Automating Feedback Analysis in Surgical Training: Detection, Categorization, and Assessment

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

ChatGPT Based Data Augmentation for Improved Parameter-Efficient Debiasing of LLMs

Large Language models (LLMs), while powerful, exhibit harmful social biases. Debiasing is often challenging due to computational costs, data constraints, and potential degradation of multi-task language capabilities. This work introduces a novel approach utilizing ChatGPT to generate synthetic training data, aiming to enhance the debiasing of LLMs. We propose two strategies: Targeted Prompting, which provides effective debiasing for known biases but necessitates prior specification of bias in question; and General Prompting, which, while slightly less effective, offers debiasing across various categories. We leverage resource-efficient LLM debiasing using adapter tuning and compare the effectiveness of our synthetic data to existing debiasing datasets. Our results reveal that: (1) ChatGPT can efficiently produce high-quality training data for debiasing other LLMs; (2) data produced via our approach surpasses existing datasets in debiasing performance while also preserving internal knowledge of a pre-trained LLM; and (3) synthetic data exhibits generalizability across categories, effectively mitigating various biases, including intersectional ones. These findings underscore the potential of synthetic data in advancing the fairness of LLMs with minimal retraining cost.

Deep Multimodal Fusion for Surgical Feedback Classification

Quantification of real-time informal feedback delivered by an experienced surgeon to a trainee during surgery is important for skill improvements in surgical training. Such feedback in the live operating room is inherently multimodal, consisting of verbal conversations (e.g., questions and answers) as well as non-verbal elements (e.g., through visual cues like pointing to anatomic elements). In this work, we leverage a clinically-validated five-category classification of surgical feedback: "Anatomic", "Technical", "Procedural", "Praise" and "Visual Aid". We then develop a multi-label machine learning model to classify these five categories of surgical feedback from inputs of text, audio, and video modalities. The ultimate goal of our work is to help automate the annotation of real-time contextual surgical feedback at scale. Our automated classification of surgical feedback achieves AUCs ranging from 71.5 to 77.6 with the fusion improving performance by 3.1%. We also show that high-quality manual transcriptions of feedback audio from experts improve AUCs to between 76.5 and 96.2, which demonstrates a clear path toward future improvements. Empirically, we find that the Staged training strategy, with first pre-training each modality separately and then training them jointly, is more effective than training different modalities altogether. We also present intuitive findings on the importance of modalities for different feedback categories. This work offers an important first look at the feasibility of automated classification of real-world live surgical feedback based on text, audio, and video modalities.

Exploring Social Bias in Downstream Applications of Text-to-Image Foundation Models

Text-to-image diffusion models have been adopted into key commercial workflows, such as art generation and image editing. Characterising the implicit social biases they exhibit, such as gender and racial stereotypes, is a necessary first step in avoiding discriminatory outcomes. While existing studies on social bias focus on image generation, the biases exhibited in alternate applications of diffusion-based foundation models remain under-explored. We propose methods that use synthetic images to probe two applications of diffusion models, image editing and classification, for social bias. Using our methodology, we uncover meaningful and significant inter-sectional social biases in \textit{Stable Diffusion}, a state-of-the-art open-source text-to-image model. Our findings caution against the uninformed adoption of text-to-image foundation models for downstream tasks and services.

AutoBiasTest: Controllable Sentence Generation for Automated and Open-Ended Social Bias Testing in Language Models

Social bias in Pretrained Language Models (PLMs) affects text generation and other downstream NLP tasks. Existing bias testing methods rely predominantly on manual templates or on expensive crowd-sourced data. We propose a novel AutoBiasTest method that automatically generates sentences for testing bias in PLMs, hence providing a flexible and low-cost alternative. Our approach uses another PLM for generation and controls the generation of sentences by conditioning on social group and attribute terms. We show that generated sentences are natural and similar to human-produced content in terms of word length and diversity. We illustrate that larger models used for generation produce estimates of social bias with lower variance. We find that our bias scores are well correlated with manual templates, but AutoBiasTest highlights biases not captured by these templates due to more diverse and realistic test sentences. By automating large-scale test sentence generation, we enable better estimation of underlying bias distributions

Can You Label Less by Using Out-of-Domain Data? Active & Transfer Learning with Few-shot Instructions

Labeling social-media data for custom dimensions of toxicity and social bias is challenging and labor-intensive. Existing transfer and active learning approaches meant to reduce annotation effort require fine-tuning, which suffers from over-fitting to noise and can cause domain shift with small sample sizes. In this work, we propose a novel Active Transfer Few-shot Instructions (ATF) approach which requires no fine-tuning. ATF leverages the internal linguistic knowledge of pre-trained language models (PLMs) to facilitate the transfer of information from existing pre-labeled datasets (source-domain task) with minimum labeling effort on unlabeled target data (target-domain task). Our strategy can yield positive transfer achieving a mean AUC gain of 10.5% compared to no transfer with a large 22b parameter PLM. We further show that annotation of just a few target-domain samples via active learning can be beneficial for transfer, but the impact diminishes with more annotation effort (26% drop in gain between 100 and 2000 annotated examples). Finally, we find that not all transfer scenarios yield a positive gain, which seems related to the PLMs initial performance on the target-domain task.

From Who You Know to What You Read: Augmenting Scientific Recommendations with Implicit Social Networks

The ever-increasing pace of scientific publication necessitates methods for quickly identifying relevant papers. While neural recommenders trained on user interests can help, they still result in long, monotonous lists of suggested papers. To improve the discovery experience we introduce multiple new methods for \em augmenting recommendations with textual relevance messages that highlight knowledge-graph connections between recommended papers and a user's publication and interaction history. We explore associations mediated by author entities and those using citations alone. In a large-scale, real-world study, we show how our approach significantly increases engagement -- and future engagement when mediated by authors -- without introducing bias towards highly-cited authors. To expand message coverage for users with less publication or interaction history, we develop a novel method that highlights connections with proxy authors of interest to users and evaluate it in a controlled lab study. Finally, we synthesize design implications for future graph-based messages.

Few-shot Instruction Prompts for Pretrained Language Models to Detect Social Biases

Detecting social bias in text is challenging due to nuance, subjectivity, and difficulty in obtaining good quality labeled datasets at scale, especially given the evolving nature of social biases and society. To address these challenges, we propose a few-shot instruction-based method for prompting pre-trained language models (LMs). We select a few label-balanced exemplars from a small support repository that are closest to the query to be labeled in the embedding space. We then provide the LM with instruction that consists of this subset of labeled exemplars, the query text to be classified, a definition of bias, and prompt it to make a decision. We demonstrate that large LMs used in a few-shot context can detect different types of fine-grained biases with similar and sometimes superior accuracy to fine-tuned models. We observe that the largest 530B parameter model is significantly more effective in detecting social bias compared to smaller models (achieving at least 20% improvement in AUC metric compared to other models). It also maintains a high AUC (dropping less than 5%) in a few-shot setting with a labeled repository reduced to as few as 100 samples. Large pretrained language models thus make it easier and quicker to build new bias detectors.

Calendar.help: Designing a Workflow-Based Scheduling Agent with Humans in the Loop

Although information workers may complain about meetings, they are an essential part of their work life. Consequently, busy people spend a significant amount of time scheduling meetings. We present Calendar.help, a system that provides fast, efficient scheduling through structured workflows. Users interact with the system via email, delegating their scheduling needs to the system as if it were a human personal assistant. Common scheduling scenarios are broken down using well-defined workflows and completed as a series of microtasks that are automated when possible and executed by a human otherwise. Unusual scenarios fall back to a trained human assistant who executes them as unstructured macrotasks. We describe the iterative approach we used to develop Calendar.help, and share the lessons learned from scheduling thousands of meetings during a year of real-world deployments. Our findings provide insight into how complex information tasks can be broken down into repeatable components that can be executed efficiently to improve productivity.