Daily Papers

We propose DISC-MedLLM, a comprehensive solution that leverages Large Language Models (LLMs) to provide accurate and truthful medical response in end-to-end conversational healthcare services. To construct high-quality Supervised Fine-Tuning (SFT) datasets, we employ three strategies: utilizing medical knowledge-graphs, reconstructing real-world dialogues, and incorporating human-guided preference rephrasing. These datasets are instrumental in training DISC-MedLLM, surpassing existing medical LLMs in both single-turn and multi-turn consultation scenarios. Extensive experimental results demonstrate the effectiveness of the proposed model in bridging the gap between general language models and real-world medical consultation. Additionally, we release the constructed dataset and model weights to further contribute to research and development. Further details and resources can be found at https://github.com/FudanDISC/DISC-MedLLM

Using large language models (LLMs) to assist psychological counseling is a significant but challenging task at present. Attempts have been made on improving empathetic conversations or acting as effective assistants in the treatment with LLMs. However, the existing datasets lack consulting knowledge, resulting in LLMs lacking professional consulting competence. Moreover, how to automatically evaluate multi-turn dialogues within the counseling process remains an understudied area. To bridge the gap, we propose CPsyCoun, a report-based multi-turn dialogue reconstruction and evaluation framework for Chinese psychological counseling. To fully exploit psychological counseling reports, a two-phase approach is devised to construct high-quality dialogues while a comprehensive evaluation benchmark is developed for the effective automatic evaluation of multi-turn psychological consultations. Competitive experimental results demonstrate the effectiveness of our proposed framework in psychological counseling. We open-source the datasets and model for future research at https://github.com/CAS-SIAT-XinHai/CPsyCoun

Large language models (LLMs) have performed well in providing general and extensive health suggestions in single-turn conversations, exemplified by systems such as ChatGPT, ChatGLM, ChatDoctor, DoctorGLM, and etc. However, the limited information provided by users during single turn results in inadequate personalization and targeting of the generated suggestions, which requires users to independently select the useful part. It is mainly caused by the missing ability to engage in multi-turn questioning. In real-world medical consultations, doctors usually employ a series of iterative inquiries to comprehend the patient's condition thoroughly, enabling them to provide effective and personalized suggestions subsequently, which can be defined as chain of questioning (CoQ) for LLMs. To improve the CoQ of LLMs, we propose BianQue, a ChatGLM-based LLM finetuned with the self-constructed health conversation dataset BianQueCorpus that is consist of multiple turns of questioning and health suggestions polished by ChatGPT. Experimental results demonstrate that the proposed BianQue can simultaneously balance the capabilities of both questioning and health suggestions, which will help promote the research and application of LLMs in the field of proactive health.

Large Language Models (LLMs) have achieved remarkable success at tasks like summarization that involve a single turn of interaction. However, they can still struggle with multi-turn tasks like dialogue that require long-term planning. Previous works on multi-turn dialogue extend single-turn reinforcement learning from human feedback (RLHF) methods to the multi-turn setting by treating all prior dialogue turns as a long context. Such approaches suffer from covariate shift: the conversations in the training set have previous turns generated by some reference policy, which means that low training error may not necessarily correspond to good performance when the learner is actually in the conversation loop. In response, we introduce REgressing the RELative FUture (REFUEL), an efficient policy optimization approach designed to address multi-turn RLHF in LLMs. REFUEL employs a single model to estimate Q-values and trains on self-generated data, addressing the covariate shift issue. REFUEL frames the multi-turn RLHF problem as a sequence of regression tasks on iteratively collected datasets, enabling ease of implementation. Theoretically, we prove that REFUEL can match the performance of any policy covered by the training set. Empirically, we evaluate our algorithm by using Llama-3.1-70B-it to simulate a user in conversation with our model. REFUEL consistently outperforms state-of-the-art methods such as DPO and REBEL across various settings. Furthermore, despite having only 8 billion parameters, Llama-3-8B-it fine-tuned with REFUEL outperforms Llama-3.1-70B-it on long multi-turn dialogues. Implementation of REFUEL can be found at https://github.com/ZhaolinGao/REFUEL/, and models trained by REFUEL can be found at https://huggingface.co/Cornell-AGI.

Online medical consultation (OMC) restricts doctors to gathering patient information solely through inquiries, making the already complex sequential decision-making process of diagnosis even more challenging. Recently, the rapid advancement of large language models has demonstrated a significant potential to transform OMC. However, most studies have primarily focused on improving diagnostic accuracy under conditions of relatively sufficient information, while paying limited attention to the "inquiry" phase of the consultation process. This lack of focus has left the relationship between "inquiry" and "diagnosis" insufficiently explored. In this paper, we first extract real patient interaction strategies from authentic doctor-patient conversations and use these strategies to guide the training of a patient simulator that closely mirrors real-world behavior. By inputting medical records into our patient simulator to simulate patient responses, we conduct extensive experiments to explore the relationship between "inquiry" and "diagnosis" in the consultation process. Experimental results demonstrate that inquiry and diagnosis adhere to the Liebig's law: poor inquiry quality limits the effectiveness of diagnosis, regardless of diagnostic capability, and vice versa. Furthermore, the experiments reveal significant differences in the inquiry performance of various models. To investigate this phenomenon, we categorize the inquiry process into four types: (1) chief complaint inquiry; (2) specification of known symptoms; (3) inquiry about accompanying symptoms; and (4) gathering family or medical history. We analyze the distribution of inquiries across the four types for different models to explore the reasons behind their significant performance differences. We plan to open-source the weights and related code of our patient simulator at https://github.com/LIO-H-ZEN/PatientSimulator.

In open-domain dialogue generation tasks, contexts and responses in most datasets are one-to-one mapped, violating an important many-to-many characteristic: a context leads to various responses, and a response answers multiple contexts. Without such patterns, models poorly generalize and prefer responding safely. Many attempts have been made in either multi-turn settings from a one-to-many perspective or in a many-to-many perspective but limited to single-turn settings. The major challenge to many-to-many augment multi-turn dialogues is that discretely replacing each turn with semantic similarity breaks fragile context coherence. In this paper, we propose DialoGue Path Sampling (DialoGPS) method in continuous semantic space, the first many-to-many augmentation method for multi-turn dialogues. Specifically, we map a dialogue to our extended Brownian Bridge, a special Gaussian process. We sample latent variables to form coherent dialogue paths in the continuous space. A dialogue path corresponds to a new multi-turn dialogue and is used as augmented training data. We show the effect of DialoGPS with both automatic and human evaluation.

We present Multi-expert Prompting, a novel enhancement of ExpertPrompting (Xu et al., 2023), designed to improve the large language model (LLM) generation. Specifically, it guides an LLM to fulfill an input instruction by simulating multiple experts, aggregating their responses, and selecting the best among individual and aggregated responses. This process is performed in a single chain of thoughts through our seven carefully designed subtasks derived from the Nominal Group Technique (Ven and Delbecq, 1974), a well-established decision-making framework. Our evaluations demonstrate that Multi-expert Prompting significantly outperforms ExpertPrompting and comparable baselines in enhancing the truthfulness, factuality, informativeness, and usefulness of responses while reducing toxicity and hurtfulness. It further achieves state-of-the-art truthfulness by outperforming the best baseline by 8.69% with ChatGPT. Multi-expert Prompting is efficient, explainable, and highly adaptable to diverse scenarios, eliminating the need for manual prompt construction.

Social agents powered by large language models (LLMs) can simulate human social behaviors but fall short in handling complex goal-oriented social dialogues. Direct Preference Optimization (DPO) has proven effective in aligning LLM behavior with human preferences across a variety of agent tasks. Existing DPO-based approaches for multi-turn interactions are divided into turn-level and session-level methods. The turn-level method is overly fine-grained, focusing exclusively on individual turns, while session-level methods are too coarse-grained, often introducing training noise. To address these limitations, we propose Segment-Level Direct Preference Optimization (SDPO), which focuses on specific key segments within interactions to optimize multi-turn agent behavior while minimizing training noise. Evaluations on the SOTOPIA benchmark demonstrate that SDPO-tuned agents consistently outperform both existing DPO-based methods and proprietary LLMs like GPT-4o, underscoring SDPO's potential to advance the social intelligence of LLM-based agents. We release our code and data at https://github.com/AlibabaResearch/DAMO-ConvAI/tree/main/SDPO.