Evidence map›Paper›PMID 41676160›Full record

ArticleProceedings of the conference. Association for Computational Linguistics. North American Chapter. Meeting2025

MCQG-SRefine: Multiple Choice Question Generation and Evaluation with Iterative Self-Critique, Correction, and Comparison Feedback.

Zonghai Yao, Aditya Parashar, Huixue Zhou, Won Seok Jang, Feiyun Ouyang, Zhichao Yang, Hong Yu

Abstract read
In one paragraph

Article in Proceedings of the conference. Association for Computational Linguistics. North American Chapter. Meeting, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. A survey on LLM-as-a-judge.Innovation (Cambridge (Mass.)) · 2026
    Article
  2. Article
  3. DischargeSim: A Simulation Benchmark for Educational Doctor-Patient Communication at Discharge.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
  4. From Scores to Steps: Diagnosing and Improving LLM Performance in Evidence-Based Medical Calculations.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
  5. Chatbot To Help Patients Understand Their Health.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
  6. RARE: Retrieval-Augmented Reasoning Enhancement for Large Language Models.Proceedings of the conference. Association for Computational Linguistics. Meeting · 2025
    Article
  7. Review
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

7 authors.

Zonghai YaoUniversity of Massachusetts, Amherst.
Aditya ParasharUniversity of Massachusetts, Amherst.
Huixue ZhouUniversity of Minnesota.
Won Seok JangUniversity of Massachusetts, Lowell.
Feiyun OuyangUniversity of Massachusetts, Lowell.
Zhichao YangUniversity of Massachusetts, Amherst.
Hong YuUniversity of Massachusetts, Amherst.

Funding

Social and behavioral determinants of health and Alzheimer’s Disease: Cohort study of the US military veteran populationR01AG080670 · NIA · UNIVERSITY OF MASSACHUSETTS LOWELL · PI HONG YU · 2023 to 2026
$4.5M
Social and behavioral determinants of MOUD utilization and opioid overdoseR01DA056470 · NIDA · UNIVERSITY OF MASSACHUSETTS LOWELL · PI Wenjun Li, DAVID A SMELSON · 2023 to 2026
$2.9M
HSRD VA I01 HX000281HSRD VA I01 HX003711HSRD VA I01 HX003969NIA NIH HHS R01 AG080670NIDA NIH HHS R01 DA056470
6 · The paper itself

Abstract

Automatic question generation (QG) is essential for AI and NLP, particularly in intelligent tutoring, dialogue systems, and fact verification. Generating multiple-choice questions (MCQG) for professional exams, like the United States Medical Licensing Examination (USMLE), is particularly challenging, requiring domain expertise and complex multi-hop reasoning for high-quality questions. However, current large language models (LLMs) like GPT-4 struggle with professional MCQG due to outdated knowledge, hallucination issues, and prompt sensitivity, resulting in unsatisfactory quality and difficulty. To address these challenges, we propose MCQG-SRefine, an LLM self-refine-based (Critique and Correction) framework for converting medical cases into high-quality USMLE-style questions. By integrating expert-driven prompt engineering with iterative self-critique and self-correction feedback, MCQG-SRefine significantly enhances human expert satisfaction regarding both the quality and difficulty of the questions. Furthermore, we introduce an LLM-as-Judge-based automatic metric to replace the complex and costly expert evaluation process, ensuring reliable and expert-aligned assessments.

Identifiers

PMID41676160
PMCPMC12889009

What OpenQuestion holds

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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.