Clinical dialogue-to-note generation is challenging because clinically salient evidence is noisy, distributed across turns, and often revised later in the encounter. Direct transcript-only prompting and coarse intermediate scaffolds can therefore suffer from omissions, section leakage, unsupported fill-in, and brittle final-state tracking. We propose Clinical Atomic Propositions (CAPs), a dialogue-aware intermediate representation for faithful clinical note generation. CAPs extract source-grounded clinical assertions while preserving modifiers such as verification status, temporality, speaker/source, and action type. We also study an optional event consolidation layer that groups CAPs into problem-oriented care bundles before note rendering. We evaluate five methods on a 197-case ACI-Bench cohort: a transcript-only baseline, prompt-based reimplementations of Cluster2Sent and MEDSUM-ENT, CAP, and CAP+Event. The main task uses a sectioned-note template, with SOAP-template rendering and transcript-free rendering reported as ablations. We use MEDSUM-ENT-style GPT-R/P/F1 metrics and a proposition-grounded semCAP-R/P/F1 audit to measure concept-level and source-grounded faithfulness, complemented by case-level win/tie/loss analysis and clinician deep review. Results show that CAP improves preservation of transcript-grounded clinical propositions while remaining competitive on concept-level GPT metrics. CAP+Event is not uniformly better than CAP, but qualitative and boundary analyses show when problem-oriented consolidation can improve organization and when compression can introduce omissions. We release code, prompts, intermediate representations, generated notes, and evaluation artifacts at a public repository.

Safety is a paramount concern in clinical chatbot applications, where inaccurate or harmful responses can lead to serious consequences. Existing methods—such as guardrails and tool-calling—often fall short in addressing the nuanced demands of the clinical domain. In this paper, we introduce TACOS(Taxonomy of Comprehensive Safety for Clinical Agents), a fine-grained, 21-class taxonomy that integrates safety filtering and tool selection into a single user intent classification step. TACOS covers a wide spectrum of clinical and non-clinical queries, explicitly modeling varying safety thresholds and external tool dependencies. To validate our taxonomy, we curate a TACOS-annotated dataset and perform extensive experiments. Our results demonstrate the value of a new taxonomy specialized for clinical agent settings, and reveal valuable insights about train data distribution and pretrained knowledge of base models.

Recent advances in Large Language Models (LLMs) have brought significant improvements to various service domains, including chatbots and medical pre-consultation applications. In the healthcare domain, the most common approach for adapting LLMs to multi-turn dialogue generation is Supervised Fine-Tuning (SFT). However, datasets for SFT in tasks like medical pre-consultation typically exhibit a skewed turn-count distribution. Training on such data induces a novel failure mechanism we term **Format Inertia**, where models tend to generate repetitive, format-correct, but diagnostically uninformative questions in long medical dialogues. To mitigate this observed failure mechanism, we adopt a simple, data-centric method that rebalances the turn-count distribution of the training dataset. Experimental results show that our approach substantially alleviates Format Inertia in medical pre-consultation.

Most weakly supervised named entity recognition (NER) models rely on domain-specific dictionaries provided by experts. This approach is infeasible in many domains where dictionaries do not exist. While a phrase retrieval model was used to construct pseudo-dictionaries with entities retrieved from Wikipedia automatically in a recent study, these dictionaries often have limited coverage because the retriever is likely to retrieve popular entities rather than rare ones. In this study, we present a novel framework, HighGEN, that generates NER datasets with high-coverage pseudo-dictionaries. Specifically, we create entity-rich dictionaries with a novel search method, called phrase embedding search, which encourages the retriever to search a space densely populated with various entities. In addition, we use a new verification process based on the embedding distance between candidate entity mentions and entity types to reduce the false-positive noise in weak labels generated by high-coverage dictionaries. We demonstrate that HighGEN outperforms the previous best model by an average F1 score of 4.7 across five NER benchmark datasets.

Recent named entity recognition (NER) models often rely on human-annotated datasets requiring the vast engagement of professional knowledge on the target domain and entities. This work introduces an ask-to-generate approach, which automatically generates NER datasets by asking simple natural language questions to an open-domain question answering system (e.g., “Which disease?”). Despite using fewer training resources, our models solely trained on the generated datasets largely outperform strong low-resource models by 19.5 F1 score across six popular NER benchmarks. Our models also show competitive performance with rich-resource models that additionally leverage in-domain dictionaries provided by domain experts. In few-shot NER, we outperform the previous best model by 5.2 F1 score on three benchmarks and achieve new state-of-the-art performance.