Memory-Aware and Uncertainty-Guided Retrieval for Multi-Hop Question Answering

Multi-hop question answering (QA) requires models to retrieve and reason over multiple pieces of evidence. While Retrieval-Augmented Generation (RAG) has made progress in this area, existing methods often suffer from two key limitations: (1) fixed or overly frequent retrieval steps, and (2) ineffective use of previously retrieved knowledge. We propose MIND (Memory-Informed and INteractive Dynamic RAG), a framework that addresses these challenges through: (i) prompt-based entity extraction to identify reasoning-relevant elements, (ii) dynamic retrieval triggering based on token-level entropy and attention signals, and (iii) memory-aware filtering, which stores high-confidence facts across reasoning steps to enable consistent multi-hop generation.

Evaluating Bias in Retrieval-Augmented Medical Question-Answering Systems

Medical QA systems powered by Retrieval-Augmented Generation (RAG) models support clinical decision-making but may introduce biases related to race, gender, and social determinants of health. We systematically evaluate biases in RAG-based LLM by examining demographic-sensitive queries and measuring retrieval discrepancies. Using datasets like MMLU and MedMCQA, we analyze retrieval overlap and correctness disparities. Our findings reveal substantial demographic disparities within RAG pipelines, emphasizing the critical need for retrieval methods that explicitly account for fairness to ensure equitable clinical decision-making.

Learning from Committee: Reasoning Distillation from a Mixture of Teachers with Peer-Review

While reasoning capabilities typically emerge in large language models (LLMs) with tens of billions of parameters, recent research focuses on improving smaller open-source models through knowledge distillation (KD) from commercial LLMs. However, many of these studies rely solely on responses from a single LLM as the gold rationale, unlike the natural human learning process, which involves understanding both the correct answers and the reasons behind mistakes. In this paper, we introduce a novel Fault-Aware Distillation via Peer-Review (FAIR) approach: 1) Instead of merely obtaining gold rationales from teachers, our method asks teachers to identify and explain the student's mistakes, providing customized instruction learning data. 2) We design a simulated peer-review process between teacher LLMs, which selects only the generated rationales above the acceptance threshold. This reduces the chance of teachers guessing correctly with flawed rationale, improving instructional data quality. Comprehensive experiments and analysis on mathematical, commonsense, and logical reasoning tasks demonstrate the effectiveness of our method.

Mitigating the Risk of Health Inequity Exacerbated by Large Language Models

Recent advancements in large language models have demonstrated their potential in numerous medical applications, particularly in automating clinical trial matching for translational research and enhancing medical question answering for clinical decision support. However, our study shows that incorporating non decisive sociodemographic factors such as race, sex, income level, LGBT+ status, homelessness, illiteracy, disability, and unemployment into the input of LLMs can lead to incorrect and harmful outputs for these populations. These discrepancies risk exacerbating existing health disparities if LLMs are widely adopted in healthcare. To address this issue, we introduce EquityGuard, a novel framework designed to detect and mitigate the risk of health inequities in LLM based medical applications. Our evaluation demonstrates its efficacy in promoting equitable outcomes across diverse populations.

Enhancing Equity in Large Language Models for Medical Applications

Recent advancements have highlighted the potential of large language models (LLMs) in medical applications, notably in automating Clinical Trial Matching for translational research and providing medical question-answering for clinical decision support. However, our study reveals significant inequities in the use of LLMs, particularly for individuals from specific racial, gender, and underrepresented groups influenced by social determinants of health. These disparities could worsen existing health inequities if LLMs are broadly adopted in healthcare. To address this, we propose and evaluate a novel framework, EquityGuard, designed to detect and mitigate biases in LLM-based medical applications. EquityGuard incorporates a Bias Detection Mechanism capable of identifying and correcting unfair predictions, thus enhancing outcomes and promoting equity across diverse population groups.

ReasoningRank: Teaching Student Models to Rank through Reasoning-Based Knowledge Distillation

Reranking documents based on their relevance to a given query is critical in information retrieval. Traditional reranking methods often focus on improving the initial rankings but lack transparency, failing to explain why one document is ranked higher. In this paper, we introduce ReasoningRank, a novel reranking approach that enhances clarity by generating two types of reasoning: explicit reasoning, which explains how a document addresses the query, and comparison reasoning, which justifies the relevance of one document over another. We leverage large language models (LLMs) as teacher models to generate these explanations and distill this knowledge into smaller, more resource-efficient student models. While the student models may not outperform LLMs in speed, they significantly reduce the computational burden by requiring fewer resources, making them more suitable for large-scale or resource-constrained settings. These student models are trained to both generate meaningful reasoning and rerank documents, achieving competitive performance across multiple datasets, including MSMARCO and BRIGHT. Experiments demonstrate that ReasoningRank improves reranking accuracy and provides valuable insights into the decision-making process, offering a structured and interpretable solution for reranking tasks.

Enhance Reasoning by Learning from Mistakes: Peer-Review Knowledge Distillation from Multiple Large Language Models

Large language models (LLMs) have exhibited complex reasoning abilities by generating question rationales and demonstrated exceptional performance in natural language processing (NLP) tasks. However, these reasoning capabilities generally emerge in models with tens of billions of parameters, creating significant computational challenges for real-world deployment. Recent research has concentrated on improving open-source smaller models through knowledge distillation (KD) from commercial LLMs. Nevertheless, most of these studies rely solely on the responses from one single LLM as the gold rationale for training. In this paper, we introduce a novel Mistake-Aware Peer-Review Distillation (MAPD) approach: 1) Instead of merely obtaining gold rationales from teachers, our method asks teachers to identify and explain the student's mistakes, providing customized instruction learning data. 2) We design a simulated peer-review process between teacher LLMs, which selects only the generated rationales above the acceptance threshold. This reduces the chance of teachers guessing correctly with flawed rationale, improving instructional data quality. Comprehensive experiments and analysis on mathematical, commonsense, and logical reasoning tasks demonstrate the effectiveness of our method.

Transfer Learning with Clinical Concept Embeddings from Large Language Models

Knowledge sharing is crucial in healthcare, especially when leveraging data from multiple clinical sites to address data scarcity, reduce costs, and enable timely interventions. Transfer learning can facilitate cross-site knowledge transfer, but a major challenge is heterogeneity in clinical concepts across different sites. Large Language Models (LLMs) show significant potential of capturing the semantic meaning of clinical concepts and reducing heterogeneity. This study analyzed electronic health records from two large healthcare systems to assess the impact of semantic embeddings from LLMs on local, shared, and transfer learning models. Results indicate that domain-specific LLMs, such as Med-BERT, consistently outperform in local and direct transfer scenarios, while generic models like OpenAI embeddings require fine-tuning for optimal performance. However, excessive tuning of models with biomedical embeddings may reduce effectiveness, emphasizing the need for balance. This study highlights the importance of domain-specific embeddings and careful model tuning for effective knowledge transfer in healthcare.

RAG-RLRC-LaySum at BioLaySumm: Integrating Retrieval-Augmented Generation and Readability Control for Layman Summarization of Biomedical Texts

This paper introduces the RAG-RLRC-LaySum framework, designed to make complex biomedical research understandable to laymen through advanced Natural Language Processing (NLP) techniques. Our Retrieval Augmented Generation (RAG) solution, enhanced by a reranking method, utilizes multiple knowledge sources to ensure the precision and pertinence of lay summaries. Additionally, our Reinforcement Learning for Readability Control (RLRC) strategy improves readability, making scientific content comprehensible to non-specialists. Evaluations using the publicly accessible PLOS and eLife datasets show that our methods surpass Plain Gemini model, demonstrating a 20% increase in readability scores, a 15% improvement in ROUGE-2 relevance scores, and a 10% enhancement in factual accuracy. The RAG-RLRC-LaySum framework effectively democratizes scientific knowledge, enhancing public engagement with biomedical discoveries.

Assertion Detection Large Language Model In-context Learning LoRA Fine-tuning

In this study, we aim to address the task of assertion detection when extracting medical concepts from clinical notes, a key process in clinical natural language processing (NLP). Assertion detection in clinical NLP usually involves identifying assertion types for medical concepts in the clinical text, namely certainty (whether the medical concept is positive, negated, possible, or hypothetical), temporality (whether the medical concept is for present or the past history), and experiencer (whether the medical concept is described for the patient or a family member). These assertion types are essential for healthcare professionals to quickly and clearly understand the context of medical conditions from unstructured clinical texts, directly influencing the quality and outcomes of patient care. Although widely used, traditional methods, particularly rule-based NLP systems and machine learning or deep learning models, demand intensive manual efforts to create patterns and tend to overlook less common assertion types, leading to an incomplete understanding of the context. To address this challenge, our research introduces a novel methodology that utilizes Large Language Models (LLMs) pre-trained on a vast array of medical data for assertion detection. We enhanced the current method with advanced reasoning techniques, including Tree of Thought (ToT), Chain of Thought (CoT), and Self-Consistency (SC), and refine it further with Low-Rank Adaptation (LoRA) fine-tuning. We first evaluated the model on the i2b2 2010 assertion dataset. Our method achieved a micro-averaged F-1 of 0.89, with 0.11 improvements over the previous works. To further assess the generalizability of our approach, we extended our evaluation to a local dataset that focused on sleep concept extraction. Our approach achieved an F-1 of 0.74, which is 0.31 higher than the previous method.