Vision-language models for decoding provider attention during neonatal resuscitation

Neonatal resuscitations demand an exceptional level of attentiveness from providers, who must process multiple streams of information simultaneously. Gaze strongly influences decision making; thus, understanding where a provider is looking during neonatal resuscitations could inform provider training, enhance real-time decision support, and improve the design of delivery rooms and neonatal intensive care units (NICUs). Current approaches to quantifying neonatal providers' gaze rely on manual coding or simulations, which limit scalability and utility. Here, we introduce an automated, real-time, deep learning approach capable of decoding provider gaze into semantic classes directly from first-person point-of-view videos recorded during live resuscitations. Combining state-of-the-art, real-time segmentation with vision-language models (CLIP), our low-shot pipeline attains 91\% classification accuracy in identifying gaze targets without training. Upon fine-tuning, the performance of our gaze-guided vision transformer exceeds 98\% accuracy in gaze classification, approaching human-level precision. This system, capable of real-time inference, enables objective quantification of provider attention dynamics during live neonatal resuscitation. Our approach offers a scalable solution that seamlessly integrates with existing infrastructure for data-scarce gaze analysis, thereby offering new opportunities for understanding and refining clinical decision making.

A large language model-assisted education tool to provide feedback on open-ended responses

Open-ended questions are a favored tool among instructors for assessing student understanding and encouraging critical exploration of course material. Providing feedback for such responses is a time-consuming task that can lead to overwhelmed instructors and decreased feedback quality. Many instructors resort to simpler question formats, like multiple-choice questions, which provide immediate feedback but at the expense of personalized and insightful comments. Here, we present a tool that uses large language models (LLMs), guided by instructor-defined criteria, to automate responses to open-ended questions. Our tool delivers rapid personalized feedback, enabling students to quickly test their knowledge and identify areas for improvement. We provide open-source reference implementations both as a web application and as a Jupyter Notebook widget that can be used with instructional coding or math notebooks. With instructor guidance, LLMs hold promise to enhance student learning outcomes and elevate instructional methodologies.