Mexico

Medical errors in clinical text pose significant risks to patient safety. The MEDIQA-CORR 2024 shared task focuses on detecting and correcting these errors across three subtasks: identifying the presence of an error, extracting the erroneous sentence, and generating a corrected sentence. In this paper, we present our approach that achieved top performance in all three subtasks. For the MS dataset, which contains subtle errors, we developed a retrieval-based system leveraging external medical question-answering datasets. For the UW dataset, reflecting more realistic clinical notes, we created a pipeline of modules to detect, localize, and correct errors. Both approaches utilized the DSPy framework for optimizing prompts and few-shot examples in large language model (LLM) based programs. Our results demonstrate the effectiveness of LLM based programs for medical error correction. However, our approach has limitations in addressing the full diversity of potential errors in medical documentation. We discuss the implications of our work and highlight future research directions to advance the robustness and applicability of medical error detection and correction systems.

NAACL 2024

WangLab at MEDIQA-CORR 2024: Optimized LLM-based Programs for Medical Error Detection and Correction

clinical

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## Welcome to 2024 Annual Conference of the North American Chapter of the Association for Computational Linguistics!
This year, the conference is in Mexico City. NAACL was actually already planned for Mexico City in 2021, but due to the pandemic the entire conference was moved online. This year, finally, we get to go! So it is my sincere pleasure to welcome you to Mexico City, whether in person or virtually. Having the conference in Mexico City is a good opportunity to emphasize that NAACL is our flagship conference for ACL members not only in North America but also in Central and South America, even though NAACL has been bearing “North” in its name. At this year’s conference, we have a theme to match, with a theme track on the Languages of Latin America to showcase the linguistic diversity of the region.
 
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Welcome and hope you all enjoy the conference! 
Katrin Erk 
The University of Texas at Austin 
NAACL-2024 General Chair 
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2024 Annual Conference of the North American Chapter of the Association for Computational Linguistics

Transforming natural language questions into SQL queries is crucial for precise data retrieval from electronic health record (EHR) databases. A significant challenge in this process is detecting and rejecting unanswerable questions that request information outside the database's scope or exceed the system's capabilities. In this paper, we introduce a novel text-to-SQL framework that focuses on standardizing the structure of questions into a templated format. Our framework begins by fine-tuning GPT-3.5-turbo, a powerful large language model (LLM), with detailed prompts involving the table schemas of the EHR database system. Our approach shows promising results on the EHRSQL-2024 benchmark dataset, part of the ClinicalNLP shared task. Although fine-tuning GPT achieves third place on the development set, it struggled with the diverse questions in the test set. With our framework, we improve our system's adaptability and achieve fourth position in the official leaderboard of the EHRSQL-2024 challenge.

KU-DMIS at EHRSQL 2024 : Generating SQL query via question templatization in EHR

In this paper, we present our work in the EHRSQL 2024 shared task which tackles reliable text-to-SQL modeling on Electronic Health Records. Our proposed system tackles the task with three modules - abstention module, text-to-SQL generation module, and reliability module. The abstention module identifies whether the question is answerable given the database schema. If the question is answerable, the text-to-SQL generation module generates the SQL query and associated confidence score. The reliability module has two key components - confidence score thresholding, which rejects generations with confidence below a pre-defined level, and error filtering, which identifies and excludes SQL queries that result in execution errors. In the official leaderboard for the task, our system ranks 6th. We have also made the source code public.

LTRC-IIITH at EHRSQL 2024: Enhancing Reliability of Text-to-SQL Systems through Abstention and Confidence Thresholding

In this paper, we present our work to the MEDIQA-M3G 2024 shared task, which tackles multilingual and multimodal medical answer generation. Our system consists of a lightweight Vision-and-Language Transformer (ViLT) model which is fine-tuned for the clinical dermatology visual question-answering task. In the official leaderboard for the task, our system ranks 6th. After the challenge, we experiment with training the ViLT model on more data. We also explore the capabilities of large Vision-Language Models (VLMs) such as Gemini and LLaVA.

LTRC-IIITH at MEDIQA-M3G 2024: Medical Visual Question Answering with Vision-Language Models

The introduction of conversational systems have made synthesized speech technologies common tools for daily activities. However, not all synthetic speech systems are designed with the needs of people with disabilities in mind. This paper describes a study in which 198 people -- 80 participants with self-reported disabilities and 118 participants without -- were recruited to listen to navigation instructions from a spoken dialogue system with different prosodic features. Results showed that slowing down speech rate aids in participants' number recall, but not in noun recall. From our results, we provide suggestions for developers for building accessible synthetic speech systems.

Examining Prosody in Spoken Navigation Instructions for People with Disabilities

The self-rationalising capabilities of large language models (LLMs) have been explored in restricted settings, using task-specific data sets. However, current LLMs do not (only) rely on specifically annotated data; nonetheless, they frequently explain their outputs. The properties of the generated explanations are influenced by the pre-training corpus and by the target data used for instruction fine-tuning. As the pre-training corpus includes a large amount of human-written explanations ``in the wild'', we hypothesise that LLMs adopt common properties of human explanations. By analysing the outputs for a multi-domain instruction fine-tuning data set, we find that generated explanations show selectivity and contain illustrative elements, but less frequently are subjective or misleading. We discuss reasons and consequences of the properties' presence or absence. In particular, we outline positive and negative implications depending on the goals and user groups of the self-rationalising system.

Properties and Challenges of LLM-Generated Explanations

When users want to write a story with a language model (LM) assistant, it is often very difficult to provide a prompt that clearly specifies all their interests. For the developers of LM assistants, it is also difficult to ensure their output stories come from a dataset without copyright concerns. Motivated by these limitations, we propose a coarse-to-fine (C2F) tree-based story generation framework, which is called C2F-StoryTree, where the LM iteratively generates more and more specific story prompts based on a user's input prompt and the desired plot selected by the user. To realize our C2F-StoryTree framework, we propose an entailment hierarchy (EH) text structure, in which a more specific response entails more general prompt (e.g., a story entails a summary). We also propose novel annotation tasks, decoding methods, and a human-and-machine-in-the-loop procedure to minimize the annotation cost of building the text structure. We build an entailment hierarchy dataset on top of the story datasets with desired licenses and styles, on which the developers can fine-tune or evaluate their LMs. In our experiments, we demonstrate that our C2F-StoryTree system not only allows users to collaborate with a LM in a new paradigm, but also generates the short stories with human-level quality. Furthermore, our entailment hierarchy and C2F generation substantially make the generated stories more diverse, coherent, engaging, and creative.

Fine-to-Coarse Entailment Hierarchy Construction for Coarse-to-Fine Story Generation

In the realm of research support tools, there exists a notable void in resources tailored specifically for aiding researchers during the crucial ideation phase of the research life-cycle. We address this gap by introducing 'Acceleron', a `Co-Pilot' for researchers, designed specifically to accelerate the ideation phase of the research life-cycle. Leveraging the reasoning and domain-specific skills of Large Language Models (LLMs) within an agent-based architecture with distinct personas, Acceleron aids researchers through the formulation of a comprehensive research proposals. It emulates the ideation process, engaging researchers in an interactive fashion to validate the novelty of the proposal and generate plausible set-of hypotheses. Notably, it addresses challenges inherent in LLMs, such as hallucinations, implements a two-stage aspect-based retrieval to manage precision-recall trade-offs, and tackles issues of unanswerability. Our observations and end-user evaluations illustrate the efficacy of Acceleron as an enhancer of researcher's productivity.

An Interactive Co-Pilot for Accelerated Research Ideation

In times of crisis, the human mind is often a voracious information forager. It might not be immediately apparent what one wants or needs, and people frequently look for answers to their most pressing questions and worst fears. In that context, the pandemic has demonstrated that social media sources, like erstwhile Twitter, are a rich medium for data-driven communication between experts and the public. However, as lay users, we must find needles in a haystack to distinguish credible and actionable information signals from the noise. In this work, we leverage the literature on crisis communication to propose an AI-driven sensemaking model that bridges the gap between what people seek and what they need during a crisis. Our model learns to contrast social media messages concerning expert guidance with subjective opinion and enables semantic interpretation of message characteristics based on the communicative intent of the message author. We provide examples from our tweet collection and present a hypothetical social media usage scenario to demonstrate the efficacy of our proposed model.

Sensemaking of Socially-Mediated Crisis Information

With the rapid proliferation of artificial intelligence, there is growing concern over its potential to exacerbate existing biases and societal disparities and introduce novel ones. This issue has prompted widespread attention from academia, policymakers, industry, and civil society. While evidence suggests that integrating human perspectives can mitigate bias-related issues in AI systems, it also introduces challenges associated with cognitive biases inherent in human decision-making. Our research focuses on reviewing existing methodologies and ongoing investigations aimed at understanding annotation attributes that contribute to bias.

Blind Spots and Biases: Exploring the Role of Annotator Cognitive Biases in NLP

Interpretability tools that offer explanations in the form of a dialogue have demonstrated their efficacy in enhancing users' understanding (Slack et al., 2023; Shen et al., 2023), as one-off explanations may fall short in providing sufficient information to the user. Current solutions for dialogue-based explanations, however, often require external tools and modules and are not easily transferable to tasks they were not designed for. With LLMCheckup, we present an easily accessible tool that allows users to chat with any state-of-the-art large language model (LLM) about its behavior. We enable LLMs to generate explanations and perform user intent recognition without fine-tuning, by connecting them with a broad spectrum of Explainable AI (XAI) methods, including white-box explainability tools such as feature attributions, and self-explanations (e.g., for rationale generation). LLM-based (self-)explanations are presented as an interactive dialogue that supports follow-up questions and generates suggestions. LLMCheckup provides tutorials for operations available in the system, catering to individuals with varying levels of expertise in XAI and supporting multiple input modalities. We introduce a new parsing strategy that substantially enhances the user intent recognition accuracy of the LLM. Finally, we showcase for the tasks of fact checking and commonsense question answering.

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KU-DMIS at EHRSQL 2024 : Generating SQL query via question templatization in EHR

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