Compositional reasoning remains a persistent weakness of modern vision language models (VLMs): they often falter when a task hinges on understanding how multiple objects, attributes, and relations interact within an image. Multiple research works have attempted to improve compositionality performance by creative tricks such as improving prompt structure, chain of thought reasoning, etc. A more recent line of work attempts to impart additional reasoning in VLMs using well-trained Large Language Models (LLMs), which are far superior in linguistic understanding than VLMs to compensate for the limited linguistic prowess of VLMs. However, these approaches are either resource-intensive or do not provide an interpretable reasoning process. In this paper, we present “COCO-Tree” - a novel approach that augments VLM outputs with carefully designed neurosymbolic concept trees learned from LLMs to improve VLM’s linguistic reasoning. COCO-Tree’s beam search-inspired reasoning process boosts compositionality performance and provides a rationale behind VLM predictions. Empirical results on four compositionality benchmarks, Winoground, EqBench, ColorSwap, and SugarCrepe, in seven different open-source VLMs with varying sizes, demonstrate that COCO-Tree significantly improves compositional generalization by 5-10% over baselines.

Existing LLM-based medical question answering systems lack citation generation and evaluation capabilities, raising concerns about their adoption in practice. In this work, we introduce MedCite, the first end-to-end framework that facilitates the design and evaluation of LLM citations for medical tasks. Meanwhile, we introduce a novel multi-pass retrieval-citation method that generates high-quality citations.Our extensive evaluation highlights the challenges and opportunities of citation generation for medical tasks, while identifying important design choices that have a significant impact on the final citation quality. Our proposed method achieves superior citation precision and recall improvements compared to strong baseline methods, and we show that our evaluation results correlate well with annotation results from professional experts.

While large language models (LLMs) have achieved state-of-the-art performance on a wide range of medical question answering (QA) tasks, they still face challenges with hallucinations and outdated knowledge. Retrieval-augmented generation (RAG) is a promising solution and has been widely adopted. However, a RAG system can involve multiple flexible components, and there is a lack of best practices regarding the optimal RAG setting for various medical purposes. To systematically evaluate such systems, we propose the Medical Information Retrieval-Augmented Generation Evaluation (MIRAGE), a first-of-its-kind benchmark including 7,663 questions from five medical QA datasets. Using MIRAGE, we conducted large-scale experiments with over 1.8 trillion prompt tokens on 41 combinations of different corpora, retrievers, and backbone LLMs through the MedRAG toolkit introduced in this work. Overall, MedRAG improves the accuracy of six different LLMs by up to 18% over chain-of-thought prompting, elevating the performance of GPT-3.5 and Mixtral to GPT-4-level. Our results show that the combination of various medical corpora and retrievers achieves the best performance. In addition, we discovered a log-linear scaling property and the “lost-in-the-middle” effects in medical RAG. We believe our comprehensive evaluations can serve as practical guidelines for implementing RAG systems for medicine.