LLM-Empowered Patient-Provider Communication: A Data-Centric Survey From a Clinical Perspective

Ruosi Shao, Md Shamim Seraj, Kangyi Zhao, Yingtao Luo, Lincan Li, Bolin Shen, Averi Bates, Yue Zhao, Chongle Pan, Lisa Hightow-Weidman, Shayok Chakraborty, Yushun Dong


Abstract
Large language models (LLMs) hold promise for advancing patient–provider communication, yet a persistent gap remains between benchmark-driven model development and the realities of clinical practice. This work presents a systematic, clinically grounded review of text-based medical datasets for LLM training and evaluation. We propose a scenario-based taxonomy derived from established clinical frameworks to map major knowledge-based and conversation-based corpora against core communication scenarios. We further synthesize core communication skills from gold-standard clinical assessment instruments and meta-analyze state-of-the-art medical LLM performance, highlighting how dataset properties, fine-tuning strategies, and evaluation metrics shape both knowledge acquisition and communicative competence. To empirically validate these findings, we conducted controlled fine-tuning experiments across representative LLMs, demonstrating that data composition and scenario alignment critically affect model performance. Our findings highlight the urgent need for scenario-rich datasets and standardized, human-centered evaluation protocol to advance clinically relevant medical LLMs.
Anthology ID:
2025.findings-ijcnlp.40
Volume:
Proceedings of the 14th International Joint Conference on Natural Language Processing and the 4th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics
Month:
December
Year:
2025
Address:
Mumbai, India
Editors:
Kentaro Inui, Sakriani Sakti, Haofen Wang, Derek F. Wong, Pushpak Bhattacharyya, Biplab Banerjee, Asif Ekbal, Tanmoy Chakraborty, Dhirendra Pratap Singh
Venue:
Findings
SIG:
Publisher:
The Asian Federation of Natural Language Processing and The Association for Computational Linguistics
Note:
Pages:
684–705
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URL:
https://preview.aclanthology.org/ingest-ijcnlp-aacl/2025.findings-ijcnlp.40/
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Cite (ACL):
Ruosi Shao, Md Shamim Seraj, Kangyi Zhao, Yingtao Luo, Lincan Li, Bolin Shen, Averi Bates, Yue Zhao, Chongle Pan, Lisa Hightow-Weidman, Shayok Chakraborty, and Yushun Dong. 2025. LLM-Empowered Patient-Provider Communication: A Data-Centric Survey From a Clinical Perspective. In Proceedings of the 14th International Joint Conference on Natural Language Processing and the 4th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics, pages 684–705, Mumbai, India. The Asian Federation of Natural Language Processing and The Association for Computational Linguistics.
Cite (Informal):
LLM-Empowered Patient-Provider Communication: A Data-Centric Survey From a Clinical Perspective (Shao et al., Findings 2025)
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https://preview.aclanthology.org/ingest-ijcnlp-aacl/2025.findings-ijcnlp.40.pdf