Language Models are Surprisingly Fragile to Drug Names in Biomedical Benchmarks

Jack Gallifant, Shan Chen, Pedro José Ferreira Moreira, Nikolaj Munch, Mingye Gao, Jackson Pond, Leo Anthony Celi, Hugo Aerts, Thomas Hartvigsen, Danielle Bitterman


Abstract
Medical knowledge is context-dependent and requires consistent reasoning across various natural language expressions of semantically equivalent phrases. This is particularly crucial for drug names, where patients often use brand names like Advil or Tylenol instead of their generic equivalents. To study this, we create a new robustness dataset, RABBITS, to evaluate performance differences on medical benchmarks after swapping brand and generic drug names using physician expert annotations.We assess both open-source and API-based LLMs on MedQA and MedMCQA, revealing a consistent performance drop ranging from 1-10%. Furthermore, we identify a potential source of this fragility as the contamination of test data in widely used pre-training datasets.
Anthology ID:
2024.findings-emnlp.726
Volume:
Findings of the Association for Computational Linguistics: EMNLP 2024
Month:
November
Year:
2024
Address:
Miami, Florida, USA
Editors:
Yaser Al-Onaizan, Mohit Bansal, Yun-Nung Chen
Venue:
Findings
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
12448–12465
Language:
URL:
https://preview.aclanthology.org/build-pipeline-with-new-library/2024.findings-emnlp.726/
DOI:
10.18653/v1/2024.findings-emnlp.726
Bibkey:
Cite (ACL):
Jack Gallifant, Shan Chen, Pedro José Ferreira Moreira, Nikolaj Munch, Mingye Gao, Jackson Pond, Leo Anthony Celi, Hugo Aerts, Thomas Hartvigsen, and Danielle Bitterman. 2024. Language Models are Surprisingly Fragile to Drug Names in Biomedical Benchmarks. In Findings of the Association for Computational Linguistics: EMNLP 2024, pages 12448–12465, Miami, Florida, USA. Association for Computational Linguistics.
Cite (Informal):
Language Models are Surprisingly Fragile to Drug Names in Biomedical Benchmarks (Gallifant et al., Findings 2024)
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PDF:
https://preview.aclanthology.org/build-pipeline-with-new-library/2024.findings-emnlp.726.pdf