Curated datasets for healthcare are often limited due to the need of human annotations from experts. In this paper, we present MedEval, a multi-level, multi-task, and multi-domain medical benchmark to facilitate the development of language models for healthcare. MedEval is comprehensive and consists of data from several healthcare systems and spans 35 human body regions from 8 examination modalities. With 22,779 collected sentences and 21,228 reports, we provide expert annotations at multiple levels, offering a granular potential usage of the data and supporting a wide range of tasks. Moreover, we systematically evaluated 10 generic and domain-specific language models under zero-shot and finetuning settings, from domain-adapted baselines in healthcare to general-purposed state-of-the-art large language models (e.g., ChatGPT). Our evaluations reveal varying effectiveness of the two categories of language models across different tasks, from which we notice the importance of instruction tuning for few-shot usage of large language models. Our investigation paves the way toward benchmarking language models for healthcare and provides valuable insights into the strengths and limitations of adopting large language models in medical domains, informing their practical applications and future advancements.

Debiasing methods in NLP models traditionally focus on isolating information related to a sensitive attribute (e.g., gender or race). We instead argue that a favorable debiasing method should use sensitive information ‘fairly,’ with explanations, rather than blindly eliminating it. This fair balance is often subjective and can be challenging to achieve algorithmically. We explore two interactive setups with a frozen predictive model and show that users able to provide feedback can achieve a better and fairer balance between task performance and bias mitigation. In one setup, users, by interacting with test examples, further decreased bias in the explanations (5-8%) while maintaining the same prediction accuracy. In the other setup, human feedback was able to disentangle associated bias and predictive information from the input leading to superior bias mitigation and improved task performance (4-5%) simultaneously.

Even when aggregate accuracy is high, state-of-the-art NLP models often fail systematically on specific subgroups of data, resulting in unfair outcomes and eroding user trust. Additional data collection may not help in addressing these weaknesses, as such challenging subgroups may be unknown to users, and underrepresented in the existing and new data. We propose Targeted Data Generation (TDG), a framework that automatically identifies challenging subgroups, and generates new data for those subgroups using large language models (LLMs) with a human in the loop. TDG estimates the expected benefit and potential harm of data augmentation for each subgroup, and selects the ones most likely to improve within-group performance without hurting overall performance. In our experiments, TDG significantly improves the accuracy on challenging subgroups for state-of-the-art sentiment analysis and natural language inference models, while also improving overall test accuracy.

Pre-training models with large crawled corpora can lead to issues such as toxicity and bias, as well as copyright and privacy concerns. A promising way of alleviating such concerns is to conduct pre-training with synthetic tasks and data, since no real-world information is ingested by the model. Our goal in this paper is to understand the factors that contribute to the effectiveness of pre-training models when using synthetic resources, particularly in the context of neural machine translation. We propose several novel approaches to pre-training translation models that involve different levels of lexical and structural knowledge, including: 1) generating obfuscated data from a large parallel corpus 2) concatenating phrase pairs extracted from a small word-aligned corpus, and 3) generating synthetic parallel data without real human language corpora. Our experiments on multiple language pairs reveal that pre-training benefits can be realized even with high levels of obfuscation or purely synthetic parallel data. We hope the findings from our comprehensive empirical analysis will shed light on understanding what matters for NMT pre-training, as well as pave the way for the development of more efficient and less toxic models.

Recent work on reducing bias in NLP models usually focuses on protecting or isolating information related to a sensitive attribute (like gender or race). However, when sensitive information is semantically entangled with the task information of the input, e.g., gender information is predictive for a profession, a fair trade-off between task performance and bias mitigation is difficult to achieve. Existing approaches perform this trade-off by eliminating bias information from the latent space, lacking control over how much bias is necessarily required to be removed. We argue that a favorable debiasing method should use sensitive information ‘fairly’, rather than blindly eliminating it (Caliskan et al., 2017; Sun et al., 2019; Bogen et al., 2020). In this work, we provide a novel debiasing algorithm by adjustingthe predictive model’s belief to (1) ignore the sensitive information if it is not useful for the task; (2) use sensitive information minimally as necessary for the prediction (while also incurring a penalty). Experimental results on two text classification tasks (influenced by gender) and an open-ended generation task (influenced by race) indicate that our model achieves a desirable trade-off between debiasing and task performance along with producing debiased rationales as evidence.

Radiology report generation aims at generating descriptive text from radiology images automatically, which may present an opportunity to improve radiology reporting and interpretation. A typical setting consists of training encoder-decoder models on image-report pairs with a cross entropy loss, which struggles to generate informative sentences for clinical diagnoses since normal findings dominate the datasets. To tackle this challenge and encourage more clinically-accurate text outputs, we propose a novel weakly supervised contrastive loss for medical report generation. Experimental results demonstrate that our method benefits from contrasting target reports with incorrect but semantically-close ones. It outperforms previous work on both clinical correctness and text generation metrics for two public benchmarks.

Written language carries explicit and implicit biases that can distract from meaningful signals. For example, letters of reference may describe male and female candidates differently, or their writing style may indirectly reveal demographic characteristics. At best, such biases distract from the meaningful content of the text; at worst they can lead to unfair outcomes. We investigate the challenge of re-generating input sentences to ‘neutralize’ sensitive attributes while maintaining the semantic meaning of the original text (e.g. is the candidate qualified?). We propose a gradient-based rewriting framework, Detect and Perturb to Neutralize (DEPEN), that first detects sensitive components and masks them for regeneration, then perturbs the generation model at decoding time under a neutralizing constraint that pushes the (predicted) distribution of sensitive attributes towards a uniform distribution. Our experiments in two different scenarios show that DEPEN can regenerate fluent alternatives that are neutral in the sensitive attribute while maintaining the semantics of other attributes.

The goal of Word Sense Disambiguation (WSD) is to identify the correct meaning of a word in the particular context. Traditional supervised methods only use labeled data (context), while missing rich lexical knowledge such as the gloss which defines the meaning of a word sense. Recent studies have shown that incorporating glosses into neural networks for WSD has made significant improvement. However, the previous models usually build the context representation and gloss representation separately. In this paper, we find that the learning for the context and gloss representation can benefit from each other. Gloss can help to highlight the important words in the context, thus building a better context representation. Context can also help to locate the key words in the gloss of the correct word sense. Therefore, we introduce a co-attention mechanism to generate co-dependent representations for the context and gloss. Furthermore, in order to capture both word-level and sentence-level information, we extend the attention mechanism in a hierarchical fashion. Experimental results show that our model achieves the state-of-the-art results on several standard English all-words WSD test datasets.