Yudong Li, Jiawei Cai, Linlin Shen Shenzhen University
Standard Large Language Model (LLM) pre-training typically treats corpora as flattened token sequences, often overlooking the real-world context that humans naturally rely on to contextualize information. To bridge this gap, we introduce Knowledge Coordinate Conditioning (KoCo), a simple method that maps every document into a three-dimensional semantic coordinate. By prepending these coordinates as textual prefixes for pre-training, we aim to equip the model with explicit contextual awareness to learn the documents within the real-world knowledge structure. Experiment results demonstrate that KoCo significantly enhances performance across 10 downstream tasks and accelerates pre-training convergence by approximately 30%. Furthermore, our analysis indicates that explicitly modeling knowledge coordinates helps the model distinguish stable facts from noise, effectively mitigating hallucination in generated outputs.
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cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Shaonan Liu Shenzhen University, Guo Yu, Xiaoling Luo Shenzhen University, Shiyi Zheng, Jie Liu City University of Hong Kong, Wenting Chen, Linlin Shen Shenzhen University
Medical Multimodal Large Language Models (Med-MLLMs) require egocentric clinical intent understanding for real-world deployment, yet existing benchmarks fail to evaluate this critical capability. We introduce MedGaze-Bench, the first benchmark leveraging clinician gaze as a Cognitive Cursor to assess intent understanding across surgery, emergency simulation, and diagnostic interpretation. Our benchmark addresses three fundamental challenges: visual homogeneity of anatomical structures, strict temporal-causal dependencies in clinical workflows, and implicit adherence to safety protocols. We propose a Three-Dimensional Clinical Intent Framework evaluating: (1) Spatial Intent—discriminating precise targets amid visual noise, (2) Temporal Intent—inferring causal rationale through retrospective and prospective reasoning, and (3) Standard Intent—verifying protocol compliance through safety checks. Beyond accuracy metrics, we introduce Trap QA mechanisms to stress-test clinical reliability by penalizing hallucinations and cognitive sycophancy. Experiments reveal current MLLMs struggle with egocentric intent due to over-reliance on global features, leading to fabricated observations and uncritical acceptance of invalid instructions.
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cs.CL · cs.CV
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Wenxuan Wang Renmin University of China, Zizhan Ma The Chinese University of Hong Kong, Guo Yu, Yiu-Fai Cheung Department of Computer Science and Engineering, The Chinese University of Hong Kong, Meidan Ding Shenzhen University, Jie Liu City University of Hong Kong, Wenting Chen, Linlin Shen Shenzhen University
Large language models (LLMs) show significant potential in healthcare, prompting numerous benchmarks to evaluate their capabilities. However, concerns persist regarding the reliability of these benchmarks, which often lack clinical fidelity, robust data management, and safety-oriented evaluation metrics. To address these shortcomings, we introduce MedCheck, the first lifecycle-oriented assessment framework specifically designed for medical benchmarks. Our framework deconstructs benchmark development into five stages from design to governance, and provides a comprehensive checklist of 46 medically-tailored criteria. Using MedCheck, we conducted an in-depth empirical evaluation of 56 medical LLM benchmarks. Our analysis uncovers widespread, systemic issues, including a profound disconnect from clinical practice, a crisis of data integrity due to unmitigated contamination risks, and a systematic neglect of safety-critical evaluation dimensions like model robustness and uncertainty awareness. Based on these findings, MedCheck is both a diagnostic tool for existing benchmarks and an actionable guideline for a more standardized, reliable, and transparent approach to evaluating AI in healthcare.
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cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表