Hey, wait a minute: on at-issue sensitivity in Language Models

Evaluating the naturalness of dialogue in language models (LMs) is not trivial: notions of 'naturalness' vary, and scalable quantitative metrics remain limited. This study leverages the linguistic notion of 'at-issueness' to assess dialogue naturalness and introduces a new method: Divide, Generate, Recombine, and Compare (DGRC). DGRC (i) divides a dialogue as a prompt, (ii) generates continuations for subparts using LMs, (iii) recombines the dialogue and continuations, and (iv) compares the likelihoods of the recombined sequences. This approach mitigates bias in linguistic analyses of LMs and enables systematic testing of discourse-sensitive behavior. Applying DGRC, we find that LMs prefer to continue dialogue on at-issue content, with this effect enhanced in instruct-tuned models. They also reduce their at-issue preference when relevant cues (e.g., "Hey, wait a minute") are present. Although instruct-tuning does not further amplify this modulation, the pattern reflects a hallmark of successful dialogue dynamics.

Using Medical Algorithms for Task-Oriented Dialogue in LLM-Based Medical Interviews

We developed a task-oriented dialogue framework structured as a Directed Acyclic Graph (DAG) of medical questions. The system integrates: (1) a systematic pipeline for transforming medical algorithms and guidelines into a clinical question corpus; (2) a cold-start mechanism based on hierarchical clustering to generate efficient initial questioning without prior patient information; (3) an expand-and-prune mechanism enabling adaptive branching and backtracking based on patient responses; (4) a termination logic to ensure interviews end once sufficient information is gathered; and (5) automated synthesis of doctor-friendly structured reports aligned with clinical workflows. Human-computer interaction principles guided the design of both the patient and physician applications. Preliminary evaluation involved five physicians using standardized instruments: NASA-TLX (cognitive workload), the System Usability Scale (SUS), and the Questionnaire for User Interface Satisfaction (QUIS). The patient application achieved low workload scores (NASA-TLX = 15.6), high usability (SUS = 86), and strong satisfaction (QUIS = 8.1/9), with particularly high ratings for ease of learning and interface design. The physician application yielded moderate workload (NASA-TLX = 26) and excellent usability (SUS = 88.5), with satisfaction scores of 8.3/9. Both applications demonstrated effective integration into clinical workflows, reducing cognitive demand and supporting efficient report generation. Limitations included occasional system latency and a small, non-diverse evaluation sample.

FedDTRE: Federated Dialogue Generation Models Powered by Trustworthiness Evaluation

With the rapid development of artificial intelligence, dialogue systems have become a prominent form of human-computer interaction. However, traditional centralized or fully local training approaches face challenges in balancing privacy preservation and personalization due to data privacy concerns and heterogeneous device capabilities. Federated learning, as a representative distributed paradigm, offers a promising solution. However, existing methods often suffer from overfitting under limited client data and tend to forget global information after multiple training rounds, leading to poor generalization. To address these issues, we propose FedDTRE, a Federated adaptive aggregation strategy for Dialogue generation based on Trustworthiness Evaluation. Instead of directly replacing local models with the global model, FedDTRE leverages trustworthiness scores of both global and local models on a fairness-oriented evaluation dataset to dynamically regulate the global model's contribution during local updates. Experimental results demonstrate that FedDTRE can improve dialogue model performance and enhance the quality of dialogue generation.

Identifying & Interactively Refining Ambiguous User Goals for Data Visualization Code Generation

Establishing shared goals is a fundamental step in human-AI communication. However, ambiguities can lead to outputs that seem correct but fail to reflect the speaker's intent. In this paper, we explore this issue with a focus on the data visualization domain, where ambiguities in natural language impact the generation of code that visualizes data. The availability of multiple views on the contextual (e.g., the intended plot and the code rendering the plot) allows for a unique and comprehensive analysis of diverse ambiguity types. We develop a taxonomy of types of ambiguity that arise in this task and propose metrics to quantify them. Using Matplotlib problems from the DS-1000 dataset, we demonstrate that our ambiguity metrics better correlate with human annotations than uncertainty baselines. Our work also explores how multi-turn dialogue can reduce ambiguity, therefore, improve code accuracy by better matching user goals. We evaluate three pragmatic models to inform our dialogue strategies: Gricean Cooperativity, Discourse Representation Theory, and Questions under Discussion. A simulated user study reveals how pragmatic dialogues reduce ambiguity and enhance code accuracy, highlighting the value of multi-turn exchanges in code generation.

The Rise of the Knowledge Sculptor: A New Archetype for Knowledge Work in the Age of Generative AI

In the Generative Age, the nature of knowledge work is transforming. Traditional models that emphasise the organisation and retrieval of pre-existing information are increasingly inadequate in the face of generative AI (GenAI) systems capable of autonomous content creation. This paper introduces the Knowledge Sculptor (KS), a new professional archetype for Human-GenAI collaboration that transforms raw AI output into trustworthy, actionable knowledge. Grounded in a socio-technical perspective, the KS is conceptualised through a framework of competencies, including architecting a vision, iterative dialogue, information sculpting, and curiosity-driven synthesis. A practice-based vignette illustrates the KS role in action, and in a self-referential approach, the paper itself serves as an artefact of the sculpting process it describes.

TeachLM: Post-Training LLMs for Education Using Authentic Learning Data

The promise of generative AI to revolutionize education is constrained by the pedagogical limits of large language models (LLMs). A major issue is the lack of access to high-quality training data that reflect the learning of actual students. Prompt engineering has emerged as a stopgap, but the ability of prompts to encode complex pedagogical strategies in rule-based natural language is inherently limited. To address this gap we introduce TeachLM - an LLM optimized for teaching through parameter-efficient fine-tuning of state-of-the-art models. TeachLM is trained on a dataset comprised of 100,000 hours of one-on-one, longitudinal student-tutor interactions maintained by Polygence, which underwent a rigorous anonymization process to protect privacy. We use parameter-efficient fine-tuning to develop an authentic student model that enables the generation of high-fidelity synthetic student-tutor dialogues. Building on this capability, we propose a novel multi-turn evaluation protocol that leverages synthetic dialogue generation to provide fast, scalable, and reproducible assessments of the dialogical capabilities of LLMs. Our evaluations demonstrate that fine-tuning on authentic learning data significantly improves conversational and pedagogical performance - doubling student talk time, improving questioning style, increasing dialogue turns by 50%, and greater personalization of instruction.

ReactDiff: Fundamental Multiple Appropriate Facial Reaction Diffusion Model

The automatic generation of diverse and human-like facial reactions in dyadic dialogue remains a critical challenge for human-computer interaction systems. Existing methods fail to model the stochasticity and dynamics inherent in real human reactions. To address this, we propose ReactDiff, a novel temporal diffusion framework for generating diverse facial reactions that are appropriate for responding to any given dialogue context. Our key insight is that plausible human reactions demonstrate smoothness, and coherence over time, and conform to constraints imposed by human facial anatomy. To achieve this, ReactDiff incorporates two vital priors (spatio-temporal facial kinematics) into the diffusion process: i) temporal facial behavioral kinematics and ii) facial action unit dependencies. These two constraints guide the model toward realistic human reaction manifolds, avoiding visually unrealistic jitters, unstable transitions, unnatural expressions, and other artifacts. Extensive experiments on the REACT2024 dataset demonstrate that our approach not only achieves state-of-the-art reaction quality but also excels in diversity and reaction appropriateness.

SHANKS: Simultaneous Hearing and Thinking for Spoken Language Models

Current large language models (LLMs) and spoken language models (SLMs) begin thinking and taking actions only after the user has finished their turn. This prevents the model from interacting during the user's turn and can lead to high response latency while it waits to think. Consequently, thinking after receiving the full input is not suitable for speech-to-speech interaction, where real-time, low-latency exchange is important. We address this by noting that humans naturally "think while listening." In this paper, we propose SHANKS, a general inference framework that enables SLMs to generate unspoken chain-of-thought reasoning while listening to the user input. SHANKS streams the input speech in fixed-duration chunks and, as soon as a chunk is received, generates unspoken reasoning based on all previous speech and reasoning, while the user continues speaking. SHANKS uses this unspoken reasoning to decide whether to interrupt the user and to make tool calls to complete the task. We demonstrate that SHANKS enhances real-time user-SLM interaction in two scenarios: (1) when the user is presenting a step-by-step solution to a math problem, SHANKS can listen, reason, and interrupt when the user makes a mistake, achieving 37.1% higher interruption accuracy than a baseline that interrupts without thinking; and (2) in a tool-augmented dialogue, SHANKS can complete 56.9% of the tool calls before the user finishes their turn. Overall, SHANKS moves toward models that keep thinking throughout the conversation, not only after a turn ends. Animated illustrations of Shanks can be found at https://d223302.github.io/SHANKS/

Doctor-R1: Mastering Clinical Inquiry with Experiential Agentic Reinforcement Learning

The professionalism of a human doctor in outpatient service depends on two core abilities: the ability to make accurate medical decisions and the medical consultation skill to conduct strategic, empathetic patient inquiry. Existing Large Language Models (LLMs) have achieved remarkable accuracy on medical decision-making benchmarks. However, they often lack the ability to conduct the strategic and empathetic consultation, which is essential for real-world clinical scenarios. To address this gap, we propose Doctor-R1, an AI doctor agent trained to master both of the capabilities by ask high-yield questions and conduct strategic multi-turn inquiry to guide decision-making. Our framework introduces three key components: a multi-agent interactive environment, a two-tiered reward architecture that separately optimizes clinical decision-making and communicative inquiry skills, and an experience repository to ground policy learning in high-quality prior trajectories. We evaluate Doctor-R1 on OpenAI's HealthBench and MAQuE, assessed across multi-facet metrics, such as communication quality, user experience, and task accuracy. Remarkably, Doctor-R1 surpasses state-of-the-art open-source specialized LLMs by a substantial margin with higher parameter efficiency and outperforms powerful proprietary models. Furthermore, the human evaluations show a strong preference for Doctor-R1 to generate human-preferred clinical dialogue, demonstrating the effectiveness of the framework.

Format Inertia: A Failure Mechanism of LLMs in Medical Pre-Consultation

Recent advances in Large Language Models (LLMs) have brought significant improvements to various service domains, including chatbots and medical pre-consultation applications. In the healthcare domain, the most common approach for adapting LLMs to multi-turn dialogue generation is Supervised Fine-Tuning (SFT). However, datasets for SFT in tasks like medical pre-consultation typically exhibit a skewed turn-count distribution. Training on such data induces a novel failure mechanism we term **Format Inertia**, where models tend to generate repetitive, format-correct, but diagnostically uninformative questions in long medical dialogues. To mitigate this observed failure mechanism, we adopt a simple, data-centric method that rebalances the turn-count distribution of the training dataset. Experimental results show that our approach substantially alleviates Format Inertia in medical pre-consultation.