User-Driven Research of Medical Note Generation Software

A growing body of work uses Natural Language Processing (NLP) methods to automatically generate medical notes from audio recordings of doctor-patient consultations. However, there are very few studies on how such systems could be used in clinical practice, how clinicians would adjust to using them, or how system design should be influenced by such considerations. In this paper, we present three rounds of user studies, carried out in the context of developing a medical note generation system. We present, analyse and discuss the participating clinicians' impressions and views of how the system ought to be adapted to be of value to them. Next, we describe a three-week test run of the system in a live telehealth clinical practice. Major findings include (i) the emergence of five different note-taking behaviours; (ii) the importance of the system generating notes in real time during the consultation; and (iii) the identification of a number of clinical use cases that could prove challenging for automatic note generation systems.

Human Evaluation and Correlation with Automatic Metrics in Consultation Note Generation

In recent years, machine learning models have rapidly become better at generating clinical consultation notes; yet, there is little work on how to properly evaluate the generated consultation notes to understand the impact they may have on both the clinician using them and the patient's clinical safety. To address this we present an extensive human evaluation study of consultation notes where 5 clinicians (i) listen to 57 mock consultations, (ii) write their own notes, (iii) post-edit a number of automatically generated notes, and (iv) extract all the errors, both quantitative and qualitative. We then carry out a correlation study with 18 automatic quality metrics and the human judgements. We find that a simple, character-based Levenshtein distance metric performs on par if not better than common model-based metrics like BertScore. All our findings and annotations are open-sourced.

Generation Challenges: Results of the Accuracy Evaluation Shared Task

The Shared Task on Evaluating Accuracy focused on techniques (both manual and automatic) for evaluating the factual accuracy of texts produced by neural NLG systems, in a sports-reporting domain. Four teams submitted evaluation techniques for this task, using very different approaches and techniques. The best-performing submissions did encouragingly well at this difficult task. However, all automatic submissions struggled to detect factual errors which are semantically or pragmatically complex (for example, based on incorrect computation or inference).

Towards objectively evaluating the quality of generated medical summaries

We propose a method for evaluating the quality of generated text by asking evaluators to count facts, and computing precision, recall, f-score, and accuracy from the raw counts. We believe this approach leads to a more objective and easier to reproduce evaluation. We apply this to the task of medical report summarisation, where measuring objective quality and accuracy is of paramount importance.

A preliminary study on evaluating Consultation Notes with Post-Editing

Automatic summarisation has the potential to aid physicians in streamlining clerical tasks such as note taking. But it is notoriously difficult to evaluate these systems and demonstrate that they are safe to be used in a clinical setting. To circumvent this issue, we propose a semi-automatic approach whereby physicians post-edit generated notes before submitting them. We conduct a preliminary study on the time saving of automatically generated consultation notes with post-editing. Our evaluators are asked to listen to mock consultations and to post-edit three generated notes. We time this and find that it is faster than writing the note from scratch. We present insights and lessons learnt from this experiment.

A Systematic Review of Reproducibility Research in Natural Language Processing

Against the background of what has been termed a reproducibility crisis in science, the NLP field is becoming increasingly interested in, and conscientious about, the reproducibility of its results. The past few years have seen an impressive range of new initiatives, events and active research in the area. However, the field is far from reaching a consensus about how reproducibility should be defined, measured and addressed, with diversity of views currently increasing rather than converging. With this focused contribution, we aim to provide a wide-angle, and as near as possible complete, snapshot of current work on reproducibility in NLP, delineating differences and similarities, and providing pointers to common denominators.

A Gold Standard Methodology for Evaluating Accuracy in Data-To-Text Systems

Most Natural Language Generation systems need to produce accurate texts. We propose a methodology for high-quality human evaluation of the accuracy of generated texts, which is intended to serve as a gold-standard for accuracy evaluations of data-to-text systems. We use our methodology to evaluate the accuracy of computer generated basketball summaries. We then show how our gold standard evaluation can be used to validate automated metrics

How are you? Introducing stress-based text tailoring

Can stress affect not only your life but also how you read and interpret a text? Healthcare has shown evidence of such dynamics and in this short paper we discuss customising texts based on user stress level, as it could represent a critical factor when it comes to user engagement and behavioural change. We first show a real-world example in which user behaviour is influenced by stress, then, after discussing which tools can be employed to assess and measure it, we propose an initial method for tailoring the document by exploiting complexity reduction and affect enforcement. The result is a short and encouraging text which requires less commitment to be read and understood. We believe this work in progress can raise some interesting questions on a topic that is often overlooked in NLG.