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Sep 16

A Scalable Framework for Evaluating Health Language Models

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.

The Fellowship of the LLMs: Multi-Agent Workflows for Synthetic Preference Optimization Dataset Generation

This paper presents synthetic Preference Optimization (PO) datasets generated using multi-agent workflows and evaluates the effectiveness and potential of these workflows in the dataset generation process. PO dataset generation requires two modules: (1) response evaluation, and (2) response generation. In the response evaluation module, the responses from Large Language Models (LLMs) are evaluated and ranked - a task typically carried out by human annotators that we automate using LLMs. We assess the response evaluation module in a 2 step process. In step 1, we assess LLMs as evaluators using three distinct prompting strategies. In step 2, we apply the winning prompting strategy to compare the performance of LLM-as-a-Judge, LLMs-as-a-Jury, and LLM Debate. In each step, we use inter-rater agreement using Cohen's Kappa between human annotators and LLMs. For the response generation module, we compare different configurations for the LLM Feedback Loop using the identified LLM evaluator configuration. We use the win rate (the fraction of times a generation framework is selected as the best by an LLM evaluator) to determine the best multi-agent configuration for generation. After identifying the best configurations for both modules, we use models from the GPT, Gemma, and Llama families to generate our PO datasets using the above pipeline. We generate two types of PO datasets, one to improve the generation capabilities of individual LLM and the other to improve the multi-agent workflow. Our evaluation shows that GPT-4o-as-a-Judge is more consistent across datasets when the candidate responses do not include responses from the GPT family. Additionally, we find that the LLM Feedback Loop, with Llama as the generator and Gemma as the reviewer, achieves a notable 71.8% and 73.8% win rate over single-agent Llama and Gemma, respectively.

MedKGent: A Large Language Model Agent Framework for Constructing Temporally Evolving Medical Knowledge Graph

The rapid expansion of medical literature presents growing challenges for structuring and integrating domain knowledge at scale. Knowledge Graphs (KGs) offer a promising solution by enabling efficient retrieval, automated reasoning, and knowledge discovery. However, current KG construction methods often rely on supervised pipelines with limited generalizability or naively aggregate outputs from Large Language Models (LLMs), treating biomedical corpora as static and ignoring the temporal dynamics and contextual uncertainty of evolving knowledge. To address these limitations, we introduce MedKGent, a LLM agent framework for constructing temporally evolving medical KGs. Leveraging over 10 million PubMed abstracts published between 1975 and 2023, we simulate the emergence of biomedical knowledge via a fine-grained daily time series. MedKGent incrementally builds the KG in a day-by-day manner using two specialized agents powered by the Qwen2.5-32B-Instruct model. The Extractor Agent identifies knowledge triples and assigns confidence scores via sampling-based estimation, which are used to filter low-confidence extractions and inform downstream processing. The Constructor Agent incrementally integrates the retained triples into a temporally evolving graph, guided by confidence scores and timestamps to reinforce recurring knowledge and resolve conflicts. The resulting KG contains 156,275 entities and 2,971,384 relational triples. Quality assessments by two SOTA LLMs and three domain experts demonstrate an accuracy approaching 90%, with strong inter-rater agreement. To evaluate downstream utility, we conduct RAG across seven medical question answering benchmarks using five leading LLMs, consistently observing significant improvements over non-augmented baselines. Case studies further demonstrate the KG's value in literature-based drug repurposing via confidence-aware causal inference.

SIGHT: A Large Annotated Dataset on Student Insights Gathered from Higher Education Transcripts

Lectures are a learning experience for both students and teachers. Students learn from teachers about the subject material, while teachers learn from students about how to refine their instruction. However, online student feedback is unstructured and abundant, making it challenging for teachers to learn and improve. We take a step towards tackling this challenge. First, we contribute a dataset for studying this problem: SIGHT is a large dataset of 288 math lecture transcripts and 15,784 comments collected from the Massachusetts Institute of Technology OpenCourseWare (MIT OCW) YouTube channel. Second, we develop a rubric for categorizing feedback types using qualitative analysis. Qualitative analysis methods are powerful in uncovering domain-specific insights, however they are costly to apply to large data sources. To overcome this challenge, we propose a set of best practices for using large language models (LLMs) to cheaply classify the comments at scale. We observe a striking correlation between the model's and humans' annotation: Categories with consistent human annotations (>0.9 inter-rater reliability, IRR) also display higher human-model agreement (>0.7), while categories with less consistent human annotations (0.7-0.8 IRR) correspondingly demonstrate lower human-model agreement (0.3-0.5). These techniques uncover useful student feedback from thousands of comments, costing around 0.002$ per comment. We conclude by discussing exciting future directions on using online student feedback and improving automated annotation techniques for qualitative research.

SentiGOLD: A Large Bangla Gold Standard Multi-Domain Sentiment Analysis Dataset and its Evaluation

This study introduces SentiGOLD, a Bangla multi-domain sentiment analysis dataset. Comprising 70,000 samples, it was created from diverse sources and annotated by a gender-balanced team of linguists. SentiGOLD adheres to established linguistic conventions agreed upon by the Government of Bangladesh and a Bangla linguistics committee. Unlike English and other languages, Bangla lacks standard sentiment analysis datasets due to the absence of a national linguistics framework. The dataset incorporates data from online video comments, social media posts, blogs, news, and other sources while maintaining domain and class distribution rigorously. It spans 30 domains (e.g., politics, entertainment, sports) and includes 5 sentiment classes (strongly negative, weakly negative, neutral, and strongly positive). The annotation scheme, approved by the national linguistics committee, ensures a robust Inter Annotator Agreement (IAA) with a Fleiss' kappa score of 0.88. Intra- and cross-dataset evaluation protocols are applied to establish a standard classification system. Cross-dataset evaluation on the noisy SentNoB dataset presents a challenging test scenario. Additionally, zero-shot experiments demonstrate the generalizability of SentiGOLD. The top model achieves a macro f1 score of 0.62 (intra-dataset) across 5 classes, setting a benchmark, and 0.61 (cross-dataset from SentNoB) across 3 classes, comparable to the state-of-the-art. Fine-tuned sentiment analysis model can be accessed at https://sentiment.bangla.gov.bd.

ACORN: Aspect-wise Commonsense Reasoning Explanation Evaluation

Evaluating free-text explanations is a multifaceted, subjective, and labor-intensive task. Large language models (LLMs) present an appealing alternative due to their potential for consistency, scalability, and cost-efficiency. In this work, we present ACORN, a new dataset of 3,500 free-text explanations and aspect-wise quality ratings, and use it to gain insights into how LLMs evaluate explanations. We observed that replacing one of the human ratings sometimes maintained, but more often lowered the inter-annotator agreement across different settings and quality aspects, suggesting that their judgments are not always consistent with human raters. We further quantified this difference by comparing the correlation between LLM-generated ratings with majority-voted human ratings across different quality aspects. With the best system, Spearman's rank correlation ranged between 0.53 to 0.95, averaging 0.72 across aspects, indicating moderately high but imperfect alignment. Finally, we considered the alternative of using an LLM as an additional rater when human raters are scarce, and measured the correlation between majority-voted labels with a limited human pool and LLMs as an additional rater, compared to the original gold labels. While GPT-4 improved the outcome when there were only two human raters, in all other observed cases, LLMs were neutral to detrimental when there were three or more human raters. We publicly release the dataset to support future improvements in LLM-in-the-loop evaluation here: https://github.com/a-brassard/ACORN.