Benchmarking Large Language Models on Communicative Medical Coaching: a Novel System and Dataset

Traditional applications of natural language processing (NLP) in healthcare have predominantly focused on patient-centered services, enhancing patient interactions and care delivery, such as through medical dialogue systems. However, the potential of NLP to benefit inexperienced doctors, particularly in areas such as communicative medical coaching, remains largely unexplored. We introduce ``ChatCoach,'' an integrated human-AI cooperative framework. Within this framework, both a patient agent and a coaching agent collaboratively support medical learners in practicing their medical communication skills during consultations. Unlike traditional dialogue systems, ChatCoach provides a simulated environment where a human doctor can engage in medical dialogue with a patient agent. Simultaneously, a coaching agent provides real-time feedback to the doctor. To construct the ChatCoach system, we developed a dataset and integrated Large Language Models such as ChatGPT and Llama2, aiming to assess their effectiveness in communicative medical coaching tasks. Our comparative analysis demonstrates that instruction-tuned Llama2 significantly outperforms ChatGPT's prompting-based approaches.

Composite Active Learning: Towards Multi-Domain Active Learning with Theoretical Guarantees

Active learning (AL) aims to improve model performance within a fixed labeling budget by choosing the most informative data points to label. Existing AL focuses on the single-domain setting, where all data come from the same domain (e.g., the same dataset). However, many real-world tasks often involve multiple domains. For example, in visual recognition, it is often desirable to train an image classifier that works across different environments (e.g., different backgrounds), where images from each environment constitute one domain. Such a multi-domain AL setting is challenging for prior methods because they (1) ignore the similarity among different domains when assigning labeling budget and (2) fail to handle distribution shift of data across different domains. In this paper, we propose the first general method, dubbed composite active learning (CAL), for multi-domain AL. Our approach explicitly considers the domain-level and instance-level information in the problem; CAL first assigns domain-level budgets according to domain-level importance, which is estimated by optimizing an upper error bound that we develop; with the domain-level budgets, CAL then leverages a certain instance-level query strategy to select samples to label from each domain. Our theoretical analysis shows that our method achieves a better error bound compared to current AL methods. Our empirical results demonstrate that our approach significantly outperforms the state-of-the-art AL methods on both synthetic and real-world multi-domain datasets. Code is available at https://github.com/Wang-ML-Lab/multi-domain-active-learning.

Improving Robustness and Reliability in Medical Image Classification with Latent-Guided Diffusion and Nested-Ensembles

While deep learning models have achieved remarkable success across a range of medical image analysis tasks, deployment of these models in real clinical contexts requires that they be robust to variability in the acquired images. While many methods apply predefined transformations to augment the training data to enhance test-time robustness, these transformations may not ensure the model's robustness to the diverse variability seen in patient images. In this paper, we introduce a novel three-stage approach based on transformers coupled with conditional diffusion models, with the goal of improving model robustness to the kinds of imaging variability commonly encountered in practice without the need for pre-determined data augmentation strategies. To this end, multiple image encoders first learn hierarchical feature representations to build discriminative latent spaces. Next, a reverse diffusion process, guided by the latent code, acts on an informative prior and proposes prediction candidates in a generative manner. Finally, several prediction candidates are aggregated in a bi-level aggregation protocol to produce the final output. Through extensive experiments on medical imaging benchmark datasets, we show that our method improves upon state-of-the-art methods in terms of robustness and confidence calibration. Additionally, we introduce a strategy to quantify the prediction uncertainty at the instance level, increasing their trustworthiness to clinicians using them in clinical practice.

Advancing Test-Time Adaptation for Acoustic Foundation Models in Open-World Shifts

Test-Time Adaptation (TTA) is a critical paradigm for tackling distribution shifts during inference, especially in visual recognition tasks. However, while acoustic models face similar challenges due to distribution shifts in test-time speech, TTA techniques specifically designed for acoustic modeling in the context of open-world data shifts remain scarce. This gap is further exacerbated when considering the unique characteristics of acoustic foundation models: 1) they are primarily built on transformer architectures with layer normalization and 2) they deal with test-time speech data of varying lengths in a non-stationary manner. These aspects make the direct application of vision-focused TTA methods, which are mostly reliant on batch normalization and assume independent samples, infeasible. In this paper, we delve into TTA for pre-trained acoustic models facing open-world data shifts. We find that noisy, high-entropy speech frames, often non-silent, carry key semantic content. Traditional TTA methods might inadvertently filter out this information using potentially flawed heuristics. In response, we introduce a heuristic-free, learning-based adaptation enriched by confidence enhancement. Noting that speech signals' short-term consistency, we also apply consistency regularization during test-time optimization. Our experiments on synthetic and real-world datasets affirm our method's superiority over existing baselines.

STRODE: Stochastic Boundary Ordinary Differential Equation

Perception of time from sequentially acquired sensory inputs is rooted in everyday behaviors of individual organisms. Yet, most algorithms for time-series modeling fail to learn dynamics of random event timings directly from visual or audio inputs, requiring timing annotations during training that are usually unavailable for real-world applications. For instance, neuroscience perspectives on postdiction imply that there exist variable temporal ranges within which the incoming sensory inputs can affect the earlier perception, but such temporal ranges are mostly unannotated for real applications such as automatic speech recognition (ASR). In this paper, we present a probabilistic ordinary differential equation (ODE), called STochastic boundaRy ODE (STRODE), that learns both the timings and the dynamics of time series data without requiring any timing annotations during training. STRODE allows the usage of differential equations to sample from the posterior point processes, efficiently and analytically. We further provide theoretical guarantees on the learning of STRODE. Our empirical results show that our approach successfully infers event timings of time series data. Our method achieves competitive or superior performances compared to existing state-of-the-art methods for both synthetic and real-world datasets.

Deep Graph Random Process for Relational-Thinking-Based Speech Recognition

Lying at the core of human intelligence, relational thinking is characterized by initially relying on innumerable unconscious percepts pertaining to relations between new sensory signals and prior knowledge, consequently becoming a recognizable concept or object through coupling and transformation of these percepts. Such mental processes are difficult to model in real-world problems such as in conversational automatic speech recognition (ASR), as the percepts (if they are modelled as graphs indicating relationships among utterances) are supposed to be innumerable and not directly observable. In this paper, we present a Bayesian nonparametric deep learning method called deep graph random process (DGP) that can generate an infinite number of probabilistic graphs representing percepts. We further provide a closed-form solution for coupling and transformation of these percept graphs for acoustic modeling. Our approach is able to successfully infer relations among utterances without using any relational data during training. Experimental evaluations on ASR tasks including CHiME-2 and CHiME-5 demonstrate the effectiveness and benefits of our method.