.

Large language models (LLMs) have performed well in providing general and extensive health suggestions in single-turn conversations, exemplified by systems such as ChatGPT, ChatGLM, ChatDoctor, DoctorGLM, and etc. However, the limited information provided by users during single turn results in inadequate personalization and targeting of the generated suggestions, which requires users to independently select the useful part. It is mainly caused by the missing ability to engage in multi-turn questioning. In real-world medical consultations, doctors usually employ a series of iterative inquiries to comprehend the patient's condition thoroughly, enabling them to provide effective and personalized suggestions subsequently, which can be defined as chain of questioning (CoQ) for LLMs. To improve the CoQ of LLMs, we propose BianQue, a ChatGLM-based LLM finetuned with the self-constructed health conversation dataset BianQueCorpus that is consist of multiple turns of questioning and health suggestions polished by ChatGPT. Experimental results demonstrate that the proposed BianQue can simultaneously balance the capabilities of both questioning and health suggestions, which will help promote the research and application of LLMs in the field of proactive health.

Limited access to mental healthcare, extended wait times, and increasing capabilities of Large Language Models (LLMs) has led individuals to turn to LLMs for fulfilling their mental health needs. However, examining the multi-turn mental health conversation capabilities of LLMs remains under-explored. Existing evaluation frameworks typically focus on diagnostic accuracy and win-rates and often overlook alignment with patient-specific goals, values, and personalities required for meaningful conversations. To address this, we introduce MedAgent, a novel framework for synthetically generating realistic, multi-turn mental health sensemaking conversations and use it to create the Mental Health Sensemaking Dialogue (MHSD) dataset, comprising over 2,200 patient-LLM conversations. Additionally, we present MultiSenseEval, a holistic framework to evaluate the multi-turn conversation abilities of LLMs in healthcare settings using human-centric criteria. Our findings reveal that frontier reasoning models yield below-par performance for patient-centric communication and struggle at advanced diagnostic capabilities with average score of 31%. Additionally, we observed variation in model performance based on patient's persona and performance drop with increasing turns in the conversation. Our work provides a comprehensive synthetic data generation framework, a dataset and evaluation framework for assessing LLMs in multi-turn mental health conversations.

Medical conversational AI (AI) plays a pivotal role in the development of safer and more effective medical dialogue systems. However, existing benchmarks and evaluation frameworks for assessing the information-gathering and diagnostic reasoning abilities of medical large language models (LLMs) have not been rigorously evaluated. To address these gaps, we present MedDialogRubrics, a novel benchmark comprising 5,200 synthetically constructed patient cases and over 60,000 fine-grained evaluation rubrics generated by LLMs and subsequently refined by clinical experts, specifically designed to assess the multi-turn diagnostic capabilities of LLM. Our framework employs a multi-agent system to synthesize realistic patient records and chief complaints from underlying disease knowledge without accessing real-world electronic health records, thereby mitigating privacy and data-governance concerns. We design a robust Patient Agent that is limited to a set of atomic medical facts and augmented with a dynamic guidance mechanism that continuously detects and corrects hallucinations throughout the dialogue, ensuring internal coherence and clinical plausibility of the simulated cases. Furthermore, we propose a structured LLM-based and expert-annotated rubric-generation pipeline that retrieves Evidence-Based Medicine (EBM) guidelines and utilizes the reject sampling to derive a prioritized set of rubric items ("must-ask" items) for each case. We perform a comprehensive evaluation of state-of-the-art models and demonstrate that, across multiple assessment dimensions, current models face substantial challenges. Our results indicate that improving medical dialogue will require advances in dialogue management architectures, not just incremental tuning of the base-model.

Medical dialogue systems (MDSs) aim to assist doctors and patients with a range of professional medical services, i.e., diagnosis, treatment and consultation. The development of MDSs is hindered because of a lack of resources. In particular. (1) there is no dataset with large-scale medical dialogues that covers multiple medical services and contains fine-grained medical labels (i.e., intents, actions, slots, values), and (2) there is no set of established benchmarks for MDSs for multi-domain, multi-service medical dialogues. In this paper, we present ReMeDi, a set of resource for medical dialogues. ReMeDi consists of two parts, the ReMeDi dataset and the ReMeDi benchmarks. The ReMeDi dataset contains 96,965 conversations between doctors and patients, including 1,557 conversations with fine-gained labels. It covers 843 types of diseases, 5,228 medical entities, and 3 specialties of medical services across 40 domains. To the best of our knowledge, the ReMeDi dataset is the only medical dialogue dataset that covers multiple domains and services, and has fine-grained medical labels. The second part of the ReMeDi resources consists of a set of state-of-the-art models for (medical) dialogue generation. The ReMeDi benchmark has the following methods: (1) pretrained models (i.e., BERT-WWM, BERT-MED, GPT2, and MT5) trained, validated, and tested on the ReMeDi dataset, and (2) a self-supervised contrastive learning(SCL) method to expand the ReMeDi dataset and enhance the training of the state-of-the-art pretrained models. We describe the creation of the ReMeDi dataset, the ReMeDi benchmarking methods, and establish experimental results using the ReMeDi benchmarking methods on the ReMeDi dataset for future research to compare against. With this paper, we share the dataset, implementations of the benchmarks, and evaluation scripts.

Persona-based dialogue generation is an important milestone towards building conversational artificial intelligence. Despite the ever-improving capabilities of large language models (LLMs), effectively integrating persona fidelity in conversations remains challenging due to the limited diversity in existing dialogue data. We propose a novel framework SBS (Score-Before-Speaking), which outperforms previous methods and yields improvements for both million and billion-parameter models. Unlike previous methods, SBS unifies the learning of responses and their relative quality into a single step. The key innovation is to train a dialogue model to correlate augmented responses with a quality score during training and then leverage this knowledge at inference. We use noun-based substitution for augmentation and semantic similarity-based scores as a proxy for response quality. Through extensive experiments with benchmark datasets (PERSONA-CHAT and ConvAI2), we show that score-conditioned training allows existing models to better capture a spectrum of persona-consistent dialogues. Our ablation studies also demonstrate that including scores in the input prompt during training is superior to conventional training setups. Code and further details are available at https://arpita2512.github.io/score_before_you_speak

Existing dialog system models require extensive human annotations and are difficult to generalize to different tasks. The recent success of large pre-trained language models such as BERT and GPT-2 (Devlin et al., 2019; Radford et al., 2019) have suggested the effectiveness of incorporating language priors in down-stream NLP tasks. However, how much pre-trained language models can help dialog response generation is still under exploration. In this paper, we propose a simple, general, and effective framework: Alternating Roles Dialog Model (ARDM). ARDM models each speaker separately and takes advantage of the large pre-trained language model. It requires no supervision from human annotations such as belief states or dialog acts to achieve effective conversations. ARDM outperforms or is on par with state-of-the-art methods on two popular task-oriented dialog datasets: CamRest676 and MultiWOZ. Moreover, we can generalize ARDM to more challenging, non-collaborative tasks such as persuasion. In persuasion tasks, ARDM is capable of generating human-like responses to persuade people to donate to a charity.

Large language models (LLMs) have demonstrated exceptional performance in planning the use of various functional tools, such as calculators and retrievers, particularly in question-answering tasks. In this paper, we expand the definition of these tools, centering on conceptual tools within the context of dialogue systems. A conceptual tool specifies a cognitive concept that aids systematic or investigative thought. These conceptual tools play important roles in practice, such as multiple psychological or tutoring strategies being dynamically applied in a single turn to compose helpful responses. To further enhance the reasoning and planning capability of LLMs with these conceptual tools, we introduce a multi-persona collaboration framework: Think-Plan-Execute (TPE). This framework decouples the response generation process into three distinct roles: Thinker, Planner, and Executor. Specifically, the Thinker analyzes the internal status exhibited in the dialogue context, such as user emotions and preferences, to formulate a global guideline. The Planner then generates executable plans to call different conceptual tools (e.g., sources or strategies), while the Executor compiles all intermediate results into a coherent response. This structured approach not only enhances the explainability and controllability of responses but also reduces token redundancy. We demonstrate the effectiveness of TPE across various dialogue response generation tasks, including multi-source (FoCus) and multi-strategy interactions (CIMA and PsyQA). This reveals its potential to handle real-world dialogue interactions that require more complicated tool learning beyond just functional tools. The full code and data will be released for reproduction.

Dialogue is an essential part of human communication and cooperation. Existing research mainly focuses on short dialogue scenarios in a one-on-one fashion. However, multi-person interactions in the real world, such as meetings or interviews, are frequently over a few thousand words. There is still a lack of corresponding research and powerful tools to understand and process such long dialogues. Therefore, in this work, we present a pre-training framework for long dialogue understanding and summarization. Considering the nature of long conversations, we propose a window-based denoising approach for generative pre-training. For a dialogue, it corrupts a window of text with dialogue-inspired noise, and guides the model to reconstruct this window based on the content of the remaining conversation. Furthermore, to process longer input, we augment the model with sparse attention which is combined with conventional attention in a hybrid manner. We conduct extensive experiments on five datasets of long dialogues, covering tasks of dialogue summarization, abstractive question answering and topic segmentation. Experimentally, we show that our pre-trained model DialogLM significantly surpasses the state-of-the-art models across datasets and tasks. Source code and all the pre-trained models are available on our GitHub repository (https://github.com/microsoft/DialogLM).

Objective: This study aims to develop and validate an evaluation framework to ensure the safety and reliability of mental health chatbots, which are increasingly popular due to their accessibility, human-like interactions, and context-aware support. Materials and Methods: We created an evaluation framework with 100 benchmark questions and ideal responses, and five guideline questions for chatbot responses. This framework, validated by mental health experts, was tested on a GPT-3.5-turbo-based chatbot. Automated evaluation methods explored included large language model (LLM)-based scoring, an agentic approach using real-time data, and embedding models to compare chatbot responses against ground truth standards. Results: The results highlight the importance of guidelines and ground truth for improving LLM evaluation accuracy. The agentic method, dynamically accessing reliable information, demonstrated the best alignment with human assessments. Adherence to a standardized, expert-validated framework significantly enhanced chatbot response safety and reliability. Discussion: Our findings emphasize the need for comprehensive, expert-tailored safety evaluation metrics for mental health chatbots. While LLMs have significant potential, careful implementation is necessary to mitigate risks. The superior performance of the agentic approach underscores the importance of real-time data access in enhancing chatbot reliability. Conclusion: The study validated an evaluation framework for mental health chatbots, proving its effectiveness in improving safety and reliability. Future work should extend evaluations to accuracy, bias, empathy, and privacy to ensure holistic assessment and responsible integration into healthcare. Standardized evaluations will build trust among users and professionals, facilitating broader adoption and improved mental health support through technology.

Recent advances in large language models (LLMs) have enabled increasingly capable chatbots. However, most existing systems focus on single-user settings and do not generalize well to multi-user group chats, where agents require more proactive and accurate intervention under complex, evolving contexts. Existing approaches typically rely on LLMs for both reasoning and generation, leading to high token consumption, limited scalability, and potential privacy risks. To address these challenges, we propose GroupGPT, a token-efficient and privacy-preserving agentic framework for multi-user chat assistant. GroupGPT adopts a small-large model collaborative architecture to decouple intervention timing from response generation, enabling efficient and accurate decision-making. The framework also supports multimodal inputs, including memes, images, videos, and voice messages. We further introduce MUIR, a benchmark dataset for multi-user chat assistant intervention reasoning. MUIR contains 2,500 annotated group chat segments with intervention labels and rationales, supporting evaluation of timing accuracy and response quality. We evaluate a range of models on MUIR, from large language models to smaller counterparts. Extensive experiments demonstrate that GroupGPT produces accurate and well-timed responses, achieving an average score of 4.72/5.0 in LLM-based evaluation, and is well received by users across diverse group chat scenarios. Moreover, GroupGPT reduces token usage by up to 3 times compared to baseline methods, while providing privacy sanitization of user messages before cloud transmission. Code is available at: https://github.com/Eliot-Shen/GroupGPT .

Hospital information systems (HIS) have become an essential part of healthcare institutions and now incorporate prescribing support software. Prescription support software allows for structured information capture, which improves the safety, appropriateness and efficiency of prescriptions and reduces the number of adverse drug events (ADEs). However, such a system increases the amount of time physicians spend at a computer entering information instead of providing medical care. In addition, any new visiting clinician must learn to manage complex interfaces since each HIS has its own interfaces. In this paper, we present a natural language interface for e-prescribing software in the form of a spoken dialogue system accessible on a smartphone. This system allows prescribers to record their prescriptions verbally, a form of interaction closer to their usual practice. The system extracts the formal representation of the prescription ready to be checked by the prescribing software and uses the dialogue to request mandatory information, correct errors or warn of particular situations. Since, to the best of our knowledge, there is no existing voice-based prescription dialogue system, we present the system developed in a low-resource environment, focusing on dialogue modeling, semantic extraction and data augmentation. The system was evaluated in the wild with 55 participants. This evaluation showed that our system has an average prescription time of 66.15 seconds for physicians and 35.64 seconds for other experts, and a task success rate of 76\% for physicians and 72\% for other experts. All evaluation data were recorded and annotated to form PxCorpus, the first spoken drug prescription corpus that has been made fully available to the community (https://doi.org/10.5281/zenodo.6524162).

As mental health issues globally escalate, there is a tremendous need for advanced digital support systems. We introduce MentalAgora, a novel framework employing large language models enhanced by interaction between multiple agents for tailored mental health support. This framework operates through three stages: strategic debating, tailored counselor creation, and response generation, enabling the dynamic customization of responses based on individual user preferences and therapeutic needs. We conduct experiments utilizing a high-quality evaluation dataset TherapyTalk crafted with mental health professionals, shwoing that MentalAgora generates expert-aligned and user preference-enhanced responses. Our evaluations, including experiments and user studies, demonstrate that MentalAgora aligns with professional standards and effectively meets user preferences, setting a new benchmark for digital mental health interventions.

Clinical dialogue represents a complex duality requiring both the empathetic fluency of natural conversation and the rigorous precision of evidence-based medicine. While Large Language Models possess unprecedented linguistic capabilities, their architectural reliance on reactive and stateless processing often favors probabilistic plausibility over factual veracity. This structural limitation has catalyzed a paradigm shift in medical AI from generative text prediction to agentic autonomy, where the model functions as a central reasoning engine capable of deliberate planning and persistent memory. Moving beyond existing reviews that primarily catalog downstream applications, this survey provides a first-principles analysis of the cognitive architecture underpinning this shift. We introduce a novel taxonomy structured along the orthogonal axes of knowledge source and agency objective to delineate the provenance of clinical knowledge against the system's operational scope. This framework facilitates a systematic analysis of the intrinsic trade-offs between creativity and reliability by categorizing methods into four archetypes: Latent Space Clinicians, Emergent Planners, Grounded Synthesizers, and Verifiable Workflow Automators. For each paradigm, we deconstruct the technical realization across the entire cognitive pipeline, encompassing strategic planning, memory management, action execution, collaboration, and evolution to reveal how distinct architectural choices balance the tension between autonomy and safety.

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

Traditional applications of natural language processing (NLP) in healthcare have predominantly focused on patient-centered services, enhancing patient interactions and care delivery, such as through medical dialogue systems. However, the potential of NLP to benefit inexperienced doctors, particularly in areas such as communicative medical coaching, remains largely unexplored. We introduce ``ChatCoach,'' an integrated human-AI cooperative framework. Within this framework, both a patient agent and a coaching agent collaboratively support medical learners in practicing their medical communication skills during consultations. Unlike traditional dialogue systems, ChatCoach provides a simulated environment where a human doctor can engage in medical dialogue with a patient agent. Simultaneously, a coaching agent provides real-time feedback to the doctor. To construct the ChatCoach system, we developed a dataset and integrated Large Language Models such as ChatGPT and Llama2, aiming to assess their effectiveness in communicative medical coaching tasks. Our comparative analysis demonstrates that instruction-tuned Llama2 significantly outperforms ChatGPT's prompting-based approaches.

With the advancement of telemedicine, both researchers and medical practitioners are working hand-in-hand to develop various techniques to automate various medical operations, such as diagnosis report generation. In this paper, we first present a multi-modal clinical conversation summary generation task that takes a clinician-patient interaction (both textual and visual information) and generates a succinct synopsis of the conversation. We propose a knowledge-infused, multi-modal, multi-tasking medical domain identification and clinical conversation summary generation (MM-CliConSummation) framework. It leverages an adapter to infuse knowledge and visual features and unify the fused feature vector using a gated mechanism. Furthermore, we developed a multi-modal, multi-intent clinical conversation summarization corpus annotated with intent, symptom, and summary. The extensive set of experiments, both quantitatively and qualitatively, led to the following findings: (a) critical significance of visuals, (b) more precise and medical entity preserving summary with additional knowledge infusion, and (c) a correlation between medical department identification and clinical synopsis generation. Furthermore, the dataset and source code are available at https://github.com/NLP-RL/MM-CliConSummation.

We introduce a novel benchmark for evaluating the role-playing capabilities of language models. Our approach leverages language models themselves to emulate users in dynamic, multi-turn conversations and to assess the resulting dialogues. The framework consists of three main components: a player model assuming a specific character role, an interrogator model simulating user behavior, and a judge model evaluating conversation quality. We conducted experiments comparing automated evaluations with human annotations to validate our approach, demonstrating strong correlations across multiple criteria. This work provides a foundation for a robust and dynamic evaluation of model capabilities in interactive scenarios.

Research interest in task-oriented dialogs has increased as systems such as Google Assistant, Alexa and Siri have become ubiquitous in everyday life. However, the impact of academic research in this area has been limited by the lack of datasets that realistically capture the wide array of user pain points. To enable research on some of the more challenging aspects of parsing realistic conversations, we introduce PRESTO, a public dataset of over 550K contextual multilingual conversations between humans and virtual assistants. PRESTO contains a diverse array of challenges that occur in real-world NLU tasks such as disfluencies, code-switching, and revisions. It is the only large scale human generated conversational parsing dataset that provides structured context such as a user's contacts and lists for each example. Our mT5 model based baselines demonstrate that the conversational phenomenon present in PRESTO are challenging to model, which is further pronounced in a low-resource setup.

Large Language Models (LLMs), such as ChatGPT, are becoming increasingly sophisticated, demonstrating capabilities that closely resemble those of humans. These AI models are playing an essential role in assisting humans with a wide array of tasks in daily life. A significant application of AI is its use as a chat agent, responding to human inquiries across various domains. Current LLMs have shown proficiency in answering general questions. However, basic question-answering dialogue often falls short in complex diagnostic scenarios, such as legal or medical consultations. These scenarios typically necessitate Task-Oriented Dialogue (TOD), wherein an AI chat agent needs to proactively pose questions and guide users towards specific task completion. Previous fine-tuning models have underperformed in TOD, and current LLMs do not inherently possess this capability. In this paper, we introduce DiagGPT (Dialogue in Diagnosis GPT), an innovative method that extends LLMs to TOD scenarios. Our experiments reveal that DiagGPT exhibits outstanding performance in conducting TOD with users, demonstrating its potential for practical applications.

Recommender systems are embracing conversational technologies to obtain user preferences dynamically, and to overcome inherent limitations of their static models. A successful Conversational Recommender System (CRS) requires proper handling of interactions between conversation and recommendation. We argue that three fundamental problems need to be solved: 1) what questions to ask regarding item attributes, 2) when to recommend items, and 3) how to adapt to the users' online feedback. To the best of our knowledge, there lacks a unified framework that addresses these problems. In this work, we fill this missing interaction framework gap by proposing a new CRS framework named Estimation-Action-Reflection, or EAR, which consists of three stages to better converse with users. (1) Estimation, which builds predictive models to estimate user preference on both items and item attributes; (2) Action, which learns a dialogue policy to determine whether to ask attributes or recommend items, based on Estimation stage and conversation history; and (3) Reflection, which updates the recommender model when a user rejects the recommendations made by the Action stage. We present two conversation scenarios on binary and enumerated questions, and conduct extensive experiments on two datasets from Yelp and LastFM, for each scenario, respectively. Our experiments demonstrate significant improvements over the state-of-the-art method CRM [32], corresponding to fewer conversation turns and a higher level of recommendation hits.

We present DIALIGHT, a toolkit for developing and evaluating multilingual Task-Oriented Dialogue (ToD) systems which facilitates systematic evaluations and comparisons between ToD systems using fine-tuning of Pretrained Language Models (PLMs) and those utilising the zero-shot and in-context learning capabilities of Large Language Models (LLMs). In addition to automatic evaluation, this toolkit features (i) a secure, user-friendly web interface for fine-grained human evaluation at both local utterance level and global dialogue level, and (ii) a microservice-based backend, improving efficiency and scalability. Our evaluations reveal that while PLM fine-tuning leads to higher accuracy and coherence, LLM-based systems excel in producing diverse and likeable responses. However, we also identify significant challenges of LLMs in adherence to task-specific instructions and generating outputs in multiple languages, highlighting areas for future research. We hope this open-sourced toolkit will serve as a valuable resource for researchers aiming to develop and properly evaluate multilingual ToD systems and will lower, currently still high, entry barriers in the field.

Large Vision-Language Models (LVLMs) are increasingly being explored for applications in telemedicine, yet their ability to engage with diverse patient behaviors remains underexplored. We introduce 3MDBench (Medical Multimodal Multi-agent Dialogue Benchmark), an open-source evaluation framework designed to assess LLM-driven medical consultations. Unlike existing benchmarks, 3MDBench simulates real-world patient variability by incorporating four temperament-driven Patient Agents and an Assessor Agent that evaluates diagnostic accuracy and dialogue quality. The benchmark integrates textual and image-based patient data across 34 common diagnoses, mirroring real-world telemedicine interactions. Under different diagnostic strategies, we evaluate state-of-the-art LVLMs. Our findings demonstrate that incorporating dialogue improves the F1 score from 50.4 to 54.2 compared to non-dialogue settings, underscoring the value of context-driven, information-seeking questioning. Additionally, we demonstrate that multimodal inputs enhance diagnostic efficiency. Image-supported models outperform text-only counterparts by raising the diagnostic F1 score from 52.8 to 54.2 in a similar dialogue setting. Finally, we suggest an approach that improves the diagnostic F1-score to 70.3 by training the CNN model on the diagnosis prediction task and incorporating its top-3 predictions into the LVLM context. 3MDBench provides a reproducible and extendable evaluation framework for AI-driven medical assistants. It offers insights into how patient temperament, dialogue strategies, and multimodal reasoning influence diagnosis quality. By addressing real-world complexities in telemedicine, our benchmark paves the way for more empathetic, reliable, and context-aware AI-driven healthcare solutions. The source code of our benchmark is publicly available: https://github.com/univanxx/3mdbench

The advancement of large language models (LLMs) is critically dependent on the availability of high-quality datasets for Supervised Fine-Tuning (SFT), alignment tasks like Direct Preference Optimization (DPO), etc. In this work, we present a comprehensive synthetic data generation framework that facilitates scalable, configurable, and high-fidelity generation of synthetic data tailored for these training paradigms. Our approach employs a modular and configuration-based pipeline capable of modeling complex dialogue flows with minimal manual intervention. This framework uses a dual-stage quality tagging mechanism, combining heuristic rules and LLM-based evaluations, to automatically filter and score data extracted from OASST-formatted conversations, ensuring the curation of high-quality dialogue samples. The resulting datasets are structured under a flexible schema supporting both SFT and DPO use cases, enabling seamless integration into diverse training workflows. Together, these innovations offer a robust solution for generating and managing synthetic conversational data at scale, significantly reducing the overhead of data preparation in LLM training pipelines.

Proactive dialogue systems, related to a wide range of real-world conversational applications, equip the conversational agent with the capability of leading the conversation direction towards achieving pre-defined targets or fulfilling certain goals from the system side. It is empowered by advanced techniques to progress to more complicated tasks that require strategical and motivational interactions. In this survey, we provide a comprehensive overview of the prominent problems and advanced designs for conversational agent's proactivity in different types of dialogues. Furthermore, we discuss challenges that meet the real-world application needs but require a greater research focus in the future. We hope that this first survey of proactive dialogue systems can provide the community with a quick access and an overall picture to this practical problem, and stimulate more progresses on conversational AI to the next level.

Large Language Models (LLMs) are increasingly used as chatbots, yet their ability to personalize responses to user preferences remains limited. We introduce PrefEval, a benchmark for evaluating LLMs' ability to infer, memorize and adhere to user preferences in a long-context conversational setting. PrefEval comprises 3,000 manually curated user preference and query pairs spanning 20 topics. PrefEval contains user personalization or preference information in both explicit and implicit forms, and evaluates LLM performance using a generation and a classification task. With PrefEval, we evaluated the aforementioned preference following capabilities of 10 open-source and proprietary LLMs in multi-session conversations with varying context lengths up to 100k tokens. We benchmark with various prompting, iterative feedback, and retrieval-augmented generation methods. Our benchmarking effort reveals that state-of-the-art LLMs face significant challenges in proactively following users' preferences during conversations. In particular, in zero-shot settings, preference following accuracy falls below 10% at merely 10 turns (~3k tokens) across most evaluated models. Even with advanced prompting and retrieval methods, preference following still deteriorates in long-context conversations. Furthermore, we show that fine-tuning on PrefEval significantly improves performance. We believe PrefEval serves as a valuable resource for measuring, understanding, and enhancing LLMs' preference following abilities, paving the way for personalized conversational agents. Our code and dataset are available at https://prefeval.github.io/.

We explore the potential of ChatGPT (3.5-turbo and 4) to generate conversations focused on self-care strategies for African-American heart failure patients -- a domain with limited specialized datasets. To simulate patient-health educator dialogues, we employed four prompting strategies: domain, African American Vernacular English (AAVE), Social Determinants of Health (SDOH), and SDOH-informed reasoning. Conversations were generated across key self-care domains of food, exercise, and fluid intake, with varying turn lengths (5, 10, 15) and incorporated patient-specific SDOH attributes such as age, gender, neighborhood, and socioeconomic status. Our findings show that effective prompt design is essential. While incorporating SDOH and reasoning improves dialogue quality, ChatGPT still lacks the empathy and engagement needed for meaningful healthcare communication.

Dialogue models are able to generate coherent and fluent responses, but they can still be challenging to control and may produce non-engaging, unsafe results. This unpredictability diminishes user trust and can hinder the use of the models in the real world. To address this, we introduce DialGuide, a novel framework for controlling dialogue model behavior using natural language rules, or guidelines. These guidelines provide information about the context they are applicable to and what should be included in the response, allowing the models to generate responses that are more closely aligned with the developer's expectations and intent. We evaluate DialGuide on three tasks in open-domain dialogue response generation: guideline selection, response generation, and response entailment verification. Our dataset contains 10,737 positive and 15,467 negative dialogue context-response-guideline triplets across two domains - chit-chat and safety. We provide baseline models for the tasks and benchmark their performance. We also demonstrate that DialGuide is effective in the dialogue safety domain, producing safe and engaging responses that follow developer guidelines.

In response to the pressing need for advanced clinical problem-solving tools in healthcare, we introduce BooksMed, a novel framework based on a Large Language Model (LLM). BooksMed uniquely emulates human cognitive processes to deliver evidence-based and reliable responses, utilizing the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) framework to effectively quantify evidence strength. For clinical decision-making to be appropriately assessed, an evaluation metric that is clinically aligned and validated is required. As a solution, we present ExpertMedQA, a multispecialty clinical benchmark comprised of open-ended, expert-level clinical questions, and validated by a diverse group of medical professionals. By demanding an in-depth understanding and critical appraisal of up-to-date clinical literature, ExpertMedQA rigorously evaluates LLM performance. BooksMed outperforms existing state-of-the-art models Med-PaLM 2, Almanac, and ChatGPT in a variety of medical scenarios. Therefore, a framework that mimics human cognitive stages could be a useful tool for providing reliable and evidence-based responses to clinical inquiries.

This study introduces Conversation Routines (CR), a structured prompt engineering framework for developing task-oriented dialog systems using Large Language Models (LLMs). While LLMs demonstrate remarkable natural language understanding capabilities, engineering them to reliably execute complex business workflows remains challenging. The proposed CR framework enables the development of Conversation Agentic Systems (CAS) through natural language specifications, embedding task-oriented logic within LLM prompts. This approach provides a systematic methodology for designing and implementing complex conversational workflows while maintaining behavioral consistency. We demonstrate the framework's effectiveness through two proof-of-concept implementations: a Train Ticket Booking System and an Interactive Troubleshooting Copilot. These case studies validate CR's capability to encode sophisticated behavioral patterns and decision logic while preserving natural conversational flexibility. Results show that CR enables domain experts to design conversational workflows in natural language while leveraging custom functions (tools) developed by software engineers, creating an efficient division of responsibilities where developers focus on core API implementation and domain experts handle conversation design. While the framework shows promise in accessibility and adaptability, we identify key challenges including computational overhead, non-deterministic behavior, and domain-specific logic optimization. Future research directions include CR evaluation methods based on prompt engineering frameworks driven by goal-oriented grading criteria, improving scalability for complex multi-agent interactions, and enhancing system robustness to address the identified limitations across diverse business applications.

In proactive dialogue, the challenge lies not just in generating responses but in steering conversations toward predetermined goals, a task where Large Language Models (LLMs) typically struggle due to their reactive nature. Traditional approaches to enhance dialogue planning in LLMs, ranging from elaborate prompt engineering to the integration of policy networks, either face efficiency issues or deliver suboptimal performance. Inspired by the dualprocess theory in psychology, which identifies two distinct modes of thinking - intuitive (fast) and analytical (slow), we propose the Dual-Process Dialogue Planning (DPDP) framework. DPDP embodies this theory through two complementary planning systems: an instinctive policy model for familiar contexts and a deliberative Monte Carlo Tree Search (MCTS) mechanism for complex, novel scenarios. This dual strategy is further coupled with a novel two-stage training regimen: offline Reinforcement Learning for robust initial policy model formation followed by MCTS-enhanced on-the-fly learning, which ensures a dynamic balance between efficiency and strategic depth. Our empirical evaluations across diverse dialogue tasks affirm DPDP's superiority in achieving both high-quality dialogues and operational efficiency, outpacing existing methods.

Research in emergency triage is restricted to structured electronic health records (EHR) due to regulatory constraints on nurse-patient interactions. We introduce TriageSim, a simulation framework for generating persona-conditioned triage conversations from structured records. TriageSim enables multi-turn nurse-patient interactions with explicit control over disfluency and decision behaviour, producing a corpus of ~800 synthetic transcripts and corresponding audio. We use a combination of automated analysis for linguistic, behavioural and acoustic fidelity alongside manual evaluation for medical fidelity using a random subset of 50 conversations. The utility of the generated corpus is examined via conversational triage classification. We observe modest agreement for acuity levels across three modalities: generated synthetic text, ASR transcripts, and direct audio inputs. The code, persona schemata and triage policy prompts for TriageSim will be available upon acceptance.

We propose DISC-MedLLM, a comprehensive solution that leverages Large Language Models (LLMs) to provide accurate and truthful medical response in end-to-end conversational healthcare services. To construct high-quality Supervised Fine-Tuning (SFT) datasets, we employ three strategies: utilizing medical knowledge-graphs, reconstructing real-world dialogues, and incorporating human-guided preference rephrasing. These datasets are instrumental in training DISC-MedLLM, surpassing existing medical LLMs in both single-turn and multi-turn consultation scenarios. Extensive experimental results demonstrate the effectiveness of the proposed model in bridging the gap between general language models and real-world medical consultation. Additionally, we release the constructed dataset and model weights to further contribute to research and development. Further details and resources can be found at https://github.com/FudanDISC/DISC-MedLLM

The Mental Health Question Answer (MHQA) task requires the seeker and supporter to complete the support process in one-turn dialogue. Given the richness of help-seeker posts, supporters must thoroughly understand the content and provide logical, comprehensive, and well-structured responses. Previous works in MHQA mostly focus on single-agent approaches based on the cognitive element of Cognitive Behavioral Therapy (CBT), but they overlook the interactions among various CBT elements, such as emotion and cognition. This limitation hinders the models' ability to thoroughly understand the distress of help-seekers. To address this, we propose a framework named Multi-Agent Deductive Planning (MADP), which is based on the interactions between the various psychological elements of CBT. This method guides Large Language Models (LLMs) to achieve a deeper understanding of the seeker's context and provide more personalized assistance based on individual circumstances. Furthermore, we construct a new dataset based on the MADP framework and use it to fine-tune LLMs, resulting in a specialized model named MADP-LLM. We conduct extensive experiments, including comparisons with multiple LLMs, human evaluations, and automatic evaluations, to validate the effectiveness of the MADP framework and MADP-LLM.

In modern dialogue systems, the ability to implicitly infer user backgrounds from conversations and leverage this information for personalized assistance is crucial. However, the scarcity of high-quality data remains a fundamental challenge to evaluating and improving this capability. Traditional dataset construction methods are labor-intensive, resource-demanding, and raise privacy concerns. To address these issues, we propose a novel approach for automatic synthetic data generation and introduce the Implicit Personalized Dialogue (IP-Dialog) benchmark along with a training dataset, covering 10 tasks and 12 user attribute types. Additionally, we develop a systematic evaluation framework with four metrics to assess both attribute awareness and reasoning capabilities. We further propose five causal graphs to elucidate models' reasoning pathways during implicit personalization. Extensive experiments yield insightful observations and prove the reliability of our dataset.

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

Medical consultations are intrinsically speech-centric. However, most prior works focus on long-text-based interactions, which are cumbersome and patient-unfriendly. Recent advances in speech language models (SpeechLMs) have enabled more natural speech-based interaction, yet the scarcity of medical speech data and the inefficiency of directly fine-tuning on speech data jointly hinder the adoption of SpeechLMs in medical consultation. In this paper, we propose SpeechMedAssist, a SpeechLM natively capable of conducting speech-based multi-turn interactions with patients. By exploiting the architectural properties of SpeechLMs, we decouple the conventional one-stage training into a two-stage paradigm consisting of (1) Knowledge & Capability Injection via Text and (2) Modality Re-alignment with Limited Speech Data, thereby reducing the requirement for medical speech data to only 10k synthesized samples. To evaluate SpeechLMs for medical consultation scenarios, we design a benchmark comprising both single-turn question answering and multi-turn simulated interactions. Experimental results show that our model outperforms all baselines in both effectiveness and robustness in most evaluation settings.

Cognitive Restructuring (CR) is a psychotherapeutic process aimed at identifying and restructuring an individual's negative thoughts, arising from mental health challenges, into more helpful and positive ones via multi-turn dialogues. Clinician shortage and stigma urge the development of human-LLM interactive psychotherapy for CR. Yet, existing efforts implement CR via simple text rewriting, fixed-pattern dialogues, or a one-shot CR workflow, failing to align with the psychotherapeutic process for effective CR. To address this gap, we propose CRDial, a novel framework for CR, which creates multi-turn dialogues with specifically designed identification and restructuring stages of negative thoughts, integrates sentence-level supportive conversation strategies, and adopts a multi-channel loop mechanism to enable iterative CR. With CRDial, we distill Crisp, a large-scale and high-quality bilingual dialogue dataset, from LLM. We then train Crispers, Crisp-based conversational LLMs for CR, at 7B and 14B scales. Extensive human studies show the superiority of Crispers in pointwise, pairwise, and intervention evaluations.

Despite recent progress in open-domain dialogue evaluation, how to develop automatic metrics remains an open problem. We explore the potential of dialogue evaluation featuring dialog act information, which was hardly explicitly modeled in previous methods. However, defined at the utterance level in general, dialog act is of coarse granularity, as an utterance can contain multiple segments possessing different functions. Hence, we propose segment act, an extension of dialog act from utterance level to segment level, and crowdsource a large-scale dataset for it. To utilize segment act flows, sequences of segment acts, for evaluation, we develop the first consensus-based dialogue evaluation framework, FlowEval. This framework provides a reference-free approach for dialog evaluation by finding pseudo-references. Extensive experiments against strong baselines on three benchmark datasets demonstrate the effectiveness and other desirable characteristics of our FlowEval, pointing out a potential path for better dialogue evaluation.

How do we communicate with others to achieve our goals? We use our prior experience or advice from others, or construct a candidate utterance by predicting how it will be received. However, our experiences are limited and biased, and reasoning about potential outcomes can be difficult and cognitively challenging. In this paper, we explore how we can leverage Large Language Model (LLM) simulations to help us communicate better. We propose the Explore-Generate-Simulate (EGS) framework, which takes as input any scenario where an individual is communicating to an audience with a goal they want to achieve. EGS (1) explores the solution space by producing a diverse set of advice relevant to the scenario, (2) generates communication candidates conditioned on subsets of the advice, and (3) simulates the reactions from various audiences to determine both the best candidate and advice to use. We evaluate the framework on eight scenarios spanning the ten fundamental processes of interpersonal communication. For each scenario, we collect a dataset of human evaluations across candidates and baselines, and showcase that our framework's chosen candidate is preferred over popular generation mechanisms including Chain-of-Thought. We also find that audience simulations achieve reasonably high agreement with human raters across 5 of the 8 scenarios. Finally, we demonstrate the generality of our framework by applying it to real-world scenarios described by users on web forums. Through evaluations and demonstrations, we show that EGS enhances the effectiveness and outcomes of goal-oriented communication across a variety of situations, thus opening up new possibilities for the application of large language models in revolutionizing communication and decision-making processes.

Conversational systems based on Large Language Models (LLMs), such as ChatGPT, show exceptional proficiency in context understanding and response generation. However, despite their impressive capabilities, they still possess limitations, such as providing randomly-guessed answers to ambiguous queries or failing to refuse users' requests, both of which are considered aspects of a conversational agent's proactivity. This raises the question of whether LLM-based conversational systems are equipped to handle proactive dialogue problems. In this work, we conduct a comprehensive analysis of LLM-based conversational systems, specifically focusing on three aspects of proactive dialogue systems: clarification, target-guided, and non-collaborative dialogues. To trigger the proactivity of LLMs, we propose the Proactive Chain-of-Thought prompting scheme, which augments LLMs with the goal planning capability over descriptive reasoning chains. Empirical findings are discussed to promote future studies on LLM-based proactive dialogue systems.

Classroom dialogue plays a crucial role in fostering student engagement and deeper learning. However, analysing dialogue sequences has traditionally relied on either theoretical frameworks or empirical descriptions of practice, with limited integration between the two. This study addresses this gap by developing a comprehensive rule base of dialogue sequences and an Artificial Intelligence (AI) agent that combines expert-informed rule-based systems with a large language model (LLM). The agent applies expert knowledge while adapting to the complexities of natural language, enabling accurate and flexible categorisation of classroom dialogue sequences. By synthesising findings from over 30 studies, we established a comprehensive framework for dialogue analysis. The agent was validated against human expert coding, achieving high levels of precision and reliability. The results demonstrate that the agent provides theory-grounded and adaptive functions, tremendously enhancing the efficiency and scalability of classroom dialogue analysis, offering significant potential in improving classroom teaching practices and supporting teacher professional development.

Effective customer support requires not only accurate problem solving but also structured and empathetic communication aligned with professional standards. However, existing dialogue datasets often lack strategic guidance, and real-world service data is difficult to access and annotate. To address this, we introduce the task of Customer Support Conversation (CSC), aimed at training customer service agents to respond using well-defined support strategies. We propose a structured CSC framework grounded in COPC guidelines, defining five conversational stages and twelve strategies to guide high-quality interactions. Based on this, we construct CSConv, an evaluation dataset of 1,855 real-world customer-agent conversations rewritten using LLMs to reflect deliberate strategy use, and annotated accordingly. Additionally, we develop a role-playing approach that simulates strategy-rich conversations using LLM-powered roles aligned with the CSC framework, resulting in the training dataset RoleCS. Experiments show that fine-tuning strong LLMs on RoleCS significantly improves their ability to generate high-quality, strategy-aligned responses on CSConv. Human evaluations further confirm gains in problem resolution. All code and data will be made publicly available at https://github.com/aliyun/qwen-dianjin.

Since the beginning of the COVID-19 pandemic, remote conferencing and school-teaching have become important tools. The previous applications aim to save the commuting cost with real-time interactions. However, our application is going to lower the production and reproduction costs when preparing the communication materials. This paper proposes a system called Pre-Avatar, generating a presentation video with a talking face of a target speaker with 1 front-face photo and a 3-minute voice recording. Technically, the system consists of three main modules, user experience interface (UEI), talking face module and few-shot text-to-speech (TTS) module. The system firstly clones the target speaker's voice, and then generates the speech, and finally generate an avatar with appropriate lip and head movements. Under any scenario, users only need to replace slides with different notes to generate another new video. The demo has been released here and will be published as free software for use.

Personalized dialogue systems have gained significant attention in recent years for their ability to generate responses in alignment with different personas. However, most existing approaches rely on pre-defined personal profiles, which are not only time-consuming and labor-intensive to create but also lack flexibility. We propose In-Dialogue Learning (IDL), a fine-tuning framework that enhances the ability of pre-trained large language models to leverage dialogue history to characterize persona for completing personalized dialogue generation tasks without pre-defined profiles. Our experiments on three datasets demonstrate that IDL brings substantial improvements, with BLEU and ROUGE scores increasing by up to 200% and 247%, respectively. Additionally, the results of human evaluations further validate the efficacy of our proposed method.

Effective dialogue involves grounding, the process of establishing mutual knowledge that is essential for communication between people. Modern dialogue systems are not explicitly trained to build common ground, and therefore overlook this important aspect of communication. Improvisational theater (improv) intrinsically contains a high proportion of dialogue focused on building common ground, and makes use of the yes-and principle, a strong grounding speech act, to establish coherence and an actionable objective reality. We collect a corpus of more than 26,000 yes-and turns, transcribing them from improv dialogues and extracting them from larger, but more sparsely populated movie script dialogue corpora, via a bootstrapped classifier. We fine-tune chit-chat dialogue systems with our corpus to encourage more grounded, relevant conversation and confirm these findings with human evaluations.

Applications that could benefit from automatic understanding of human-human conversations often come with challenges associated with private information in real-world data such as call center or clinical conversations. Working with protected data also increases costs of annotation, which limits technology development. To address these challenges, we propose DIALGEN, a human-in-the-loop semi-automated dialogue generation framework. DIALGEN uses a language model (ChatGPT) that can follow schema and style specifications to produce fluent conversational text, generating a complex conversation through iteratively generating subdialogues and using human feedback to correct inconsistencies or redirect the flow. In experiments on structured summarization of agent-client information gathering calls, framed as dialogue state tracking, we show that DIALGEN data enables significant improvement in model performance.

Current mental-health conversational systems are usually based on fixed, generic dialogue patterns. This paper proposes an adaptive framework based on large language models that aims to personalize therapeutic interaction according to a user's psychological state, quantified with the Acceptance of Illness Scale (AIS). The framework defines three specialized agents, L, M, and H, each linked to a different level of illness acceptance, and adjusts conversational behavior over time using continuous feedback signals. The AIS-stratified architecture is treated as a diegetic prototype placed in a plausible near-future setting and examined through the method of design fiction. By embedding the architecture in narrative scenarios, the study explores how such agents might influence access to care and therapeutic relationship. The goal is to show how clinically informed personalization, technical feasibility, and speculative scenario analysis can together inform the responsible design of LLM-based companions for mental-health support.

Negotiation is one of the crucial abilities in human communication, and there has been a resurgent research interest in negotiation dialogue systems recently, which goal is to empower intelligent agents with such ability that can efficiently help humans resolve conflicts or reach beneficial agreements. Although there have been many explorations in negotiation dialogue systems, a systematic review of this task has to date remained notably absent. To this end, we aim to fill this gap by reviewing contemporary studies in the emerging field of negotiation dialogue systems, covering benchmarks, evaluations, and methodologies. Furthermore, we also discuss potential future directions, including multi-modal, multi-party, and cross-cultural negotiation scenarios. Our goal is to provide the community with a systematic overview of negotiation dialogue systems and to inspire future research.

While large language models (LLMs) such as ChatGPT and PaLM have demonstrated remarkable performance in various language understanding and generation tasks, their capabilities in complex reasoning and intricate knowledge utilization still fall short of human-level proficiency. Recent studies have established the effectiveness of prompts in steering LLMs towards generating desired outputs. Building on these insights, we introduce a novel framework that harnesses the potential of large-scale pre-trained language models, to iteratively enhance performance of the LLMs. Our framework incorporates three components: Normal CoT, a Convincer, and an Answerer. It processes the output of a typical few-shot chain-of-thought prompt, assesses the correctness of the response, scrutinizes the answer, refines the reasoning, and ultimately produces a new solution. Experimental results on the 7 datasets of miscellaneous problems validate the efficacy of the Self-Convince framework, achieving substantial improvements compared to the baselines. This study contributes to the burgeoning body of research focused on integrating pre-trained language models with tailored prompts and iterative refinement processes to augment their performance in complex tasks.

Unlike empathetic dialogues, the system in emotional support conversations (ESC) is expected to not only convey empathy for comforting the help-seeker, but also proactively assist in exploring and addressing their problems during the conversation. In this work, we study the problem of mixed-initiative ESC where the user and system can both take the initiative in leading the conversation. Specifically, we conduct a novel analysis on mixed-initiative ESC systems with a tailor-designed schema that divides utterances into different types with speaker roles and initiative types. Four emotional support metrics are proposed to evaluate the mixed-initiative interactions. The analysis reveals the necessity and challenges of building mixed-initiative ESC systems. In the light of this, we propose a knowledge-enhanced mixed-initiative framework (KEMI) for ESC, which retrieves actual case knowledge from a large-scale mental health knowledge graph for generating mixed-initiative responses. Experimental results on two ESC datasets show the superiority of KEMI in both content-preserving evaluation and mixed initiative related analyses.

Large Language Models (LLMs) exhibit remarkable proficiency in addressing a diverse array of tasks within the Natural Language Processing (NLP) domain, with various prompt design strategies significantly augmenting their capabilities. However, these prompts, while beneficial, each possess inherent limitations. The primary prompt design methodologies are twofold: The first, exemplified by the Chain of Thought (CoT), involves manually crafting prompts specific to individual datasets, hence termed Expert-Designed Prompts (EDPs). Once these prompts are established, they are unalterable, and their effectiveness is capped by the expertise of the human designers. When applied to LLMs, the static nature of EDPs results in a uniform approach to both simple and complex problems within the same dataset, leading to the inefficient use of tokens for straightforward issues. The second method involves prompts autonomously generated by the LLM, known as LLM-Derived Prompts (LDPs), which provide tailored solutions to specific problems, mitigating the limitations of EDPs. However, LDPs may encounter a decline in performance when tackling complex problems due to the potential for error accumulation during the solution planning process. To address these challenges, we have conceived a novel Prompt Recursive Search (PRS) framework that leverages the LLM to generate solutions specific to the problem, thereby conserving tokens. The framework incorporates an assessment of problem complexity and an adjustable structure, ensuring a reduction in the likelihood of errors. We have substantiated the efficacy of PRS framework through extensive experiments using LLMs with different numbers of parameters across a spectrum of datasets in various domains. Compared to the CoT method, the PRS method has increased the accuracy on the BBH dataset by 8% using Llama3-7B model, achieving a 22% improvement.

With the rapid integration of advanced reasoning capabilities into spoken dialogue models, the field urgently demands benchmarks that transcend simple interactions to address real-world complexity. However, current evaluations predominantly adhere to text-generation standards, overlooking the unique audio-centric characteristics of paralinguistics and colloquialisms, alongside the cognitive depth required by modern agents. To bridge this gap, we introduce WavBench, a comprehensive benchmark designed to evaluate realistic conversational abilities where prior works fall short. Uniquely, WavBench establishes a tripartite framework: 1) Pro subset, designed to rigorously challenge reasoning-enhanced models with significantly increased difficulty; 2) Basic subset, defining a novel standard for spoken colloquialism that prioritizes "listenability" through natural vocabulary, linguistic fluency, and interactive rapport, rather than rigid written accuracy; and 3) Acoustic subset, covering explicit understanding, generation, and implicit dialogue to rigorously evaluate comprehensive paralinguistic capabilities within authentic real-world scenarios. Through evaluating five state-of-the-art models, WavBench offers critical insights into the intersection of complex problem-solving, colloquial delivery, and paralinguistic fidelity, guiding the evolution of robust spoken dialogue models. The benchmark dataset and evaluation toolkit are available at https://naruto-2024.github.io/wavbench.github.io/.

Existing knowledge-grounded dialogue systems typically use finetuned versions of a pretrained language model (LM) and large-scale knowledge bases. These models typically fail to generalize on topics outside of the knowledge base, and require maintaining separate potentially large checkpoints each time finetuning is needed. In this paper, we aim to address these limitations by leveraging the inherent knowledge stored in the pretrained LM as well as its powerful generation ability. We propose a multi-stage prompting approach to generate knowledgeable responses from a single pretrained LM. We first prompt the LM to generate knowledge based on the dialogue context. Then, we further prompt it to generate responses based on the dialogue context and the previously generated knowledge. Results show that our knowledge generator outperforms the state-of-the-art retrieval-based model by 5.8% when combining knowledge relevance and correctness. In addition, our multi-stage prompting outperforms the finetuning-based dialogue model in terms of response knowledgeability and engagement by up to 10% and 5%, respectively. Furthermore, we scale our model up to 530 billion parameters and show that larger LMs improve the generation correctness score by up to 10%, and response relevance, knowledgeability and engagement by up to 10%. Our code is available at: https://github.com/NVIDIA/Megatron-LM.

Tool-Augmented Language Models (TALMs) leverage external APIs to answer user queries across various domains. However, existing benchmark datasets for TALM research often feature simplistic dialogues that do not reflect real-world scenarios, such as the need for models to ask clarifying questions or proactively call additional APIs when essential information is missing. To address these limitations, we construct and release ToolDial, a dataset comprising 11,111 multi-turn dialogues, with an average of 8.95 turns per dialogue, based on APIs from RapidAPI. ToolDial has two key characteristics. First, the dialogues incorporate 16 user and system actions (e.g., "Request", "Clarify", "Fail inform") to capture the rich dynamics of real-world interactions. Second, we simulate dialogues where the system requests necessary information from the user based on API documentation and seeks additional APIs if the user fails to provide the required information. To facilitate this process, we introduce a method for generating an API graph that represents input and output compatibility between APIs. Using ToolDial, we evaluate a suite of language models on their ability to predict correct actions and extract input parameter values for API calls from the dialogue history. Modern language models achieve accuracy scores below 70%, indicating substantial room for improvement. We release our dataset and code at https://github.com/holi-lab/ToolDial.

We present an evaluation framework for interactive dialogue assessment in the context of English as a Second Language (ESL) speakers. Our framework collects dialogue-level interactivity labels (e.g., topic management; 4 labels in total) and micro-level span features (e.g., backchannels; 17 features in total). Given our annotated data, we study how the micro-level features influence the (higher level) interactivity quality of ESL dialogues by constructing various machine learning-based models. Our results demonstrate that certain micro-level features strongly correlate with interactivity quality, like reference word (e.g., she, her, he), revealing new insights about the interaction between higher-level dialogue quality and lower-level linguistic signals. Our framework also provides a means to assess ESL communication, which is useful for language assessment.

In order to better simulate the real human conversation process, models need to generate dialogue utterances based on not only preceding textual contexts but also visual contexts. However, with the development of multi-modal dialogue learning, the dataset scale gradually becomes a bottleneck. In this report, we release OpenViDial 2.0, a larger-scale open-domain multi-modal dialogue dataset compared to the previous version OpenViDial 1.0. OpenViDial 2.0 contains a total number of 5.6 million dialogue turns extracted from either movies or TV series from different resources, and each dialogue turn is paired with its corresponding visual context. We hope this large-scale dataset can help facilitate future researches on open-domain multi-modal dialog generation, e.g., multi-modal pretraining for dialogue generation.

Large Language Models (LLMs) have shown proficiency in generating persuasive dialogue, yet concerns about the fluency and sophistication of their outputs persist. This paper presents a multi-LLM communication framework designed to enhance the generation of persuasive data automatically. This framework facilitates the efficient production of high-quality, diverse linguistic content with minimal human oversight. Through extensive evaluations, we demonstrate that the generated data excels in naturalness, linguistic diversity, and the strategic use of persuasion, even in complex scenarios involving social taboos. The framework also proves adept at generalizing across novel contexts. Our results highlight the framework's potential to significantly advance research in both computational and social science domains concerning persuasive communication.

We present Multi-expert Prompting, a novel enhancement of ExpertPrompting (Xu et al., 2023), designed to improve the large language model (LLM) generation. Specifically, it guides an LLM to fulfill an input instruction by simulating multiple experts, aggregating their responses, and selecting the best among individual and aggregated responses. This process is performed in a single chain of thoughts through our seven carefully designed subtasks derived from the Nominal Group Technique (Ven and Delbecq, 1974), a well-established decision-making framework. Our evaluations demonstrate that Multi-expert Prompting significantly outperforms ExpertPrompting and comparable baselines in enhancing the truthfulness, factuality, informativeness, and usefulness of responses while reducing toxicity and hurtfulness. It further achieves state-of-the-art truthfulness by outperforming the best baseline by 8.69% with ChatGPT. Multi-expert Prompting is efficient, explainable, and highly adaptable to diverse scenarios, eliminating the need for manual prompt construction.

Mixed-initiative dialogue tasks involve repeated exchanges of information and conversational control. Conversational agents gain control by generating responses that follow particular dialogue intents or strategies, prescribed by a policy planner. The standard approach has been fine-tuning pre-trained language models to perform generation conditioned on these intents. However, these supervised generation models are limited by the cost and quality of data annotation. We instead prompt large language models as a drop-in replacement to fine-tuning on conditional generation. We formalize prompt construction for controllable mixed-initiative dialogue. Our findings show improvements over fine-tuning and ground truth responses according to human evaluation and automatic metrics for two tasks: PersuasionForGood and Emotional Support Conversations.

The scarcity of domain specific dialogue datasets across various domains, from academic topics to everyday conversations, limits the development of dialogue systems for various applications. Existing research is often constrained either by dialogue datasets that are too general or by niche domain dialogue datasets whose scale does not match the required scale for training dialogue systems. To address this gap, we introduce DiaSynth - a synthetic dialogue generation framework capable of generating high quality, contextually rich dialogues across a wide range of domains. Our approach differs from existing frameworks by dynamically generating dialogues that incorporate simulated personas, subtopics, and diverse conversational characteristics, using a Large Language Model (LLM) with Chain of Thought (CoT) reasoning to create contextually rich, domain-specific dialogues that closely mimic natural human interactions. DiaSynth produces tailored dialogues that emulate realistic conversations. We perform our experiments by generating synthetic data using different LLMs and few-shot examples from DialogSum and SAMSum. The pretrained language models fine-tuned on the synthetic data outperform the base models by 16.47%, while the comparison between models fine-tuned on in-domain data and synthetic data shows that the synthetic data is able to capture 90.48% of the distribution of the in-domain data. The quality of the data generated also scales with the size of LLMs. These results validate DiaSynth's potential as a robust alternative to traditional data collection methods.

The rapid advancement of large language models (LLMs) has revolutionized role-playing, enabling the development of general role-playing models. However, current role-playing training has two significant issues: (I) Using a predefined role profile to prompt dialogue training for specific scenarios usually leads to inconsistencies and even conflicts between the dialogue and the profile, resulting in training biases. (II) The model learns to imitate the role based solely on the profile, neglecting profile-dialogue alignment at the sentence level. In this work, we propose a simple yet effective framework called BEYOND DIALOGUE, designed to overcome these hurdles. This framework innovatively introduces "beyond dialogue" tasks to align dialogue with profile traits based on each specific scenario, thereby eliminating biases during training. Furthermore, by adopting an innovative prompting mechanism that generates reasoning outcomes for training, the framework allows the model to achieve fine-grained alignment between profile and dialogue at the sentence level. The aforementioned methods are fully automated and low-cost. Additionally, the integration of automated dialogue and objective evaluation methods forms a comprehensive framework, paving the way for general role-playing. Experimental results demonstrate that our model excels in adhering to and reflecting various dimensions of role profiles, outperforming most proprietary general and specialized role-playing baselines. All code and datasets are available at https://github.com/yuyouyu32/BeyondDialogue.

Today, large language models are widely used as judges to evaluate responses from other language models. Hence, it is imperative to benchmark and improve these LLM-judges on real-world language model usage: a typical human-assistant conversation is lengthy, and shows significant diversity in topics, intents, and requirements across turns, e.g. social interactions, task requests, feedback. We present Amulet, a framework that leverages pertinent linguistic concepts of dialog-acts and maxims to improve the accuracy of LLM-judges on preference data with complex, multi-turn conversational context. Amulet presents valuable insights about (a) the communicative structures and intents present in the conversation (dialog acts), and (b) the satisfaction of conversational principles (maxims) by the preference responses, and uses them to make judgments. On four challenging datasets, Amulet shows that (a) humans frequently (60 to 70 percent of the time) change their intents from one turn of the conversation to the next, and (b) in 75 percent of instances, the preference responses can be differentiated via dialog acts and/or maxims, reiterating the latter's significance in judging such data. Amulet can be used either as a judge by applying the framework to a single LLM, or integrated into a jury with different LLM judges; our judges and juries show strong improvements on relevant baselines for all four datasets.

Recent advances in conversational AI have been substantial, but developing real-time systems for perceptual task guidance remains challenging. These systems must provide interactive, proactive assistance based on streaming visual inputs, yet their development is constrained by the costly and labor-intensive process of data collection and system evaluation. To address these limitations, we present a comprehensive framework with three key contributions. First, we introduce a novel data curation pipeline that synthesizes dialogues from annotated egocentric videos, resulting in \dataset, a large-scale synthetic dialogue dataset spanning multiple domains. Second, we develop a suite of automatic evaluation metrics, validated through extensive human studies. Third, we propose an end-to-end model that processes streaming video inputs to generate contextually appropriate responses, incorporating novel techniques for handling data imbalance and long-duration videos. This work lays the foundation for developing real-time, proactive AI assistants capable of guiding users through diverse tasks. Project page: https://pro-assist.github.io/

Collecting human-chatbot dialogues typically demands substantial manual effort and is time-consuming, which limits and poses challenges for research on conversational AI. In this work, we propose DialogueForge - a framework for generating AI-simulated conversations in human-chatbot style. To initialize each generated conversation, DialogueForge uses seed prompts extracted from real human-chatbot interactions. We test a variety of LLMs to simulate the human chatbot user, ranging from state-of-the-art proprietary models to small-scale open-source LLMs, and generate multi-turn dialogues tailored to specific tasks. In addition, we explore fine-tuning techniques to enhance the ability of smaller models to produce indistinguishable human-like dialogues. We evaluate the quality of the simulated conversations and compare different models using the UniEval and GTEval evaluation protocols. Our experiments show that large proprietary models (e.g., GPT-4o) generally outperform others in generating more realistic dialogues, while smaller open-source models (e.g., Llama, Mistral) offer promising performance with greater customization. We demonstrate that the performance of smaller models can be significantly improved by employing supervised fine-tuning techniques. Nevertheless, maintaining coherent and natural long-form human-like dialogues remains a common challenge across all models.

This article presents the Cogni-CISMeF project, which aims at improving medical information search in the CISMeF system (Catalog and Index of French-language health resources) by including a conversational agent to interact with the user in natural language. To study the cognitive processes involved during the information search, a bottom-up methodology was adopted. Experimentation has been set up to obtain human dialogs between a user (playing the role of patient) dealing with medical information search and a CISMeF expert refining the request. The analysis of these dialogs underlined the use of discursive evidence: vocabulary, reformulation, implicit or explicit expression of user intentions, conversational sequences, etc. A model of artificial agent is proposed. It leads the user in its information search by proposing to him examples, assistance and choices. This model was implemented and integrated in the CISMeF system. ---- Cet article d\'ecrit le projet Cogni-CISMeF qui propose un module de dialogue Homme-Machine \`a int\'egrer dans le syst\`eme d'indexation de connaissances m\'edicales CISMeF (Catalogue et Index des Sites M\'edicaux Francophones). Nous avons adopt\'e une d\'emarche de mod\'elisation cognitive en proc\'edant \`a un recueil de corpus de dialogues entre un utilisateur (jouant le r\^ole d'un patient) d\'esirant une information m\'edicale et un expert CISMeF af inant cette demande pour construire la requ\^ete. Nous avons analys\'e la structure des dialogues ainsi obtenus et avons \'etudi\'e un certain nombre d'indices discursifs : vocabulaire employ\'e, marques de reformulation, commentaires m\'eta et \'epilinguistiques, expression implicite ou explicite des intentions de l'utilisateur, encha\^inement conversationnel, etc. De cette analyse, nous avons construit un mod\`ele d'agent artificiel dot\'e de capacit\'es cognitives capables d'aider l'utilisateur dans sa t\^ache de recherche d'information. Ce mod\`ele a \'et\'e impl\'ement\'e et int\'egr\'e dans le syst\`eme CISMeF.

Human dialogues are scenario-based and appropriate responses generally relate to the latent context knowledge entailed by the specific scenario. To enable responses that are more meaningful and context-specific, we propose to improve generative dialogue systems from the scenario perspective, where both dialogue history and future conversation are taken into account to implicitly reconstruct the scenario knowledge. More importantly, the conversation scenarios are further internalized using imitation learning framework, where the conventional dialogue model that has no access to future conversations is effectively regularized by transferring the scenario knowledge contained in hierarchical supervising signals from the scenario-based dialogue model, so that the future conversation is not required in actual inference. Extensive evaluations show that our approach significantly outperforms state-of-the-art baselines on diversity and relevance, and expresses scenario-specific knowledge.

Recent progress on large language models (LLMs) has enabled dialogue agents to generate highly naturalistic and plausible text. However, current LLM language generation focuses on responding accurately to questions and requests with a single effective response. In reality, many real dialogues are interactive, meaning an agent's utterances will influence their conversational partner, elicit information, or change their opinion. Accounting for how an agent can effectively steer a conversation is a crucial ability in many dialogue tasks, from healthcare to preference elicitation. Existing methods for fine-tuning dialogue agents to accomplish such tasks would rely on curating some amount of expert data. However, doing so often requires understanding the underlying cognitive processes of the conversational partner, which is a skill neither humans nor LLMs trained on human data can reliably do. Our key insight is that while LLMs may not be adept at identifying effective strategies for steering conversations a priori, or in the middle of an ongoing conversation, they can do so post-hoc, or in hindsight, after seeing how their conversational partner responds. We use this fact to rewrite and augment existing suboptimal data, and train via offline reinforcement learning (RL) an agent that outperforms both prompting and learning from unaltered human demonstrations. We apply our approach to two domains that require understanding human mental state, intelligent interaction, and persuasion: mental health support, and soliciting charitable donations. Our results in a user study with real humans show that our approach greatly outperforms existing state-of-the-art dialogue agents.

Virtual counselors powered by large language models (LLMs) aim to create interactive support systems that effectively assist clients struggling with mental health challenges. To replicate counselor-client conversations, researchers have built an online mental health platform that allows professional counselors to provide clients with text-based counseling services for about an hour per session. Notwithstanding its effectiveness, challenges exist as human annotation is time-consuming, cost-intensive, privacy-protected, and not scalable. To address this issue and investigate the applicability of LLMs in psychological counseling conversation simulation, we propose a framework that employs two LLMs via role-playing for simulating counselor-client interactions. Our framework involves two LLMs, one acting as a client equipped with a specific and real-life user profile and the other playing the role of an experienced counselor, generating professional responses using integrative therapy techniques. We implement both the counselor and the client by zero-shot prompting the GPT-4 model. In order to assess the effectiveness of LLMs in simulating counselor-client interactions and understand the disparities between LLM- and human-generated conversations, we evaluate the synthetic data from various perspectives. We begin by assessing the client's performance through automatic evaluations. Next, we analyze and compare the disparities between dialogues generated by the LLM and those generated by professional counselors. Furthermore, we conduct extensive experiments to thoroughly examine the performance of our LLM-based counselor trained with synthetic interactive dialogues by benchmarking against state-of-the-art models for mental health.

With the growing research focus on multimodal dialogue systems, the capability for proactive interaction is gradually gaining recognition. As an alternative to conventional turn-by-turn dialogue, users increasingly expect multimodal systems to be more initiative, for example, by autonomously determining the timing of multi-turn responses in real time during video playback. To facilitate progress in this emerging area, we introduce ProactiveBench, the first comprehensive benchmark to evaluate a system's ability to engage in proactive interaction. Since model responses are generated at varying timestamps, we further propose PAUC, the first metric that accounts for the temporal dynamics of model responses. This enables a more accurate evaluation of systems operating in proactive settings. Through extensive benchmarking of various baseline systems on ProactiveBench and a user study of human preferences, we show that PAUC is in better agreement with human preferences than traditional evaluation metrics, which typically only consider the textual content of responses. These findings demonstrate that PAUC provides a more faithful assessment of user experience in proactive interaction scenarios. Project homepage: https://github.com/yellow-binary-tree/ProactiveBench

Large Language Models (LLMs) have demonstrated promising potential in providing empathetic support during interactions. However, their responses often become verbose or overly formulaic, failing to adequately address the diverse emotional support needs of real-world scenarios. To tackle this challenge, we propose an innovative strategy-enhanced role-playing framework, designed to simulate authentic emotional support conversations. Specifically, our approach unfolds in two steps: (1) Strategy-Enhanced Role-Playing Interactions, which involve three pivotal roles -- Seeker, Strategy Counselor, and Supporter -- engaging in diverse scenarios to emulate real-world interactions and promote a broader range of dialogues; and (2) Emotional Support Agent Training, achieved through fine-tuning LLMs using our specially constructed dataset. Within this framework, we develop the ServeForEmo dataset, comprising an extensive collection of 3.7K+ multi-turn dialogues and 62.8K+ utterances. We further present SweetieChat, an emotional support agent capable of handling diverse open-domain scenarios. Extensive experiments and human evaluations confirm the framework's effectiveness in enhancing emotional support, highlighting its unique ability to provide more nuanced and tailored assistance.

The development of AI for mental health is hindered by a lack of authentic therapy dialogues, due to strict privacy regulations and the fact that clinical sessions were historically rarely recorded. We present an LLM-driven pipeline that generates synthetic counseling dialogues based on structured client profiles and psychological questionnaires. Grounded on the principles of Cognitive Behavioral Therapy (CBT), our method creates synthetic therapeutic conversations for clinical disorders such as anxiety and depression. Our framework, SQPsych (Structured Questionnaire-based Psychotherapy), converts structured psychological input into natural language dialogues through therapist-client simulations. Due to data governance policies and privacy restrictions prohibiting the transmission of clinical questionnaire data to third-party services, previous methodologies relying on proprietary models are infeasible in our setting. We address this limitation by generating a high-quality corpus using open-weight LLMs, validated through human expert evaluation and LLM-based assessments. Our SQPsychLLM models fine-tuned on SQPsychConv achieve strong performance on counseling benchmarks, surpassing baselines in key therapeutic skills. Our findings highlight the potential of synthetic data to enable scalable, data-secure, and clinically informed AI for mental health support. We will release our code, models, and corpus at https://ai-mh.github.io/SQPsych

Dialogue systems are a popular natural language processing (NLP) task as it is promising in real-life applications. It is also a complicated task since many NLP tasks deserving study are involved. As a result, a multitude of novel works on this task are carried out, and most of them are deep learning based due to the outstanding performance. In this survey, we mainly focus on the deep learning based dialogue systems. We comprehensively review state-of-the-art research outcomes in dialogue systems and analyze them from two angles: model type and system type. Specifically, from the angle of model type, we discuss the principles, characteristics, and applications of different models that are widely used in dialogue systems. This will help researchers acquaint these models and see how they are applied in state-of-the-art frameworks, which is rather helpful when designing a new dialogue system. From the angle of system type, we discuss task-oriented and open-domain dialogue systems as two streams of research, providing insight into the hot topics related. Furthermore, we comprehensively review the evaluation methods and datasets for dialogue systems to pave the way for future research. Finally, some possible research trends are identified based on the recent research outcomes. To the best of our knowledge, this survey is the most comprehensive and up-to-date one at present for deep learning based dialogue systems, extensively covering the popular techniques. We speculate that this work is a good starting point for academics who are new to the dialogue systems or those who want to quickly grasp up-to-date techniques in this area.

The increasing capability of large language models (LLMs) to generate synthetic content has heightened concerns about their misuse, driving the development of Machine-Generated Text (MGT) detection models. However, these detectors face significant challenges due to the lack of systematically generated, high-quality datasets for training. To address this issue, we propose five novel data augmentation frameworks for synthetic user dialogue generation through a structured prompting approach, reducing the costs associated with traditional data collection methods. Our proposed method yields 14 new dialogue datasets, which we benchmark against seven MGT detection models. The results demonstrate improved generalization performance when utilizing a mixed dataset produced by our proposed augmentation framework. Furthermore, considering that real-world agents lack knowledge of future opponent utterances, we simulate online dialogue detection and examine the relationship between chat history length and detection accuracy. We also benchmark online detection performance with limited chat history on our frameworks. Our open-source datasets can be downloaded from https://github.com/AngieYYF/SPADE-customer-service-dialogue.

In this paper, we present a prompting framework called LLMCS that leverages large language models, such as code-davinci-002 of GPT-3, to perform few-shot conversational query rewriting for conversational search. We explore three prompting methods to generate multiple query rewrites and hypothetical responses, and propose aggregating them into an integrated representation that can robustly represent the user's real contextual search intent. Experimental results on two conversational search datasets, including CAst-19 and CAsT-20, show that our approach achieves significant improvements in search effectiveness over existing baselines and manual rewrites. Notably, LLMCS can significantly outperform the state-of-the-art baselines by up to +5.9\% and +32.9\% w.r.t. NDCG@3 on CAsT-19 and CAsT-20, highlighting the vast potential of large language models for conversational search. Our code will be released at https://github.com/kyriemao/LLMCS.

In this paper, we present HuatuoGPT, a large language model (LLM) for medical consultation. The core recipe of HuatuoGPT is to leverage both distilled data from ChatGPT and real-world data from doctors in the supervised fine-tuned stage. The responses of ChatGPT are usually detailed, well-presented and informative while it cannot perform like a doctor in many aspects, e.g. for integrative diagnosis. We argue that real-world data from doctors would be complementary to distilled data in the sense the former could tame a distilled language model to perform like doctors. To better leverage the strengths of both data, we train a reward model to align the language model with the merits that both data bring, following an RLAIF (reinforced learning from AI feedback) fashion. To evaluate and benchmark the models, we propose a comprehensive evaluation scheme (including automatic and manual metrics). Experimental results demonstrate that HuatuoGPT achieves state-of-the-art results in performing medical consultation among open-source LLMs in GPT-4 evaluation, human evaluation, and medical benchmark datasets. It is worth noting that by using additional real-world data and RLAIF, the distilled language model (i.e., HuatuoGPT) outperforms its teacher model ChatGPT in most cases. Our code, data, and models are publicly available at https://github.com/FreedomIntelligence/HuatuoGPT. The online demo is available at https://www.HuatuoGPT.cn/.

Knowledge-grounded dialogue is a task of generating an informative response based on both the dialogue history and external knowledge source. In general, there are two forms of knowledge: manually annotated knowledge graphs and knowledge text from website. From various evaluation viewpoints, each type of knowledge has advantages and downsides. To further distinguish the principles and determinants from the intricate factors, we conduct a thorough experiment and study on the task to answer three essential questions. The questions involve the choice of appropriate knowledge form, the degree of mutual effects between knowledge and the model selection, and the few-shot performance of knowledge. Supported by statistical shreds of evidence, we offer conclusive solutions and sensible suggestions for directions and standards of future research.

Open-domain dialogue systems aim to generate relevant, informative and engaging responses. Seq2seq neural response generation approaches do not have explicit mechanisms to control the content or style of the generated response, and frequently result in uninformative utterances. In this paper, we propose using a dialogue policy to plan the content and style of target responses in the form of an action plan, which includes knowledge sentences related to the dialogue context, targeted dialogue acts, topic information, etc. The attributes within the action plan are obtained by automatically annotating the publicly released Topical-Chat dataset. We condition neural response generators on the action plan which is then realized as target utterances at the turn and sentence levels. We also investigate different dialogue policy models to predict an action plan given the dialogue context. Through automated and human evaluation, we measure the appropriateness of the generated responses and check if the generation models indeed learn to realize the given action plans. We demonstrate that a basic dialogue policy that operates at the sentence level generates better responses in comparison to turn level generation as well as baseline models with no action plan. Additionally the basic dialogue policy has the added effect of controllability.

We present a data-driven, end-to-end approach to transaction-based dialog systems that performs at near-human levels in terms of verbal response quality and factual grounding accuracy. We show that two essential components of the system produce these results: a sufficiently large and diverse, in-domain labeled dataset, and a neural network-based, pre-trained model that generates both verbal responses and API call predictions. In terms of data, we introduce TicketTalk, a movie ticketing dialog dataset with 23,789 annotated conversations. The movie ticketing conversations range from completely open-ended and unrestricted to more structured, both in terms of their knowledge base, discourse features, and number of turns. In qualitative human evaluations, model-generated responses trained on just 10,000 TicketTalk dialogs were rated to "make sense" 86.5 percent of the time, almost the same as human responses in the same contexts. Our simple, API-focused annotation schema results in a much easier labeling task making it faster and more cost effective. It is also the key component for being able to predict API calls accurately. We handle factual grounding by incorporating API calls in the training data, allowing our model to learn which actions to take and when. Trained on the same 10,000-dialog set, the model's API call predictions were rated to be correct 93.9 percent of the time in our evaluations, surpassing the ratings for the corresponding human labels. We show how API prediction and response generation scores improve as the dataset size incrementally increases from 5000 to 21,000 dialogs. Our analysis also clearly illustrates the benefits of pre-training. We are publicly releasing the TicketTalk dataset with this paper to facilitate future work on transaction-based dialogs.

We argue that enabling human-AI dialogue, purposed to support joint reasoning (i.e., 'inquiry'), is important for ensuring that AI decision making is aligned with human values and preferences. In particular, we point to logic-based models of argumentation and dialogue, and suggest that the traditional focus on persuasion dialogues be replaced by a focus on inquiry dialogues, and the distinct challenges that joint inquiry raises. Given recent dramatic advances in the performance of large language models (LLMs), and the anticipated increase in their use for decision making, we provide a roadmap for research into inquiry dialogues for supporting joint human-LLM reasoning tasks that are ethically salient, and that thereby require that decisions are value aligned.

Artificial intelligence systems are increasingly deployed in biomedical research. However, current evaluation frameworks may inadequately assess their effectiveness as research collaborators. This rapid review examines benchmarking practices for AI systems in preclinical biomedical research. Three major databases and two preprint servers were searched from January 1, 2018 to October 31, 2025, identifying 14 benchmarks that assess AI capabilities in literature understanding, experimental design, and hypothesis generation. The results revealed that all current benchmarks assess isolated component capabilities, including data analysis quality, hypothesis validity, and experimental protocol design. However, authentic research collaboration requires integrated workflows spanning multiple sessions, with contextual memory, adaptive dialogue, and constraint propagation. This gap implies that systems excelling on component benchmarks may fail as practical research co-pilots. A process-oriented evaluation framework is proposed that addresses four critical dimensions absent from current benchmarks: dialogue quality, workflow orchestration, session continuity, and researcher experience. These dimensions are essential for evaluating AI systems as research co-pilots rather than as isolated task executors.

Large language models have exhibited exceptional performance on various Natural Language Processing (NLP) tasks, leveraging techniques such as the pre-training, and instruction fine-tuning. Despite these advances, their effectiveness in medical applications is limited, due to challenges such as factual inaccuracies, reasoning abilities, and lack grounding in real-world experience. In this study, we present ClinicalGPT, a language model explicitly designed and optimized for clinical scenarios. By incorporating extensive and diverse real-world data, such as medical records, domain-specific knowledge, and multi-round dialogue consultations in the training process, ClinicalGPT is better prepared to handle multiple clinical task. Furthermore, we introduce a comprehensive evaluation framework that includes medical knowledge question-answering, medical exams, patient consultations, and diagnostic analysis of medical records. Our results demonstrate that ClinicalGPT significantly outperforms other models in these tasks, highlighting the effectiveness of our approach in adapting large language models to the critical domain of healthcare.

This paper presents our team's participation in the MEDIQA-ClinicalNLP2024 shared task B. We present a novel approach to diagnosing clinical dermatology cases by integrating large multimodal models, specifically leveraging the capabilities of GPT-4V under a retriever and a re-ranker framework. Our investigation reveals that GPT-4V, when used as a retrieval agent, can accurately retrieve the correct skin condition 85% of the time using dermatological images and brief patient histories. Additionally, we empirically show that Naive Chain-of-Thought (CoT) works well for retrieval while Medical Guidelines Grounded CoT is required for accurate dermatological diagnosis. Further, we introduce a Multi-Agent Conversation (MAC) framework and show its superior performance and potential over the best CoT strategy. The experiments suggest that using naive CoT for retrieval and multi-agent conversation for critique-based diagnosis, GPT-4V can lead to an early and accurate diagnosis of dermatological conditions. The implications of this work extend to improving diagnostic workflows, supporting dermatological education, and enhancing patient care by providing a scalable, accessible, and accurate diagnostic tool.

Tuning language models for dialogue generation has been a prevalent paradigm for building capable dialogue agents. Yet, traditional tuning narrowly views dialogue generation as resembling other language generation tasks, ignoring the role disparities between two speakers and the multi-round interactive process that dialogues ought to be. Such a manner often leads to unsatisfactory chat consistency for the built agent. In this work, we emphasize the interactive, communicative nature of dialogue and argue that it is more feasible to model the speaker roles of agent and user separately, enabling the agent to adhere to its role consistently. With this in mind, we propose an efficient Multi-round Interactive Dialogue Tuning (Midi-Tuning) framework. It models the agent and user individually with two adapters built upon large language models. The adapters make use of respective utterances round by round in alternating order and they are tuned via a round-level memory caching mechanism. Extensive experiments demonstrate that, our framework performs superior to traditional fine-tuning and harbors the tremendous potential for improving dialogue consistency.

The rise of large language models (LLMs) has revolutionized user interactions with knowledge-based systems, enabling chatbots to synthesize vast amounts of information and assist with complex, exploratory tasks. However, LLM-based chatbots often struggle to provide personalized support, particularly when users start with vague queries or lack sufficient contextual information. This paper introduces the Collaborative Assistant for Personalized Exploration (CARE), a system designed to enhance personalization in exploratory tasks by combining a multi-agent LLM framework with a structured user interface. CARE's interface consists of a Chat Panel, Solution Panel, and Needs Panel, enabling iterative query refinement and dynamic solution generation. The multi-agent framework collaborates to identify both explicit and implicit user needs, delivering tailored, actionable solutions. In a within-subject user study with 22 participants, CARE was consistently preferred over a baseline LLM chatbot, with users praising its ability to reduce cognitive load, inspire creativity, and provide more tailored solutions. Our findings highlight CARE's potential to transform LLM-based systems from passive information retrievers to proactive partners in personalized problem-solving and exploration.

Large language models (LLMs) are increasingly applied in task-oriented dialogue (TOD) systems but often struggle with long, conditional workflows that involve external tool calls and depend on user-specific information. We present Workflow Adherence via Runtime Parallel Personalization, or WARPP, a training-free, modular framework that combines multi-agent orchestration with runtime personalization to improve workflow adherence in LLM-based systems. By dynamically pruning conditional branches based on user attributes, the framework reduces reasoning overhead and narrows tool selection at runtime. WARPP deploys a parallelized architecture where a dedicated Personalizer agent operates alongside modular, domain-specific agents to dynamically tailor execution paths in real time. The framework is evaluated across five representative user intents of varying complexity within three domains: banking, flights, and healthcare. Our evaluation leverages synthetic datasets and LLM-powered simulated users to test scenarios with conditional dependencies. Our results demonstrate that WARPP outperforms both the non-personalized method and the ReAct baseline, achieving increasingly larger gains in parameter fidelity and tool accuracy as intent complexity grows, while also reducing average token usage, without any additional training.

Despite advancements in conversational AI, language models encounter challenges to handle diverse conversational tasks, and existing dialogue dataset collections often lack diversity and comprehensiveness. To tackle these issues, we introduce DialogStudio: the largest and most diverse collection of dialogue datasets, unified under a consistent format while preserving their original information. Our collection encompasses data from open-domain dialogues, task-oriented dialogues, natural language understanding, conversational recommendation, dialogue summarization, and knowledge-grounded dialogues, making it an incredibly rich and diverse resource for dialogue research and model training. To further enhance the utility of DialogStudio, we identify the licenses for each dataset and design domain-aware prompts for selected dialogues to facilitate instruction-aware fine-tuning. Furthermore, we develop conversational AI models using the dataset collection, and our experiments in both zero-shot and few-shot learning scenarios demonstrate the superiority of DialogStudio. To improve transparency and support dataset and task-based research, as well as language model pre-training, all datasets, licenses, codes, and models associated with DialogStudio are made publicly accessible at https://github.com/salesforce/DialogStudio

A problem with many current Large Language Model (LLM) driven spoken dialogues is the response time. Some efforts such as Groq address this issue by lightning fast processing of the LLM, but we know from the cognitive psychology literature that in human-to-human dialogue often responses occur prior to the speaker completing their utterance. No amount of delay for LLM processing is acceptable if we wish to maintain human dialogue latencies. In this paper, we discuss methods for understanding an utterance in close to real time and generating a response so that the system can comply with human-level conversational turn delays. This means that the information content of the final part of the speaker's utterance is lost to the LLM. Using the Google NaturalQuestions (NQ) database, our results show GPT-4 can effectively fill in missing context from a dropped word at the end of a question over 60% of the time. We also provide some examples of utterances and the impacts of this information loss on the quality of LLM response in the context of an avatar that is currently under development. These results indicate that a simple classifier could be used to determine whether a question is semantically complete, or requires a filler phrase to allow a response to be generated within human dialogue time constraints.

As practitioners increasingly deploy machine learning models in critical domains such as health care, finance, and policy, it becomes vital to ensure that domain experts function effectively alongside these models. Explainability is one way to bridge the gap between human decision-makers and machine learning models. However, most of the existing work on explainability focuses on one-off, static explanations like feature importances or rule lists. These sorts of explanations may not be sufficient for many use cases that require dynamic, continuous discovery from stakeholders. In the literature, few works ask decision-makers about the utility of existing explanations and other desiderata they would like to see in an explanation going forward. In this work, we address this gap and carry out a study where we interview doctors, healthcare professionals, and policymakers about their needs and desires for explanations. Our study indicates that decision-makers would strongly prefer interactive explanations in the form of natural language dialogues. Domain experts wish to treat machine learning models as "another colleague", i.e., one who can be held accountable by asking why they made a particular decision through expressive and accessible natural language interactions. Considering these needs, we outline a set of five principles researchers should follow when designing interactive explanations as a starting place for future work. Further, we show why natural language dialogues satisfy these principles and are a desirable way to build interactive explanations. Next, we provide a design of a dialogue system for explainability and discuss the risks, trade-offs, and research opportunities of building these systems. Overall, we hope our work serves as a starting place for researchers and engineers to design interactive explainability systems.

Proactive dialogues serve as a practical yet challenging dialogue problem in the era of large language models (LLMs), where the dialogue policy planning is the key to improving the proactivity of LLMs. Most existing studies enable the dialogue policy planning of LLMs using various prompting schemes or iteratively enhance this capability in handling the given case with verbal AI feedback. However, these approaches are either bounded by the policy planning capability of the frozen LLMs or hard to be transferred to new cases. In this work, we introduce a new dialogue policy planning paradigm to strategize LLMs for proactive dialogue problems with a tunable language model plug-in as a plug-and-play dialogue policy planner, named PPDPP. Specifically, we develop a novel training framework to facilitate supervised fine-tuning over available human-annotated data as well as reinforcement learning from goal-oriented AI feedback with dynamic interaction data collected by the LLM-based self-play simulation. In this manner, the LLM-powered dialogue agent can not only be generalized to different cases after the training, but also be applicable to different applications by just substituting the learned plug-in. In addition, we propose to evaluate the policy planning capability of dialogue systems under the interactive setting. Experimental results demonstrate that PPDPP consistently and substantially outperforms existing approaches on three different proactive dialogue applications, including negotiation, emotional support, and tutoring dialogues.

One of the long-standing aspirations in conversational AI is to allow them to autonomously take initiatives in conversations, i.e., being proactive. This is especially challenging for multi-party conversations. Prior NLP research focused mainly on predicting the next speaker from contexts like preceding conversations. In this paper, we demonstrate the limitations of such methods and rethink what it means for AI to be proactive in multi-party, human-AI conversations. We propose that just like humans, rather than merely reacting to turn-taking cues, a proactive AI formulates its own inner thoughts during a conversation, and seeks the right moment to contribute. Through a formative study with 24 participants and inspiration from linguistics and cognitive psychology, we introduce the Inner Thoughts framework. Our framework equips AI with a continuous, covert train of thoughts in parallel to the overt communication process, which enables it to proactively engage by modeling its intrinsic motivation to express these thoughts. We instantiated this framework into two real-time systems: an AI playground web app and a chatbot. Through a technical evaluation and user studies with human participants, our framework significantly surpasses existing baselines on aspects like anthropomorphism, coherence, intelligence, and turn-taking appropriateness.

Proactive dialogue systems aim to empower chatbots with the capability of leading conversations towards specific targets, thereby enhancing user engagement and service autonomy. Existing systems typically target pre-defined keywords or entities, neglecting user attributes and preferences implicit in dialogue history, hindering the development of long-term user intimacy. To address these challenges, we take a radical step towards building a more human-like conversational agent by integrating proactive dialogue systems with long-term memory into a unified framework. Specifically, we define a novel task named Memory-aware Proactive Dialogue (MapDia). By decomposing the task, we then propose an automatic data construction method and create the first Chinese Memory-aware Proactive Dataset (ChMapData). Furthermore, we introduce a joint framework based on Retrieval Augmented Generation (RAG), featuring three modules: Topic Summarization, Topic Retrieval, and Proactive Topic-shifting Detection and Generation, designed to steer dialogues towards relevant historical topics at the right time. The effectiveness of our dataset and models is validated through both automatic and human evaluations. We release the open-source framework and dataset at https://github.com/FrontierLabs/MapDia.

The rise of agentic systems that combine orchestration, tool use, and conversational capabilities, has been more visible by the recent advent of large language models (LLMs). While open-domain frameworks exist, applying them in private domains remains difficult due to heterogeneous tool formats, domain-specific jargon, restricted accessibility of APIs, and complex governance. Conventional solutions, such as fine-tuning on synthetic dialogue data, are burdensome and brittle under domain shifts, and risk degrading general performance. In this light, we introduce a framework for private-domain multi-agent conversational systems that avoids training and data generation by adopting behavior modeling and documentation. Our design simply assumes an orchestrator, a tool-calling agent, and a general chat agent, with tool integration defined through structured specifications and domain-informed instructions. This approach enables scalable adaptation to private tools and evolving contexts without continual retraining. The framework supports practical use cases, including lightweight deployment of multi-agent systems, leveraging API specifications as retrieval resources, and generating synthetic dialogue for evaluation -- providing a sustainable method for aligning agent behavior with domain expertise in private conversational ecosystems.

Large Language Models (LLMs) have demonstrated remarkable success in conversational systems by generating human-like responses. However, they can fall short, especially when required to account for personalization or specific knowledge. In real-life settings, it is impractical to rely on users to detect these errors and request a new response. One way to address this problem is to refine the response before returning it to the user. While existing approaches focus on refining responses within a single LLM, this method struggles to consider diverse aspects needed for effective conversations. In this work, we propose refining responses through a multi-agent framework, where each agent is assigned a specific role for each aspect. We focus on three key aspects crucial to conversational quality: factuality, personalization, and coherence. Each agent is responsible for reviewing and refining one of these aspects, and their feedback is then merged to improve the overall response. To enhance collaboration among them, we introduce a dynamic communication strategy. Instead of following a fixed sequence of agents, our approach adaptively selects and coordinates the most relevant agents based on the specific requirements of each query. We validate our framework on challenging conversational datasets, demonstrating that ours significantly outperforms relevant baselines, particularly in tasks involving knowledge or user's persona, or both.

Recent advances in Large Language Models (LLMs) have achieved remarkable breakthroughs in understanding and responding to user intents. However, their performance lag behind general use cases in some expertise domains, such as Chinese medicine. Existing efforts to incorporate Chinese medicine into LLMs rely on Supervised Fine-Tuning (SFT) with single-turn and distilled dialogue data. These models lack the ability for doctor-like proactive inquiry and multi-turn comprehension and cannot align responses with experts' intentions. In this work, we introduce Zhongjing, the first Chinese medical LLaMA-based LLM that implements an entire training pipeline from continuous pre-training, SFT, to Reinforcement Learning from Human Feedback (RLHF). Additionally, we construct a Chinese multi-turn medical dialogue dataset of 70,000 authentic doctor-patient dialogues, CMtMedQA, which significantly enhances the model's capability for complex dialogue and proactive inquiry initiation. We also define a refined annotation rule and evaluation criteria given the unique characteristics of the biomedical domain. Extensive experimental results show that Zhongjing outperforms baselines in various capacities and matches the performance of ChatGPT in some abilities, despite the 100x parameters. Ablation studies also demonstrate the contributions of each component: pre-training enhances medical knowledge, and RLHF further improves instruction-following ability and safety. Our code, datasets, and models are available at https://github.com/SupritYoung/Zhongjing.

Spoken medical dialogue systems are increasingly attracting interest to enhance access to healthcare services and improve quality and traceability of patient care. In this paper, we focus on medical drug prescriptions acquired on smartphones through spoken dialogue. Such systems would facilitate the traceability of care and would free clinicians' time. However, there is a lack of speech corpora to develop such systems since most of the related corpora are in text form and in English. To facilitate the research and development of spoken medical dialogue systems, we present, to the best of our knowledge, the first spoken medical drug prescriptions corpus, named PxSLU. It contains 4 hours of transcribed and annotated dialogues of drug prescriptions in French acquired through an experiment with 55 participants experts and non-experts in prescriptions. We also present some experiments that demonstrate the interest of this corpus for the evaluation and development of medical dialogue systems.

There has been growing interest in using neural networks and deep learning techniques to create dialogue systems. Conversational recommendation is an interesting setting for the scientific exploration of dialogue with natural language as the associated discourse involves goal-driven dialogue that often transforms naturally into more free-form chat. This paper provides two contributions. First, until now there has been no publicly available large-scale dataset consisting of real-world dialogues centered around recommendations. To address this issue and to facilitate our exploration here, we have collected ReDial, a dataset consisting of over 10,000 conversations centered around the theme of providing movie recommendations. We make this data available to the community for further research. Second, we use this dataset to explore multiple facets of conversational recommendations. In particular we explore new neural architectures, mechanisms, and methods suitable for composing conversational recommendation systems. Our dataset allows us to systematically probe model sub-components addressing different parts of the overall problem domain ranging from: sentiment analysis and cold-start recommendation generation to detailed aspects of how natural language is used in this setting in the real world. We combine such sub-components into a full-blown dialogue system and examine its behavior.

Large Language Models (LLMs) have shown substantial advances through reinforcement learning (RL), particularly in domains where rewards can be programmatically verified, such as mathematics and code. In these areas, models benefit from a well-defined operational base guided by explicit rule-based objectives. However, this progress reveals a significant limitation: in open-ended domains where rewards are ambiguous, subjective, or context-dependent, such as creative writing, scientific reasoning, and notably medical consultation, robust reward functions are lacking, making these areas challenging for current RL strategies. To bridge this gap, we introduce ORBIT, an open-ended rubric-based incremental training framework specifically designed for high-stakes medical dialogue. ORBIT integrates syn- thetic dialogue generation with the dynamic creation of rubrics, employing these rubrics to direct an incremental RL process. In particular, this approach does not depend on external medical knowledge or manual rules, instead utilizing rubric-guided feedback to shape learning. When implemented on the Qwen3-4B-Instruct model, our method can greatly enhance its performance on the HealthBench-Hard benchmark from 7.0 to 27.2 using only 2k samples, thus achieving state-of-the-art results for models of this scale. Our analysis confirms that rubric-driven RL fos-ters consistent performance gains across diverse consultation scenarios, going beyond simple numerical improvements. These findings underscore rubric-based feedback as a scalable strategy for advancing LLMs in intricate, open-ended tasks.