Evidence map›Paper›PMID 37492270›Full record

ArticleProceedings of the conference. Association for Computational Linguistics. Meeting2023

Multi-Task Training with In-Domain Language Models for Diagnostic Reasoning.

Brihat Sharma, Yanjun Gao, Timothy Miller, Matthew M Churpek, Majid Afshar, Dmitriy Dligach

Open access · goldAbstract read
In one paragraph

Article in Proceedings of the conference. Association for Computational Linguistics. Meeting, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Brihat SharmaUniversity of Wisconsin-Madison.
Yanjun GaoUniversity of Wisconsin-Madison.
Timothy MillerBoston Children's Hospital and Harvard Medical School.
Matthew M ChurpekUniversity of Wisconsin-Madison.
Majid AfsharUniversity of Wisconsin-Madison.
Dmitriy DligachLoyola University Chicago.
University of Wisconsin–Madison · USBoston Children's Hospital · USLoyola University Chicago · US

Funding

Temporal relation discovery for clinical textR01LM010090 · NLM · BOSTON CHILDREN'S HOSPITAL · PI MARTIN, JAMES H., SAVOVA, GUERGANA K. · 2010 to 2022
$7.1M
Data Driven Strategies for Substance Misuse Identification in Hospitalized PatientsR01DA051464 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI Majid Afshar · 2020 to 2026
$4.5M
Learning Universal Patient Representations with Hierarchical TransformersR01LM012973 · NLM · BOSTON CHILDREN'S HOSPITAL · PI Timothy A Miller · 2019 to 2026
$3.5M
Automated domain adaptation for clinical natural language processingR01LM012918 · NLM · BOSTON CHILDREN'S HOSPITAL · PI MILLER, TIMOTHY A · 2018 to 2020
$1.2M
NIDA NIH HHS R01 DA051464NLM NIH HHS R01 LM010090NLM NIH HHS R01 LM012918NLM NIH HHS R01 LM012973
6 · The paper itself

Abstract

Generative artificial intelligence (AI) is a promising direction for augmenting clinical diagnostic decision support and reducing diagnostic errors, a leading contributor to medical errors. To further the development of clinical AI systems, the Diagnostic Reasoning Benchmark (DR.BENCH) was introduced as a comprehensive generative AI framework, comprised of six tasks representing key components in clinical reasoning. We present a comparative analysis of in-domain versus out-of-domain language models as well as multi-task versus single task training with a focus on the problem summarization task in DR.BENCH (Gao et al., 2023). We demonstrate that a multi-task, clinically-trained language model outperforms its general domain counterpart by a large margin, establishing a new state-of-the-art performance, with a ROUGE-L score of 28.55. This research underscores the value of domain-specific training for optimizing clinical diagnostic reasoning tasks.

Identifiers

PMID37492270
PMCPMC10368094
OpenAlexW4385264929

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.