MORQA: Benchmarking Evaluation Metrics for Medical Open-Ended Question Answering

Evaluating natural language generation (NLG) systems in the medical domain presents unique challenges due to the critical demands for accuracy, relevance, and domain-specific expertise. Traditional automatic evaluation metrics, such as BLEU, ROUGE, and BERTScore, often fall short in distinguishing between high-quality outputs, especially given the open-ended nature of medical question answering (QA) tasks where multiple valid responses may exist. In this work, we introduce MORQA (Medical Open-Response QA), a new multilingual benchmark designed to assess the effectiveness of NLG evaluation metrics across three medical visual and text-based QA datasets in English and Chinese. Unlike prior resources, our datasets feature 2-4+ gold-standard answers authored by medical professionals, along with expert human ratings for three English and Chinese subsets. We benchmark both traditional metrics and large language model (LLM)-based evaluators, such as GPT-4 and Gemini, finding that LLM-based approaches significantly outperform traditional metrics in correlating with expert judgments. We further analyze factors driving this improvement, including LLMs' sensitivity to semantic nuances and robustness to variability among reference answers. Our results provide the first comprehensive, multilingual qualitative study of NLG evaluation in the medical domain, highlighting the need for human-aligned evaluation methods. All datasets and annotations will be publicly released to support future research.

What Matters in LLM-generated Data: Diversity and Its Effect on Model Fine-Tuning

With the remarkable generative capabilities of large language models (LLMs), using LLM-generated data to train downstream models has emerged as a promising approach to mitigate data scarcity in specific domains and reduce time-consuming annotations. However, recent studies have highlighted a critical issue: iterative training on self-generated data results in model collapse, where model performance degrades over time. Despite extensive research on the implications of LLM-generated data, these works often neglect the importance of data diversity, a key factor in data quality. In this work, we aim to understand the implications of the diversity of LLM-generated data on downstream model performance. Specifically, we explore how varying levels of diversity in LLM-generated data affect downstream model performance. Additionally, we investigate the performance of models trained on data that mixes different proportions of LLM-generated data, which we refer to as synthetic data. Our experimental results show that, with minimal distribution shift, moderately diverse LLM-generated data can enhance model performance in scenarios with insufficient labeled data, whereas highly diverse generated data has a negative impact. We hope our empirical findings will offer valuable guidance for future studies on LLMs as data generators.