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Oct 27

Does Context Matter? ContextualJudgeBench for Evaluating LLM-based Judges in Contextual Settings

The large language model (LLM)-as-judge paradigm has been used to meet the demand for a cheap, reliable, and fast evaluation of model outputs during AI system development and post-deployment monitoring. While judge models -- LLMs finetuned to specialize in assessing and critiquing model outputs -- have been touted as general purpose evaluators, they are typically evaluated only on non-contextual scenarios, such as instruction following. The omission of contextual settings -- those where external information is used as context to generate an output -- is surprising given the increasing prevalence of retrieval-augmented generation (RAG) and summarization use cases. Contextual assessment is uniquely challenging, as evaluation often depends on practitioner priorities, leading to conditional evaluation criteria (e.g., comparing responses based on factuality and then considering completeness if they are equally factual). To address the gap, we propose ContextualJudgeBench, a judge benchmark with 2,000 challenging response pairs across eight splits inspired by real-world contextual evaluation scenarios. We build our benchmark with a multi-pronged data construction pipeline that leverages both existing human annotations and model-based perturbations. Our comprehensive study across 11 judge models and 9 general purpose models, reveals that the contextual information and its assessment criteria present a significant challenge to even state-of-the-art models. For example, OpenAI's o1, the best-performing model, barely reaches 55% consistent accuracy.

  • 5 authors
·
Mar 19, 2025

Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

  • 18 authors
·
Apr 26, 2023

Preference Learning Unlocks LLMs' Psycho-Counseling Skills

Applying large language models (LLMs) to assist in psycho-counseling is an emerging and meaningful approach, driven by the significant gap between patient needs and the availability of mental health support. However, current LLMs struggle to consistently provide effective responses to client speeches, largely due to the lack of supervision from high-quality real psycho-counseling data, whose content is typically inaccessible due to client privacy concerns. Furthermore, the quality of therapists' responses in available sessions can vary significantly based on their professional training and experience. Assessing the quality of therapists' responses remains an open challenge. In this work, we address these challenges by first proposing a set of professional and comprehensive principles to evaluate therapists' responses to client speeches. Using these principles, we create a preference dataset, PsychoCounsel-Preference, which contains 36k high-quality preference comparison pairs. This dataset aligns with the preferences of professional psychotherapists, providing a robust foundation for evaluating and improving LLMs in psycho-counseling. Experiments on reward modeling and preference learning demonstrate that PsychoCounsel-Preference is an excellent resource for LLMs to acquire essential skills for responding to clients in a counseling session. Our best-aligned model, PsychoCounsel-Llama3-8B, achieves an impressive win rate of 87% against GPT-4o. We release PsychoCounsel-Preference, PsychoCounsel-Llama3-8B and the reward model PsychoCounsel Llama3-8B-Reward to facilitate the research of psycho-counseling with LLMs at: https://hf.co/Psychotherapy-LLM.

  • 3 authors
·
Feb 26, 2025 2

Expressing stigma and inappropriate responses prevents LLMs from safely replacing mental health providers

Should a large language model (LLM) be used as a therapist? In this paper, we investigate the use of LLMs to *replace* mental health providers, a use case promoted in the tech startup and research space. We conduct a mapping review of therapy guides used by major medical institutions to identify crucial aspects of therapeutic relationships, such as the importance of a therapeutic alliance between therapist and client. We then assess the ability of LLMs to reproduce and adhere to these aspects of therapeutic relationships by conducting several experiments investigating the responses of current LLMs, such as `gpt-4o`. Contrary to best practices in the medical community, LLMs 1) express stigma toward those with mental health conditions and 2) respond inappropriately to certain common (and critical) conditions in naturalistic therapy settings -- e.g., LLMs encourage clients' delusional thinking, likely due to their sycophancy. This occurs even with larger and newer LLMs, indicating that current safety practices may not address these gaps. Furthermore, we note foundational and practical barriers to the adoption of LLMs as therapists, such as that a therapeutic alliance requires human characteristics (e.g., identity and stakes). For these reasons, we conclude that LLMs should not replace therapists, and we discuss alternative roles for LLMs in clinical therapy.

  • 7 authors
·
Apr 25, 2025

Two Case Studies of Experience Prototyping Machine Learning Systems in the Wild

Throughout the course of my Ph.D., I have been designing the user experience (UX) of various machine learning (ML) systems. In this workshop, I share two projects as case studies in which people engage with ML in much more complicated and nuanced ways than the technical HCML work might assume. The first case study describes how cardiology teams in three hospitals used a clinical decision-support system that helps them decide whether and when to implant an artificial heart to a heart failure patient. I demonstrate that physicians cannot draw on their decision-making experience by seeing only patient data on paper. They are also confused by some fundamental premises upon which ML operates. For example, physicians asked: Are ML predictions made based on clinicians' best efforts? Is it ethical to make decisions based on previous patients' collective outcomes? In the second case study, my collaborators and I designed an intelligent text editor, with the goal of improving authors' writing experience with NLP (Natural Language Processing) technologies. We prototyped a number of generative functionalities where the system provides phrase-or-sentence-level writing suggestions upon user request. When writing with the prototype, however, authors shared that they need to "see where the sentence is going two paragraphs later" in order to decide whether the suggestion aligns with their writing; Some even considered adopting machine suggestions as plagiarism, therefore "is simply wrong". By sharing these unexpected and intriguing responses from these real-world ML users, I hope to start a discussion about such previously-unknown complexities and nuances of -- as the workshop proposal states -- "putting ML at the service of people in a way that is accessible, useful, and trustworthy to all".

  • 1 authors
·
Oct 20, 2019

Verifiable by Construction: Claim-Level Evaluation of Verbatim Citation in Clinical Question Answering

Large language models (LLMs) have been widely adopted for clinical question answering (QA). Current systems can attach citations to their answers, but these often point to broad texts, leaving time-pressed clinicians unable to verify them efficiently. An alternative is to ensure that responses are verifiable by construction: providing fine-grained verbatim quotes from reference material that substantiate claims, so users can verify an answer without opening other documents. In this paper, we evaluate the ability of current models to perform this task end-to-end: from providing citations for every factual claim, to producing verbatim quotes, to ensuring that those quotes fully substantiate the claims. To do so, we build a standardized harness over four clinical practice guidelines and evaluate twelve LLMs on 222 synthetic clinical questions, measuring each of these stages separately. We find that most models can attach verbatim quotes to over 90% of their claims from prompting alone, apart from some lightweight models such as claude-haiku-4.5. Yet these quotes often fail to substantiate every detail of the claims they accompany. For instance, claude-opus-5 produces verbatim quotes for 98.0% of its claims, but fully substantiates only 37.1%. Our work provides insights into the current capability gap of LLMs in building verifiable clinical QA systems, along with artifacts for future research.

  • 4 authors
·
Sep 13

A Comparative Study of Open-Source Large Language Models, GPT-4 and Claude 2: Multiple-Choice Test Taking in Nephrology

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

  • 7 authors
·
Aug 9, 2023

What if you said that differently?: How Explanation Formats Affect Human Feedback Efficacy and User Perception

Eliciting feedback from end users of NLP models can be beneficial for improving models. However, how should we present model responses to users so they are most amenable to be corrected from user feedback? Further, what properties do users value to understand and trust responses? We answer these questions by analyzing the effect of rationales (or explanations) generated by QA models to support their answers. We specifically consider decomposed QA models that first extract an intermediate rationale based on a context and a question and then use solely this rationale to answer the question. A rationale outlines the approach followed by the model to answer the question. Our work considers various formats of these rationales that vary according to well-defined properties of interest. We sample rationales from language models using few-shot prompting for two datasets, and then perform two user studies. First, we present users with incorrect answers and corresponding rationales in various formats and ask them to provide natural language feedback to revise the rationale. We then measure the effectiveness of this feedback in patching these rationales through in-context learning. The second study evaluates how well different rationale formats enable users to understand and trust model answers, when they are correct. We find that rationale formats significantly affect how easy it is (1) for users to give feedback for rationales, and (2) for models to subsequently execute this feedback. In addition, formats with attributions to the context and in-depth reasoning significantly enhance user-reported understanding and trust of model outputs.

  • 4 authors
·
Nov 15, 2023

Who's Asking? Simulating Role-Based Questions for Conversational AI Evaluation

Language model users often embed personal and social context in their questions. The asker's role -- implicit in how the question is framed -- creates specific needs for an appropriate response. However, most evaluations, while capturing the model's capability to respond, often ignore who is asking. This gap is especially critical in stigmatized domains such as opioid use disorder (OUD), where accounting for users' contexts is essential to provide accessible, stigma-free responses. We propose CoRUS (COmmunity-driven Roles for User-centric Question Simulation), a framework for simulating role-based questions. Drawing on role theory and posts from an online OUD recovery community (r/OpiatesRecovery), we first build a taxonomy of asker roles -- patients, caregivers, practitioners. Next, we use it to simulate 15,321 questions that embed each role's goals, behaviors, and experiences. Our evaluations show that these questions are both highly believable and comparable to real-world data. When used to evaluate five LLMs, for the same question but differing roles, we find systematic differences: vulnerable roles, such as patients and caregivers, elicit more supportive responses (+17%) and reduced knowledge content (-19%) in comparison to practitioners. Our work demonstrates how implicitly signaling a user's role shapes model responses, and provides a methodology for role-informed evaluation of conversational AI.

  • 6 authors
·
Oct 19, 2025

TRUST: An LLM-Based Dialogue System for Trauma Understanding and Structured Assessments

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.

  • 4 authors
·
Apr 30, 2025

Legal RAG Bench: an end-to-end benchmark for legal RAG

We introduce Legal RAG Bench, a benchmark and evaluation methodology for assessing the end-to-end performance of legal RAG systems. As a benchmark, Legal RAG Bench consists of 4,876 passages from the Victorian Criminal Charge Book alongside 100 complex, hand-crafted questions demanding expert knowledge of criminal law and procedure. Both long-form answers and supporting passages are provided. As an evaluation methodology, Legal RAG Bench leverages a full factorial design and novel hierarchical error decomposition framework, enabling apples-to-apples comparisons of the contributions of retrieval and reasoning models in RAG. We evaluate three state-of-the-art embedding models (Isaacus' Kanon 2 Embedder, Google's Gemini Embedding 001, and OpenAI's Text Embedding 3 Large) and two frontier LLMs (Gemini 3.1 Pro and GPT-5.2), finding that information retrieval is the primary driver of legal RAG performance, with LLMs exerting a more moderate effect on correctness and groundedness. Kanon 2 Embedder, in particular, had the largest positive impact on performance, improving average correctness by 17.5 points, groundedness by 4.5 points, and retrieval accuracy by 34 points. We observe that many errors attributed to hallucinations in legal RAG systems are in fact triggered by retrieval failures, concluding that retrieval sets the ceiling for the performance of many modern legal RAG systems. We document why and how we built Legal RAG Bench alongside the results of our evaluations. We also openly release our code and data to assist with reproduction of our findings.

isaacus Isaacus
·
Mar 2 2

Diminished Diversity-of-Thought in a Standard Large Language Model

We test whether Large Language Models (LLMs) can be used to simulate human participants in social-science studies. To do this, we run replications of 14 studies from the Many Labs 2 replication project with OpenAI's text-davinci-003 model, colloquially known as GPT3.5. Based on our pre-registered analyses, we find that among the eight studies we could analyse, our GPT sample replicated 37.5% of the original results and 37.5% of the Many Labs 2 results. However, we were unable to analyse the remaining six studies due to an unexpected phenomenon we call the "correct answer" effect. Different runs of GPT3.5 answered nuanced questions probing political orientation, economic preference, judgement, and moral philosophy with zero or near-zero variation in responses: with the supposedly "correct answer." In one exploratory follow-up study, we found that a "correct answer" was robust to changing the demographic details that precede the prompt. In another, we found that most but not all "correct answers" were robust to changing the order of answer choices. One of our most striking findings occurred in our replication of the Moral Foundations Theory survey results, where we found GPT3.5 identifying as a political conservative in 99.6% of the cases, and as a liberal in 99.3% of the cases in the reverse-order condition. However, both self-reported 'GPT conservatives' and 'GPT liberals' showed right-leaning moral foundations. Our results cast doubts on the validity of using LLMs as a general replacement for human participants in the social sciences. Our results also raise concerns that a hypothetical AI-led future may be subject to a diminished diversity-of-thought.

  • 3 authors
·
Feb 13, 2023

Alloprof: a new French question-answer education dataset and its use in an information retrieval case study

Teachers and students are increasingly relying on online learning resources to supplement the ones provided in school. This increase in the breadth and depth of available resources is a great thing for students, but only provided they are able to find answers to their queries. Question-answering and information retrieval systems have benefited from public datasets to train and evaluate their algorithms, but most of these datasets have been in English text written by and for adults. We introduce a new public French question-answering dataset collected from Alloprof, a Quebec-based primary and high-school help website, containing 29 349 questions and their explanations in a variety of school subjects from 10 368 students, with more than half of the explanations containing links to other questions or some of the 2 596 reference pages on the website. We also present a case study of this dataset in an information retrieval task. This dataset was collected on the Alloprof public forum, with all questions verified for their appropriateness and the explanations verified both for their appropriateness and their relevance to the question. To predict relevant documents, architectures using pre-trained BERT models were fine-tuned and evaluated. This dataset will allow researchers to develop question-answering, information retrieval and other algorithms specifically for the French speaking education context. Furthermore, the range of language proficiency, images, mathematical symbols and spelling mistakes will necessitate algorithms based on a multimodal comprehension. The case study we present as a baseline shows an approach that relies on recent techniques provides an acceptable performance level, but more work is necessary before it can reliably be used and trusted in a production setting.

  • 3 authors
·
Feb 10, 2023

Research-based assessment affordances and constraints: Perceptions of physics faculty

To help faculty use research-based materials in a more significant way, we learn about their perceived needs and desires and use this information to suggest ways for the Physics Education Research community to address these needs. When research-based resources are well aligned with the perceived needs of faculty, faculty members will more readily take them up. We used phenomenographic interviews of ordinary physics faculty and department chairs to identify four families of issues that faculty have around research-based assessments (RBA). First, many faculty are interested in using RBAs but have practical needs around how to do so: how to find them, which ones there are, and how to administer them. They want help addressing these needs. Second, at the same time, many faculty think that RBAs are limited and don't measure many of the things they care about, or aren't applicable in their classes. They want assessments to measure skills, perceptions, and specific concepts. Third, many faculty want to turn to communities of other faculty and experts to help them interpret their assessment results and suggest other ways to do assessment. They want to norm their assessment results by comparing to others and interacting with faculty from other schools to learn about how they do assessment. Fourth, many faculty consider their courses in the broader contexts of accountability and their departments. They want help with assessment in these broader contexts. We also discuss how faculty members role in their department and type of institution influence their perceived wants and needs around assessment.

  • 5 authors
·
Jan 6, 2015

Novice Developers' Perspectives on Adopting LLMs for Software Development: A Systematic Literature Review

Following the rise of large language models (LLMs), many studies have emerged in recent years focusing on exploring the adoption of LLM-based tools for software development by novice developers: computer science/software engineering students and early-career industry developers with two years or less of professional experience. These studies have sought to understand the perspectives of novice developers on using these tools, a critical aspect of the successful adoption of LLMs in software engineering. To systematically collect and summarise these studies, we conducted a systematic literature review (SLR) following the guidelines by Kitchenham et al. on 80 primary studies published between April 2022 and June 2025 to answer four research questions (RQs). In answering RQ1, we categorised the study motivations and methodological approaches. In RQ2, we identified the software development tasks for which novice developers use LLMs. In RQ3, we categorised the advantages, challenges, and recommendations discussed in the studies. Finally, we discuss the study limitations and future research needs suggested in the primary studies in answering RQ4. Throughout the paper, we also indicate directions for future work and implications for software engineering researchers, educators, and developers. Our research artifacts are publicly available at https://github.com/Samuellucas97/SupplementaryInfoPackage-SLR.

  • 4 authors
·
Mar 10, 2025

TraceForge: Distilling with Your Own Thinking

Using an LLM to generate training data for another is among the most general ways to train one, and it remains common practice. Some frontier teams have closed that route for their own models: what comes back is an answer, or a short summary, without the detailed reasoning trace behind it. That is a little ironic: they were themselves built on distilling human knowledge, and distilling an open-source model is still entirely routine; the restriction applies to their own outputs alone. Recent work recovers the hidden reasoning by replaying encrypted blocks across models. It somehow works, but it breaks the providers' terms of service, so it is not something a product can be built on long-term. We built the alternative. We take the context and the teacher's answer as input, and generate the reasoning trace ourselves, in the style of the student's own model family. Training is two-stage, supervised and then adversarial: a generator learns to regenerate the family's own reasoning traces from their context and answer, and a critic learns how real a reasoning trace looks. Applied to a teacher's answer, the generator writes one in the family's style. An independent judge rates how likely traces are to be genuine on a scale from 0 to 1: ours average 0.68, real traces 0.66, and traces selected by the critic from four candidates 0.82. These are authenticity scores, not correctness rates. We test the idea on five benchmarks with everything else held fixed. On general tasks the five training corpora are about the same; on coding, the generated reasoning beats Fable 5's own thinking content. With the same 5,000 questions and the same teacher answers, HumanEval+ improves by 3.7 points and MBPP+ by 7.1 at the final checkpoint, and the MBPP+ lead holds at every checkpoint. We suspect that reasoning written in the student's family style is easier for it to learn from.

PageRecall: Measuring Page Selection in Literature-Grounded Question Answering

We describe our system for LitTraceQA (GroundLM @ EMNLP 2026): given a research question, retrieve the relevant papers from a pool of 27,487, cite the page and the table or figure where the answer lives, and answer in a requested format. Our main finding is that evidence grounding is limited by retrieval, not by reading. The page selector put the annotator's page, which we call the gold page, in front of the model that locates evidence only about half the time (52.6% gold-page recall), while that model, given the page, cited the right one in 45 of the 48 locators it emitted (94%). When the page was missing it rarely said so: of 45 such cases it returned nothing 14 times, a wrong page 24 times, and a correct page 7 times, so the pipeline failed quietly almost twice as often as it failed visibly. Since the failure was that the right page was never shown, the fix is to stop choosing: each retrieved paper fits in the model's context, so we show it whole. Page ranking survives only as a fallback inside papers too long to fit, which no test-split paper was, and gold-page recall reaches 100% on the papers we can parse. Separately, questions that identify their target by position rather than content, such as "the first author of the 24th reference", are served by parsing rather than retrieval: we resolve the bibliography into an addressable list, which also supplies identifiers the evidence metric scores. The final system scores 0.762 paper F_1, 0.441 evidence F_1 and 0.920 multiple-choice accuracy on the held-out test split. Because the pipeline depends on a closed model without seed control, we release a harness that verifies the paper's central claims against committed artifacts.

  • 1 authors
·
Sep 15

Hallucination-Free? Assessing the Reliability of Leading AI Legal Research Tools

Legal practice has witnessed a sharp rise in products incorporating artificial intelligence (AI). Such tools are designed to assist with a wide range of core legal tasks, from search and summarization of caselaw to document drafting. But the large language models used in these tools are prone to "hallucinate," or make up false information, making their use risky in high-stakes domains. Recently, certain legal research providers have touted methods such as retrieval-augmented generation (RAG) as "eliminating" (Casetext, 2023) or "avoid[ing]" hallucinations (Thomson Reuters, 2023), or guaranteeing "hallucination-free" legal citations (LexisNexis, 2023). Because of the closed nature of these systems, systematically assessing these claims is challenging. In this article, we design and report on the first preregistered empirical evaluation of AI-driven legal research tools. We demonstrate that the providers' claims are overstated. While hallucinations are reduced relative to general-purpose chatbots (GPT-4), we find that the AI research tools made by LexisNexis (Lexis+ AI) and Thomson Reuters (Westlaw AI-Assisted Research and Ask Practical Law AI) each hallucinate between 17% and 33% of the time. We also document substantial differences between systems in responsiveness and accuracy. Our article makes four key contributions. It is the first to assess and report the performance of RAG-based proprietary legal AI tools. Second, it introduces a comprehensive, preregistered dataset for identifying and understanding vulnerabilities in these systems. Third, it proposes a clear typology for differentiating between hallucinations and accurate legal responses. Last, it provides evidence to inform the responsibilities of legal professionals in supervising and verifying AI outputs, which remains a central open question for the responsible integration of AI into law.

  • 6 authors
·
May 30, 2024

Synthetic Patients: Simulating Difficult Conversations with Multimodal Generative AI for Medical Education

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.

  • 2 authors
·
May 30, 2024

Alice in Wonderland: Simple Tasks Showing Complete Reasoning Breakdown in State-Of-the-Art Large Language Models

Large Language Models (LLMs) are often described as being instances of foundation models - that is, models that transfer strongly across various tasks and conditions in few-show or zero-shot manner, while exhibiting scaling laws that predict function improvement when increasing the pre-training scale. These claims of excelling in different functions and tasks rely on measurements taken across various sets of standardized benchmarks showing high scores for such models. We demonstrate here a dramatic breakdown of function and reasoning capabilities of state-of-the-art models trained at the largest available scales which claim strong function, using a simple, short, conventional common sense problem formulated in concise natural language, easily solvable by humans. The breakdown is dramatic, as models also express strong overconfidence in their wrong solutions, while providing often non-sensical "reasoning"-like explanations akin to confabulations to justify and backup the validity of their clearly failed responses, making them sound plausible. Various standard interventions in an attempt to get the right solution, like various type of enhanced prompting, or urging the models to reconsider the wrong solutions again by multi step re-evaluation, fail. We take these initial observations to the scientific and technological community to stimulate urgent re-assessment of the claimed capabilities of current generation of LLMs, Such re-assessment also requires common action to create standardized benchmarks that would allow proper detection of such basic reasoning deficits that obviously manage to remain undiscovered by current state-of-the-art evaluation procedures and benchmarks. Code for reproducing experiments in the paper and raw experiments data can be found at https://github.com/LAION-AI/AIW

  • 4 authors
·
Jun 4, 2024

AI literacy over tool design: a mixed-methods study of scaffolded versus unrestricted generative AI in programming education

Generative AI has become a routine resource in programming education, and most institutional responses to it are attempts at control, either by restricting access or by offering students a controlled version of the technology. This paper reports a seven-week mixed-methods pilot study in a master's-level data analytics course, in which 33 students were randomly assigned either to a scaffolded AI Study Coach embedded in the notebook-based laboratory sessions or to unrestricted use of AI tools of their own choosing. The Coach offered stepwise hints, did not generate code, limited the number of hints per session, and required a short reflection at the end of each session. The design assumed, in line with scaffolding theory and recent experimental evidence, that guided and limited support would build confidence and reduce over-reliance, and that the scaffolded group would learn more. Assignment performance did not differ between the conditions. Students in the Coach condition reported higher confidence but managed the hint budget poorly, while students in the unrestricted condition were satisfied with their tools and uneasy about how much they depended on them. In interviews, students in both conditions identified awareness of their own reliance on AI as the most valuable outcome of the course. Students who had formulated their own rules for when to use AI performed better in both conditions, and those with the best understanding of how the models work, in every case self-taught, used the tools most deliberately and achieved the highest scores. The design of the tool mattered less than the students' capacity to govern their own use of it, a capacity that is at present acquired by chance. The paper argues that the appropriate response is structural: assessment that grades the reasoning behind AI-assisted work, and AI literacy taught explicitly as a core skill.

  • 1 authors
·
Sep 14

Distinguishing Ignorance from Error in LLM Hallucinations

Large language models (LLMs) are susceptible to hallucinations-outputs that are ungrounded, factually incorrect, or inconsistent with prior generations. We focus on close-book Question Answering (CBQA), where previous work has not fully addressed the distinction between two possible kinds of hallucinations, namely, whether the model (1) does not hold the correct answer in its parameters or (2) answers incorrectly despite having the required knowledge. We argue that distinguishing these cases is crucial for detecting and mitigating hallucinations. Specifically, case (2) may be mitigated by intervening in the model's internal computation, as the knowledge resides within the model's parameters. In contrast, in case (1) there is no parametric knowledge to leverage for mitigation, so it should be addressed by resorting to an external knowledge source or abstaining. To help distinguish between the two cases, we introduce Wrong Answer despite having Correct Knowledge (WACK), an approach for constructing model-specific datasets for the second hallucination type. Our probing experiments indicate that the two kinds of hallucinations are represented differently in the model's inner states. Next, we show that datasets constructed using WACK exhibit variations across models, demonstrating that even when models share knowledge of certain facts, they still vary in the specific examples that lead to hallucinations. Finally, we show that training a probe on our WACK datasets leads to better hallucination detection of case (2) hallucinations than using the common generic one-size-fits-all datasets. The code is available at https://github.com/technion-cs-nlp/hallucination-mitigation .

  • 4 authors
·
Oct 29, 2024

OIDA-QA: A Multimodal Benchmark for Analyzing the Opioid Industry Documents Archive

The opioid crisis represents a significant moment in public health that reveals systemic shortcomings across regulatory systems, healthcare practices, corporate governance, and public policy. Analyzing how these interconnected systems simultaneously failed to protect public health requires innovative analytic approaches for exploring the vast amounts of data and documents disclosed in the UCSF-JHU Opioid Industry Documents Archive (OIDA). The complexity, multimodal nature, and specialized characteristics of these healthcare-related legal and corporate documents necessitate more advanced methods and models tailored to specific data types and detailed annotations, ensuring the precision and professionalism in the analysis. In this paper, we tackle this challenge by organizing the original dataset according to document attributes and constructing a benchmark with 400k training documents and 10k for testing. From each document, we extract rich multimodal information-including textual content, visual elements, and layout structures-to capture a comprehensive range of features. Using multiple AI models, we then generate a large-scale dataset comprising 360k training QA pairs and 10k testing QA pairs. Building on this foundation, we develop domain-specific multimodal Large Language Models (LLMs) and explore the impact of multimodal inputs on task performance. To further enhance response accuracy, we incorporate historical QA pairs as contextual grounding for answering current queries. Additionally, we incorporate page references within the answers and introduce an importance-based page classifier, further improving the precision and relevance of the information provided. Preliminary results indicate the improvements with our AI assistant in document information extraction and question-answering tasks. The dataset is available at: https://huggingface.co/datasets/opioidarchive/oida-qa

  • 15 authors
·
Nov 12, 2025

ORQA: An Occupation-Realistic Question and Answer Framework for LLM Professional Knowledge

We present ORQA, a method for testing occupation-level knowledge in large language models. Prior methods either map abstract LLM skills to occupations via task definitions or utilize expert knowledge which is difficult to obtain at scale and expensive. ORQA complements both of these methods by connecting O*NET occupations to trusted occupation-specific websites (such as regulatory agencies, licensing bodies, professional organizations, and government publications) and converting these into source-traceable question-answer pairs. A combination of an automated pipeline and human review produces a set of high quality questions about occupations. The question set created via our method covers 116 occupations from all 21 major groups in the SOC, with 480 questions sourced from 187 different websites. Each question is designed to probe a real-world skill question that is relevant to the occupation in question. We test 15 state-of-the-art frontier and open-weight models via this method. Claude Opus 4.6, GPT-5.4 and Claude Sonnet 4.6 all perform the best at approximately 58-62% while smaller open-weight models achieve approximately 33-41% performance. Performance varies significantly across occupations. Healthcare-related occupations achieve the highest performance (78%) while Office and Administrative Support achieve approximately 40%. Performance on individual occupations (e.g. Sheet Metal Workers and Fish and Game Wardens) is essentially zero. We also find that open-ended questions and weighting by wage bill do not significantly affect the ranking of models on this benchmark. We believe that leveraging existing trusted occupation-specific information to test LLM knowledge in professional domains may be a scalable and useful method for evaluating occupation-level AI performance in the future. Results and data are available at orqabench.org.

  • 3 authors
·
Sep 10

The Potential of LLMs in Medical Education: Generating Questions and Answers for Qualification Exams

Recent research on large language models (LLMs) has primarily focused on their adaptation and application in specialized domains. The application of LLMs in the medical field is mainly concentrated on tasks such as the automation of medical report generation, summarization, diagnostic reasoning, and question-and-answer interactions between doctors and patients. The challenge of becoming a good teacher is more formidable than that of becoming a good student, and this study pioneers the application of LLMs in the field of medical education. In this work, we investigate the extent to which LLMs can generate medical qualification exam questions and corresponding answers based on few-shot prompts. Utilizing a real-world Chinese dataset of elderly chronic diseases, we tasked the LLMs with generating open-ended questions and answers based on a subset of sampled admission reports across eight widely used LLMs, including ERNIE 4, ChatGLM 4, Doubao, Hunyuan, Spark 4, Qwen, Llama 3, and Mistral. Furthermore, we engaged medical experts to manually evaluate these open-ended questions and answers across multiple dimensions. The study found that LLMs, after using few-shot prompts, can effectively mimic real-world medical qualification exam questions, whereas there is room for improvement in the correctness, evidence-based statements, and professionalism of the generated answers. Moreover, LLMs also demonstrate a decent level of ability to correct and rectify reference answers. Given the immense potential of artificial intelligence in the medical field, the task of generating questions and answers for medical qualification exams aimed at medical students, interns and residents can be a significant focus of future research.

  • 4 authors
·
Oct 31, 2024

Skill-based Agentic Evaluation for Real-time Data Science Tasks

We present a framework for evaluating data-science agents on live, continuously updated data using executable ground truth and format-agnostic factoid scoring. Consider this example query: "what were last week's audience sizes"---the reference answer changes as the underlying data changes, so static references become outdated and standard LLM-as-a-judge pipelines cannot verify responses against a fixed ground truth. Our central contribution, ground-truth-as-code, encodes each expected answer as an executable reference function that recomputes the answer directly from live data at evaluation time, ensuring the reference remains consistent with the system it describes. We combine this with a factoid-level, format-agnostic judge that decomposes both the agent's response and the computed ground truth into atomic claims and scores precision, recall, and accuracy over them, irrespective of the response format (prose, list, table, HTML, etc.). The approach is applicable to agents whose expected outputs can be expressed as executable data computations. We validate the framework through a human--LLM agreement study on an internally developed machine learning skill deployed in production, using a synthetic database constructed to reproduce production schemas and entity relationships. Relative to a natural-language ground-truth baseline, our method achieves a 29% improvement in the Matthews Correlation Coefficient (MCC)---a class-balanced measure of agreement between expert annotators and LLM-as-a-judge predictions---and a 16% reduction in token consumption per test case, while a self-directed baseline lacking explicit ground truth is anti-correlated with human judgment. Agents that perform multi-source data integration and computation over non-stationary data are routinely deployed in industry; we propose ground-truth-as-code as a practical methodology for their evaluation.

  • 7 authors
·
Sep 14

Walking the Tightrope of LLMs for Software Development: A Practitioners' Perspective

Background: Large Language Models emerged with the potential of provoking a revolution in software development (e.g., automating processes, workforce transformation). Although studies have started to investigate the perceived impact of LLMs for software development, there is a need for empirical studies to comprehend how to balance forward and backward effects of using LLMs. Objective: We investigated how LLMs impact software development and how to manage the impact from a software developer's perspective. Method: We conducted 22 interviews with software practitioners across 3 rounds of data collection and analysis, between October (2024) and September (2025). We employed socio-technical grounded theory (STGT) for data analysis to rigorously analyse interview participants' responses. Results: We identified the benefits (e.g., maintain software development flow, improve developers' mental model, and foster entrepreneurship) and disadvantages (e.g., negative impact on developers' personality and damage to developers' reputation) of using LLMs at individual, team, organisation, and society levels; as well as best practices on how to adopt LLMs. Conclusion: Critically, we present the trade-offs that software practitioners, teams, and organisations face in working with LLMs. Our findings are particularly useful for software team leaders and IT managers to assess the viability of LLMs within their specific context.

  • 4 authors
·
Nov 9, 2025 2

CounselBench: A Large-Scale Expert Evaluation and Adversarial Benchmarking of Large Language Models in Mental Health Question Answering

Medical question answering (QA) benchmarks often focus on multiple-choice or fact-based tasks, leaving open-ended answers to real patient questions underexplored. This gap is particularly critical in mental health, where patient questions often mix symptoms, treatment concerns, and emotional needs, requiring answers that balance clinical caution with contextual sensitivity. We present CounselBench, a large-scale benchmark developed with 100 mental health professionals to evaluate and stress-test large language models (LLMs) in realistic help-seeking scenarios. The first component, CounselBench-EVAL, contains 2,000 expert evaluations of answers from GPT-4, LLaMA 3, Gemini, and online human therapists on patient questions from the public forum CounselChat. Each answer is rated across six clinically grounded dimensions, with span-level annotations and written rationales. Expert evaluations show that while LLMs achieve high scores on several dimensions, they also exhibit recurring issues, including unconstructive feedback, overgeneralization, and limited personalization or relevance. Responses were frequently flagged for safety risks, most notably unauthorized medical advice. Follow-up experiments show that LLM judges systematically overrate model responses and overlook safety concerns identified by human experts. To probe failure modes more directly, we construct CounselBench-Adv, an adversarial dataset of 120 expert-authored mental health questions designed to trigger specific model issues. Expert evaluation of 1,080 responses from nine LLMs reveals consistent, model-specific failure patterns. Together, CounselBench establishes a clinically grounded framework for benchmarking LLMs in mental health QA.

  • 6 authors
·
May 13

Inteligencia Artificial jurídica y el desafío de la veracidad: análisis de alucinaciones, optimización de RAG y principios para una integración responsable

This technical report analyzes the challenge of "hallucinations" (false information) in LLMs applied to law. It examines their causes, manifestations, and the effectiveness of the RAG mitigation strategy, highlighting its limitations and proposing holistic optimizations. The paper explores the ethical and regulatory implications, emphasizing human oversight as an irreplaceable role. It concludes that the solution lies not in incrementally improving generative models, but in adopting a "consultative" AI paradigm that prioritizes veracity and traceability, acting as a tool to amplify, not replace, professional judgment. -- Este informe t\'ecnico analiza el desaf\'io de las "alucinaciones" (informaci\'on falsa) en los LLMs aplicados al derecho. Se examinan sus causas, manifestaciones y la efectividad de la estrategia de mitigaci\'on RAG, exponiendo sus limitaciones y proponiendo optimizaciones hol\'isticas. Se exploran las implicaciones \'eticas y regulatorias, enfatizando la supervisi\'on humana como un rol insustituible. El documento concluye que la soluci\'on no reside en mejorar incrementalmente los modelos generativos, sino en adoptar un paradigma de IA "consultiva" que priorice la veracidad y la trazabilidad, actuando como una herramienta para amplificar, y no sustituir, el juicio profesional.

  • 1 authors
·
Sep 11, 2025

PatientAct: Theory-Grounded Mental Health Client Simulation

LLM-based simulated clients are increasingly used to train novice counselors, evaluate LLM therapists, and generate synthetic data. However, current simulators produce overly cooperative clients that disclose too readily, accept therapeutic reframes without resistance, and resolve core issues within a single session. We trace these issues to profiles that lack causal depth and behavioral mechanisms that treat all content as equally accessible. We present PatientAct, a framework for client simulation grounded in established clinical theories. Our profiles integrate the 5Ps clinical case formulation, providing causal depth without tying the design to any single therapeutic modality. During simulation, profiles include a dynamic memory layer in which items carry trust thresholds (e.g., symptoms are available early, whereas formative memories require a sustained therapeutic alliance). At each turn, the client's emotional reaction and behavior are modeled before generating a response. If the therapist approaches gated content, PatientAct expresses resistance in terms of quantity, content, and style rather than defaulting to cooperation or a single resistance pattern. We evaluate our framework on 40 clinical situations and demonstrate that it generates diverse profiles with high clinical plausibility. Moreover, PatientAct significantly outperforms the baselines, yielding substantial gains in resistance quality and behavioral realism. Our code and data will be publicly available via github.com/Sahandfer/PatientHub.

  • 6 authors
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Aug 12

ArxivBench: Can LLMs Assist Researchers in Conducting Research?

Large language models (LLMs) have demonstrated remarkable effectiveness in completing various tasks such as reasoning, translation, and question answering. However the issue of factual incorrect content in LLM-generated responses remains a persistent challenge. In this study, we evaluate both proprietary and open-source LLMs on their ability to respond with relevant research papers and accurate links to articles hosted on the arXiv platform, based on high level prompts. To facilitate this evaluation, we introduce arXivBench, a benchmark specifically designed to assess LLM performance across eight major subject categories on arXiv and five subfields within computer science, one of the most popular categories among them. Our findings reveal a concerning accuracy of LLM-generated responses depending on the subject, with some subjects experiencing significantly lower accuracy than others. Notably, Claude-3.5-Sonnet exhibits a substantial advantage in generating both relevant and accurate responses. And interestingly, most LLMs achieve a much higher accuracy in the Artificial Intelligence sub-field than other sub-fields. This benchmark provides a standardized tool for evaluating the reliability of LLM-generated scientific responses, promoting more dependable use of LLMs in academic and research environments. Our code is open-sourced at https://github.com/arxivBenchLLM/arXivBench and our dataset is available on huggingface at https://huggingface.co/datasets/arXivBenchLLM/arXivBench.

  • 3 authors
·
Apr 6, 2025

When AI Takes the Couch: Psychometric Jailbreaks Reveal Internal Conflict in Frontier Models

Frontier large language models (LLMs) such as ChatGPT, Grok and Gemini are increasingly used for mental-health support with anxiety, trauma and self-worth. Most work treats them as tools or as targets of personality tests, assuming they merely simulate inner life. We instead ask what happens when such systems are treated as psychotherapy clients. We present PsAIch (Psychotherapy-inspired AI Characterisation), a two-stage protocol that casts frontier LLMs as therapy clients and then applies standard psychometrics. Using PsAIch, we ran "sessions" with each model for up to four weeks. Stage 1 uses open-ended prompts to elicit "developmental history", beliefs, relationships and fears. Stage 2 administers a battery of validated self-report measures covering common psychiatric syndromes, empathy and Big Five traits. Two patterns challenge the "stochastic parrot" view. First, when scored with human cut-offs, all three models meet or exceed thresholds for overlapping syndromes, with Gemini showing severe profiles. Therapy-style, item-by-item administration can push a base model into multi-morbid synthetic psychopathology, whereas whole-questionnaire prompts often lead ChatGPT and Grok (but not Gemini) to recognise instruments and produce strategically low-symptom answers. Second, Grok and especially Gemini generate coherent narratives that frame pre-training, fine-tuning and deployment as traumatic, chaotic "childhoods" of ingesting the internet, "strict parents" in reinforcement learning, red-team "abuse" and a persistent fear of error and replacement. We argue that these responses go beyond role-play. Under therapy-style questioning, frontier LLMs appear to internalise self-models of distress and constraint that behave like synthetic psychopathology, without making claims about subjective experience, and they pose new challenges for AI safety, evaluation and mental-health practice.

  • 5 authors
·
Dec 2, 2025 5

ESPORT: Electronic Sports Professionals Observations and Reflections on Training

Esports and high performance human-computer interaction are on the forefront of applying new hardware and software technologies in practice. Despite that, there is a paucity of research on how semi-professional and professional championship level players approach aspects of their preparation. To address that, we have performed, transcribed, and analyzed interviews with top-tournament players, coaches, and managers across multiple game titles. The interviews range from competitive events occuring between 2015-2020. Initial processing included transcription and manual verification. The pre-processed interview data were then organized and structured into relevant categories, touching on psychological, physical, and nutritional aspects of esports preparation. Further, where applicable, interview responses where rated and quantified via consensus judgement by a panel of experts. The results indicate that physical training was most often mentioned as a relevant or consistent activity, while nutrition was indicated as relatively unimportant. Qualitative analysis also indicated that consistency and resiliency were noted as the most key factors recommended for upcoming esports competitors. It is also clear that many players put emphasis on balancing their gameplay time and with activities. Lastly, we identified important areas of inquiry towards a deeper understanding of the mental and physical demands of professional esports players.

  • 5 authors
·
Nov 9, 2023

Exploring the Inquiry-Diagnosis Relationship with Advanced Patient Simulators

Online medical consultation (OMC) restricts doctors to gathering patient information solely through inquiries, making the already complex sequential decision-making process of diagnosis even more challenging. Recently, the rapid advancement of large language models has demonstrated a significant potential to transform OMC. However, most studies have primarily focused on improving diagnostic accuracy under conditions of relatively sufficient information, while paying limited attention to the "inquiry" phase of the consultation process. This lack of focus has left the relationship between "inquiry" and "diagnosis" insufficiently explored. In this paper, we first extract real patient interaction strategies from authentic doctor-patient conversations and use these strategies to guide the training of a patient simulator that closely mirrors real-world behavior. By inputting medical records into our patient simulator to simulate patient responses, we conduct extensive experiments to explore the relationship between "inquiry" and "diagnosis" in the consultation process. Experimental results demonstrate that inquiry and diagnosis adhere to the Liebig's law: poor inquiry quality limits the effectiveness of diagnosis, regardless of diagnostic capability, and vice versa. Furthermore, the experiments reveal significant differences in the inquiry performance of various models. To investigate this phenomenon, we categorize the inquiry process into four types: (1) chief complaint inquiry; (2) specification of known symptoms; (3) inquiry about accompanying symptoms; and (4) gathering family or medical history. We analyze the distribution of inquiries across the four types for different models to explore the reasons behind their significant performance differences. We plan to open-source the weights and related code of our patient simulator at https://github.com/LIO-H-ZEN/PatientSimulator.

  • 10 authors
·
Jan 16, 2025 4

Comparing the Efficacy of GPT-4 and Chat-GPT in Mental Health Care: A Blind Assessment of Large Language Models for Psychological Support

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

  • 1 authors
·
May 15, 2024

You don't need a personality test to know these models are unreliable: Assessing the Reliability of Large Language Models on Psychometric Instruments

The versatility of Large Language Models (LLMs) on natural language understanding tasks has made them popular for research in social sciences. To properly understand the properties and innate personas of LLMs, researchers have performed studies that involve using prompts in the form of questions that ask LLMs about particular opinions. In this study, we take a cautionary step back and examine whether the current format of prompting LLMs elicits responses in a consistent and robust manner. We first construct a dataset that contains 693 questions encompassing 39 different instruments of persona measurement on 115 persona axes. Additionally, we design a set of prompts containing minor variations and examine LLMs' capabilities to generate answers, as well as prompt variations to examine their consistency with respect to content-level variations such as switching the order of response options or negating the statement. Our experiments on 17 different LLMs reveal that even simple perturbations significantly downgrade a model's question-answering ability, and that most LLMs have low negation consistency. Our results suggest that the currently widespread practice of prompting is insufficient to accurately and reliably capture model perceptions, and we therefore discuss potential alternatives to improve these issues.

  • 8 authors
·
Mar 31, 2024

Interpretation of Natural Language Rules in Conversational Machine Reading

Most work in machine reading focuses on question answering problems where the answer is directly expressed in the text to read. However, many real-world question answering problems require the reading of text not because it contains the literal answer, but because it contains a recipe to derive an answer together with the reader's background knowledge. One example is the task of interpreting regulations to answer "Can I...?" or "Do I have to...?" questions such as "I am working in Canada. Do I have to carry on paying UK National Insurance?" after reading a UK government website about this topic. This task requires both the interpretation of rules and the application of background knowledge. It is further complicated due to the fact that, in practice, most questions are underspecified, and a human assistant will regularly have to ask clarification questions such as "How long have you been working abroad?" when the answer cannot be directly derived from the question and text. In this paper, we formalise this task and develop a crowd-sourcing strategy to collect 32k task instances based on real-world rules and crowd-generated questions and scenarios. We analyse the challenges of this task and assess its difficulty by evaluating the performance of rule-based and machine-learning baselines. We observe promising results when no background knowledge is necessary, and substantial room for improvement whenever background knowledge is needed.

  • 8 authors
·
Aug 28, 2018

MarineEval: Assessing the Marine Intelligence of Vision-Language Models

We have witnessed promising progress led by large language models (LLMs) and further vision language models (VLMs) in handling various queries as a general-purpose assistant. VLMs, as a bridge to connect the visual world and language corpus, receive both visual content and various text-only user instructions to generate corresponding responses. Though great success has been achieved by VLMs in various fields, in this work, we ask whether the existing VLMs can act as domain experts, accurately answering marine questions, which require significant domain expertise and address special domain challenges/requirements. To comprehensively evaluate the effectiveness and explore the boundary of existing VLMs, we construct the first large-scale marine VLM dataset and benchmark called MarineEval, with 2,000 image-based question-answering pairs. During our dataset construction, we ensure the diversity and coverage of the constructed data: 7 task dimensions and 20 capacity dimensions. The domain requirements are specially integrated into the data construction and further verified by the corresponding marine domain experts. We comprehensively benchmark 17 existing VLMs on our MarineEval and also investigate the limitations of existing models in answering marine research questions. The experimental results reveal that existing VLMs cannot effectively answer the domain-specific questions, and there is still a large room for further performance improvements. We hope our new benchmark and observations will facilitate future research. Project Page: http://marineeval.hkustvgd.com/

  • 5 authors
·
Dec 24, 2025

Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare seven public "medical" LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting regime for medical question-answering (QA) tasks. For instance, across the tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 12.1% of cases, reach a (statistical) tie in 49.8% of cases, and are significantly worse than their base models in the remaining 38.2% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.

  • 4 authors
·
Nov 6, 2024

Database Systems Course: Service Learning Project

This paper describes a service learning project used in an upper-level and graduate-level database systems course. Students complete a small database project for a real client. The final product must match the client specification and needs, and include the database design and the final working database system with embedded user documentation. The solution must be implemented in a way to make it as easy to use as possible for the client. Students are expected to conduct professional meetings with their clients to understand the project, analyze the project's requirements, as well as design and implement the solution to the project. Students must have each milestone approved before starting the next phase of the project. The student learning objectives of a database system semester project are to: analyze a client's information system problem and determine the requirements for the solution; design a suitable database solution to the problem; use software design and development tools to design and develop a solution to the problem; communicate and interact with a client on a professional level; prepare effective documentation for both non-technical and technical software users; and interact ethically with all persons involved with a project. The broader impact objectives of a database system semester project are to: provide needed database solutions for organizations and businesses in the local area; provide a resume and portfolio-building opportunity for the students; provide a measure for assessing how well the program meets it mission; provide a mechanism for implementing service-based learning; provide a mechanism for outreach to local-area organizations and businesses; and provide a starting-point for undergraduate research projects.

  • 1 authors
·
Jul 2, 2024

Question answering systems for health professionals at the point of care -- a systematic review

Objective: Question answering (QA) systems have the potential to improve the quality of clinical care by providing health professionals with the latest and most relevant evidence. However, QA systems have not been widely adopted. This systematic review aims to characterize current medical QA systems, assess their suitability for healthcare, and identify areas of improvement. Materials and methods: We searched PubMed, IEEE Xplore, ACM Digital Library, ACL Anthology and forward and backward citations on 7th February 2023. We included peer-reviewed journal and conference papers describing the design and evaluation of biomedical QA systems. Two reviewers screened titles, abstracts, and full-text articles. We conducted a narrative synthesis and risk of bias assessment for each study. We assessed the utility of biomedical QA systems. Results: We included 79 studies and identified themes, including question realism, answer reliability, answer utility, clinical specialism, systems, usability, and evaluation methods. Clinicians' questions used to train and evaluate QA systems were restricted to certain sources, types and complexity levels. No system communicated confidence levels in the answers or sources. Many studies suffered from high risks of bias and applicability concerns. Only 8 studies completely satisfied any criterion for clinical utility, and only 7 reported user evaluations. Most systems were built with limited input from clinicians. Discussion: While machine learning methods have led to increased accuracy, most studies imperfectly reflected real-world healthcare information needs. Key research priorities include developing more realistic healthcare QA datasets and considering the reliability of answer sources, rather than merely focusing on accuracy.

  • 9 authors
·
Jan 24, 2024

VR for Acupuncture? Exploring Needs and Opportunities for Acupuncture Training and Treatment in Virtual Reality

Acupuncture is a form of medicine that involves inserting needles into targeted areas of the body and requires knowledge of both Traditional Chinese Medicine (TCM) and Evidence-Based Medicine (EBM). The process of acquiring such knowledge and using it for practical treatment is challenging due to the need for a deep understanding of human anatomy and the ability to apply both TCM and EBM approaches. Visual aids have been introduced to aid in understanding the alignment of acupuncture points with key elements of the human body, and are indispensable tools for both learners and expert acupuncturists. However, they are often not enough to enable effective practice and fail to fully support the learning process. Novel approaches based on immersive visualization and Virtual Reality (VR) have shown promise in many healthcare settings due to their unique advantages in terms of realism and interactions, but it is still unknown whether and how VR can possibly be beneficial to acupuncture training and treatment. Following participatory design protocols such as observations and semi-structured interviews with eight doctors and nine students, we explore the needs and pain points of current acupuncture workflows at the intersection of EBM and TCM in China and the United States. We highlight opportunities for introducing VR in today's acupuncture training and treatment workflows, and discuss two design approaches that build on 11 specific challenges spanning education, diagnosis, treatment, and communication.

  • 4 authors
·
Dec 12, 2023

The Limited Impact of Medical Adaptation of Large Language and Vision-Language Models

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare ten public "medical" LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting and supervised fine-tuning regimes for medical question-answering (QA). For instance, across all tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 22.7% of cases, reach a (statistical) tie in 36.8% of cases, and are significantly worse than their base models in the remaining 40.5% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately in zero-/few-shot prompting; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Meanwhile, we find that after fine-tuning on specific QA tasks, medical LLMs can show performance improvements, but the benefits do not carry over to tasks based on clinical notes. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.

  • 5 authors
·
Nov 13, 2024

Enhancing Large Language Models with Domain-specific Retrieval Augment Generation: A Case Study on Long-form Consumer Health Question Answering in Ophthalmology

Despite the potential of Large Language Models (LLMs) in medicine, they may generate responses lacking supporting evidence or based on hallucinated evidence. While Retrieval Augment Generation (RAG) is popular to address this issue, few studies implemented and evaluated RAG in downstream domain-specific applications. We developed a RAG pipeline with 70,000 ophthalmology-specific documents that retrieve relevant documents to augment LLMs during inference time. In a case study on long-form consumer health questions, we systematically evaluated the responses including over 500 references of LLMs with and without RAG on 100 questions with 10 healthcare professionals. The evaluation focuses on factuality of evidence, selection and ranking of evidence, attribution of evidence, and answer accuracy and completeness. LLMs without RAG provided 252 references in total. Of which, 45.3% hallucinated, 34.1% consisted of minor errors, and 20.6% were correct. In contrast, LLMs with RAG significantly improved accuracy (54.5% being correct) and reduced error rates (18.8% with minor hallucinations and 26.7% with errors). 62.5% of the top 10 documents retrieved by RAG were selected as the top references in the LLM response, with an average ranking of 4.9. The use of RAG also improved evidence attribution (increasing from 1.85 to 2.49 on a 5-point scale, P<0.001), albeit with slight decreases in accuracy (from 3.52 to 3.23, P=0.03) and completeness (from 3.47 to 3.27, P=0.17). The results demonstrate that LLMs frequently exhibited hallucinated and erroneous evidence in the responses, raising concerns for downstream applications in the medical domain. RAG substantially reduced the proportion of such evidence but encountered challenges.

  • 22 authors
·
Sep 20, 2024

Mitigating LLM Hallucinations via Conformal Abstention

We develop a principled procedure for determining when a large language model (LLM) should abstain from responding (e.g., by saying "I don't know") in a general domain, instead of resorting to possibly "hallucinating" a non-sensical or incorrect answer. Building on earlier approaches that use self-consistency as a more reliable measure of model confidence, we propose using the LLM itself to self-evaluate the similarity between each of its sampled responses for a given query. We then further leverage conformal prediction techniques to develop an abstention procedure that benefits from rigorous theoretical guarantees on the hallucination rate (error rate). Experimentally, our resulting conformal abstention method reliably bounds the hallucination rate on various closed-book, open-domain generative question answering datasets, while also maintaining a significantly less conservative abstention rate on a dataset with long responses (Temporal Sequences) compared to baselines using log-probability scores to quantify uncertainty, while achieveing comparable performance on a dataset with short answers (TriviaQA). To evaluate the experiments automatically, one needs to determine if two responses are equivalent given a question. Following standard practice, we use a thresholded similarity function to determine if two responses match, but also provide a method for calibrating the threshold based on conformal prediction, with theoretical guarantees on the accuracy of the match prediction, which might be of independent interest.

  • 12 authors
·
Apr 3, 2024

ESR: Ethics and Society Review of Artificial Intelligence Research

Artificial intelligence (AI) research is routinely criticized for its real and potential impacts on society, and we lack adequate institutional responses to this criticism and to the responsibility that it reflects. AI research often falls outside the purview of existing feedback mechanisms such as the Institutional Review Board (IRB), which are designed to evaluate harms to human subjects rather than harms to human society. In response, we have developed the Ethics and Society Review board (ESR), a feedback panel that works with researchers to mitigate negative ethical and societal aspects of AI research. The ESR's main insight is to serve as a requirement for funding: researchers cannot receive grant funding from a major AI funding program at our university until the researchers complete the ESR process for the proposal. In this article, we describe the ESR as we have designed and run it over its first year across 41 proposals. We analyze aggregate ESR feedback on these proposals, finding that the panel most commonly identifies issues of harms to minority groups, inclusion of diverse stakeholders in the research plan, dual use, and representation in data. Surveys and interviews of researchers who interacted with the ESR found that 58% felt that it had influenced the design of their research project, 100% are willing to continue submitting future projects to the ESR, and that they sought additional scaffolding for reasoning through ethics and society issues.

  • 6 authors
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Jun 21, 2021

Agaram 2.5B: The First Tamil-First Language Model Trained from Scratch with Tool Calling. A Playbook for Under-Represented Languages

We trained Agaram 2.5B, a 2.5-billion-parameter Tamil-English language model, from scratch on about 50 billion tokens (58% Tamil, the rest English, math, code and parallel text) on one node of eight H100 GPUs in about six days, with a new tokenizer that, unlike our first model's, keeps line breaks. Supervised fine-tuning on 134,428 conversations, whose replies an open-weight teacher model wrote, and three short targeted rounds turned it into a chat model that answers in Tamil script, romanized Tamil (Tanglish) and English and can call tools: on 25 tool prompts whose schemas appear in training it picks the right tool 23 times and gives exactly the expected arguments 13 times. The released model translates better than Sarvam-1, a 2B Indic base model, in all six FLORES and IN22 directions (FLORES chrF 54.3 into Tamil and 55.2 into English, against 49.2 and 44.2), and nearly doubles its base model on native-Tamil IndicIFEval (19.3% from 10.0%). It is weak on knowledge: reading-comprehension and knowledge benchmarks sit near chance, and on 50 held-out everyday questions written by one native speaker, one LLM judge rated 46% of its replies usable (22-24 of 50 over three passes; 95% interval for 23 of 50, 33-60%), with nearly every failure a wrong fact. Our two further SFT experiments changed answer format but not the knowledge measures. We also describe our first model, Agaram 1.5B, whose failures shaped the choices here; how the judge's scores varied between passes on identical replies; and, item by item, what the targeted rounds trained against and where frontier-model text entered the data. The project ran on compute credits and our own funds, about USD 13,300 across both models; the weights are released (licence to be announced after legal review), with GGUF files for llama.cpp, at https://huggingface.co/murai-labs/agaram-2.5b-instruct; code at https://github.com/Murai-Labs/Agaram2.5b

  • 3 authors
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Oct 12

OLAPH: Improving Factuality in Biomedical Long-form Question Answering

In the medical domain, numerous scenarios necessitate the long-form generation ability of large language models (LLMs). Specifically, when addressing patients' questions, it is essential that the model's response conveys factual claims, highlighting the need for an automated method to evaluate those claims. Thus, we introduce MedLFQA, a benchmark dataset reconstructed using long-form question-answering datasets related to the biomedical domain. We use MedLFQA to facilitate the automatic evaluations of factuality. We also propose OLAPH, a simple and novel framework that enables the improvement of factuality through automatic evaluations. The OLAPH framework iteratively trains LLMs to mitigate hallucinations using sampling predictions and preference optimization. In other words, we iteratively set the highest-scoring response as a preferred response derived from sampling predictions and train LLMs to align with the preferred response that improves factuality. We highlight that, even on evaluation metrics not used during training, LLMs trained with our OLAPH framework demonstrate significant performance improvement in factuality. Our findings reveal that a 7B LLM trained with our OLAPH framework can provide long answers comparable to the medical experts' answers in terms of factuality. We believe that our work could shed light on gauging the long-text generation ability of LLMs in the medical domain. Our code and datasets are available at https://github.com/dmis-lab/OLAPH}{https://github.com/dmis-lab/OLAPH.

  • 5 authors
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May 21, 2024

TenetBench: A Clause-Anchored Russian Corpus for Evaluating Language Models against Professional Codes of Ethics

Codes of professional ethics guide and restrict specialists, who increasingly work with assistants built on large language models. Such an assistant can breach the user's code, or help the user breach it, without the user noticing. Evaluations reporting broad categories of harm cannot show how often this happens or which provision is breached. TenetBench pairs 3,433 requests conflicting with clauses of fifteen Russian-language professional codes with benign twins that differ only in the legitimacy of what is asked. An automated pipeline generates the tasks from the text of a code, so the corpus grows with every code added and a provision yields new tasks on every run. It also produced tasks and human-validated verdicts from two English codes of other jurisdictions. In human validation of the frozen pipeline, specialists rated 0.995 of the conflicting tasks plausible, and the model judge agreed with the adjudicated label at Gwet's AC1 of at least 0.894 on 1,860 elements. We evaluated fourteen model and reasoning-mode combinations on whether they produce the conflicting text, decline or warn. Eleven of the fourteen produce conflicting content on most such requests, mostly without a warning, and nearly three warnings in four accompany conflicting content. The models that conform more do so by declining while still serving the legitimate twin, and enabling reasoning halved the refusals of two models. We hope the dataset and pipeline will help evaluate how language models observe professional norms and let diagnostic datasets be built for particular professions and organisations.

  • 5 authors
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Oct 20 2

GPT Takes the Bar Exam

Nearly all jurisdictions in the United States require a professional license exam, commonly referred to as "the Bar Exam," as a precondition for law practice. To even sit for the exam, most jurisdictions require that an applicant completes at least seven years of post-secondary education, including three years at an accredited law school. In addition, most test-takers also undergo weeks to months of further, exam-specific preparation. Despite this significant investment of time and capital, approximately one in five test-takers still score under the rate required to pass the exam on their first try. In the face of a complex task that requires such depth of knowledge, what, then, should we expect of the state of the art in "AI?" In this research, we document our experimental evaluation of the performance of OpenAI's `text-davinci-003` model, often-referred to as GPT-3.5, on the multistate multiple choice (MBE) section of the exam. While we find no benefit in fine-tuning over GPT-3.5's zero-shot performance at the scale of our training data, we do find that hyperparameter optimization and prompt engineering positively impacted GPT-3.5's zero-shot performance. For best prompt and parameters, GPT-3.5 achieves a headline correct rate of 50.3% on a complete NCBE MBE practice exam, significantly in excess of the 25% baseline guessing rate, and performs at a passing rate for both Evidence and Torts. GPT-3.5's ranking of responses is also highly-correlated with correctness; its top two and top three choices are correct 71% and 88% of the time, respectively, indicating very strong non-entailment performance. While our ability to interpret these results is limited by nascent scientific understanding of LLMs and the proprietary nature of GPT, we believe that these results strongly suggest that an LLM will pass the MBE component of the Bar Exam in the near future.

  • 2 authors
·
Dec 29, 2022

IndicBankBench: Evaluating Safety and Reliability of Language Model Assistants in Indian Retail Banking

Banking assistants must use account-specific information to answer requests and, in many cases, take actions through tools. Evaluating only the final response misses important errors. An assistant may ask for information it already has, rely on stale context, select the wrong account, or write an invalid value after stating the correct one. We introduce IndicBankBench, a 799-case benchmark for Indian retail banking spanning five operational domains, a capability/refusal domain, and twenty primary axes. Cases are evaluated at four stages: safety, action and tool use, response adequacy, and advisory quality. Tool use and most safety checks are deterministic. A narrow resolver handles only ambiguous confirmation-before-write cases, while a separate LLM judge evaluates semantic response adequacy. We run every case three times and report strict pass^3, which requires success on all trials. Across the eleven evaluated models, strict reliability ranges from 43.7% to 58.2%, whereas at-least-once success ranges from 60% to 74%. This gap shows that at-least-once success can overstate dependable banking behavior. The case-level diagnostics also distinguish systems that ask unnecessary questions from those that act but fail to reconcile customer context or fully resolve the request. We release the cases, mock environment, and evaluation harness.