Yunpeng Xiao, Yuzhang Xie, Junhao Huang, Carl Yang, Xiao Hu, Kai Shu
原文摘要
Large language models (LLMs) are increasingly studied for clinical decision support, and medical question answering provides a testbed for evaluating this capability. In particular, medical multiple-choice questions (MCQs) reflect a core challenge in clinical decision-making: plausible options often share overlapping evidence, while only a few decisive factors distinguish the correct option from incorrect ones. However, existing retrieval-based and reasoning-oriented methods mainly focus on supplying broadly relevant knowledge or eliciting reasoning paths, rather than identifying the compact differential evidence that separates confusing alternatives. In this work, we present a retrieval-grounded differential evidence framework for medical MCQs. Our method extracts option-specific pieces of differential evidence and organizes them into concise evidence prompts for answer selection. This design better aligns external knowledge with differential reasoning while reducing irrelevant context. Experiments show consistent accuracy gains across multiple datasets and target LLMs. Ablation studies further show that our framework outperforms both directly using retrieved evidence chunks and closed-source LLM-generated general hints, and that its improvements are not solely explained by answer-proximal guidance, but are consistent with differential evidence serving as a compact aid for reasoning over competing alternatives. Our findings also offer insights for medical reasoning and other decision-making settings with multiple possible choices.
Yunpeng Xiao, Kyrie Zhixuan Zhou, Youpeng Zhao, Kai Shu
原文摘要
Natural language understanding (NLU) is a task that enables machines to understand human language. Some tasks, such as stance detection and sentiment analysis, are closely related to individual subjective perspectives, thus termed individual-level NLU. Previously, these tasks are often simplified to text-level NLU tasks, ignoring individual factors. This not only makes inference difficult and unexplainable but often results in a large number of label errors when creating datasets. To address the above limitations, we propose a new NLU annotation guideline based on individual-level factors. Specifically, we incorporate other posts by the same individual and then annotate individual subjective perspectives after considering all individual posts. We use this guideline to expand and re-annotate the stance detection and topic-based sentiment analysis datasets. We find that error rates in the samples were as high as 31.7\% and 23.3\%. We further use large language models to conduct experiments on the re-annotation datasets and find that the large language models perform well on both datasets after adding individual factors. Both GPT-4o and Llama3-70B can achieve an accuracy greater than 87\% on the re-annotation datasets. We also verify the effectiveness of individual factors through ablation studies. We call on future researchers to add individual factors when creating such datasets. Our re-annotation dataset can be found at https://github.com/24yearsoldstudent/Individual-NLU