Position: Thematic Analysis of Unstructured Clinical Transcripts with Large Language Models

This position paper examines how large language models (LLMs) can support thematic analysis of unstructured clinical transcripts, a widely used but resource-intensive method for uncovering patterns in patient and provider narratives. We conducted a systematic review of recent studies applying LLMs to thematic analysis, complemented by an interview with a practicing clinician. Our findings reveal that current approaches remain fragmented across multiple dimensions including types of thematic analysis, datasets, prompting strategies and models used, most notably in evaluation. Existing evaluation methods vary widely (from qualitative expert review to automatic similarity metrics), hindering progress and preventing meaningful benchmarking across studies. We argue that establishing standardized evaluation practices is critical for advancing the field. To this end, we propose an evaluation framework centered on three dimensions: validity, reliability, and interpretability.

TAMA: A Human-AI Collaborative Thematic Analysis Framework Using Multi-Agent LLMs for Clinical Interviews

Thematic analysis (TA) is a widely used qualitative approach for uncovering latent meanings in unstructured text data. TA provides valuable insights in healthcare but is resource-intensive. Large Language Models (LLMs) have been introduced to perform TA, yet their applications in healthcare remain unexplored. Here, we propose TAMA: A Human-AI Collaborative Thematic Analysis framework using Multi-Agent LLMs for clinical interviews. We leverage the scalability and coherence of multi-agent systems through structured conversations between agents and coordinate the expertise of cardiac experts in TA. Using interview transcripts from parents of children with Anomalous Aortic Origin of a Coronary Artery (AAOCA), a rare congenital heart disease, we demonstrate that TAMA outperforms existing LLM-assisted TA approaches, achieving higher thematic hit rate, coverage, and distinctiveness. TAMA demonstrates strong potential for automated TA in clinical settings by leveraging multi-agent LLM systems with human-in-the-loop integration by enhancing quality while significantly reducing manual workload.

ProtocoLLM: Automatic Evaluation Framework of LLMs on Domain-Specific Scientific Protocol Formulation Tasks

Automated generation of scientific protocols executable by robots can significantly accelerate scientific research processes. Large Language Models (LLMs) excel at Scientific Protocol Formulation Tasks (SPFT), but the evaluation of their capabilities rely on human evaluation. Here, we propose a flexible, automatic framework to evaluate LLM's capability on SPFT: ProtocoLLM. This framework prompts the target model and GPT-4 to extract pseudocode from biology protocols using only predefined lab actions and evaluates the output of target model using LLAM-EVAL, the pseudocode generated by GPT-4 serving as a baseline and Llama-3 acting as the evaluator. Our adaptable prompt-based evaluation method, LLAM-EVAL, offers significant flexibility in terms of evaluation model, material, criteria, and is free of cost. We evaluate GPT variations, Llama, Mixtral, Gemma, Cohere, and Gemini. Overall, we find that GPT and Cohere is a powerful scientific protocol formulators. We also introduce BIOPROT 2.0, a dataset with biology protocols and corresponding pseudocodes, which can aid LLMs in formulation and evaluation of SPFT. Our work is extensible to assess LLMs on SPFT across various domains and other fields that require protocol generation for specific goals.