Advancements in Large Language Models (LLMs) and their increasing use in medical question-answering necessitate rigorous evaluation of their reliability. A critical challenge lies in hallucination, where models generate plausible yet factually incorrect outputs. In the medical domain, this poses serious risks to patient safety and clinical decision-making. To address this, we introduce, the first benchmark specifically designed for medical hallucination detection. MedHallu comprises 10,000 high-quality question-answer pairs derived from PubMedQA, with hallucinated answers systematically generated through a controlled pipeline. Our experiments show that state-of-the-art LLMs, including GPT-4o, Llama-3.1, and the medically fine-tuned UltraMedical, struggle with this binary hallucination detection task, with the best model achieving an F1 score as low as 0.625 for detecting ”hard” category hallucinations. Using bidirectional entailment clustering, we show that harder-to-detect hallucinations are semantically closer to ground truth. Through experiments, we also show incorporating domain-specific knowledge and introducing a ”not sure” category as one of the answer categories improves the precision and F1 scores by up to 38% relative to baselines.

Alignment of large language models (LLMs) with human values and preferences, often achieved through fine-tuning based on human feedback, is essential for ensuring safe and responsible AI behaviors. However, the process typically requires substantial data and computation resources. Recent studies have revealed that alignment might be attainable at lower costs through simpler methods, such as in-context learning. This leads to the question: Is alignment predominantly superficial? In this paper, we delve into this question and provide a quantitative analysis. We formalize the concept of superficial knowledge, defining it as knowledge that can be acquired through easily token restyling, without affecting the model’s ability to capture underlying causal relationships between tokens. We propose a method to extract and isolate those superficial knowledge from aligned models, focusing on the shallow modifications to the final token selection process. By comparing models augmented only with superficial knowledge to fully aligned models, we quantify the superficial portion of alignment. Our findings reveal that while superficial knowledge constitutes a significant portion of alignment, particularly in safety and detoxification tasks, it is not the whole story. Tasks requiring reasoning and contextual understanding still rely on deeper knowledge. Additionally, we demonstrate two practical advantages of isolated superficial knowledge: (1) it can be transferred between models, enabling efficient offsite alignment of larger models using extracted superficial knowledge from smaller models, and (2) it is recoverable, allowing for the restoration of alignment in compromised models without sacrificing performance.

Although Large Language Models (LLMs) succeed in human-guided conversations such as instruction following and question answering, the potential of LLM-guided conversations—where LLMs direct the discourse and steer the conversation’s objectives—remains under-explored. In this study, we first characterize LLM-guided conversation into three fundamental components: (i) Goal Navigation; (ii) Context Management; (iii) Empathetic Engagement, and propose GuideLLM as an installation. We then implement an interviewing environment for the evaluation of LLM-guided conversation. Specifically, various topics are involved in this environment for comprehensive interviewing evaluation, resulting in around 1.4k turns of utterances, 184k tokens, and over 200 events mentioned during the interviewing for each chatbot evaluation. We compare GuideLLM with 6 state-of-the-art LLMs such as GPT-4o and Llama-3-70b-Instruct, from the perspective of interviewing quality, and autobiography generation quality. For automatic evaluation, we derive user proxies from multiple autobiographies and employ LLM-as-a-judge to score LLM behaviors. We further conduct a human-involved experiment by employing 45 human participants to chat with GuideLLM and baselines. We then collect human feedback, preferences, and ratings regarding the qualities of conversation and autobiography. Experimental results indicate that GuideLLM significantly outperforms baseline LLMs in automatic evaluation and achieves consistent leading performances in human ratings.