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Apr 14

Can open source large language models be used for tumor documentation in Germany? -- An evaluation on urological doctors' notes

Tumor documentation in Germany is largely done manually, requiring reading patient records and entering data into structured databases. Large language models (LLMs) could potentially enhance this process by improving efficiency and reliability. This evaluation tests eleven different open source LLMs with sizes ranging from 1-70 billion model parameters on three basic tasks of the tumor documentation process: identifying tumor diagnoses, assigning ICD-10 codes, and extracting the date of first diagnosis. For evaluating the LLMs on these tasks, a dataset of annotated text snippets based on anonymized doctors' notes from urology was prepared. Different prompting strategies were used to investigate the effect of the number of examples in few-shot prompting and to explore the capabilities of the LLMs in general. The models Llama 3.1 8B, Mistral 7B, and Mistral NeMo 12 B performed comparably well in the tasks. Models with less extensive training data or having fewer than 7 billion parameters showed notably lower performance, while larger models did not display performance gains. Examples from a different medical domain than urology could also improve the outcome in few-shot prompting, which demonstrates the ability of LLMs to handle tasks needed for tumor documentation. Open source LLMs show a strong potential for automating tumor documentation. Models from 7-12 billion parameters could offer an optimal balance between performance and resource efficiency. With tailored fine-tuning and well-designed prompting, these models might become important tools for clinical documentation in the future. The code for the evaluation is available from https://github.com/stefan-m-lenz/UroLlmEval. We also release the dataset as a new valuable resource that addresses the shortage of authentic and easily accessible benchmarks in German-language medical NLP.

  • 4 authors
·
Jan 21, 2025 1

Scalable Evaluation of Online Facilitation Strategies via Synthetic Simulation of Discussions

Limited large-scale evaluations exist for facilitation strategies of online discussions due to significant costs associated with human involvement. An effective solution is synthetic discussion simulations using Large Language Models (LLMs) to create initial pilot experiments. We propose a simple, generalizable, LLM-driven methodology to prototype the development of LLM facilitators, and produce high-quality synthetic data without human involvement. We use our methodology to test whether current facilitation strategies can improve the performance of LLM facilitators. We find that, while LLM facilitators significantly improve synthetic discussions, there is no evidence that the application of more elaborate facilitation strategies proposed in modern Social Science research lead to further improvements in discussion quality, compared to more basic approaches. Additionally, we find that small LLMs (such as Mistral Nemo 12B) can perform comparably to larger models (such as LLaMa 70B), and that special instructions must be used for instruction-tuned models to induce toxicity in synthetic discussions. We confirm that each component of our methodology contributes substantially to high quality data via an ablation study. We release an open-source framework, "SynDisco" (pip install syndisco), which implements our methodology. We also release the "Virtual Moderation Dataset" (https://paperswithcode.com/dataset/vmd), a large, publicly available dataset containing LLM-generated and LLM-annotated discussions using multiple open-source LLMs.

  • 3 authors
·
Mar 13, 2025

Improving Bilingual Capabilities of Language Models to Support Diverse Linguistic Practices in Education

Large language models (LLMs) offer promise in generating educational content, providing instructor feedback, and reducing teacher workload on assessments. While prior studies have focused on studying LLM-powered learning analytics, limited research has examined how effective LLMs are in a bilingual context. In this paper, we study the effectiveness of multilingual large language models (MLLMs) across monolingual (English-only, Spanish-only) and bilingual (Spanglish) student writing. We present a learning analytics use case that details LLM performance in assessing acceptable and unacceptable explanations of Science and Social Science concepts. Our findings reveal a significant bias in the grading performance of pre-trained models for bilingual writing compared to English-only and Spanish-only writing. Following this, we fine-tune open-source MLLMs including Llama 3.1 and Mistral NeMo using synthetic datasets generated in English, Spanish, and Spanglish. Our experiments indicate that the models perform significantly better for all three languages after fine-tuning with bilingual data. This study highlights the potential of enhancing MLLM effectiveness to support authentic language practices amongst bilingual learners. It also aims to illustrate the value of incorporating non-English languages into the design and implementation of language models in education.

  • 7 authors
·
Nov 6, 2024

PRISM: Demystifying Retention and Interaction in Mid-Training

We present PRISM, a comprehensive empirical study of mid-training design choices for large language models. Through controlled experiments across seven base models spanning four families (Granite, LLaMA, Mistral, Nemotron-H), two architecture types (dense Transformer and attention-Mamba hybrid), and scales from 3B to 24B parameters, we show that mid-training on approximately 27B high-quality tokens yields consistent gains of +15 to +40 points on math, +5 to +12 points on code, and +6 to +13 points on science benchmarks while preserving general performance. The full PRISM to RL pipeline improves macro-average across six reasoning benchmarks from under 12 to 29-42 (a 3-4x improvement), whereas RL applied directly to most of the base models remains substantially less effective, with AIME scores near zero. Data composition matters most at mid-training, not RL: including science data during mid-training unlocks +17 to +28 point GPQA-Diamond gains during RL, while changing the RL mix produces less than 2 point differences. Mechanistically, mid-training densely restructures over 90% of model weights, while RL makes sparse, front-loaded refinements to approximately 5% of parameters. Representation analysis (CKA) confirms that RL consistently preserves mid-training's representational geometry (over 0.998 CKA) across architectures. Crucially, RL applies identical weight changes regardless of starting point, yet only succeeds on mid-trained models, consistent with mid-training placing the model in a configuration from which RL can effectively improve performance. Our results demonstrate that retention-aware mid-training is highly effective for reliable reasoning enhancement and provide practical guidance for designing robust mid-training pipelines.

  • 4 authors
·
Mar 17 1