China

This study investigates the feasibility of automating clinical coding in Russian, a language with limited biomedical resources. We present a new dataset for ICD coding, which includes diagnosis fields from electronic health records (EHRs) annotated with over 10,000 entities and more than 1,500 unique ICD codes. This dataset serves as a benchmark for several state-of-the-art models, including BERT, LLaMA with LoRA, and RAG, with additional experiments examining transfer learning across domains (from PubMed abstracts to medical diagnosis) and terminologies (from UMLS concepts to ICD codes). We then apply the best-performing model to label an in-house EHR dataset containing patient histories from 2017 to 2021. Our experiments, conducted on a carefully curated test set, demonstrate that training with the automated predicted codes leads to a significant improvement in accuracy compared to manually annotated data from physicians. We believe our findings offer valuable insights into the potential for automating clinical coding in resource-limited languages like Russian, which could enhance clinical efficiency and data accuracy in these contexts.

EMNLP 2025

RuCCoD: Towards Automated ICD Coding in Russian

poster

## Welcome!
"I am excited to welcome you to this year’s edition of the Conference on Empirical Methods in Natural Language Processing! Importantly, it marks the 30th edition of EMNLP. With over 8,000 submissions, more than 3,000 accepted papers, and thousands of attendees, we have come a long way from that first
workshop, which had 14 accepted papers. As the field looks ahead, Suzhou is the fitting location for celebrating this milestone: rooted in a long literary tradition, yet modern and forward-looking, and home to a large share of the NLP community."<br>

*Message from the General Chair, Dirk Hovy*

[**Link to Conference Handbook**](https://drive.google.com/file/d/1johU5QqVVYO4RfH7QcIORr7qrVBdzdwC/view?usp=sharing)





<br>

Celebrate 30 Years of EMNLP! 
EMNLP 2025 will be held in Suzhou, China from November 5th to November 9th, 2025.

Automatic survey generation has emerged as a key task in scientific document processing. While large language models (LLMs) have shown promise in generating survey texts, the lack of standardized evaluation datasets critically hampers rigorous assessment of their performance against human-written surveys. In this work, we present SurveyGen, a large-scale dataset comprising over 4,200 human-authored surveys across diverse scientific domains, along with 242,143 cited references and extensive quality-related metadata for both the surveys and the cited papers. Leveraging this resource, we build QUAL-SG, a novel quality-aware framework for survey generation that enhances the standard Retrieval-Augmented Generation (RAG) pipeline by incorporating quality-aware indicators into literature retrieval stage to assess and select higher-quality source papers. Using this dataset and framework, we systematically evaluate state-of-the-art LLMs under varying levels of human involvement—from fully automatic generation to human-guided writing. Experimental results and human evaluations reveal that while semi-automatic pipelines can achieve partially competitive outcomes, fully automatic survey generation still suffers from low citation quality and limited critical analysis. The dataset and code will be publicly available upon paper acceptance to support future research at <URL>.

SurveyGen: Quality-Aware Scientific Survey Generation with Large Language Models

Understanding the prevalence of misinformation in health topics online can inform public health policies and interventions. However, measuring such misinformation at scale remains a challenge, particularly for high-stakes but understudied topics like opioid-use disorder (OUD)—a leading cause of death in the U.S. We present the first large-scale study of OUD-related myths on YouTube, a widely-used platform for health information. With clinical experts, we validate 8 pervasive myths and release an expert-labeled video dataset. To scale labeling, we introduce MythTriage, an efficient triage pipeline that uses a lightweight model for routine cases and defers harder ones to a high-performing, but costlier, large language model (LLM). MythTriage achieves up to 0.86 macro F1-score while estimated to reduce annotation time and financial cost by over 76% compared to experts and full LLM labeling. We analyze 2.9K search results and 343K recommendations, uncovering how myths persist on YouTube and offering actionable insights for public health and platform moderation.

MythTriage: Scalable Detection of Opioid Use Disorder Myths on a Video-Sharing Platform

Modern language models (LMs) are not robust to out-of-distribution inputs. Machine generated (``optimized'') prompts can be used to modulate LM outputs and induce specific behaviors while appearing completely uninterpretable. In this work, we investigate the composition of optimized prompts, as well as the mechanisms by which LMs parse and build predictions from optimized prompts. We find that optimized prompts primarily consist of punctuation and noun tokens which are more rare in the training data. Internally, optimized prompts are clearly distinguishable from natural language counterparts based on sparse subsets of the model's activations. Across various families of instruction-tuned models, optimized prompts follow a similar path in how their representations form through the network.

Demystifying optimized prompts in language models

Efficient simulation is essential for enhancing proactive preparedness for sudden-onset disasters such as earthquakes. Recent advancements in large language models (LLMs) as world models show promise in simulating complex scenarios. This study examines multiple LLMs to proactively estimate perceived earthquake impacts. Leveraging multimodal datasets including geospatial, socioeconomic, building, and street-level imagery data, our framework generates Modified Mercalli Intensity (MMI) predictions at zip code and county scales. Evaluations on the 2014 Napa and 2019 Ridgecrest earthquakes using USGS ``Did You Feel It? (DYFI)'' reports demonstrate significant alignment, as evidenced by high correlation of 0.88 and low RMSE of 0.77 as compared to real reports at the zip code level. Techniques such as RAG and ICL can improve simulation performance, while visual inputs notably enhance accuracy compared to structured numerical data alone. These findings show the promise of LLMs in simulating disaster impacts that can help strengthen pre-event planning.

LLMs as World Models: Data-Driven and Human-Centered Pre-Event Simulation for Disaster Impact Assessment

Quality Estimation (QE) is estimating quality of the model output during inference when the ground truth is not available. Deriving output quality from the models' output probability is the most trivial and low-effort way. However, we show that the output probability of text-generation models can appear underconfident. At each output step, there can be multiple correct options, making the probability distribution spread out more. Thus, lower probability does not necessarily mean lower output quality. Due to this observation, we propose a QE approach called BoostedProb, which boosts the model's confidence in cases where there are multiple viable output options. With no increase in complexity, BoostedProb is notably better than raw model probability in different settings, achieving on average +0.194 improvement in Pearson correlation to ground-truth quality. It also comes close to or outperforms more costly approaches like supervised or ensemble-based QE in certain settings.

Are Generative Models Underconfident? Better Quality Estimation with Boosted Model Probability

Low-bit weight-only quantization significantly reduces the memory footprint of large language models (LLMs), but disproportionately affects certain examples. We analyze diverse 3-4 bit methods on LLMs ranging from 7B-70B in size and find that the quantization errors of 50 pairs of methods are strongly correlated (avg. ρ = 0.82) on FineWeb examples. Moreover, the residual stream magnitudes of full-precision models are indicative of future quantization errors. We further establish a hypothesis that relates the residual stream magnitudes to error amplification and accumulation over layers. Using LLM localization techniques, early exiting, and activation patching, we show that examples with large errors rely on precise residual activations in the late layers, and that the outputs of MLP gates play a crucial role in maintaining the perplexity. Our work reveals why certain examples result in large quantization errors and which model components are most critical for performance preservation.

Why Do Some Inputs Break Low-Bit LLM Quantization?

Modern automatic speech recognition (ASR) models, such as OpenAI’s Whisper, rely on deep encoder-decoder architectures, and their encoders are a critical bottleneck for efficient deployment due to high computational intensity. We introduce a low-rank compression scheme for ASR encoders that significantly reduces inference costs while maintaining transcription accuracy. Our approach leverages the strong low-rank properties observed in intermediate activations: by applying principal component analysis (PCA) with a small calibration data set, we approximate linear transformations with a chain of low-rank matrix multiplications, and further optimize self-attention to work in the reduced dimension. Evaluation results show that our method can compress Whisper large-v3's encoder size by over 50%, matching Whisper medium's size with better transcription accuracy, thereby establishing a new Pareto-optimal frontier of efficiency and performance.

LiteASR: Efficient Automatic Speech Recognition with Low-Rank Approximation

Large Language Models (LLMs) have demonstrated significant advancements in various fields, notably in Role-Playing Conversational Agents (RPCAs). However, when confronted with role-specific professional inquiries, LLMs-based RPCAs tend to underperform due to their excessive emphasis on the conversational abilities of characters rather than effectively invoking and integrating relevant expert knowledge. This often results in inaccurate responses. We refer to this phenomenon as the "Knowledge Misalignment" which underscores the limitations of RPCAs in integrating expert knowledge. To mitigate this issue, we have introduced an Anchoring-Guidance Fine-Tuning (AnGFT) Framework into the RPCAs' training process. This involves initially linking the Anchoring-Based System Prompt (ASP) with the LLM's relevant expert domains through diverse prompt construction strategies and supervised fine-tuning (SFT). Following the role-play enriched SFT, the integration of ASP enables LLMs to better associate with relevant expert knowledge, thus enhancing their response capabilities in role-specific expert domains. Moreover, we have developed four comprehensive metrics—helpfulness, thoroughness, credibility, and feasibility—to evaluate the proficiency of RPCAs in responding to professional questions. Our method was tested across four professional fields, and the experimental outcomes suggest that the proposed Anchoring-Guidance Fine-Tuning Framework substantially improves the RPCAs' performance in handling role-specific professional queries, thereby enhancing the agents' response quality while preserving their robust role-playing abilities.

Anchoring-Guidance Fine-Tuning (AnGFT): Elevating Professional Response Quality in Role-Playing Conversational Agents

Persona assignment has become a common strategy for customizing LLM use to particular tasks and contexts. In this study, we explore how evaluation of different nations changes when LLMs are assigned specific nationality personas. We assign 193 different nationality personas (e.g., an American person) to five LLMs and examine how the LLM evaluations (or ``perceptions'') of countries change. We find that all LLM-persona combinations tend to favor Western European nations, though nation-personas push LLM behaviors to focus more on and treat the nation-persona's own region more favorably. Eastern European, Latin American, and African nations are treated more negatively by different nationality personas. We additionally find that evaluations by nation-persona LLMs of other nations correlate with human survey responses but fail to match the values closely. Our study provides insight into how biases and stereotypes are realized within LLMs when adopting different national personas. Our findings underscore the critical need for developing mechanisms to ensure that LLM outputs promote fairness and avoid over-generalization.

Exploring Changes in Nation Perception with Nationality-Assigned Personas in LLMs

This paper focuses on generating speech with the acoustic style that meets users' needs based on their open-domain instructions. To control the style, early work mostly relies on pre-defined rules or templates. The control types and formats are fixed in a closed domain, making it hard to meet diverse needs of users. One solution is to resort to instructions in free text to guide the generation. Current work mainly studies the instructions that clearly specify the acoustic styles, such as low pitch and fast speed. However, the instructions are complex, some even vague and abstract, such as ``Generate a voice of a woman who is heartbroken due to a breakup. It is hard to infer this implicit style by traditional matching-based methods. To address this problem, we propose a new controllable model. It first utilizes multimodal LLMs with knowledge-augmented techniques to infer the desired speech style from the instructions. The powerful language understanding ability of LLMs can help us better elicit the implicit style factors from the instruction. By using these factors as a control condition, we design a diffusion-based generator adept at finely adjusting speech details. That offers higher flexibility to meet complex users' needs. Next, we verify the output speech from three aspects, i.e., consistency of decoding state, mel-spectrogram, and instruction style. This verified feedback can inversely optimize the generator. Extensive experiments are conducted on three popular datasets. The results show the effectiveness and good controllability of our approach.

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SurveyGen: Quality-Aware Scientific Survey Generation with Large Language Models

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