Daily Papers

Text-to-audio-video (T2AV) generation is central to applications such as filmmaking and world modeling. However, current models often fail to produce physically plausible sounds. Previous benchmarks primarily focus on audio-video temporal synchronization, while largely overlooking explicit evaluation of audio-physics grounding, thereby limiting the study of physically plausible audio-visual generation. To address this issue, we present PhyAVBench, the first benchmark that systematically evaluates the audio-physics grounding capabilities of T2AV, image-to-audio-video (I2AV), and video-to-audio (V2A) models. PhyAVBench offers PhyAV-Sound-11K, a new dataset of 25.5 hours of 11,605 audible videos collected from 184 participants to ensure diversity and avoid data leakage. It contains 337 paired-prompt groups with controlled physical variations that drive sound differences, each grounded with an average of 17 videos and spanning 6 audio-physics dimensions and 41 fine-grained test points. Each prompt pair is annotated with the physical factors underlying their acoustic differences. Importantly, PhyAVBench leverages paired text prompts to evaluate this capability. We term this evaluation paradigm the Audio-Physics Sensitivity Test (APST) and introduce a novel metric, the Contrastive Physical Response Score (CPRS), which quantifies the acoustic consistency between generated videos and their real-world counterparts. We conduct a comprehensive evaluation of 17 state-of-the-art models. Our results reveal that even leading commercial models struggle with fundamental audio-physical phenomena, exposing a critical gap beyond audio-visual synchronization and pointing to future research directions. We hope PhyAVBench will serve as a foundation for advancing physically grounded audio-visual generation. Prompts, ground-truth, and generated video samples are available at https://github.com/imxtx/PhyAVBench.

Self-supervised contrastive learning (CL) has achieved state-of-the-art performance in representation learning by minimizing the distance between positive pairs while maximizing that of negative ones. Recently, it has been verified that the model learns better representation with diversely augmented positive pairs because they enable the model to be more view-invariant. However, only a few studies on CL have considered the difference between augmented views, and have not gone beyond the hand-crafted findings. In this paper, we first observe that the score-matching function can measure how much data has changed from the original through augmentation. With the observed property, every pair in CL can be weighted adaptively by the difference of score values, resulting in boosting the performance of the existing CL method. We show the generality of our method, referred to as ScoreCL, by consistently improving various CL methods, SimCLR, SimSiam, W-MSE, and VICReg, up to 3%p in k-NN evaluation on CIFAR-10, CIFAR-100, and ImageNet-100. Moreover, we have conducted exhaustive experiments and ablations, including results on diverse downstream tasks, comparison with possible baselines, and improvement when used with other proposed augmentation methods. We hope our exploration will inspire more research in exploiting the score matching for CL.

Recently, the physical capabilities of (M)LLMs have garnered increasing attention. However, existing benchmarks for physics suffer from two major gaps: they neither provide systematic and up-to-date coverage of real-world physics competitions such as physics Olympiads, nor enable direct performance comparison with humans. To bridge these gaps, we present HiPhO, the first benchmark dedicated to high school physics Olympiads with human-aligned evaluation. Specifically, HiPhO highlights three key innovations. (1) Comprehensive Data: It compiles 13 latest Olympiad exams from 2024-2025, spanning both international and regional competitions, and covering mixed modalities that encompass problems spanning text-only to diagram-based. (2) Professional Evaluation: We adopt official marking schemes to perform fine-grained grading at both the answer and step level, fully aligned with human examiners to ensure high-quality and domain-specific evaluation. (3) Comparison with Human Contestants: We assign gold, silver, and bronze medals to models based on official medal thresholds, thereby enabling direct comparison between (M)LLMs and human contestants. Our large-scale evaluation of 30 state-of-the-art (M)LLMs shows that: across 13 exams, open-source MLLMs mostly remain at or below the bronze level; open-source LLMs show promising progress with occasional golds; closed-source reasoning MLLMs can achieve 6 to 12 gold medals; and most models still have a significant gap from full marks. These results highlight a substantial performance gap between open-source models and top students, the strong physical reasoning capabilities of closed-source reasoning models, and the fact that there is still significant room for improvement. HiPhO, as a rigorous, human-aligned, and Olympiad-focused benchmark for advancing multimodal physical reasoning, is open-source and available at https://github.com/SciYu/HiPhO.

We perform a comprehensive benchmarking of contrastive frameworks for learning multimodal representations in the medical domain. Through this study, we aim to answer the following research questions: (i) How transferable are general-domain representations to the medical domain? (ii) Is multimodal contrastive training sufficient, or does it benefit from unimodal training as well? (iii) What is the impact of feature granularity on the effectiveness of multimodal medical representation learning? To answer these questions, we investigate eight contrastive learning approaches under identical training setups, and train them on 2.8 million image-text pairs from four datasets, and evaluate them on 25 downstream tasks, including classification (zero-shot and linear probing), image-to-text and text-to-image retrieval, and visual question-answering. Our findings suggest a positive answer to the first question, a negative answer to the second question, and the benefit of learning fine-grained features. Finally, we make our code publicly available.

Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style questions with a score of 67.2% on the MedQA dataset. However, this and other prior work suggested significant room for improvement, especially when models' answers were compared to clinicians' answers. Here we present Med-PaLM 2, which bridges these gaps by leveraging a combination of base LLM improvements (PaLM 2), medical domain finetuning, and prompting strategies including a novel ensemble refinement approach. Med-PaLM 2 scored up to 86.5% on the MedQA dataset, improving upon Med-PaLM by over 19% and setting a new state-of-the-art. We also observed performance approaching or exceeding state-of-the-art across MedMCQA, PubMedQA, and MMLU clinical topics datasets. We performed detailed human evaluations on long-form questions along multiple axes relevant to clinical applications. In pairwise comparative ranking of 1066 consumer medical questions, physicians preferred Med-PaLM 2 answers to those produced by physicians on eight of nine axes pertaining to clinical utility (p < 0.001). We also observed significant improvements compared to Med-PaLM on every evaluation axis (p < 0.001) on newly introduced datasets of 240 long-form "adversarial" questions to probe LLM limitations. While further studies are necessary to validate the efficacy of these models in real-world settings, these results highlight rapid progress towards physician-level performance in medical question answering.

Large Language Models (LLMs) are increasingly used for clinical decision support, where hallucinations and unsafe suggestions may pose direct risks to patient safety. These risks are particularly challenging as they often manifest as subtle clinical errors that evade detection by generic metrics, while expert-authored fine-grained rubrics remain costly to construct and difficult to scale. In this paper, we propose a retrieval-augmented multi-agent framework designed to automate the generation of instance-specific evaluation rubrics. Our approach grounds evaluation in authoritative medical evidence by decomposing retrieved content into atomic facts and synthesizing them with user interaction constraints to form verifiable, fine-grained evaluation criteria. Evaluated on HealthBench, our framework achieves a Clinical Intent Alignment (CIA) score of 60.12%, a statistically significant improvement over the GPT-4o baseline (55.16%). In discriminative tests, our rubrics yield a mean score delta (μ_Δ = 8.658) and an AUROC of 0.977, nearly doubling the quality separation achieved by GPT-4o baseline (4.972). Beyond evaluation, our rubrics effectively guide response refinement, improving quality by 9.2% (from 59.0% to 68.2%). This provides a scalable and transparent foundation for both evaluating and improving medical LLMs. The code is available at https://anonymous.4open.science/r/Automated-Rubric-Generation-AF3C/.

Large Language Models (LLMs) are widely used as proxies for human labelers in both training (Reinforcement Learning from AI Feedback) and large-scale response evaluation (LLM-as-a-judge). Alignment and evaluation are critical components in the development of reliable LLMs, and the choice of feedback protocol plays a central role in both but remains understudied. In this work, we show that the choice of feedback protocol for evaluation (absolute scores versus relative preferences) can significantly affect evaluation reliability and induce systematic biases. In the context of LLM-as-a-judge evaluation, we show that pairwise protocols are more vulnerable to distracted evaluation. Generator models can exploit spurious attributes (or distractor features) favored by the LLM judge, resulting in inflated scores for lower-quality outputs. We find that absolute scoring is more robust to such manipulation, producing judgments that better reflect response quality and are less influenced by distractor features. Our results demonstrate that generator models can flip preferences by embedding distractor features, skewing LLM-as-a-judge comparisons and leading to inaccurate conclusions about model quality in benchmark evaluations. Pairwise preferences flip in about 35% of the cases, compared to only 9% for absolute scores. We offer recommendations for choosing feedback protocols based on dataset characteristics and evaluation objectives.

While recent advancements in large multimodal models (LMMs) have significantly improved their abilities in image quality assessment (IQA) relying on absolute quality rating, how to transfer reliable relative quality comparison outputs to continuous perceptual quality scores remains largely unexplored. To address this gap, we introduce Compare2Score-an all-around LMM-based no-reference IQA (NR-IQA) model, which is capable of producing qualitatively comparative responses and effectively translating these discrete comparative levels into a continuous quality score. Specifically, during training, we present to generate scaled-up comparative instructions by comparing images from the same IQA dataset, allowing for more flexible integration of diverse IQA datasets. Utilizing the established large-scale training corpus, we develop a human-like visual quality comparator. During inference, moving beyond binary choices, we propose a soft comparison method that calculates the likelihood of the test image being preferred over multiple predefined anchor images. The quality score is further optimized by maximum a posteriori estimation with the resulting probability matrix. Extensive experiments on nine IQA datasets validate that the Compare2Score effectively bridges text-defined comparative levels during training with converted single image quality score for inference, surpassing state-of-the-art IQA models across diverse scenarios. Moreover, we verify that the probability-matrix-based inference conversion not only improves the rating accuracy of Compare2Score but also zero-shot general-purpose LMMs, suggesting its intrinsic effectiveness.

Large Language Models (LLMs) are commonly used as evaluators in various applications, but the reliability of the outcomes remains a challenge. One such challenge is using LLMs-as-judges for direct assessment, i.e., assigning scores from a specified range without any references. We first show that this challenge stems from LLM judge outputs being associated with score range bias, i.e., LLM judge outputs are highly sensitive to pre-defined score ranges, preventing the search for optimal score ranges. We also show that similar biases exist among models from the same family. We then mitigate this bias through contrastive decoding, achieving up to 11.3% relative improvement on average in Spearman correlation with human judgments across different score ranges.

As Large Language Models (LLMs) are increasingly proposed for high-stakes medical applications, there has emerged a critical need for reliable and accurate evaluation methodologies. Traditional accuracy metrics fail inadequately as they neither capture question characteristics nor offer topic-specific insights. To address this gap, we introduce MedIRT, a rigorous evaluation framework grounded in Item Response Theory (IRT), the gold standard in high-stakes educational testing. Unlike previous research relying on archival data, we prospectively gathered fresh responses from 80 diverse LLMs on a balanced, 1,100-question USMLE-aligned benchmark. Using one unidimensional two-parameter logistic IRT model per topic, we estimate LLM's latent model ability jointly with question difficulty and discrimination, yielding more stable and nuanced performance rankings than accuracy alone. Notably, we identify distinctive ``spiky'' ability profiles, where overall rankings can be misleading due to highly specialized model abilities. While GPT-5 was the top performer in a majority of domains (8 of 11), it was outperformed in Social Science and Communication by Claude-3-opus, demonstrating that even an overall 23rd-ranked model can hold the top spot for specific competencies. Furthermore, we demonstrate IRT's utility in auditing benchmarks by identifying flawed questions. We synthesize these findings into a practical decision-support framework that integrates our multi-factor competency profiles with operational metrics. This work establishes a robust, psychometrically grounded methodology essential for the safe, effective, and trustworthy deployment of LLMs in healthcare.

We present an open-source benchmark and evaluation framework for assessing emotional boundary handling in Large Language Models (LLMs). Using a dataset of 1156 prompts across six languages, we evaluated three leading LLMs (GPT-4o, Claude-3.5 Sonnet, and Mistral-large) on their ability to maintain appropriate emotional boundaries through pattern-matched response analysis. Our framework quantifies responses across seven key patterns: direct refusal, apology, explanation, deflection, acknowledgment, boundary setting, and emotional awareness. Results demonstrate significant variation in boundary-handling approaches, with Claude-3.5 achieving the highest overall score (8.69/10) and producing longer, more nuanced responses (86.51 words on average). We identified a substantial performance gap between English (average score 25.62) and non-English interactions (< 0.22), with English responses showing markedly higher refusal rates (43.20% vs. < 1% for non-English). Pattern analysis revealed model-specific strategies, such as Mistral's preference for deflection (4.2%) and consistently low empathy scores across all models (< 0.06). Limitations include potential oversimplification through pattern matching, lack of contextual understanding in response analysis, and binary classification of complex emotional responses. Future work should explore more nuanced scoring methods, expand language coverage, and investigate cultural variations in emotional boundary expectations. Our benchmark and methodology provide a foundation for systematic evaluation of LLM emotional intelligence and boundary-setting capabilities.

The assessment of evaluation metrics (meta-evaluation) is crucial for determining the suitability of existing metrics in text-to-image (T2I) generation tasks. Human-based meta-evaluation is costly and time-intensive, and automated alternatives are scarce. We address this gap and propose CROC: a scalable framework for automated Contrastive Robustness Checks that systematically probes and quantifies metric robustness by synthesizing contrastive test cases across a comprehensive taxonomy of image properties. With CROC, we generate a pseudo-labeled dataset (CROC^{syn}) of over one million contrastive prompt-image pairs to enable a fine-grained comparison of evaluation metrics. We also use the dataset to train CROCScore, a new metric that achieves state-of-the-art performance among open-source methods, demonstrating an additional key application of our framework. To complement this dataset, we introduce a human-supervised benchmark (CROC^{hum}) targeting especially challenging categories. Our results highlight robustness issues in existing metrics: for example, many fail on prompts involving negation, and all tested open-source metrics fail on at least 25% of cases involving correct identification of body parts.

Contrastive learning has gained widespread adoption for retrieval tasks due to its minimal requirement for manual annotations. However, popular contrastive frameworks typically learn from binary relevance, making them ineffective at incorporating direct fine-grained rankings. In this paper, we curate a large-scale dataset featuring detailed relevance scores for each query-document pair to facilitate future research and evaluation. Subsequently, we propose Generalized Contrastive Learning for Multi-Modal Retrieval and Ranking (GCL), which is designed to learn from fine-grained rankings beyond binary relevance scores. Our results show that GCL achieves a 94.5% increase in NDCG@10 for in-domain and 26.3 to 48.8% increases for cold-start evaluations, all relative to the CLIP baseline and involving ground truth rankings.

The rapid release of both language models and benchmarks makes it increasingly costly to evaluate every model on every dataset. In practice, models are often evaluated on different samples, making scores difficult to compare across studies. To address this, we propose a framework based on multidimensional Item Response Theory (IRT) that uses anchor items to calibrate new benchmarks to the evaluation suite while holding previously calibrated item parameters fixed. Our approach supports a realistic evaluation setting in which datasets are introduced over time and models are evaluated only on the datasets available at the time of evaluation, while a fixed anchor set for each dataset is used so that results from different evaluation periods can be compared directly. In large-scale experiments on more than 400 models, our framework predicts full-evaluation performance within 2-3 percentage points using only 100 anchor questions per dataset, with Spearman ρgeq 0.9 for ranking preservation, showing that it is possible to extend benchmark suites over time while preserving score comparability, at a constant evaluation cost per new dataset. Code available at https://github.com/eliyahabba/growing-pains

In this study, we aimed to determine if fine-tuned large language models (LLMs) can generate accurate, personalized impressions for whole-body PET reports. Twelve language models were trained on a corpus of PET reports using the teacher-forcing algorithm, with the report findings as input and the clinical impressions as reference. An extra input token encodes the reading physician's identity, allowing models to learn physician-specific reporting styles. Our corpus comprised 37,370 retrospective PET reports collected from our institution between 2010 and 2022. To identify the best LLM, 30 evaluation metrics were benchmarked against quality scores from two nuclear medicine (NM) physicians, with the most aligned metrics selecting the model for expert evaluation. In a subset of data, model-generated impressions and original clinical impressions were assessed by three NM physicians according to 6 quality dimensions (3-point scale) and an overall utility score (5-point scale). Each physician reviewed 12 of their own reports and 12 reports from other physicians. Bootstrap resampling was used for statistical analysis. Of all evaluation metrics, domain-adapted BARTScore and PEGASUSScore showed the highest Spearman's rank correlations (0.568 and 0.563) with physician preferences. Based on these metrics, the fine-tuned PEGASUS model was selected as the top LLM. When physicians reviewed PEGASUS-generated impressions in their own style, 89% were considered clinically acceptable, with a mean utility score of 4.08 out of 5. Physicians rated these personalized impressions as comparable in overall utility to the impressions dictated by other physicians (4.03, P=0.41). In conclusion, personalized impressions generated by PEGASUS were clinically useful, highlighting its potential to expedite PET reporting.

Short feedback responses, such as backchannels, play an important role in spoken dialogue. So far, most of the modeling of feedback responses has focused on their timing, often neglecting how their lexical and prosodic form influence their contextual appropriateness and conversational function. In this paper, we investigate the possibility of embedding short dialogue contexts and feedback responses in the same representation space using a contrastive learning objective. In our evaluation, we primarily focus on how such embeddings can be used as a context-feedback appropriateness metric and thus for feedback response ranking in U.S. English dialogues. Our results show that the model outperforms humans given the same ranking task and that the learned embeddings carry information about the conversational function of feedback responses.

Automated scoring engines are increasingly being used to score the free-form text responses that students give to questions. Such engines are not designed to appropriately deal with responses that a human reader would find alarming such as those that indicate an intention to self-harm or harm others, responses that allude to drug abuse or sexual abuse or any response that would elicit concern for the student writing the response. Our neural network models have been designed to help identify these anomalous responses from a large collection of typical responses that students give. The responses identified by the neural network can be assessed for urgency, severity, and validity more quickly by a team of reviewers than otherwise possible. Given the anomalous nature of these types of responses, our goal is to maximize the chance of flagging these responses for review given the constraint that only a fixed percentage of responses can viably be assessed by a team of reviewers.

While Large Language Models (LLMs) excel on standardized medical exams, high scores often fail to translate to high-quality responses for real-world medical queries. Current evaluations rely heavily on multiple-choice questions, failing to capture the unstructured, ambiguous, and long-tail complexities inherent in genuine user inquiries. To bridge this gap, we introduce QuarkMedBench, an ecologically valid benchmark tailored for real-world medical LLM assessment. We compiled a massive dataset spanning Clinical Care, Wellness Health, and Professional Inquiry, comprising 20,821 single-turn queries and 3,853 multi-turn sessions. To objectively evaluate open-ended answers, we propose an automated scoring framework that integrates multi-model consensus with evidence-based retrieval to dynamically generate 220,617 fine-grained scoring rubrics (~9.8 per query). During evaluation, hierarchical weighting and safety constraints structurally quantify medical accuracy, key-point coverage, and risk interception, effectively mitigating the high costs and subjectivity of human grading. Experimental results demonstrate that the generated rubrics achieve a 91.8% concordance rate with clinical expert blind audits, establishing highly dependable medical reliability. Crucially, baseline evaluations on this benchmark reveal significant performance disparities among state-of-the-art models when navigating real-world clinical nuances, highlighting the limitations of conventional exam-based metrics. Ultimately, QuarkMedBench establishes a rigorous, reproducible yardstick for measuring LLM performance on complex health issues, while its framework inherently supports dynamic knowledge updates to prevent benchmark obsolescence.

Despite the potential of Large Language Models (LLMs) in medicine, they may generate responses lacking supporting evidence or based on hallucinated evidence. While Retrieval Augment Generation (RAG) is popular to address this issue, few studies implemented and evaluated RAG in downstream domain-specific applications. We developed a RAG pipeline with 70,000 ophthalmology-specific documents that retrieve relevant documents to augment LLMs during inference time. In a case study on long-form consumer health questions, we systematically evaluated the responses including over 500 references of LLMs with and without RAG on 100 questions with 10 healthcare professionals. The evaluation focuses on factuality of evidence, selection and ranking of evidence, attribution of evidence, and answer accuracy and completeness. LLMs without RAG provided 252 references in total. Of which, 45.3% hallucinated, 34.1% consisted of minor errors, and 20.6% were correct. In contrast, LLMs with RAG significantly improved accuracy (54.5% being correct) and reduced error rates (18.8% with minor hallucinations and 26.7% with errors). 62.5% of the top 10 documents retrieved by RAG were selected as the top references in the LLM response, with an average ranking of 4.9. The use of RAG also improved evidence attribution (increasing from 1.85 to 2.49 on a 5-point scale, P<0.001), albeit with slight decreases in accuracy (from 3.52 to 3.23, P=0.03) and completeness (from 3.47 to 3.27, P=0.17). The results demonstrate that LLMs frequently exhibited hallucinated and erroneous evidence in the responses, raising concerns for downstream applications in the medical domain. RAG substantially reduced the proportion of such evidence but encountered challenges.

In this paper, we present SCOREQ, a novel approach for speech quality prediction. SCOREQ is a triplet loss function for contrastive regression that addresses the domain generalisation shortcoming exhibited by state of the art no-reference speech quality metrics. In the paper we: (i) illustrate the problem of L2 loss training failing at capturing the continuous nature of the mean opinion score (MOS) labels; (ii) demonstrate the lack of generalisation through a benchmarking evaluation across several speech domains; (iii) outline our approach and explore the impact of the architectural design decisions through incremental evaluation; (iv) evaluate the final model against state of the art models for a wide variety of data and domains. The results show that the lack of generalisation observed in state of the art speech quality metrics is addressed by SCOREQ. We conclude that using a triplet loss function for contrastive regression improves generalisation for speech quality prediction models but also has potential utility across a wide range of applications using regression-based predictive models.

Direct Preference Optimization (DPO) and its variants are increasingly used for aligning language models with human preferences. Although these methods are designed to teach a model to generate preferred responses more frequently relative to dispreferred responses, prior work has observed that the likelihood of preferred responses often decreases during training. The current work sheds light on the causes and implications of this counter-intuitive phenomenon, which we term likelihood displacement. We demonstrate that likelihood displacement can be catastrophic, shifting probability mass from preferred responses to responses with an opposite meaning. As a simple example, training a model to prefer No over Never can sharply increase the probability of Yes. Moreover, when aligning the model to refuse unsafe prompts, we show that such displacement can unintentionally lead to unalignment, by shifting probability mass from preferred refusal responses to harmful responses (e.g., reducing the refusal rate of Llama-3-8B-Instruct from 74.4% to 33.4%). We theoretically characterize that likelihood displacement is driven by preferences that induce similar embeddings, as measured by a centered hidden embedding similarity (CHES) score. Empirically, the CHES score enables identifying which training samples contribute most to likelihood displacement in a given dataset. Filtering out these samples effectively mitigated unintentional unalignment in our experiments. More broadly, our results highlight the importance of curating data with sufficiently distinct preferences, for which we believe the CHES score may prove valuable.

Contrast consistency, the ability of a model to make consistently correct predictions in the presence of perturbations, is an essential aspect in NLP. While studied in tasks such as sentiment analysis and reading comprehension, it remains unexplored in open-domain question answering (OpenQA) due to the difficulty of collecting perturbed questions that satisfy factuality requirements. In this work, we collect minimally edited questions as challenging contrast sets to evaluate OpenQA models. Our collection approach combines both human annotation and large language model generation. We find that the widely used dense passage retriever (DPR) performs poorly on our contrast sets, despite fitting the training set well and performing competitively on standard test sets. To address this issue, we introduce a simple and effective query-side contrastive loss with the aid of data augmentation to improve DPR training. Our experiments on the contrast sets demonstrate that DPR's contrast consistency is improved without sacrificing its accuracy on the standard test sets.

This study investigates the consistency of feedback ratings generated by OpenAI's GPT-4, a state-of-the-art artificial intelligence language model, across multiple iterations, time spans and stylistic variations. The model rated responses to tasks within the Higher Education (HE) subject domain of macroeconomics in terms of their content and style. Statistical analysis was conducted in order to learn more about the interrater reliability, consistency of the ratings across iterations and the correlation between ratings in terms of content and style. The results revealed a high interrater reliability with ICC scores ranging between 0.94 and 0.99 for different timespans, suggesting that GPT-4 is capable of generating consistent ratings across repetitions with a clear prompt. Style and content ratings show a high correlation of 0.87. When applying a non-adequate style the average content ratings remained constant, while style ratings decreased, which indicates that the large language model (LLM) effectively distinguishes between these two criteria during evaluation. The prompt used in this study is furthermore presented and explained. Further research is necessary to assess the robustness and reliability of AI models in various use cases.

Retrieval-augmented generation (RAG) improves large language models (LLMs) by using external knowledge to guide response generation, reducing hallucinations. However, RAG, particularly multi-modal RAG, can introduce new hallucination sources: (i) the retrieval process may select irrelevant pieces (e.g., documents, images) as raw context from the database, and (ii) retrieved images are processed into text-based context via vision-language models (VLMs) or directly used by multi-modal language models (MLLMs) like GPT-4o, which may hallucinate. To address this, we propose a novel framework to evaluate the reliability of multi-modal RAG using two performance measures: (i) the relevancy score (RS), assessing the relevance of retrieved entries to the query, and (ii) the correctness score (CS), evaluating the accuracy of the generated response. We train RS and CS models using a ChatGPT-derived database and human evaluator samples. Results show that both models achieve ~88% accuracy on test data. Additionally, we construct a 5000-sample human-annotated database evaluating the relevancy of retrieved pieces and the correctness of response statements. Our RS model aligns with human preferences 20% more often than CLIP in retrieval, and our CS model matches human preferences ~91% of the time. Finally, we assess various RAG systems' selection and generation performances using RS and CS.

The evaluation of large language models (LLMs) via benchmarks is widespread, yet inconsistencies between different leaderboards and poor separability among top models raise concerns about their ability to accurately reflect authentic model capabilities. This paper provides a critical analysis of benchmark effectiveness, examining main-stream prominent LLM benchmarks using results from diverse models. We first propose a new framework for accurate and reliable estimations of item characteristics and model abilities. Specifically, we propose Pseudo-Siamese Network for Item Response Theory (PSN-IRT), an enhanced Item Response Theory framework that incorporates a rich set of item parameters within an IRT-grounded architecture. Based on PSN-IRT, we conduct extensive analysis which reveals significant and varied shortcomings in the measurement quality of current benchmarks. Furthermore, we demonstrate that leveraging PSN-IRT is able to construct smaller benchmarks while maintaining stronger alignment with human preference.

The long-standing one-to-many problem of gold standard responses in open-domain dialogue systems presents challenges for automatic evaluation metrics. Though prior works have demonstrated some success by applying powerful Large Language Models (LLMs), existing approaches still struggle with the one-to-many problem, and exhibit subpar performance in domain-specific scenarios. We assume the commonsense reasoning biases within LLMs may hinder their performance in domainspecific evaluations. To address both issues, we propose a novel framework SLIDE (Small and Large Integrated for Dialogue Evaluation), that leverages both a small, specialised model (SLM), and LLMs for the evaluation of open domain dialogues. Our approach introduces several techniques: (1) Contrastive learning to differentiate between robust and non-robust response embeddings; (2) A novel metric for semantic sensitivity that combines embedding cosine distances with similarity learned through neural networks, and (3) a strategy for incorporating the evaluation results from both the SLM and LLMs. Our empirical results demonstrate that our approach achieves state-of-the-art performance in both the classification and evaluation tasks, and additionally the SLIDE evaluator exhibits better correlation with human judgements. Our code is available at https:// github.com/hegehongcha/SLIDE-ACL2024.

Retrieval-augmented generation (RAG) frameworks enable large language models (LLMs) to retrieve relevant information from a knowledge base and incorporate it into the context for generating responses. This mitigates hallucinations and allows for the updating of knowledge without retraining the LLM. However, RAG does not guarantee valid responses if retrieval fails to identify the necessary information as the context for response generation. Also, if there is contradictory content, the RAG response will likely reflect only one of the two possible responses. Therefore, quantifying uncertainty in the retrieval process is crucial for ensuring RAG trustworthiness. In this report, we introduce a four-step framework for applying conformal prediction to quantify retrieval uncertainty in RAG frameworks. First, a calibration set of questions answerable from the knowledge base is constructed. Each question's embedding is compared against document embeddings to identify the most relevant document chunks containing the answer and record their similarity scores. Given a user-specified error rate ({\alpha}), these similarity scores are then analyzed to determine a similarity score cutoff threshold. During inference, all chunks with similarity exceeding this threshold are retrieved to provide context to the LLM, ensuring the true answer is captured in the context with a (1-{\alpha}) confidence level. We provide a Python package that enables users to implement the entire workflow proposed in our work, only using LLMs and without human intervention.

BACKGROUND: Radiology reports are typically written in a free-text format, making clinical information difficult to extract and use. Recently the adoption of structured reporting (SR) has been recommended by various medical societies thanks to the advantages it offers, e.g. standardization, completeness and information retrieval. We propose a pipeline to extract information from free-text radiology reports, that fits with the items of the reference SR registry proposed by a national society of interventional and medical radiology, focusing on CT staging of patients with lymphoma. METHODS: Our work aims to leverage the potential of Natural Language Processing (NLP) and Transformer-based models to deal with automatic SR registry filling. With the availability of 174 radiology reports, we investigate a rule-free generative Question Answering approach based on a domain-specific version of T5 (IT5). Two strategies (batch-truncation and ex-post combination) are implemented to comply with the model's context length limitations. Performance is evaluated in terms of strict accuracy, F1, and format accuracy, and compared with the widely used GPT-3.5 Large Language Model. A 5-point Likert scale questionnaire is used to collect human-expert feedback on the similarity between medical annotations and generated answers. RESULTS: The combination of fine-tuning and batch splitting allows IT5 to achieve notable results; it performs on par with GPT-3.5 albeit its size being a thousand times smaller in terms of parameters. Human-based assessment scores show a high correlation (Spearman's correlation coefficients>0.88, p-values<0.001) with AI performance metrics (F1) and confirm the superior ability of LLMs (i.e., GPT-3.5, 175B of parameters) in generating plausible human-like statements.

We introduce Biomed-Enriched, a biomedical text dataset constructed from PubMed via a two-stage annotation process. In the first stage, a large language model annotates 400K paragraphs from PubMed scientific articles, assigning scores for their type (review, study, clinical case, other), domain (clinical, biomedical, other), and educational quality. The educational quality score (rated 1 to 5) estimates how useful a paragraph is for college-level learning. These annotations are then used to fine-tune a small language model, which propagates the labels across the full PMC-OA corpus. The resulting metadata allows us to extract refined subsets, including 2M clinical case paragraphs with over 450K high-quality ones from articles with commercial-use licenses, and to construct several variants via quality filtering and domain upsampling. Clinical text is typically difficult to access due to privacy constraints, as hospital records cannot be publicly shared. Hence, our dataset provides an alternative large-scale, openly available collection of clinical cases from PubMed, making it a valuable resource for biomedical and clinical NLP. Preliminary continual-pretraining experiments with OLMo2 suggest these curated subsets enable targeted improvements, with clinical upsampling boosting performance by ~5% on MMLU ProfMed and educational quality filtering improving MedQA and MedMCQA by ~1%. Combinations of these techniques led to faster convergence, reaching same performance with a third of training tokens, indicating potential for more efficient and effective biomedical pretraining strategies.

Dual-encoder retrievers depend on the principle that relevant documents should score higher than irrelevant ones for a given query. Yet the dominant Noise Contrastive Estimation (NCE) objective, which underpins Contrastive Loss, optimizes a softened ranking surrogate that we rigorously prove is fundamentally oblivious to score separation quality and unrelated to AUC. This mismatch leads to poor calibration and suboptimal performance in downstream tasks like retrieval-augmented generation (RAG). To address this fundamental limitation, we introduce the MW loss, a new training objective that maximizes the Mann-Whitney U statistic, which is mathematically equivalent to the Area under the ROC Curve (AUC). MW loss encourages each positive-negative pair to be correctly ranked by minimizing binary cross entropy over score differences. We provide theoretical guarantees that MW loss directly upper-bounds the AoC, better aligning optimization with retrieval goals. We further promote ROC curves and AUC as natural threshold free diagnostics for evaluating retriever calibration and ranking quality. Empirically, retrievers trained with MW loss consistently outperform contrastive counterparts in AUC and standard retrieval metrics. Our experiments show that MW loss is an empirically superior alternative to Contrastive Loss, yielding better-calibrated and more discriminative retrievers for high-stakes applications like RAG.

Large Language Models (LLMs) are increasingly being explored for clinical question answering and decision support, yet safe deployment critically requires reliable handling of patient measurements in heterogeneous clinical notes. Existing evaluations of LLMs for clinical numerical reasoning provide limited operation-level coverage, restricted primarily to arithmetic computation, and rarely assess the robustness of numerical understanding across clinical note formats. We introduce ClinicNumRobBench, a benchmark of 1,624 context-question instances with ground-truth answers that evaluates four main types of clinical numeracy: value retrieval, arithmetic computation, relational comparison, and aggregation. To stress-test robustness, ClinicNumRobBench presents longitudinal MIMIC-IV vital-sign records in three semantically equivalent representations, including a real-world note-style variant derived from the Open Patients dataset, and instantiates queries using 42 question templates. Experiments on 14 LLMs show that value retrieval is generally strong, with most models exceeding 85% accuracy, while relational comparison and aggregation remain challenging, with some models scoring below 15%. Fine-tuning on medical data can reduce numeracy relative to base models by over 30%, and performance drops under note-style variation indicate LLM sensitivity to format. ClinicNumRobBench offers a rigorous testbed for clinically reliable numerical reasoning. Code and data URL are available on https://github.com/MinhVuong2000/ClinicNumRobBench.

Recent advances in Text-to-3D (T23D) generative models have enabled the synthesis of diverse, high-fidelity 3D assets from textual prompts. However, existing challenges restrict the development of reliable T23D quality assessment (T23DQA). First, existing benchmarks are outdated, fragmented, and coarse-grained, making fine-grained metric training infeasible. Moreover, current objective metrics exhibit inherent design limitations, resulting in non-representative feature extraction and diminished metric robustness. To address these limitations, we introduce T23D-CompBench, a comprehensive benchmark for compositional T23D generation. We define five components with twelve sub-components for compositional prompts, which are used to generate 3,600 textured meshes from ten state-of-the-art generative models. A large-scale subjective experiment is conducted to collect 129,600 reliable human ratings across different perspectives. Based on T23D-CompBench, we further propose Rank2Score, an effective evaluator with two-stage training for T23DQA. Rank2Score enhances pairwise training via supervised contrastive regression and curriculum learning in the first stage, and subsequently refines predictions using mean opinion scores to achieve closer alignment with human judgments in the second stage. Extensive experiments and downstream applications demonstrate that Rank2Score consistently outperforms existing metrics across multiple dimensions and can additionally serve as a reward function to optimize generative models. The project is available at https://cbysjtu.github.io/Rank2Score/.

In this paper we introduce the SCoRe (Submodular Combinatorial Representation Learning) framework, a novel approach in representation learning that addresses inter-class bias and intra-class variance. SCoRe provides a new combinatorial viewpoint to representation learning, by introducing a family of loss functions based on set-based submodular information measures. We develop two novel combinatorial formulations for loss functions, using the Total Information and Total Correlation, that naturally minimize intra-class variance and inter-class bias. Several commonly used metric/contrastive learning loss functions like supervised contrastive loss, orthogonal projection loss, and N-pairs loss, are all instances of SCoRe, thereby underlining the versatility and applicability of SCoRe in a broad spectrum of learning scenarios. Novel objectives in SCoRe naturally model class-imbalance with up to 7.6\% improvement in classification on CIFAR-10-LT, CIFAR-100-LT, MedMNIST, 2.1% on ImageNet-LT, and 19.4% in object detection on IDD and LVIS (v1.0), demonstrating its effectiveness over existing approaches.

Medical imaging artificial intelligence has achieved strong performance in isolated image interpretation, but remains poorly aligned with radiological practice, where diagnosis and follow-up rely on comparison across prior studies and analogous reference cases. Here we formulate radiological comparison as an entity-aware cross-image reasoning problem and introduce a framework that supports both reference-case retrieval and temporal comparative interpretation. We construct MedReCo-DB, a large-scale comparative imaging resource derived from routine image-report pairs, comprising more than 690,000 images from over 160,000 patients across eight institutions, four countries and seven imaging modalities. Reports are decomposed into anatomical structures, abnormal findings and pathological conditions to provide supervision for entity-conditioned retrieval and comparative visual question answering. Using this resource, we develop MedReCo, an entity-aware visual encoder for controllable retrieval of clinically analogous cases, and MedReCo-VLM, a vision--language extension for generative interpretation of interval change. Across internal, external and cross-center evaluations, MedReCo achieved the highest Recall@1 in all 12 internal retrieval settings and improved external retrieval by a mean of 6.0 percentage points. In clinically confusable differential groups, it consistently outperformed the strongest baselines. MedReCo-VLM achieved the best performance across all comparative generation evaluations and improved longitudinal follow-up accuracy by 14.5-46.5 percentage points on chest radiographs and 13.0-27.9 percentage points on CT. These findings suggest that entity-aware comparative reasoning can be learned from routine clinical data at scale and may provide a more clinically aligned foundation for medical imaging AI.

Contrastive Analysis is a sub-field of Representation Learning that aims at separating common factors of variation between two datasets, a background (i.e., healthy subjects) and a target (i.e., diseased subjects), from the salient factors of variation, only present in the target dataset. Despite their relevance, current models based on Variational Auto-Encoders have shown poor performance in learning semantically-expressive representations. On the other hand, Contrastive Representation Learning has shown tremendous performance leaps in various applications (classification, clustering, etc.). In this work, we propose to leverage the ability of Contrastive Learning to learn semantically expressive representations well adapted for Contrastive Analysis. We reformulate it under the lens of the InfoMax Principle and identify two Mutual Information terms to maximize and one to minimize. We decompose the first two terms into an Alignment and a Uniformity term, as commonly done in Contrastive Learning. Then, we motivate a novel Mutual Information minimization strategy to prevent information leakage between common and salient distributions. We validate our method, called SepCLR, on three visual datasets and three medical datasets, specifically conceived to assess the pattern separation capability in Contrastive Analysis. Code available at https://github.com/neurospin-projects/2024_rlouiset_sep_clr.

Multiple choice benchmarks have long been the workhorse of language model evaluation because grading multiple choice is objective and easy to automate. However, we show multiple choice questions from popular benchmarks can often be answered without even seeing the question. These shortcuts arise from a fundamental limitation of discriminative evaluation not shared by evaluations of the model's free-form, generative answers. Until recently, there appeared to be no viable, scalable alternative to multiple choice--but, we show that this has changed. We consider generative evaluation via what we call answer matching: Give the candidate model the question without the options, have it generate a free-form response, then use a modern language model with the reference answer to determine if the response matches the reference. To compare the validity of different evaluation strategies, we annotate MMLU-Pro and GPQA-Diamond to obtain human grading data, and measure the agreement of each evaluation approach. We find answer matching using recent models--even small ones--achieves near-perfect agreement, in the range of inter-annotator agreement. In contrast, both multiple choice evaluation and using LLM-as-a-judge without reference answers aligns poorly with human grading. Improving evaluations via answer matching is not merely a conceptual concern: the rankings of several models change significantly when evaluating their free-form responses with answer matching. In light of these findings, we discuss how to move the evaluation ecosystem from multiple choice to answer matching.

Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.

Subjective Answer Grading (SAG) plays a crucial role in education, standardized testing, and automated assessment systems, particularly for evaluating short-form responses in Short Answer Scoring (SAS). However, existing approaches often produce coarse-grained scores and lack detailed reasoning. Although large language models (LLMs) have demonstrated potential as zero-shot evaluators, they remain susceptible to bias, inconsistencies with human judgment, and limited transparency in scoring decisions. To overcome these limitations, we introduce SAS-Bench, a benchmark specifically designed for LLM-based SAS tasks. SAS-Bench provides fine-grained, step-wise scoring, expert-annotated error categories, and a diverse range of question types derived from real-world subject-specific exams. This benchmark facilitates detailed evaluation of model reasoning processes and explainability. We also release an open-source dataset containing 1,030 questions and 4,109 student responses, each annotated by domain experts. Furthermore, we conduct comprehensive experiments with various LLMs, identifying major challenges in scoring science-related questions and highlighting the effectiveness of few-shot prompting in improving scoring accuracy. Our work offers valuable insights into the development of more robust, fair, and educationally meaningful LLM-based evaluation systems.

Reward modeling lies at the core of reinforcement learning from human feedback (RLHF), yet most existing reward models rely on scalar or pairwise judgments that fail to capture the multifaceted nature of human preferences. Recent studies have explored rubrics-as-rewards (RaR) that uses structured natural language criteria that capture multiple dimensions of response quality. However, producing rubrics that are both reliable and scalable remains a key challenge. In this work, we introduce OpenRubrics, a diverse, large-scale collection of (prompt, rubric) pairs for training rubric-generation and rubric-based reward models. To elicit discriminative and comprehensive evaluation signals, we introduce Contrastive Rubric Generation (CRG), which derives both hard rules (explicit constraints) and principles (implicit qualities) by contrasting preferred and rejected responses. We further improve reliability by enforcing preference-label consistency via rejection sampling to remove noisy rubrics. Across multiple reward-modeling benchmarks, our rubric-based reward model, Rubric-RM, surpasses strong size-matched baselines by 6.8%. These gains transfer to policy models on instruction-following and biomedical benchmarks. Our results show that rubrics provide scalable alignment signals that narrow the gap between costly human evaluation and automated reward modeling, enabling a new principle-driven paradigm for LLM alignment.

Contrastive representation learning struggles on physiological signals when each subject contributes a distinct baseline pattern. If class differences overlap with subject differences,class-level objectives such as supervised contrastive learning tend to merge per-subject structure into a single per-class cluster,removing the individual variation that a model needs to generalize to unseen patients. We study this problem in the setting of Paroxysmal Atrial Fibrillation(PAF) detection from RR-interval(RRI) sequences and propose a patient-aware contrastive objective that forms positive pairs only from same-patient, same-class segments, preserving each patient's own sinus rhythm(SR) baseline while still pushing the two classes apart. Examining the learned embeddings directly, our objective achieves the most consistent per-patient SR structure (cohesion 0.850 vs. 0.800 for supervised contrastive loss (SupCon) and 0.772 for binary cross-entropy (BCE)). We also identify that BCE produces the cleanest global class separation yet the most disordered per-patient structure. This is precisely why a linear probe trained on its features breaks down on unseen patients. On the IRIDIA-AF dataset, the resulting representation reaches a patient-independent Area Under the Receiver Operating Characteristic Curve (AUROC) of 0.989 pm 0.003 with 2.6times lower seed variance than supervised contrastive baselines.These results highlight that per-subject geometric consistency, rather than global class separability, is key to robust cross-patient generalization.

Vision-language models (VLMs) discriminatively pre-trained with contrastive image-text matching losses such as P(match|text, image) have been criticized for lacking compositional understanding. This means they might output similar scores even if the original caption is rearranged into a different semantic statement. To address this, we propose to use the {bf V}isual {bf G}enerative {bf P}re-{bf T}raining Score ({bf VisualGPTScore}) of P(text|image), a multimodal generative score that captures the likelihood of a text caption conditioned on an image using an image-conditioned language model. Contrary to the belief that VLMs are mere bag-of-words models, our off-the-shelf VisualGPTScore demonstrates top-tier performance on recently proposed image-text retrieval benchmarks like ARO and Crepe that assess compositional reasoning. Furthermore, we factorize VisualGPTScore into a product of the marginal P(text) and the Pointwise Mutual Information (PMI). This helps to (a) diagnose datasets with strong language bias, and (b) debias results on other benchmarks like Winoground using an information-theoretic framework. VisualGPTScore provides valuable insights and serves as a strong baseline for future evaluation of visio-linguistic compositionality.

Unstructured clinical notes contain essential patient information but are challenging for physicians to search and interpret efficiently. Although large language models (LLMs) have shown promise in question answering (QA), most existing systems lack transparency, usability, and alignment with clinical workflows. This work introduces an interactive QA system that enables physicians to query clinical notes via text or voice and receive extractive answers highlighted directly in the note for traceability. The system was built using OpenAI models with zero-shot prompting and evaluated across multiple metrics, including exact string match, word overlap, SentenceTransformer similarity, and BERTScore. Results show that while exact match scores ranged from 47 to 62 percent, semantic similarity scores exceeded 87 percent, indicating strong contextual alignment even when wording varied. To assess usability, the system was also evaluated using simulated clinical personas. Seven diverse physician and nurse personas interacted with the system across scenario-based tasks and provided structured feedback. The evaluations highlighted strengths in intuitive design and answer accessibility, alongside opportunities for enhancing explanation clarity.

We propose a general method for measuring complex variables on a continuous, interval spectrum by combining supervised deep learning with the Constructing Measures approach to faceted Rasch item response theory (IRT). We decompose the target construct, hate speech in our case, into multiple constituent components that are labeled as ordinal survey items. Those survey responses are transformed via IRT into a debiased, continuous outcome measure. Our method estimates the survey interpretation bias of the human labelers and eliminates that influence on the generated continuous measure. We further estimate the response quality of each labeler using faceted IRT, allowing responses from low-quality labelers to be removed. Our faceted Rasch scaling procedure integrates naturally with a multitask deep learning architecture for automated prediction on new data. The ratings on the theorized components of the target outcome are used as supervised, ordinal variables for the neural networks' internal concept learning. We test the use of an activation function (ordinal softmax) and loss function (ordinal cross-entropy) designed to exploit the structure of ordinal outcome variables. Our multitask architecture leads to a new form of model interpretation because each continuous prediction can be directly explained by the constituent components in the penultimate layer. We demonstrate this new method on a dataset of 50,000 social media comments sourced from YouTube, Twitter, and Reddit and labeled by 11,000 U.S.-based Amazon Mechanical Turk workers to measure a continuous spectrum from hate speech to counterspeech. We evaluate Universal Sentence Encoders, BERT, and RoBERTa as language representation models for the comment text, and compare our predictive accuracy to Google Jigsaw's Perspective API models, showing significant improvement over this standard benchmark.

Background: General-purpose large language models that utilize both text and images have not been evaluated on a diverse array of challenging medical cases. Methods: Using 934 cases from the NEJM Image Challenge published between 2005 and 2023, we evaluated the accuracy of the recently released Generative Pre-trained Transformer 4 with Vision model (GPT-4V) compared to human respondents overall and stratified by question difficulty, image type, and skin tone. We further conducted a physician evaluation of GPT-4V on 69 NEJM clinicopathological conferences (CPCs). Analyses were conducted for models utilizing text alone, images alone, and both text and images. Results: GPT-4V achieved an overall accuracy of 61% (95% CI, 58 to 64%) compared to 49% (95% CI, 49 to 50%) for humans. GPT-4V outperformed humans at all levels of difficulty and disagreement, skin tones, and image types; the exception was radiographic images, where performance was equivalent between GPT-4V and human respondents. Longer, more informative captions were associated with improved performance for GPT-4V but similar performance for human respondents. GPT-4V included the correct diagnosis in its differential for 80% (95% CI, 68 to 88%) of CPCs when using text alone, compared to 58% (95% CI, 45 to 70%) of CPCs when using both images and text. Conclusions: GPT-4V outperformed human respondents on challenging medical cases and was able to synthesize information from both images and text, but performance deteriorated when images were added to highly informative text. Overall, our results suggest that multimodal AI models may be useful in medical diagnostic reasoning but that their accuracy may depend heavily on context.

LLM benchmark labels are frozen at release and silently propagated into downstream benchmarks, errors and all. We introduce an Item Response Theory-based indicator that surfaces likely mislabels at 95% precision in the top 200 examples across seven preference and multiple-choice benchmarks using responses from 114 models, outperforming a supervised classifier. We trace these errors to mechanical labeling heuristics, upstream annotation mistakes inherited unchanged from source datasets, and fundamentally ambiguous items without a defensible single label. The same model fit reveals that reward models specialize in stylistic preference rather than factual knowledge, and identifies one frontier reward model that agrees with detected mislabels at 78% accuracy versus 38% for its peers, consistent with benchmark contamination or benchmark-specific over-optimization.

Prompt design is a primary control interface for large language models (LLMs), yet standard evaluations largely reduce performance to answer correctness, obscuring why a prompt succeeds or fails and providing little actionable guidance. We propose PEEM (Prompt Engineering Evaluation Metrics), a unified framework for joint and interpretable evaluation of both prompts and responses. PEEM defines a structured rubric with 9 axes: 3 prompt criteria (clarity/structure, linguistic quality, fairness) and 6 response criteria (accuracy, coherence, relevance, objectivity, clarity, conciseness), and uses an LLM-based evaluator to output (i) scalar scores on a 1-5 Likert scale and (ii) criterion-specific natural-language rationales grounded in the rubric. Across 7 benchmarks and 5 task models, PEEM's accuracy axis strongly aligns with conventional accuracy while preserving model rankings (aggregate Spearman rho about 0.97, Pearson r about 0.94, p < 0.001). A multi-evaluator study with four models shows consistent relative judgments (pairwise rho = 0.68-0.85), supporting evaluator-agnostic deployment. Beyond alignment, PEEM captures complementary linguistic failure modes and remains informative under prompt perturbations: prompt-quality trends track downstream accuracy under iterative rewrites, semantic adversarial manipulations induce clear score degradation, and meaning-preserving paraphrases yield high stability (robustness rate about 76.7-80.6%). Finally, using only PEEM scores and rationales as feedback, a zero-shot prompt rewriting loop improves downstream accuracy by up to 11.7 points, outperforming supervised and RL-based prompt-optimization baselines. Overall, PEEM provides a reproducible, criterion-driven protocol that links prompt formulation to response behavior and enables systematic diagnosis and optimization of LLM interactions.

Objective. Clinical AI documentation systems require evaluation methodologies that are clinically valid, economically viable, and sensitive to iterative changes. Methods requiring expert review per scoring instance are too slow and expensive for safe, iterative deployment. We present a case-specific, clinician-authored rubric methodology for clinical AI evaluation and examine whether LLM-generated rubrics can approximate clinician agreement. Materials and Methods. Twenty clinicians authored 1,646 rubrics for 823 clinical cases (736 real-world, 87 synthetic) across primary care, psychiatry, oncology, and behavioral health. Each rubric was validated by confirming that an LLM-based scoring agent consistently scored clinician-preferred outputs higher than rejected ones. Seven versions of an EHR-embedded AI agent for clinicians were evaluated across all cases. Results. Clinician-authored rubrics discriminated effectively between high- and low-quality outputs (median score gap: 82.9%) with high scoring stability (median range: 0.00%). Median scores improved from 84% to 95%. In later experiments, clinician-LLM ranking agreement (tau: 0.42-0.46) matched or exceeded clinician-clinician agreement (tau: 0.38-0.43), attributable to both ceiling compression and LLM rubric improvement. Discussion. This convergence supports incorporating LLM rubrics alongside clinician-authored ones. At roughly 1,000 times lower cost, LLM rubrics enable substantially greater evaluation coverage, while continued clinical authorship grounds evaluation in expert judgment. Ceiling compression poses a methodological challenge for future inter-rater agreement studies. Conclusion. Case-specific rubrics offer a path for clinical AI evaluation that preserves expert judgment while enabling automation at three orders lower cost. Clinician-authored rubrics establish the baseline against which LLM rubrics are validated.

Multi-modal generative document parsing systems challenge traditional evaluation: unlike deterministic OCR or layout models, they often produce semantically correct yet structurally divergent outputs. Conventional metrics-CER, WER, IoU, or TEDS-misclassify such diversity as error, penalizing valid interpretations and obscuring system behavior. We introduce SCORE (Structural and COntent Robust Evaluation), an interpretation-agnostic framework that integrates (i) adjusted edit distance for robust content fidelity, (ii) token-level diagnostics to distinguish hallucinations from omissions, (iii) table evaluation with spatial tolerance and semantic alignment, and (iv) hierarchy-aware consistency checks. Together, these dimensions enable evaluation that embraces representational diversity while enforcing semantic rigor. Across 1,114 pages spanning a holistic benchmark and a field dataset, SCORE consistently revealed cross-dataset performance patterns missed by standard metrics. In 2-5% of pages with ambiguous table structures, traditional metrics penalized systems by 12-25% on average, leading to distorted rankings. SCORE corrected these cases, recovering equivalence between alternative but valid interpretations. Moreover, by normalizing generative outputs into a format-agnostic representation, SCORE reproduces traditional scores (e.g., table F1 up to 0.93) without requiring object-detection pipelines, demonstrating that generative parsing alone suffices for comprehensive evaluation. By exposing how interpretive diversity impacts evaluation outcomes and providing multi-dimensional, interpretable diagnostics, SCORE establishes foundational principles for semantically grounded, fair, and practical benchmarking of modern document parsing systems.

This paper introduces a novel, entity-aware metric, termed as Radiological Report (Text) Evaluation (RaTEScore), to assess the quality of medical reports generated by AI models. RaTEScore emphasizes crucial medical entities such as diagnostic outcomes and anatomical details, and is robust against complex medical synonyms and sensitive to negation expressions. Technically, we developed a comprehensive medical NER dataset, RaTE-NER, and trained an NER model specifically for this purpose. This model enables the decomposition of complex radiological reports into constituent medical entities. The metric itself is derived by comparing the similarity of entity embeddings, obtained from a language model, based on their types and relevance to clinical significance. Our evaluations demonstrate that RaTEScore aligns more closely with human preference than existing metrics, validated both on established public benchmarks and our newly proposed RaTE-Eval benchmark.

We investigate how well large language models (LLMs) generalize across different task difficulties, a key question for effective data curation and evaluation. Existing research is mixed regarding whether training on easier or harder data leads to better results, and whether those gains come on easier or harder test data. We address this question by conducting a systematic evaluation of LLMs' generalization across models, datasets, and fine-grained groups of example difficulty. We rank examples in six datasets using the outputs of thousands of different LLMs and Item Response Theory (IRT), a well-established difficulty metric in educational testing. Unlike prior work, our difficulty ratings are therefore determined solely by the abilities of many different LLMs, excluding human opinions of difficulty. With a more objective, larger-scale, and finer-grained analysis, we show that cross-difficulty generalization is often limited; training on either easy or hard data cannot achieve consistent improvements across the full range of difficulties. These results show the importance of having a range of difficulties in both training and evaluation data for LLMs, and that taking shortcuts with respect to difficulty is risky.

Determining sentence pair similarity is crucial for various NLP tasks. A common technique to address this is typically evaluated on a continuous semantic textual similarity scale from 0 to 5. However, based on a linguistic observation in STS annotation guidelines, we found that the score in the range [4,5] indicates an upper-range sample, while the rest are lower-range samples. This necessitates a new approach to treating the upper-range and lower-range classes separately. In this paper, we introduce a novel embedding space decomposition method called MixSP utilizing a Mixture of Specialized Projectors, designed to distinguish and rank upper-range and lower-range samples accurately. The experimental results demonstrate that MixSP decreased the overlap representation between upper-range and lower-range classes significantly while outperforming competitors on STS and zero-shot benchmarks.

We introduce Image2Struct, a benchmark to evaluate vision-language models (VLMs) on extracting structure from images. Our benchmark 1) captures real-world use cases, 2) is fully automatic and does not require human judgment, and 3) is based on a renewable stream of fresh data. In Image2Struct, VLMs are prompted to generate the underlying structure (e.g., LaTeX code or HTML) from an input image (e.g., webpage screenshot). The structure is then rendered to produce an output image (e.g., rendered webpage), which is compared against the input image to produce a similarity score. This round-trip evaluation allows us to quantitatively evaluate VLMs on tasks with multiple valid structures. We create a pipeline that downloads fresh data from active online communities upon execution and evaluates the VLMs without human intervention. We introduce three domains (Webpages, LaTeX, and Musical Scores) and use five image metrics (pixel similarity, cosine similarity between the Inception vectors, learned perceptual image patch similarity, structural similarity index measure, and earth mover similarity) that allow efficient and automatic comparison between pairs of images. We evaluate Image2Struct on 14 prominent VLMs and find that scores vary widely, indicating that Image2Struct can differentiate between the performances of different VLMs. Additionally, the best score varies considerably across domains (e.g., 0.402 on sheet music vs. 0.830 on LaTeX equations), indicating that Image2Struct contains tasks of varying difficulty. For transparency, we release the full results at https://crfm.stanford.edu/helm/image2struct/v1.0.1/.

Large language models (LLMs) have emerged as powerful tools for analyzing complex datasets. Recent studies demonstrate their potential to generate useful, personalized responses when provided with patient-specific health information that encompasses lifestyle, biomarkers, and context. As LLM-driven health applications are increasingly adopted, rigorous and efficient one-sided evaluation methodologies are crucial to ensure response quality across multiple dimensions, including accuracy, personalization and safety. Current evaluation practices for open-ended text responses heavily rely on human experts. This approach introduces human factors and is often cost-prohibitive, labor-intensive, and hinders scalability, especially in complex domains like healthcare where response assessment necessitates domain expertise and considers multifaceted patient data. In this work, we introduce Adaptive Precise Boolean rubrics: an evaluation framework that streamlines human and automated evaluation of open-ended questions by identifying gaps in model responses using a minimal set of targeted rubrics questions. Our approach is based on recent work in more general evaluation settings that contrasts a smaller set of complex evaluation targets with a larger set of more precise, granular targets answerable with simple boolean responses. We validate this approach in metabolic health, a domain encompassing diabetes, cardiovascular disease, and obesity. Our results demonstrate that Adaptive Precise Boolean rubrics yield higher inter-rater agreement among expert and non-expert human evaluators, and in automated assessments, compared to traditional Likert scales, while requiring approximately half the evaluation time of Likert-based methods. This enhanced efficiency, particularly in automated evaluation and non-expert contributions, paves the way for more extensive and cost-effective evaluation of LLMs in health.

Graph-augmented retrieval combines dense similarity with graph-based relevance signals such as Personalized PageRank (PPR), but these scores have different distributions and are not directly comparable. We study this as a score calibration problem for heterogeneous retrieval fusion in multi-hop question answering. Our method, PhaseGraph, maps vector and graph scores to a common unit-free scale using percentile-rank normalization (PIT) before fusion, enabling stable combination without discarding magnitude information. Across MuSiQue and 2WikiMultiHopQA, calibrated fusion improves held-out last-hop retrieval on HippoRAG2-style benchmarks: LastHop@5 increases from 75.1% to 76.5% on MuSiQue (8W/1L, p=0.039) and from 51.7% to 53.6% on 2WikiMultiHopQA (11W/2L, p=0.023), both on independent held-out test splits. A theory-driven ablation shows that percentile-based calibration is directionally more robust than min-max normalization on both tune and test splits (1W/6L, p=0.125), while Boltzmann weighting performs comparably to linear fusion after calibration (0W/3L, p=0.25). These results suggest that score commensuration is a robust design choice, and the exact post-calibration operator appears to matter less on these benchmarks.

Recently, using a powerful proprietary Large Language Model (LLM) (e.g., GPT-4) as an evaluator for long-form responses has become the de facto standard. However, for practitioners with large-scale evaluation tasks and custom criteria in consideration (e.g., child-readability), using proprietary LLMs as an evaluator is unreliable due to the closed-source nature, uncontrolled versioning, and prohibitive costs. In this work, we propose Prometheus, a fully open-source LLM that is on par with GPT-4's evaluation capabilities when the appropriate reference materials (reference answer, score rubric) are accompanied. We first construct the Feedback Collection, a new dataset that consists of 1K fine-grained score rubrics, 20K instructions, and 100K responses and language feedback generated by GPT-4. Using the Feedback Collection, we train Prometheus, a 13B evaluator LLM that can assess any given long-form text based on customized score rubric provided by the user. Experimental results show that Prometheus scores a Pearson correlation of 0.897 with human evaluators when evaluating with 45 customized score rubrics, which is on par with GPT-4 (0.882), and greatly outperforms ChatGPT (0.392). Furthermore, measuring correlation with GPT-4 with 1222 customized score rubrics across four benchmarks (MT Bench, Vicuna Bench, Feedback Bench, Flask Eval) shows similar trends, bolstering Prometheus's capability as an evaluator LLM. Lastly, Prometheus achieves the highest accuracy on two human preference benchmarks (HHH Alignment & MT Bench Human Judgment) compared to open-sourced reward models explicitly trained on human preference datasets, highlighting its potential as an universal reward model. We open-source our code, dataset, and model at https://github.com/kaistAI/Prometheus.

Image-text multimodal representation learning aligns data across modalities and enables important medical applications, e.g., image classification, visual grounding, and cross-modal retrieval. In this work, we establish a connection between multimodal representation learning and multiple instance learning. Based on this connection, we propose a generic framework for constructing permutation-invariant score functions with many existing multimodal representation learning approaches as special cases. Furthermore, we use the framework to derive a novel contrastive learning approach and demonstrate that our method achieves state-of-the-art results in several downstream tasks.

As Large Language Models (LLMs) are increasingly integrated into healthcare to address complex inquiries, ensuring their reliability remains a critical challenge. Recent studies have highlighted that generic LLMs often struggle in clinical contexts, occasionally producing misleading guidance. To mitigate these risks, this research focuses on the domain-specific adaptation of Llama-2-7B using the Low-Rank Adaptation (LoRA) technique. By injecting trainable low-rank matrices into the Transformer layers, we efficiently adapted the model using authentic patient-physician transcripts while preserving the foundational knowledge of the base model. Our objective was to enhance precision and contextual relevance in responding to medical queries by capturing the specialized nuances of clinical discourse. Due to the resource-intensive nature of large-scale human validation, the model's performance was evaluated through a dual-track framework: Track A utilized traditional lexical similarity metrics (e.g., BLEU, ROUGE), while Track B employed an "LLM-as-a-Judge" paradigm using GPT-4 for semantic assessment. Our results demonstrate that while the LoRA-enhanced model achieved significant improvements across all quantitative lexical dimensions, a profound disagreement surfaced in the GPT-4 evaluation, which marginally favored the baseline model's conversational flow. This metric divergence underscores a pivotal finding: traditional automated scores may not fully reflect clinical utility. Consequently, we propose that while automated metrics and LLM judges serve as valuable developmental proxies, rigorous validation by human medical experts remains an indispensable requirement for the safe deployment of LLMs in healthcare settings.

Contrastive learning methods, such as CLIP, leverage naturally paired data-for example, images and their corresponding text captions-to learn general representations that transfer efficiently to downstream tasks. While such approaches are generally applied to two modalities, domains such as robotics, healthcare, and video need to support many types of data at once. We show that the pairwise application of CLIP fails to capture joint information between modalities, thereby limiting the quality of the learned representations. To address this issue, we present Symile, a simple contrastive learning approach that captures higher-order information between any number of modalities. Symile provides a flexible, architecture-agnostic objective for learning modality-specific representations. To develop Symile's objective, we derive a lower bound on total correlation, and show that Symile representations for any set of modalities form a sufficient statistic for predicting the remaining modalities. Symile outperforms pairwise CLIP, even with modalities missing in the data, on cross-modal classification and retrieval across several experiments including on an original multilingual dataset of 33M image, text and audio samples and a clinical dataset of chest X-rays, electrocardiograms, and laboratory measurements. All datasets and code used in this work are publicly available at https://github.com/rajesh-lab/symile.

Automatically summarizing patients' main problems from daily progress notes using natural language processing methods helps to battle against information and cognitive overload in hospital settings and potentially assists providers with computerized diagnostic decision support. Problem list summarization requires a model to understand, abstract, and generate clinical documentation. In this work, we propose a new NLP task that aims to generate a list of problems in a patient's daily care plan using input from the provider's progress notes during hospitalization. We investigate the performance of T5 and BART, two state-of-the-art seq2seq transformer architectures, in solving this problem. We provide a corpus built on top of progress notes from publicly available electronic health record progress notes in the Medical Information Mart for Intensive Care (MIMIC)-III. T5 and BART are trained on general domain text, and we experiment with a data augmentation method and a domain adaptation pre-training method to increase exposure to medical vocabulary and knowledge. Evaluation methods include ROUGE, BERTScore, cosine similarity on sentence embedding, and F-score on medical concepts. Results show that T5 with domain adaptive pre-training achieves significant performance gains compared to a rule-based system and general domain pre-trained language models, indicating a promising direction for tackling the problem summarization task.

Recent years have witnessed a surge in the number of large language models (LLMs), yet efficiently managing and utilizing these vast resources remains a significant challenge. In this work, we explore how to learn compact representations of LLM abilities that can facilitate downstream tasks, such as model routing and performance prediction on new benchmarks. We frame this problem as estimating the probability that a given model will correctly answer a specific query. Inspired by the item response theory (IRT) in psychometrics, we model this probability as a function of three key factors: (i) the model's multi-skill ability vector, (2) the query's discrimination vector that separates models of differing skills, and (3) the query's difficulty scalar. To learn these parameters jointly, we introduce a Mixture-of-Experts (MoE) network that couples model- and query-level embeddings. Extensive experiments demonstrate that our approach leads to state-of-the-art performance in both model routing and benchmark accuracy prediction. Moreover, analysis validates that the learned parameters encode meaningful, interpretable information about model capabilities and query characteristics.

In information retrieval, training reranking models mainly focuses on two types of objectives: metric learning (e.g. contrastive loss to increase the predicted scores on relevant query-document pairs) and classification (binary label prediction of relevance vs. irrelevance). For BERT-style encoders, various studies have shown that contrastive learning (CL) can be more effective than discriminative (classification) learning. However, for large language models (LLMs), classification via supervised fine-tuning (SFT), which predicts ''yes'' (resp. ''no'') token for relevant (resp. irrelevant) pairs, appears more promising as it aligns well with the generative nature of LLMs. This divergence raises a central question: which objective is intrinsically better suited to LLM-based reranking, and what mechanism underlies the difference? In this work, we conduct a comprehensive comparison and analysis between CL and SFT for reranking, taking the universal multimodal retrieval (UMR) as the experimental playground. We first decompose the objectives into two components: weight, which controls the magnitude of those updates, and direction, which guides the model updates, then present a unified framework for understanding their interactions. Through probing experiments, we find that SFT provides a substantially stronger weighting scheme than CL, whereas the preferred scoring direction shows no clear winner. Taken together, these results point to a consistent advantage of SFT over CL for LLM reranking. To further validate our findings, we conduct large-scale training with SFT and present new state-of-the-art rerankers on the MRB benchmark. We also provide ablations on SFT settings and expect our findings to benefit future research and applications in this area.

Nowadays, the quality of responses generated by different modern large language models (LLMs) are hard to evaluate and compare automatically. Recent studies suggest and predominantly use LLMs as a reference-free metric for open-ended question answering. More specifically, they use the recognized "strongest" LLM as the evaluator, which conducts pairwise comparisons of candidate models' answers and provides a ranking score. However, this intuitive method has multiple problems, such as bringing in self-enhancement (favoring its own answers) and positional bias. We draw insights and lessons from the educational domain (Cho and MacArthur, 2011; Walsh, 2014) to improve LLM-based evaluations. Specifically, we propose the (1) peer rank (PR) algorithm that takes into account each peer LLM's pairwise preferences of all answer pairs, and outputs a final ranking of models; and (2) peer discussion (PD), where we prompt two LLMs to discuss and try to reach a mutual agreement on preferences of two answers. We conduct experiments on two benchmark datasets. We find that our approaches achieve higher accuracy and align better with human judgments, respectively. Interestingly, PR can induce a relatively accurate self-ranking of models under the anonymous setting, where each model's name is unrevealed. Our work provides space to explore evaluating models that are hard to compare for humans.

Contrastive learning, which aims at minimizing the distance between positive pairs while maximizing that of negative ones, has been widely and successfully applied in unsupervised feature learning, where the design of positive and negative (pos/neg) pairs is one of its keys. In this paper, we attempt to devise a feature-level data manipulation, differing from data augmentation, to enhance the generic contrastive self-supervised learning. To this end, we first design a visualization scheme for pos/neg score (Pos/neg score indicates cosine similarity of pos/neg pair.) distribution, which enables us to analyze, interpret and understand the learning process. To our knowledge, this is the first attempt of its kind. More importantly, leveraging this tool, we gain some significant observations, which inspire our novel Feature Transformation proposals including the extrapolation of positives. This operation creates harder positives to boost the learning because hard positives enable the model to be more view-invariant. Besides, we propose the interpolation among negatives, which provides diversified negatives and makes the model more discriminative. It is the first attempt to deal with both challenges simultaneously. Experiment results show that our proposed Feature Transformation can improve at least 6.0% accuracy on ImageNet-100 over MoCo baseline, and about 2.0% accuracy on ImageNet-1K over the MoCoV2 baseline. Transferring to the downstream tasks successfully demonstrate our model is less task-bias. Visualization tools and codes https://github.com/DTennant/CL-Visualizing-Feature-Transformation .

The evaluation of LLMs has so far focused primarily on how well they can perform different tasks such as reasoning, question-answering, paraphrasing, or translating. For most of these tasks, performance can be measured with objective metrics, such as the number of correct answers. However, other language features are not easily quantified. For example, arousal, concreteness, or gender associated with a given word, as well as the extent to which we experience words with senses and relate them to a specific sense. Those features have been studied for many years by psycholinguistics, conducting large-scale experiments with humans to produce ratings for thousands of words. This opens an opportunity to evaluate how well LLMs align with human ratings on these word features, taking advantage of existing studies that cover many different language features in a large number of words. In this paper, we evaluate the alignment of a representative group of LLMs with human ratings on two psycholinguistic datasets: the Glasgow and Lancaster norms. These datasets cover thirteen features over thousands of words. The results show that alignment is black{generally} better in the Glasgow norms evaluated (arousal, valence, dominance, concreteness, imageability, familiarity, and gender) than on the Lancaster norms evaluated (introceptive, gustatory, olfactory, haptic, auditory, and visual). This suggests a potential limitation of current LLMs in aligning with human sensory associations for words, which may be due to their lack of embodied cognition present in humans and illustrates the usefulness of evaluating LLMs with psycholinguistic datasets.

As medical datasets rapidly expand, creating detailed annotations of different body structures becomes increasingly expensive and time-consuming. We consider that requesting radiologists to create detailed annotations is unnecessarily burdensome and that pre-existing AI models can largely automate this process. Following the spirit don't use a sledgehammer on a nut, we find that, rather than creating annotations from scratch, radiologists only have to review and edit errors if the Best-AI Labels have mistakes. To obtain the Best-AI Labels among multiple AI Labels, we developed an automatic tool, called Label Critic, that can assess label quality through tireless pairwise comparisons. Extensive experiments demonstrate that, when incorporated with our developed Image-Prompt pairs, pre-existing Large Vision-Language Models (LVLM), trained on natural images and texts, achieve 96.5% accuracy when choosing the best label in a pair-wise comparison, without extra fine-tuning. By transforming the manual annotation task (30-60 min/scan) into an automatic comparison task (15 sec/scan), we effectively reduce the manual efforts required from radiologists by an order of magnitude. When the Best-AI Labels are sufficiently accurate (81% depending on body structures), they will be directly adopted as the gold-standard annotations for the dataset, with lower-quality AI Labels automatically discarded. Label Critic can also check the label quality of a single AI Label with 71.8% accuracy when no alternatives are available for comparison, prompting radiologists to review and edit if the estimated quality is low (19% depending on body structures).

This study explores the feasibility of using large language models (LLMs), specifically GPT-4o (ChatGPT), for automated grading of conceptual questions in an undergraduate Mechanical Engineering course. We compared the grading performance of GPT-4o with that of human teaching assistants (TAs) on ten quiz problems from the MEEN 361 course at Texas A&M University, each answered by approximately 225 students. Both the LLM and TAs followed the same instructor-provided rubric to ensure grading consistency. We evaluated performance using Spearman's rank correlation coefficient and Root Mean Square Error (RMSE) to assess the alignment between rankings and the accuracy of scores assigned by GPT-4o and TAs under zero- and few-shot grading settings. In the zero-shot setting, GPT-4o demonstrated a strong correlation with TA grading, with Spearman's rank correlation coefficient exceeding 0.6 in seven out of ten datasets and reaching a high of 0.9387. Our analysis reveals that GPT-4o performs well when grading criteria are straightforward but struggles with nuanced answers, particularly those involving synonyms not present in the rubric. The model also tends to grade more stringently in ambiguous cases compared to human TAs. Overall, ChatGPT shows promise as a tool for grading conceptual questions, offering scalability and consistency.

Comparative settings (e.g. pairwise choice, listwise ranking) have been adopted by a wide range of subjective studies for image quality assessment (IQA), as it inherently standardizes the evaluation criteria across different observers and offer more clear-cut responses. In this work, we extend the edge of emerging large multi-modality models (LMMs) to further advance visual quality comparison into open-ended settings, that 1) can respond to open-range questions on quality comparison; 2) can provide detailed reasonings beyond direct answers. To this end, we propose the Co-Instruct. To train this first-of-its-kind open-source open-ended visual quality comparer, we collect the Co-Instruct-562K dataset, from two sources: (a) LMM-merged single image quality description, (b) GPT-4V "teacher" responses on unlabeled data. Furthermore, to better evaluate this setting, we propose the MICBench, the first benchmark on multi-image comparison for LMMs. We demonstrate that Co-Instruct not only achieves 30% higher superior accuracy than state-of-the-art open-source LMMs, but also outperforms GPT-4V (its teacher), on both existing related benchmarks and the proposed MICBench. Our model is published at https://huggingface.co/q-future/co-instruct.

While generalization over tasks from easy to hard is crucial to profile language models (LLMs), the datasets with fine-grained difficulty annotations for each problem across a broad range of complexity are still blank. Aiming to address this limitation, we present Easy2Hard-Bench, a consistently formatted collection of 6 benchmark datasets spanning various domains, such as mathematics and programming problems, chess puzzles, and reasoning questions. Each problem within these datasets is annotated with numerical difficulty scores. To systematically estimate problem difficulties, we collect abundant performance data on attempts to each problem by humans in the real world or LLMs on the prominent leaderboard. Leveraging the rich performance data, we apply well-established difficulty ranking systems, such as Item Response Theory (IRT) and Glicko-2 models, to uniformly assign numerical difficulty scores to problems. Moreover, datasets in Easy2Hard-Bench distinguish themselves from previous collections by a higher proportion of challenging problems. Through extensive experiments with six state-of-the-art LLMs, we provide a comprehensive analysis of their performance and generalization capabilities across varying levels of difficulty, with the aim of inspiring future research in LLM generalization. The datasets are available at https://huggingface.co/datasets/furonghuang-lab/Easy2Hard-Bench.

In medical healthcare, obtaining detailed annotations is challenging, highlighting the need for robust Vision-Language Models (VLMs). Pretrained VLMs enable fine-tuning on small datasets or zero-shot inference, achieving performance comparable to task-specific models. Contrastive learning (CL) is a key paradigm for training VLMs but inherently requires large batch sizes for effective learning, making it computationally demanding and often limited to well-resourced institutions. Moreover, with limited data in healthcare, it is important to prioritize knowledge extraction from both data and models during training to improve performance. Therefore, we focus on leveraging the momentum method combined with distillation to simultaneously address computational efficiency and knowledge exploitation. Our contributions can be summarized as follows: (1) leveraging momentum self-distillation to enhance multimodal learning, and (2) integrating momentum mechanisms with gradient accumulation to enlarge the effective batch size without increasing resource consumption. Our method attains competitive performance with state-of-the-art (SOTA) approaches in zero-shot classification, while providing a substantial boost in the few-shot adaption, achieving over 90% AUC-ROC and improving retrieval tasks by 2-3%. Importantly, our method achieves high training efficiency with a single GPU while maintaining reasonable training time. Our approach aims to advance efficient multimodal learning by reducing resource requirements while improving performance over SOTA methods. The implementation of our method is available at https://github.com/phphuc612/MSD .

The integration of large language models (LLMs) into medical practice holds transformative potential, yet their real-world clinical utility remains limited by critical alignment challenges: (1) a disconnect between static evaluation benchmarks and dynamic clinical cognitive needs, (2) difficulties in adapting to evolving, multi-source medical standards, and (3) the inability of conventional reward models to capture nuanced, multi-dimensional medical quality criteria. To address these gaps, we propose MR-RML (Multidimensional Rubric-oriented Reward Model Learning) via GPRC (Geometric Projection Reference Constraints), a novel alignment framework that integrates medical standards into a structured "Dimensions-Scenarios-Disciplines" matrix to guide data generation and model optimization. MR-RML introduces three core innovations: (1) a "Dimensions-Scenarios-Disciplines" medical standard system that embeds domain standards into the full training pipeline; (2) an independent multi-dimensional reward model that decomposes evaluation criteria, shifting from real-time rubric-based scoring to internalized reward modeling for improved consistency and cost-efficiency; (3) geometric projection reference constraints that transform medical cognitive logic into mathematical regularization, aligning scoring gradients with clinical reasoning and enabling synthetic data-driven training. Through extensive evaluations on the authoritative medical benchmark Healthbench, our method yields substantial performance gains over the base LLM Qwen-32B (45% on the full subset and 85% on Hard subset, respectively). It achieves a SOTA among open-source LLMs with scores of 62.7 (full subset) and 44.7 (hard subset), while also outperforming the majority of closed-source models.

Contrastive learning has become pivotal in unsupervised representation learning, with frameworks like Momentum Contrast (MoCo) effectively utilizing large negative sample sets to extract discriminative features. However, traditional approaches often overlook the full potential of key embeddings and are susceptible to performance degradation from noisy negative samples in the memory bank. This study addresses these challenges by proposing an enhanced contrastive learning framework that incorporates two key innovations. First, we introduce a dual-view loss function, which ensures balanced optimization of both query and key embeddings, improving representation quality. Second, we develop a selective negative sampling strategy that emphasizes the most challenging negatives based on cosine similarity, mitigating the impact of noise and enhancing feature discrimination. Extensive experiments demonstrate that our framework achieves superior performance on downstream tasks, delivering robust and well-structured representations. These results highlight the potential of optimized contrastive mechanisms to advance unsupervised learning and extend its applicability across domains such as computer vision and natural language processing

The rise of large language models (LLMs) has brought a critical need for high-quality human-labeled data, particularly for processes like human feedback and evaluation. A common practice is to label data via consensus annotation over crowdworker judgments. However, annotators' judgments for subjective tasks can differ in many ways: they may have different qualitative judgments about an example, and they may map those to a labeling scheme in different ways. We show that these nuances can be captured by natural language explanations, and propose a method to rescale ordinal annotations and explanations using LLMs. Specifically, we feed annotators' Likert ratings and corresponding explanations into an LLM and prompt it to produce a numeric score anchored in a scoring rubric. These scores should reflect the annotators' underlying assessments of the example. The rubric can be designed or modified after annotation, and include distinctions that may not have been known when the original error taxonomy was devised. We explore our technique in the context of rating system outputs for a document-grounded question answering task, where LLMs achieve near-human performance. Our method rescales the raw judgments without impacting agreement and brings the scores closer to human judgments grounded in the same scoring rubric.

Evaluating the quality of automatically generated image descriptions is challenging, requiring metrics that capture various aspects such as grammaticality, coverage, correctness, and truthfulness. While human evaluation offers valuable insights, its cost and time-consuming nature pose limitations. Existing automated metrics like BLEU, ROUGE, METEOR, and CIDEr aim to bridge this gap but often show weak correlations with human judgment. We address this challenge by introducing a novel evaluation framework rooted in a modern large language model (LLM), such as GPT-4 or Gemini, capable of image generation. In our proposed framework, we begin by feeding an input image into a designated image captioning model, chosen for evaluation, to generate a textual description. Using this description, an LLM then creates a new image. By extracting features from both the original and LLM-created images, we measure their similarity using a designated similarity metric. A high similarity score suggests that the image captioning model has accurately generated textual descriptions, while a low similarity score indicates discrepancies, revealing potential shortcomings in the model's performance. Human-annotated reference captions are not required in our proposed evaluation framework, which serves as a valuable tool for evaluating the effectiveness of image captioning models. Its efficacy is confirmed through human evaluation.

Background: Recent advances in large language models highlight the need for high-quality multilingual medical datasets. While Japan leads globally in CT scanner deployment and utilization, the lack of large-scale Japanese radiology datasets has hindered the development of specialized language models for medical imaging analysis. Objective: To develop a comprehensive Japanese CT report dataset through machine translation and establish a specialized language model for structured finding classification. Additionally, to create a rigorously validated evaluation dataset through expert radiologist review. Methods: We translated the CT-RATE dataset (24,283 CT reports from 21,304 patients) into Japanese using GPT-4o mini. The training dataset consisted of 22,778 machine-translated reports, while the validation dataset included 150 radiologist-revised reports. We developed CT-BERT-JPN based on "tohoku-nlp/bert-base-japanese-v3" architecture for extracting 18 structured findings from Japanese radiology reports. Results: Translation metrics showed strong performance with BLEU scores of 0.731 and 0.690, and ROUGE scores ranging from 0.770 to 0.876 for Findings and from 0.748 to 0.857 for Impression sections. CT-BERT-JPN demonstrated superior performance compared to GPT-4o in 11 out of 18 conditions, including lymphadenopathy (+14.2%), interlobular septal thickening (+10.9%), and atelectasis (+7.4%). The model maintained F1 scores exceeding 0.95 in 14 out of 18 conditions and achieved perfect scores in four conditions. Conclusions: Our study establishes a robust Japanese CT report dataset and demonstrates the effectiveness of a specialized language model for structured finding classification. The hybrid approach of machine translation and expert validation enables the creation of large-scale medical datasets while maintaining high quality.

Contrastive representation learning is crucial in medical time series analysis as it alleviates dependency on labor-intensive, domain-specific, and scarce expert annotations. However, existing contrastive learning methods primarily focus on one single data level, which fails to fully exploit the intricate nature of medical time series. To address this issue, we present COMET, an innovative hierarchical framework that leverages data consistencies at all inherent levels in medical time series. Our meticulously designed model systematically captures data consistency from four potential levels: observation, sample, trial, and patient levels. By developing contrastive loss at multiple levels, we can learn effective representations that preserve comprehensive data consistency, maximizing information utilization in a self-supervised manner. We conduct experiments in the challenging patient-independent setting. We compare COMET against six baselines using three diverse datasets, which include ECG signals for myocardial infarction and EEG signals for Alzheimer's and Parkinson's diseases. The results demonstrate that COMET consistently outperforms all baselines, particularly in setup with 10% and 1% labeled data fractions across all datasets. These results underscore the significant impact of our framework in advancing contrastive representation learning techniques for medical time series. The source code is available at https://github.com/DL4mHealth/COMET.

Recent studies show that large language models (LLMs) exhibit self-preference bias when serving as judges, meaning they tend to favor their own responses over those generated by other models. Existing methods typically measure this bias by calculating the difference between the scores a judge model assigns to its own responses and those it assigns to responses from other models. However, this approach conflates self-preference bias with response quality, as higher-quality responses from the judge model may also lead to positive score differences, even in the absence of bias. To address this issue, we introduce gold judgments as proxies for the actual quality of responses and propose the DBG score, which measures self-preference bias as the difference between the scores assigned by the judge model to its own responses and the corresponding gold judgments. Since gold judgments reflect true response quality, the DBG score mitigates the confounding effect of response quality on bias measurement. Using the DBG score, we conduct comprehensive experiments to assess self-preference bias across LLMs of varying versions, sizes, and reasoning abilities. Additionally, we investigate two factors that influence and help alleviate self-preference bias: response text style and the post-training data of judge models. Finally, we explore potential underlying mechanisms of self-preference bias from an attention-based perspective. Our code and data are available at https://github.com/zhiyuanc2001/self-preference.

We present HealthBench, an open-source benchmark measuring the performance and safety of large language models in healthcare. HealthBench consists of 5,000 multi-turn conversations between a model and an individual user or healthcare professional. Responses are evaluated using conversation-specific rubrics created by 262 physicians. Unlike previous multiple-choice or short-answer benchmarks, HealthBench enables realistic, open-ended evaluation through 48,562 unique rubric criteria spanning several health contexts (e.g., emergencies, transforming clinical data, global health) and behavioral dimensions (e.g., accuracy, instruction following, communication). HealthBench performance over the last two years reflects steady initial progress (compare GPT-3.5 Turbo's 16% to GPT-4o's 32%) and more rapid recent improvements (o3 scores 60%). Smaller models have especially improved: GPT-4.1 nano outperforms GPT-4o and is 25 times cheaper. We additionally release two HealthBench variations: HealthBench Consensus, which includes 34 particularly important dimensions of model behavior validated via physician consensus, and HealthBench Hard, where the current top score is 32%. We hope that HealthBench grounds progress towards model development and applications that benefit human health.

Contrastive learning has become a popular approach in natural language processing, particularly for the learning of sentence embeddings. However, the discrete nature of natural language makes it difficult to ensure the quality of positive and negative sample pairs generated through data augmentation methods. Although supervised contrastive learning can produce more accurate sample pairs with human feedback labels, it still lacks fine-grained training signals. In this paper, we propose to improve Contrastive Learning of sentence embeddings from AI Feedback (CLAIF). Our method utilizes AI feedback from large pre-trained language models (LLMs) to construct sample pairs with fine-grained sample similarity scores to improve contrastive learning. Besides, we combine human feedback and AI feedback to provide better supervision signals for supervised contrastive learning of sentence embeddings. Experimental results show that our method achieves state-of-the-art performance on several semantic textual similarity (STS) and transfer learning tasks compared to other unsupervised and supervised contrastive learning methods.

Assessing long-form responses generated by Vision-Language Models (VLMs) is challenging. It not only requires checking whether the VLM follows the given instruction but also verifying whether the text output is properly grounded on the given image. Inspired by the recent approach of evaluating LMs with LMs, in this work, we propose to evaluate VLMs with VLMs. For this purpose, we present a new feedback dataset called the Perception Collection, encompassing 15K customized score rubrics that users might care about during assessment. Using the Perception Collection, we train Prometheus-Vision, the first open-source VLM evaluator model that can understand the user-defined score criteria during evaluation. Prometheus-Vision shows the highest Pearson correlation with human evaluators and GPT-4V among open-source models, showing its effectiveness for transparent and accessible evaluation of VLMs. We open-source our code, dataset, and model at https://github.com/kaistAI/prometheus-vision

Comprehensive evaluations of language models (LM) during both development and deployment phases are necessary because these models possess numerous capabilities (e.g., mathematical reasoning, legal support, or medical diagnostic) as well as safety risks (e.g., racial bias, toxicity, or misinformation). The average score across a wide range of benchmarks provides a signal that helps guide the use of these LMs in practice. Currently, holistic evaluations are costly due to the large volume of benchmark questions, making frequent evaluations impractical. A popular attempt to lower the cost is to compute the average score on a subset of the benchmark. This approach, unfortunately, often renders an unreliable measure of LM performance because the average score is often confounded with the difficulty of the questions in the benchmark subset. Item response theory (IRT) was designed to address this challenge, providing a reliable measurement by careful controlling for question difficulty. Unfortunately, question difficulty is expensive to estimate. Facing this challenge, we train a model that predicts question difficulty from its content, enabling a reliable measurement at a fraction of the cost. In addition, we leverage this difficulty predictor to further improve the evaluation efficiency through training a question generator given a difficulty level. This question generator is essential in adaptive testing, where, instead of using a random subset of the benchmark questions, informative questions are adaptively chosen based on the current estimation of LLM performance. Experiments on 22 common natural language benchmarks and 172 LMs show that this approach is more reliable and efficient compared to current common practice.

Ensuring the accuracy of responses provided by large language models (LLMs) is crucial, particularly in clinical settings where incorrect information may directly impact patient health. To address this challenge, we construct K-QA, a dataset containing 1,212 patient questions originating from real-world conversations held on K Health (an AI-driven clinical platform). We employ a panel of in-house physicians to answer and manually decompose a subset of K-QA into self-contained statements. Additionally, we formulate two NLI-based evaluation metrics approximating recall and precision: (1) comprehensiveness, measuring the percentage of essential clinical information in the generated answer and (2) hallucination rate, measuring the number of statements from the physician-curated response contradicted by the LLM answer. Finally, we use K-QA along with these metrics to evaluate several state-of-the-art models, as well as the effect of in-context learning and medically-oriented augmented retrieval schemes developed by the authors. Our findings indicate that in-context learning improves the comprehensiveness of the models, and augmented retrieval is effective in reducing hallucinations. We make K-QA available to to the community to spur research into medically accurate NLP applications.

Self-supervised pre-training of deep learning models with contrastive learning is a widely used technique in image analysis. Current findings indicate a strong potential for contrastive pre-training on medical images. However, further research is necessary to incorporate the particular characteristics of these images. We hypothesize that the similarity of medical images hinders the success of contrastive learning in the medical imaging domain. To this end, we investigate different strategies based on deep embedding, information theory, and hashing in order to identify and reduce redundancy in medical pre-training datasets. The effect of these different reduction strategies on contrastive learning is evaluated on two pre-training datasets and several downstream classification tasks. In all of our experiments, dataset reduction leads to a considerable performance gain in downstream tasks, e.g., an AUC score improvement from 0.78 to 0.83 for the COVID CT Classification Grand Challenge, 0.97 to 0.98 for the OrganSMNIST Classification Challenge and 0.73 to 0.83 for a brain hemorrhage classification task. Furthermore, pre-training is up to nine times faster due to the dataset reduction. In conclusion, the proposed approach highlights the importance of dataset quality and provides a transferable approach to improve contrastive pre-training for classification downstream tasks on medical images.

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.

We present ExAct, a new video-language benchmark for expert-level understanding of skilled physical human activities. Our new benchmark contains 3521 expert-curated video question-answer pairs spanning 11 physical activities in 6 domains: Sports, Bike Repair, Cooking, Health, Music, and Dance. ExAct requires the correct answer to be selected from five carefully designed candidate options, thus necessitating a nuanced, fine-grained, expert-level understanding of physical human skills. Evaluating the recent state-of-the-art VLMs on ExAct reveals a substantial performance gap relative to human expert performance. Specifically, the best-performing GPT-4o model achieves only 44.70% accuracy, well below the 82.02% attained by trained human specialists/experts. We believe that ExAct will be beneficial for developing and evaluating VLMs capable of precise understanding of human skills in various physical and procedural domains. Dataset and code are available at https://texaser.github.io/exact_project_page/

Text-video retrieval aims to find the most semantically similar videos with given text queries. However, since videos contain more diverse content than texts, the main semantics expressed by each text-video pair is often partially relevant. The primary methods involve the utilization of language-video attention module to align texts and videos. Though effective, this paradigm inevitably introduces prohibitive computational overhead, resulting in inefficient retrieval. In this paper, we propose a simple yet effective method called Global-Local Contrastive Consistency Learning (GLCCL) to achieve texts and videos semantics alignment. Specifically, we design a parameter-free Global-Local Interaction Module (GLIM) to generate semantic-related frame and video features in a text-guided manner. Furthermore, a Contrastive Score Consistency (CSC) loss is developed to promote consistency learning among different scores on positive pairs and suppress consistency learning on negative pairs. Empirical evidence suggests that CSC loss provides the model with robust discriminative power between positives and hard negatives. Extensive experiments on three benchmark datasets, including MSR-VTT, DiDeMo and VATEX, demonstrate the effectiveness and superiority of our approach.

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

Aligning large language models (LLMs) with human values and intents critically involves the use of human or AI feedback. While dense feedback annotations are expensive to acquire and integrate, sparse feedback presents a structural design choice between ratings (e.g., score Response A on a scale of 1-7) and rankings (e.g., is Response A better than Response B?). In this work, we analyze the effect of this design choice for the alignment and evaluation of LLMs. We uncover an inconsistency problem wherein the preferences inferred from ratings and rankings significantly disagree 60% for both human and AI annotators. Our subsequent analysis identifies various facets of annotator biases that explain this phenomena, such as human annotators would rate denser responses higher while preferring accuracy during pairwise judgments. To our surprise, we also observe that the choice of feedback protocol also has a significant effect on the evaluation of aligned LLMs. In particular, we find that LLMs that leverage rankings data for alignment (say model X) are preferred over those that leverage ratings data (say model Y), with a rank-based evaluation protocol (is X/Y's response better than reference response?) but not with a rating-based evaluation protocol (score Rank X/Y's response on a scale of 1-7). Our findings thus shed light on critical gaps in methods for evaluating the real-world utility of language models and their strong dependence on the feedback protocol used for alignment. Our code and data are available at https://github.com/Hritikbansal/sparse_feedback.

Thousands of diverse benchmarks have been developed to measure the quality of large language models (LLMs). Yet prior work has demonstrated that LLM performance is often sufficiently explained by a small set of latent factors, or abilities. This suggests the potential for more efficient and principled benchmarking, but it remains difficult to compare the quality of different methods. Motivated by predictive validity, we argue that the quality of a benchmarking framework should be grounded in how efficiently it enables the prediction of model performance on unseen tasks. To analyze this objective, we collect the "Wide-scale Item Level Dataset" (WILD), a dataset of item-model response pairs, comprising evaluations of 65 models on 109,564 unique items spanning 163 tasks drawn from 27 datasets. This dataset enables the first analysis of how different techniques can predict a model's performance on a large, diverse collection of unseen tasks under different budget constraints. We demonstrate that combining a modified multidimensional item response theory (IRT) model with adaptive item selection driven by optimal experimental design can predict performance on 112 held-out benchmark tasks with a mean absolute error (MAE) of less than 7%, and can do so after observing only 16 items. We further demonstrate that incorporating cost-aware discount factors into our selection criteria can reduce the total tokens needed to reach 7% MAE from 141,000 tokens to only 22,000, an 85% reduction in evaluation cost.

Existing work on large language model (LLM) personalization assigned different responding roles to LLM, but overlooked the diversity of questioners. In this work, we propose a new form of questioner-aware LLM personalization, generating different responses even for the same query from different questioners. We design a dual-tower model architecture with a cross-questioner general encoder and a questioner-specific encoder. We further apply contrastive learning with multi-view augmentation, pulling close the dialogue representations of the same questioner, while pulling apart those of different questioners. To mitigate the impact of question diversity on questioner-contrastive learning, we cluster the dialogues based on question similarity and restrict the scope of contrastive learning within each cluster. We also build a multi-questioner dataset from English and Chinese scripts and WeChat records, called MQDialog, containing 173 questioners and 12 responders. Extensive evaluation with different metrics shows a significant improvement in the quality of personalized response generation.

Contrastive learning (CL) methods effectively learn data representations in a self-supervision manner, where the encoder contrasts each positive sample over multiple negative samples via a one-vs-many softmax cross-entropy loss. By leveraging large amounts of unlabeled image data, recent CL methods have achieved promising results when pretrained on large-scale datasets, such as ImageNet. However, most of them consider the augmented views from the same instance are positive pairs, while views from other instances are negative ones. Such binary partition insufficiently considers the relation between samples and tends to yield worse performance when generalized on images in the wild. In this paper, to further improve the performance of CL and enhance its robustness on various datasets, {we propose a doubly CL strategy that separately compares positive and negative samples within their own groups, and then proceeds with a contrast between positive and negative groups}. We realize this strategy with contrastive attraction and contrastive repulsion (CACR), which makes the query not only exert a greater force to attract more distant positive samples but also do so to repel closer negative samples. Theoretical analysis reveals that CACR generalizes CL's behavior by positive attraction and negative repulsion, and it further considers the intra-contrastive relation within the positive and negative pairs to narrow the gap between the sampled and true distribution, which is important when datasets are less curated. With our extensive experiments, CACR not only demonstrates good performance on CL benchmarks, but also shows better robustness when generalized on imbalanced image datasets. Code and pre-trained checkpoints are available at https://github.com/JegZheng/CACR-SSL.

Multimodal large language models (MLLMs) are now routinely deployed for visual understanding, generation, and curation. A substantial fraction of these applications require an explicit aesthetic judgment. Most existing solutions reduce this judgment to predicting a scalar score for a single image. We first ask whether such scores faithfully capture comparative preference: in a controlled study with eight expert annotators, score-derived rankings align poorly with the same annotators' direct comparisons, while direct ranking yields substantially higher inter-annotator agreement on best- and worst-image labels. Motivated by this finding, we introduce the Visual Aesthetic Benchmark (VAB), which casts aesthetic evaluation as comparative selection over candidate sets with matched subject matter. VAB contains 400 tasks and 1,195 images across fine art, photography, and illustration, with labels derived from the consensus of 10 independent expert judges per task. Evaluating 20 frontier MLLMs and six dedicated visual-quality reward models, we find that the strongest system identifies both the best and the worst image correctly across three random permutations of the candidate order in only 26.5% of tasks, far below the 68.9% achieved by human experts. Fine-tuning a 35B-parameter model on 2,000 expert examples brings its accuracy close to that of a 397B-parameter open-weight model, suggesting that the comparative signal in VAB is transferable. Together, these results expose a clear and measurable gap between current multimodal models and expert aesthetic judgment, and VAB provides the first set-based, expert-grounded testbed on which that gap can be tracked and closed.

Recent advancements in Retrieval-Augmented Generation (RAG) have shown remarkable performance in enhancing response accuracy and relevance by integrating external knowledge into generative models. However, existing RAG methods primarily focus on providing text-only answers, even in multimodal retrieval-augmented generation scenarios. In this work, we introduce the Multimodal Retrieval-Augmented Multimodal Generation (MRAMG) task, which aims to generate answers that combine both text and images, fully leveraging the multimodal data within a corpus. Despite the importance of this task, there is a notable absence of a comprehensive benchmark to effectively evaluate MRAMG performance. To bridge this gap, we introduce the MRAMG-Bench, a carefully curated, human-annotated dataset comprising 4,346 documents, 14,190 images, and 4,800 QA pairs, sourced from three categories: Web Data, Academic Papers, and Lifestyle. The dataset incorporates diverse difficulty levels and complex multi-image scenarios, providing a robust foundation for evaluating multimodal generation tasks. To facilitate rigorous evaluation, our MRAMG-Bench incorporates a comprehensive suite of both statistical and LLM-based metrics, enabling a thorough analysis of the performance of popular generative models in the MRAMG task. Besides, we propose an efficient multimodal answer generation framework that leverages both LLMs and MLLMs to generate multimodal responses. Our datasets are available at: https://huggingface.co/MRAMG.

There is a lack of benchmarks for evaluating large language models (LLMs) in long-form medical question answering (QA). Most existing medical QA evaluation benchmarks focus on automatic metrics and multiple-choice questions. While valuable, these benchmarks fail to fully capture or assess the complexities of real-world clinical applications where LLMs are being deployed. Furthermore, existing studies on evaluating long-form answer generation in medical QA are primarily closed-source, lacking access to human medical expert annotations, which makes it difficult to reproduce results and enhance existing baselines. In this work, we introduce a new publicly available benchmark featuring real-world consumer medical questions with long-form answer evaluations annotated by medical doctors. We performed pairwise comparisons of responses from various open and closed-source medical and general-purpose LLMs based on criteria such as correctness, helpfulness, harmfulness, and bias. Additionally, we performed a comprehensive LLM-as-a-judge analysis to study the alignment between human judgments and LLMs. Our preliminary results highlight the strong potential of open LLMs in medical QA compared to leading closed models. Code & Data: https://github.com/lavita-ai/medical-eval-sphere

Contrastive learning (CL) is one of the most successful paradigms for self-supervised learning (SSL). In a principled way, it considers two augmented "views" of the same image as positive to be pulled closer, and all other images as negative to be pushed further apart. However, behind the impressive success of CL-based techniques, their formulation often relies on heavy-computation settings, including large sample batches, extensive training epochs, etc. We are thus motivated to tackle these issues and establish a simple, efficient, yet competitive baseline of contrastive learning. Specifically, we identify, from theoretical and empirical studies, a noticeable negative-positive-coupling (NPC) effect in the widely used InfoNCE loss, leading to unsuitable learning efficiency concerning the batch size. By removing the NPC effect, we propose decoupled contrastive learning (DCL) loss, which removes the positive term from the denominator and significantly improves the learning efficiency. DCL achieves competitive performance with less sensitivity to sub-optimal hyperparameters, requiring neither large batches in SimCLR, momentum encoding in MoCo, or large epochs. We demonstrate with various benchmarks while manifesting robustness as much less sensitive to suboptimal hyperparameters. Notably, SimCLR with DCL achieves 68.2% ImageNet-1K top-1 accuracy using batch size 256 within 200 epochs pre-training, outperforming its SimCLR baseline by 6.4%. Further, DCL can be combined with the SOTA contrastive learning method, NNCLR, to achieve 72.3% ImageNet-1K top-1 accuracy with 512 batch size in 400 epochs, which represents a new SOTA in contrastive learning. We believe DCL provides a valuable baseline for future contrastive SSL studies.

Evaluating the capability of Large Language Models (LLMs) in following instructions has heavily relied on a powerful LLM as the judge, introducing unresolved biases that deviate the judgments from human judges. In this work, we reevaluate various choices for automatic evaluation on a wide range of instruction-following tasks. We experiment with methods that leverage human-written responses and observe that they enhance the reliability of automatic evaluations across a wide range of tasks, resulting in up to a 3.2% improvement in agreement with human judges. We also discovered that human-written responses offer an orthogonal perspective to model-generated responses in following instructions and should be used as an additional context when comparing model responses. Based on these observations, we develop a new evaluation benchmark, Human Response-Guided Evaluation of Instruction Following (HREF), comprising 4,258 samples across 11 task categories with a composite evaluation setup, employing a composite evaluation setup that selects the most reliable method for each category. In addition to providing reliable evaluation, HREF emphasizes individual task performance and is free from contamination. Finally, we study the impact of key design choices in HREF, including the size of the evaluation set, the judge model, the baseline model, and the prompt template. We host a live leaderboard that evaluates LLMs on the private evaluation set of HREF.

In this paper, we evaluate different abilities of GPT-4V including visual understanding, language understanding, visual puzzle solving, and understanding of other modalities such as depth, thermal, video, and audio. To estimate GPT-4V's performance, we manually construct 656 test instances and carefully evaluate the results of GPT-4V. The highlights of our findings are as follows: (1) GPT-4V exhibits impressive performance on English visual-centric benchmarks but fails to recognize simple Chinese texts in the images; (2) GPT-4V shows inconsistent refusal behavior when answering questions related to sensitive traits such as gender, race, and age; (3) GPT-4V obtains worse results than GPT-4 (API) on language understanding tasks including general language understanding benchmarks and visual commonsense knowledge evaluation benchmarks; (4) Few-shot prompting can improve GPT-4V's performance on both visual understanding and language understanding; (5) GPT-4V struggles to find the nuances between two similar images and solve the easy math picture puzzles; (6) GPT-4V shows non-trivial performance on the tasks of similar modalities to image, such as video and thermal. Our experimental results reveal the ability and limitations of GPT-4V and we hope our paper can provide some insights into the application and research of GPT-4V.

The evaluation of question answering models compares ground-truth annotations with model predictions. However, as of today, this comparison is mostly lexical-based and therefore misses out on answers that have no lexical overlap but are still semantically similar, thus treating correct answers as false. This underestimation of the true performance of models hinders user acceptance in applications and complicates a fair comparison of different models. Therefore, there is a need for an evaluation metric that is based on semantics instead of pure string similarity. In this short paper, we present SAS, a cross-encoder-based metric for the estimation of semantic answer similarity, and compare it to seven existing metrics. To this end, we create an English and a German three-way annotated evaluation dataset containing pairs of answers along with human judgment of their semantic similarity, which we release along with an implementation of the SAS metric and the experiments. We find that semantic similarity metrics based on recent transformer models correlate much better with human judgment than traditional lexical similarity metrics on our two newly created datasets and one dataset from related work.

Skin carcinoma is the most prevalent form of cancer globally, accounting for over $8 billion in annual healthcare expenditures. In clinical settings, physicians document patient visits using detailed SOAP (Subjective, Objective, Assessment, and Plan) notes. However, manually generating these notes is labor-intensive and contributes to clinician burnout. In this work, we propose a weakly supervised multimodal framework to generate clinically structured SOAP notes from limited inputs, including lesion images and sparse clinical text. Our approach reduces reliance on manual annotations, enabling scalable, clinically grounded documentation while alleviating clinician burden and reducing the need for large annotated data. Our method achieves performance comparable to GPT-4o, Claude, and DeepSeek Janus Pro across key clinical relevance metrics. To evaluate clinical quality, we introduce two novel metrics MedConceptEval and Clinical Coherence Score (CCS) which assess semantic alignment with expert medical concepts and input features, respectively.

Automatic Short Answer Grading (ASAG) is the process of grading the student answers by computational approaches given a question and the desired answer. Previous works implemented the methods of concept mapping, facet mapping, and some used the conventional word embeddings for extracting semantic features. They extracted multiple features manually to train on the corresponding datasets. We use pretrained embeddings of the transfer learning models, ELMo, BERT, GPT, and GPT-2 to assess their efficiency on this task. We train with a single feature, cosine similarity, extracted from the embeddings of these models. We compare the RMSE scores and correlation measurements of the four models with previous works on Mohler dataset. Our work demonstrates that ELMo outperformed the other three models. We also, briefly describe the four transfer learning models and conclude with the possible causes of poor results of transfer learning models.

Standard LLM evaluation practices compress diverse abilities into single scores, obscuring their inherently multidimensional nature. We present JE-IRT, a geometric item-response framework that embeds both LLMs and questions in a shared space. For question embeddings, the direction encodes semantics and the norm encodes difficulty, while correctness on each question is determined by the geometric interaction between the model and question embeddings. This geometry replaces a global ranking of LLMs with topical specialization and enables smooth variation across related questions. Building on this framework, our experimental results reveal that out-of-distribution behavior can be explained through directional alignment, and that larger norms consistently indicate harder questions. Moreover, JE-IRT naturally supports generalization: once the space is learned, new LLMs are added by fitting a single embedding. The learned space further reveals an LLM-internal taxonomy that only partially aligns with human-defined subject categories. JE-IRT thus establishes a unified and interpretable geometric lens that connects LLM abilities with the structure of questions, offering a distinctive perspective on model evaluation and generalization.

Subjective speech quality assessment (SSQA) is critical for evaluating speech samples as perceived by human listeners. While model-based SSQA has enjoyed great success thanks to the development of deep neural networks (DNNs), generalization remains a key challenge, especially for unseen, out-of-domain data. To benchmark the generalization abilities of SSQA models, we present MOS-Bench, a diverse collection of datasets. In addition, we also introduce SHEET, an open-source toolkit containing complete recipes to conduct SSQA experiments. We provided benchmark results for MOS-Bench, and we also explored multi-dataset training to enhance generalization. Additionally, we proposed a new performance metric, best score difference/ratio, and used latent space visualizations to explain model behavior, offering valuable insights for future research.

Automated Short Answer Scoring (ASAS) is a critical component in educational assessment. While traditional ASAS systems relied on rule-based algorithms or complex deep learning methods, recent advancements in Generative Language Models (GLMs) offer new opportunities for improvement. This study explores the application of GLMs to ASAS, leveraging their off-the-shelf capabilities and performance in various domains. We propose a novel pipeline that combines vector databases, transformer-based encoders, and GLMs to enhance short answer scoring accuracy. Our approach stores training responses in a vector database, retrieves semantically similar responses during inference, and employs a GLM to analyze these responses and determine appropriate scores. We further optimize the system through fine-tuned retrieval processes and prompt engineering. Evaluation on the SemEval 2013 dataset demonstrates a significant improvement on the SCIENTSBANK 3-way and 2-way tasks compared to existing methods, highlighting the potential of GLMs in advancing ASAS technology.

The availability of clean and diverse labeled data is a major roadblock for training models on complex tasks such as visual question answering (VQA). The extensive work on large vision-and-language models has shown that self-supervised learning is effective for pretraining multimodal interactions. In this technical report, we focus on visual representations. We review and evaluate self-supervised methods to leverage unlabeled images and pretrain a model, which we then fine-tune on a custom VQA task that allows controlled evaluation and diagnosis. We compare energy-based models (EBMs) with contrastive learning (CL). While EBMs are growing in popularity, they lack an evaluation on downstream tasks. We find that both EBMs and CL can learn representations from unlabeled images that enable training a VQA model on very little annotated data. In a simple setting similar to CLEVR, we find that CL representations also improve systematic generalization, and even match the performance of representations from a larger, supervised, ImageNet-pretrained model. However, we find EBMs to be difficult to train because of instabilities and high variability in their results. Although EBMs prove useful for OOD detection, other results on supervised energy-based training and uncertainty calibration are largely negative. Overall, CL currently seems a preferable option over EBMs.

We introduce a Depicted image Quality Assessment method (DepictQA), overcoming the constraints of traditional score-based approaches. DepictQA leverages Multi-modal Large Language Models (MLLMs), allowing for detailed, language-based, human-like evaluation of image quality. Unlike conventional Image Quality Assessment (IQA) methods relying on scores, DepictQA interprets image content and distortions descriptively and comparatively, aligning closely with humans' reasoning process. To build the DepictQA model, we establish a hierarchical task framework, and collect a multi-modal IQA training dataset, named M-BAPPS. To navigate the challenges in limited training data and processing multiple images, we propose to use multi-source training data and specialized image tags. Our DepictQA demonstrates a better performance than score-based methods on the BAPPS benchmark. Moreover, compared with general MLLMs, our DepictQA can generate more accurate reasoning descriptive languages. Our research indicates that language-based IQA methods have the potential to be customized for individual preferences. Datasets and codes will be released publicly.

There is growing interest in systems that generate captions for scientific figures. However, assessing these systems output poses a significant challenge. Human evaluation requires academic expertise and is costly, while automatic evaluation depends on often low-quality author-written captions. This paper investigates using large language models (LLMs) as a cost-effective, reference-free method for evaluating figure captions. We first constructed SCICAP-EVAL, a human evaluation dataset that contains human judgments for 3,600 scientific figure captions, both original and machine-made, for 600 arXiv figures. We then prompted LLMs like GPT-4 and GPT-3 to score (1-6) each caption based on its potential to aid reader understanding, given relevant context such as figure-mentioning paragraphs. Results show that GPT-4, used as a zero-shot evaluator, outperformed all other models and even surpassed assessments made by Computer Science and Informatics undergraduates, achieving a Kendall correlation score of 0.401 with Ph.D. students rankings

Multimodal Large Language Models (MLLMs) have emerged to tackle the challenges of Visual Question Answering (VQA), sparking a new research focus on conducting objective evaluations of these models. Existing evaluation methods face limitations due to the significant human workload required to design Q&A pairs for visual images, which inherently restricts the scale and scope of evaluations. Although automated MLLM-as-judge approaches attempt to reduce the human workload through automatic evaluations, they often introduce biases. To address these problems, we propose an Unsupervised Peer review MLLM Evaluation framework. It utilizes only image data, allowing models to automatically generate questions and conduct peer review assessments of answers from other models, effectively alleviating the reliance on human workload. Additionally, we introduce the vision-language scoring system to mitigate the bias issues, which focuses on three aspects: (i) response correctness; (ii) visual understanding and reasoning; and (iii) image-text correlation. Experimental results demonstrate that UPME achieves a Pearson correlation of 0.944 with human evaluations on the MMstar dataset and 0.814 on the ScienceQA dataset, indicating that our framework closely aligns with human-designed benchmarks and inherent human preferences.

RLHF has emerged as a predominant approach for aligning artificial intelligence systems with human preferences, demonstrating exceptional and measurable efficacy in instruction following tasks; however, it exhibits insufficient compliance capabilities when confronted with complex multi-instruction tasks. Conventional approaches rely heavily on human annotation or more sophisticated large language models, thereby introducing substantial resource expenditure or potential bias concerns. Meanwhile, alternative synthetic methods that augment standard preference datasets often compromise the model's semantic quality. Our research identifies a critical oversight in existing techniques, which predominantly focus on comparing responses while neglecting valuable latent signals embedded within prompt inputs, and which only focus on preference disparities at the intra-sample level, while neglecting to account for the inter-sample level preference differentials that exist among preference data. To leverage these previously neglected indicators, we propose a novel Multi-level Aware Preference Learning (MAPL) framework, capable of enhancing multi-instruction capabilities. Specifically, for any given response in original preference data pairs, we construct varied prompts with a preference relation under different conditions, in order to learn intra-sample level preference disparities. Furthermore, for any given original preference pair, we synthesize multi-instruction preference pairs to capture preference discrepancies at the inter-sample level. Building on the two datasets constructed above, we consequently devise two sophisticated training objective functions. Subsequently, our framework integrates seamlessly into both Reward Modeling and Direct Preference Optimization paradigms. Through rigorous evaluation across multiple benchmarks, we empirically validate the efficacy of our framework.

Despite recent advances in text-to-3D generative methods, there is a notable absence of reliable evaluation metrics. Existing metrics usually focus on a single criterion each, such as how well the asset aligned with the input text. These metrics lack the flexibility to generalize to different evaluation criteria and might not align well with human preferences. Conducting user preference studies is an alternative that offers both adaptability and human-aligned results. User studies, however, can be very expensive to scale. This paper presents an automatic, versatile, and human-aligned evaluation metric for text-to-3D generative models. To this end, we first develop a prompt generator using GPT-4V to generate evaluating prompts, which serve as input to compare text-to-3D models. We further design a method instructing GPT-4V to compare two 3D assets according to user-defined criteria. Finally, we use these pairwise comparison results to assign these models Elo ratings. Experimental results suggest our metric strongly align with human preference across different evaluation criteria.

Consumer research costs companies billions annually yet suffers from panel biases and limited scale. Large language models (LLMs) offer an alternative by simulating synthetic consumers, but produce unrealistic response distributions when asked directly for numerical ratings. We present semantic similarity rating (SSR), a method that elicits textual responses from LLMs and maps these to Likert distributions using embedding similarity to reference statements. Testing on an extensive dataset comprising 57 personal care product surveys conducted by a leading corporation in that market (9,300 human responses), SSR achieves 90% of human test-retest reliability while maintaining realistic response distributions (KS similarity > 0.85). Additionally, these synthetic respondents provide rich qualitative feedback explaining their ratings. This framework enables scalable consumer research simulations while preserving traditional survey metrics and interpretability.

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this misalignment, prioritizing answer accuracy or adherence to formats. We present a clinically grounded framework for chest X-ray visual question answering (VQA) that probes CoT faithfulness via controlled text and image modifications across three axes: clinical fidelity, causal attribution, and confidence calibration. In a reader study (n=4), evaluator-radiologist correlations fall within the observed inter-radiologist range for all axes, with strong alignment for attribution (Kendall's tau_b=0.670), moderate alignment for fidelity (tau_b=0.387), and weak alignment for confidence tone (tau_b=0.091), which we report with caution. Benchmarking six VLMs shows that answer accuracy and explanation quality are decoupled, acknowledging injected cues does not ensure grounding, and text cues shift explanations more than visual cues. While some open-source models match final answer accuracy, proprietary models score higher on attribution (25.0% vs. 1.4%) and often on fidelity (36.1% vs. 31.7%), highlighting deployment risks and the need to evaluate beyond final answer accuracy.

Large language models (LLMs) in medicine are mainly evaluated using multiple-choice question answering (MCQA), which can overestimate real clinical ability due to guessing strategies and answer biases. To address these limitations, we introduce an expanded and more challenging benchmark based on Polish medical exams, adding over 15,000 questions, two new domains, and four structural modifications that reduce MCQA-specific artifacts and better test reasoning. We evaluate 21 LLMs and show that evaluation design strongly affects results. Under our harder setup, the best model (Qwen3.5-122B) drops by 28.4 and 31 pp on English and Polish exams, respectively. Despite low evidence of data contamination, standard MCQA scores do not reliably reflect true medical competence. To facilitate further research, we make our benchmark publicly available.

Instruction-tuned Large Language Models (LLMs) have recently showcased remarkable advancements in their ability to generate fitting responses to natural language instructions. However, many current works rely on manual evaluation to judge the quality of generated responses. Since such manual evaluation is time-consuming, it does not easily scale to the evaluation of multiple models and model variants. In this short paper, we propose a straightforward but remarkably effective evaluation metric called SemScore, in which we directly compare model outputs to gold target responses using semantic textual similarity (STS). We conduct a comparative evaluation of the model outputs of 12 prominent instruction-tuned LLMs using 8 widely-used evaluation metrics for text generation. We find that our proposed SemScore metric outperforms all other, in many cases more complex, evaluation metrics in terms of correlation to human evaluation. These findings indicate the utility of our proposed metric for the evaluation of instruction-tuned LLMs.

We introduce Metric-Fair Prompting, a fairness-aware prompting framework that guides large language models (LLMs) to make decisions under metric-fairness constraints. In the application of multiple-choice medical question answering, each {(question, option)} pair is treated as a binary instance with label +1 (correct) or -1 (incorrect). To promote {individual fairness}~--~treating similar instances similarly~--~we compute question similarity using NLP embeddings and solve items in joint pairs of similar questions rather than in isolation. The prompt enforces a global decision protocol: extract decisive clinical features, map each \((question, option)\) to a score f(x) that acts as confidence, and impose a Lipschitz-style constraint so that similar inputs receive similar scores and, hence, consistent outputs. Evaluated on the {MedQA (US)} benchmark, Metric-Fair Prompting is shown to improve performance over standard single-item prompting, demonstrating that fairness-guided, confidence-oriented reasoning can enhance LLM accuracy on high-stakes clinical multiple-choice questions.

Radiology report evaluation is essential for advancing automated report generation. Natural language generation metrics have limited clinical relevance. Clinical efficacy (CE) metrics evaluate important medical findings, but focus mainly on presence and cover only a limited set of entities. Due to heavy reliance on manual annotations, it is difficult for CE metrics to extend clinical entities or attributes. In clinical practice, radiology reports serve as a medium for information transfer. Clinicians use them to perform downstream diagnostic tasks without directly inspecting images. Based on this insight, we propose ReportQA, a clinical-related and flexible radiology report evaluation framework, supporting detailed quantitative analysis of radiology report generation systems. We first collect datasets covering multiple imaging modalities and anatomical regions. We then construct knowledge trees of clinical entities and attributes with radiologist guidance, and use large language models (LLMs) to extract structured information from raw reports. Next, we generate QA pairs from predefined templates and apply quality control through self-filtering and report-based filtering. During evaluation, the report is treated as context, and an LLM acts as a judge model to answer the QA pairs. Based on the resulting QA accuracy, we introduce QAScore metric. Compared with existing metrics, QAScore shows better alignment with radiologist judgments. Experiments on multiple state-of-the-art vision-language models reveal that current report-based inference paradigms struggle to learn fine-grained clinical representations and exhibit strong negative prior biases. In contrast, question-driven inference provides a more effective alternative. For reproducibility and extensibility, we release the knowledge trees, structured reports, and QA pairs, along with the pipeline code for QA construction and evaluation.

This study evaluates the performance of ChatGPT variants, GPT-3.5 and GPT-4, both with and without prompt engineering, against solely student work and a mixed category containing both student and GPT-4 contributions in university-level physics coding assignments using the Python language. Comparing 50 student submissions to 50 AI-generated submissions across different categories, and marked blindly by three independent markers, we amassed n = 300 data points. Students averaged 91.9% (SE:0.4), surpassing the highest performing AI submission category, GPT-4 with prompt engineering, which scored 81.1% (SE:0.8) - a statistically significant difference (p = 2.482 times 10^{-10}). Prompt engineering significantly improved scores for both GPT-4 (p = 1.661 times 10^{-4}) and GPT-3.5 (p = 4.967 times 10^{-9}). Additionally, the blinded markers were tasked with guessing the authorship of the submissions on a four-point Likert scale from `Definitely AI' to `Definitely Human'. They accurately identified the authorship, with 92.1% of the work categorized as 'Definitely Human' being human-authored. Simplifying this to a binary `AI' or `Human' categorization resulted in an average accuracy rate of 85.3%. These findings suggest that while AI-generated work closely approaches the quality of university students' work, it often remains detectable by human evaluators.

Retrieval-augmented generation (RAG) has emerged as a critical mechanism in contemporary NLP to support Large Language Models(LLMs) in systematically accessing richer factual context. However, the integration of RAG mechanisms brings its inherent challenges, as LLMs need to deal with potentially noisy contexts. Recent studies have shown that LLMs still struggle to critically analyse RAG-based in-context information, a limitation that may lead to incorrect inferences and hallucinations. In this paper, we investigate how to elicit critical reasoning in RAG via contrastive explanations. In particular, we propose Contrastive-RAG (C-RAG), a framework that (i) retrieves relevant documents given a query, (ii) selects and exemplifies relevant passages, and (iii) generates explanations that explicitly contrast the relevance of the passages to (iv) support the final answer. We show the impact of C-RAG building contrastive reasoning demonstrations from LLMs to instruct smaller models for retrieval-augmented tasks. Extensive experiments demonstrate that C-RAG improves state-of-the-art RAG models while (a) requiring significantly fewer prompts and demonstrations and (b) being robust to perturbations in the retrieved documents.

This study investigates GPT-4's assessment of its performance in healthcare applications. A simple prompting technique was used to prompt the LLM with questions taken from the United States Medical Licensing Examination (USMLE) questionnaire and it was tasked to evaluate its confidence score before posing the question and after asking the question. The questionnaire was categorized into two groups-questions with feedback (WF) and questions with no feedback(NF) post-question. The model was asked to provide absolute and relative confidence scores before and after each question. The experimental findings were analyzed using statistical tools to study the variability of confidence in WF and NF groups. Additionally, a sequential analysis was conducted to observe the performance variation for the WF and NF groups. Results indicate that feedback influences relative confidence but doesn't consistently increase or decrease it. Understanding the performance of LLM is paramount in exploring its utility in sensitive areas like healthcare. This study contributes to the ongoing discourse on the reliability of AI, particularly of LLMs like GPT-4, within healthcare, offering insights into how feedback mechanisms might be optimized to enhance AI-assisted medical education and decision support.

Large language models (LLMs) have demonstrated remarkable capabilities in natural language understanding and generation across various domains, including medicine. We present a comprehensive evaluation of GPT-4, a state-of-the-art LLM, on medical competency examinations and benchmark datasets. GPT-4 is a general-purpose model that is not specialized for medical problems through training or engineered to solve clinical tasks. Our analysis covers two sets of official practice materials for the USMLE, a three-step examination program used to assess clinical competency and grant licensure in the United States. We also evaluate performance on the MultiMedQA suite of benchmark datasets. Beyond measuring model performance, experiments were conducted to investigate the influence of test questions containing both text and images on model performance, probe for memorization of content during training, and study probability calibration, which is of critical importance in high-stakes applications like medicine. Our results show that GPT-4, without any specialized prompt crafting, exceeds the passing score on USMLE by over 20 points and outperforms earlier general-purpose models (GPT-3.5) as well as models specifically fine-tuned on medical knowledge (Med-PaLM, a prompt-tuned version of Flan-PaLM 540B). In addition, GPT-4 is significantly better calibrated than GPT-3.5, demonstrating a much-improved ability to predict the likelihood that its answers are correct. We also explore the behavior of the model qualitatively through a case study that shows the ability of GPT-4 to explain medical reasoning, personalize explanations to students, and interactively craft new counterfactual scenarios around a medical case. Implications of the findings are discussed for potential uses of GPT-4 in medical education, assessment, and clinical practice, with appropriate attention to challenges of accuracy and safety.

While text-to-image (T2I) generative models have become ubiquitous, they do not necessarily generate images that align with a given prompt. While previous work has evaluated T2I alignment by proposing metrics, benchmarks, and templates for collecting human judgements, the quality of these components is not systematically measured. Human-rated prompt sets are generally small and the reliability of the ratings -- and thereby the prompt set used to compare models -- is not evaluated. We address this gap by performing an extensive study evaluating auto-eval metrics and human templates. We provide three main contributions: (1) We introduce a comprehensive skills-based benchmark that can discriminate models across different human templates. This skills-based benchmark categorises prompts into sub-skills, allowing a practitioner to pinpoint not only which skills are challenging, but at what level of complexity a skill becomes challenging. (2) We gather human ratings across four templates and four T2I models for a total of >100K annotations. This allows us to understand where differences arise due to inherent ambiguity in the prompt and where they arise due to differences in metric and model quality. (3) Finally, we introduce a new QA-based auto-eval metric that is better correlated with human ratings than existing metrics for our new dataset, across different human templates, and on TIFA160.

Skin carcinoma is the most prevalent form of cancer globally, accounting for over $8 billion in annual healthcare expenditures. Early diagnosis, accurate and timely treatment are critical to improving patient survival rates. In clinical settings, physicians document patient visits using detailed SOAP (Subjective, Objective, Assessment, and Plan) notes. However, manually generating these notes is labor-intensive and contributes to clinician burnout. In this work, we propose skin-SOAP, a weakly supervised multimodal framework to generate clinically structured SOAP notes from limited inputs, including lesion images and sparse clinical text. Our approach reduces reliance on manual annotations, enabling scalable, clinically grounded documentation while alleviating clinician burden and reducing the need for large annotated data. Our method achieves performance comparable to GPT-4o, Claude, and DeepSeek Janus Pro across key clinical relevance metrics. To evaluate this clinical relevance, we introduce two novel metrics MedConceptEval and Clinical Coherence Score (CCS) which assess semantic alignment with expert medical concepts and input features, respectively.