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May 14

Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

  • 18 authors
·
Apr 26, 2023

Diminished Diversity-of-Thought in a Standard Large Language Model

We test whether Large Language Models (LLMs) can be used to simulate human participants in social-science studies. To do this, we run replications of 14 studies from the Many Labs 2 replication project with OpenAI's text-davinci-003 model, colloquially known as GPT3.5. Based on our pre-registered analyses, we find that among the eight studies we could analyse, our GPT sample replicated 37.5% of the original results and 37.5% of the Many Labs 2 results. However, we were unable to analyse the remaining six studies due to an unexpected phenomenon we call the "correct answer" effect. Different runs of GPT3.5 answered nuanced questions probing political orientation, economic preference, judgement, and moral philosophy with zero or near-zero variation in responses: with the supposedly "correct answer." In one exploratory follow-up study, we found that a "correct answer" was robust to changing the demographic details that precede the prompt. In another, we found that most but not all "correct answers" were robust to changing the order of answer choices. One of our most striking findings occurred in our replication of the Moral Foundations Theory survey results, where we found GPT3.5 identifying as a political conservative in 99.6% of the cases, and as a liberal in 99.3% of the cases in the reverse-order condition. However, both self-reported 'GPT conservatives' and 'GPT liberals' showed right-leaning moral foundations. Our results cast doubts on the validity of using LLMs as a general replacement for human participants in the social sciences. Our results also raise concerns that a hypothetical AI-led future may be subject to a diminished diversity-of-thought.

  • 3 authors
·
Feb 13, 2023

Measuring Epistemic Humility in Multimodal Large Language Models

Hallucinations in multimodal large language models (MLLMs) -- where the model generates content inconsistent with the input image -- pose significant risks in real-world applications, from misinformation in visual question answering to unsafe errors in decision-making. Existing benchmarks primarily test recognition accuracy, i.e., evaluating whether models can select the correct answer among distractors. This overlooks an equally critical capability for trustworthy AI: recognizing when none of the provided options are correct, a behavior reflecting epistemic humility. We present HumbleBench, a new hallucination benchmark designed to evaluate MLLMs' ability to reject plausible but incorrect answers across three hallucination types: object, relation, and attribute. Built from a panoptic scene graph dataset, we leverage fine-grained scene graph annotations to extract ground-truth entities and relations, and prompt GPT-4-Turbo to generate multiple-choice questions, followed by a rigorous manual filtering process. Each question includes a "None of the above" option, requiring models not only to recognize correct visual information but also to identify when no provided answer is valid. We evaluate a variety of state-of-the-art MLLMs -- including both general-purpose and specialized reasoning models -- on HumbleBench and share valuable findings and insights with the community. By incorporating explicit false-option rejection, HumbleBench fills a key gap in current evaluation suites, providing a more realistic measure of MLLM reliability in safety-critical settings. Our code and dataset are released publicly and can be accessed at https://github.com/maifoundations/HumbleBench.

  • 4 authors
·
Sep 11, 2025 3

Susu Box or Piggy Bank: Assessing Cultural Commonsense Knowledge between Ghana and the U.S

Recent work has highlighted the culturally-contingent nature of commonsense knowledge. We introduce AMAMMER{epsilon}, a test set of 525 multiple-choice questions designed to evaluate the commonsense knowledge of English LLMs, relative to the cultural contexts of Ghana and the United States. To create AMAMMER{epsilon}, we select a set of multiple-choice questions (MCQs) from existing commonsense datasets and rewrite them in a multi-stage process involving surveys of Ghanaian and U.S. participants. In three rounds of surveys, participants from both pools are solicited to (1) write correct and incorrect answer choices, (2) rate individual answer choices on a 5-point Likert scale, and (3) select the best answer choice from the newly-constructed MCQ items, in a final validation step. By engaging participants at multiple stages, our procedure ensures that participant perspectives are incorporated both in the creation and validation of test items, resulting in high levels of agreement within each pool. We evaluate several off-the-shelf English LLMs on AMAMMER{epsilon}. Uniformly, models prefer answers choices that align with the preferences of U.S. annotators over Ghanaian annotators. Additionally, when test items specify a cultural context (Ghana or the U.S.), models exhibit some ability to adapt, but performance is consistently better in U.S. contexts than Ghanaian. As large resources are devoted to the advancement of English LLMs, our findings underscore the need for culturally adaptable models and evaluations to meet the needs of diverse English-speaking populations around the world.

  • 3 authors
·
Oct 21, 2024

ParamBench: A Graduate-Level Benchmark for Evaluating LLM Understanding on Indic Subjects

Large language models have been widely evaluated on tasks such as comprehension, summarization, code generation, etc. However, their performance on graduate-level, culturally grounded questions in the Indian context remains largely unexplored. Existing Indian benchmarks emphasise basic fact-orientated queries that offer limited assessment of a deeper disciplinary understanding tailored to the Indian setting. In this paper, we present ParamBench, consisting of more than 17K questions in the Hindi language, comprising questionnaires from 21 diverse subjects. These questions are primarily derived from a nationwide graduate-level entrance examination covering topics such as history, music, instruments, yoga, literature, philosophy, law, etc.~ specifically for the Indian context. Additionally, we assess the ability of LLMs to handle diverse question formats - such as list-based matching, assertion-reason pairs, and sequence ordering - alongside conventional multiple-choice questions. We evaluated the performance of more than 16 open source LLMs on this benchmark, observing that Gemma3-27B attains the highest overall accuracy of 56.4\%. Furthermore, subject-wise analysis indicates that even for the best-performing LLMs, performance remains weak on topics such as music, classical instruments, and law, underscoring persistent challenges in culturally grounded reasoning. The dataset and source code is present at https://github.com/ayushbits/ParamBench.

  • 4 authors
·
Aug 22, 2025

CaLMQA: Exploring culturally specific long-form question answering across 23 languages

Despite rising global usage of large language models (LLMs), their ability to generate long-form answers to culturally specific questions remains unexplored in many languages. To fill this gap, we perform the first study of textual multilingual long-form QA by creating CaLMQA, a dataset of 51.7K culturally specific questions across 23 different languages. We define culturally specific questions as those that refer to concepts unique to one or a few cultures, or have different answers depending on the cultural or regional context. We obtain these questions by crawling naturally-occurring questions from community web forums in high-resource languages, and by hiring native speakers to write questions in under-resourced, rarely-studied languages such as Fijian and Kirundi. Our data collection methodologies are translation-free, enabling the collection of culturally unique questions like "Kuber iki umwami wa mbere w'uburundi yitwa Ntare?" (Kirundi; English translation: "Why was the first king of Burundi called Ntare (Lion)?"). We evaluate factuality, relevance and surface-level quality of LLM-generated long-form answers, finding that (1) for many languages, even the best models make critical surface-level errors (e.g., answering in the wrong language, repetition), especially for low-resource languages; and (2) answers to culturally specific questions contain more factual errors than answers to culturally agnostic questions -- questions that have consistent meaning and answer across many cultures. We release CaLMQA to facilitate future research in cultural and multilingual long-form QA.

  • 6 authors
·
Jun 25, 2024

Effective Transfer Learning for Identifying Similar Questions: Matching User Questions to COVID-19 FAQs

People increasingly search online for answers to their medical questions but the rate at which medical questions are asked online significantly exceeds the capacity of qualified people to answer them. This leaves many questions unanswered or inadequately answered. Many of these questions are not unique, and reliable identification of similar questions would enable more efficient and effective question answering schema. COVID-19 has only exacerbated this problem. Almost every government agency and healthcare organization has tried to meet the informational need of users by building online FAQs, but there is no way for people to ask their question and know if it is answered on one of these pages. While many research efforts have focused on the problem of general question similarity, these approaches do not generalize well to domains that require expert knowledge to determine semantic similarity, such as the medical domain. In this paper, we show how a double fine-tuning approach of pretraining a neural network on medical question-answer pairs followed by fine-tuning on medical question-question pairs is a particularly useful intermediate task for the ultimate goal of determining medical question similarity. While other pretraining tasks yield an accuracy below 78.7% on this task, our model achieves an accuracy of 82.6% with the same number of training examples, an accuracy of 80.0% with a much smaller training set, and an accuracy of 84.5% when the full corpus of medical question-answer data is used. We also describe a currently live system that uses the trained model to match user questions to COVID-related FAQs.

  • 5 authors
·
Aug 4, 2020

Multimodal QUD: Inquisitive Questions from Scientific Figures

Asking inquisitive questions while reading, and looking for their answers, is an important part in human discourse comprehension, curiosity, and creative ideation, and prior work has investigated this in text-only scenarios. However, in scientific or research papers, many of the critical takeaways are conveyed through both figures and the text that analyzes them. While scientific visualizations have been used to evaluate Vision-Language Models (VLMs) capabilities, current benchmarks are limited to questions that focus simply on extracting information from them. Such questions only require lower-level reasoning, do not take into account the context in which a figure appears, and do not reflect the communicative goals the authors wish to achieve. We generate inquisitive questions that reach the depth of questions humans generate when engaging with scientific papers, conditioned on both the figure and the paper's context, and require reasoning across both modalities. To do so, we extend the linguistic theory of Questions Under Discussion (QUD) from being text-only to multimodal, where implicit questions are raised and resolved as discourse progresses. We present MQUD, a dataset of research papers in which such questions are made explicit and annotated by the original authors. We show that fine-tuning a VLM on MQUD shifts the model from generating generic low-level visual questions to content-specific grounding that requires a high-level of multimodal reasoning, yielding higher-quality, more visually grounded multimodal QUD generation.

  • 5 authors
·
Apr 25

One Language, Many Gaps: Evaluating Dialect Fairness and Robustness of Large Language Models in Reasoning Tasks

Language is not monolithic. While many benchmarks are used as proxies to systematically estimate Large Language Models' (LLM) performance in real-life tasks, they tend to ignore the nuances of within-language variation and thus fail to model the experience of speakers of minority dialects. Focusing on African American Vernacular English (AAVE), we present the first study on LLMs' fairness and robustness to a dialect in canonical reasoning tasks (algorithm, math, logic, and comprehensive reasoning). We hire AAVE speakers, including experts with computer science backgrounds, to rewrite seven popular benchmarks, such as HumanEval and GSM8K. The result of this effort is ReDial, a dialectal benchmark comprising 1.2K+ parallel query pairs in Standardized English and AAVE. We use ReDial to evaluate state-of-the-art LLMs, including GPT-4o/4/3.5-turbo, LLaMA-3.1/3, Mistral, and Phi-3. We find that, compared to Standardized English, almost all of these widely used models show significant brittleness and unfairness to queries in AAVE. Furthermore, AAVE queries can degrade performance more substantially than misspelled texts in Standardized English, even when LLMs are more familiar with the AAVE queries. Finally, asking models to rephrase questions in Standardized English does not close the performance gap but generally introduces higher costs. Overall, our findings indicate that LLMs provide unfair service to dialect users in complex reasoning tasks. Code can be found at https://github.com/fangru-lin/redial_dialect_robustness_fairness.git.

  • 9 authors
·
Oct 14, 2024

PlotQA: Reasoning over Scientific Plots

Existing synthetic datasets (FigureQA, DVQA) for reasoning over plots do not contain variability in data labels, real-valued data, or complex reasoning questions. Consequently, proposed models for these datasets do not fully address the challenge of reasoning over plots. In particular, they assume that the answer comes either from a small fixed size vocabulary or from a bounding box within the image. However, in practice, this is an unrealistic assumption because many questions require reasoning and thus have real-valued answers which appear neither in a small fixed size vocabulary nor in the image. In this work, we aim to bridge this gap between existing datasets and real-world plots. Specifically, we propose PlotQA with 28.9 million question-answer pairs over 224,377 plots on data from real-world sources and questions based on crowd-sourced question templates. Further, 80.76% of the out-of-vocabulary (OOV) questions in PlotQA have answers that are not in a fixed vocabulary. Analysis of existing models on PlotQA reveals that they cannot deal with OOV questions: their overall accuracy on our dataset is in single digits. This is not surprising given that these models were not designed for such questions. As a step towards a more holistic model which can address fixed vocabulary as well as OOV questions, we propose a hybrid approach: Specific questions are answered by choosing the answer from a fixed vocabulary or by extracting it from a predicted bounding box in the plot, while other questions are answered with a table question-answering engine which is fed with a structured table generated by detecting visual elements from the image. On the existing DVQA dataset, our model has an accuracy of 58%, significantly improving on the highest reported accuracy of 46%. On PlotQA, our model has an accuracy of 22.52%, which is significantly better than state of the art models.

  • 4 authors
·
Sep 3, 2019

Language Models Change Facts Based on the Way You Talk

Large language models (LLMs) are increasingly being used in user-facing applications, from providing medical consultations to job interview advice. Recent research suggests that these models are becoming increasingly proficient at inferring identity information about the author of a piece of text from linguistic patterns as subtle as the choice of a few words. However, little is known about how LLMs use this information in their decision-making in real-world applications. We perform the first comprehensive analysis of how identity markers present in a user's writing bias LLM responses across five different high-stakes LLM applications in the domains of medicine, law, politics, government benefits, and job salaries. We find that LLMs are extremely sensitive to markers of identity in user queries and that race, gender, and age consistently influence LLM responses in these applications. For instance, when providing medical advice, we find that models apply different standards of care to individuals of different ethnicities for the same symptoms; we find that LLMs are more likely to alter answers to align with a conservative (liberal) political worldview when asked factual questions by older (younger) individuals; and that LLMs recommend lower salaries for non-White job applicants and higher salaries for women compared to men. Taken together, these biases mean that the use of off-the-shelf LLMs for these applications may cause harmful differences in medical care, foster wage gaps, and create different political factual realities for people of different identities. Beyond providing an analysis, we also provide new tools for evaluating how subtle encoding of identity in users' language choices impacts model decisions. Given the serious implications of these findings, we recommend that similar thorough assessments of LLM use in user-facing applications are conducted before future deployment.

  • 3 authors
·
Jul 17, 2025

Interpretation of Natural Language Rules in Conversational Machine Reading

Most work in machine reading focuses on question answering problems where the answer is directly expressed in the text to read. However, many real-world question answering problems require the reading of text not because it contains the literal answer, but because it contains a recipe to derive an answer together with the reader's background knowledge. One example is the task of interpreting regulations to answer "Can I...?" or "Do I have to...?" questions such as "I am working in Canada. Do I have to carry on paying UK National Insurance?" after reading a UK government website about this topic. This task requires both the interpretation of rules and the application of background knowledge. It is further complicated due to the fact that, in practice, most questions are underspecified, and a human assistant will regularly have to ask clarification questions such as "How long have you been working abroad?" when the answer cannot be directly derived from the question and text. In this paper, we formalise this task and develop a crowd-sourcing strategy to collect 32k task instances based on real-world rules and crowd-generated questions and scenarios. We analyse the challenges of this task and assess its difficulty by evaluating the performance of rule-based and machine-learning baselines. We observe promising results when no background knowledge is necessary, and substantial room for improvement whenever background knowledge is needed.

  • 8 authors
·
Aug 28, 2018