Despite recent success in applying large language models (LLMs) to electronic health records (EHR), most systems focus primarily on assessment rather than treatment planning. We identify three critical limitations in current approaches: they generate treatment plans in a single pass rather than following the sequential reasoning process used by clinicians; they rarely incorporate patient-specific historical context; and they fail to effectively distinguish between subjective and objective clinical information. Motivated by the SOAP methodology (Subjective, Objective, Assessment, Plan), we introduce MedPlan, a novel framework that structures LLM reasoning to align with real-life clinician workflows. Our approach employs a two-stage architecture that first generates a clinical assessment based on patient symptoms and objective data, then formulates a structured treatment plan informed by this assessment and enriched with patient-specific information through retrieval-augmented generation. Comprehensive evaluation demonstrates that our method significantly outperforms baseline approaches in both assessment accuracy and treatment plan quality. Our demo system and code are available at https://github.com/JustinHsu1019/MedPlan.
Teachers are important to imparting knowledge and guiding learners, and the role of large language models (LLMs) as potential educators is emerging as an important area of study. Recognizing LLMs’ capability to generate educational content can lead to advances in automated and personalized learning. While LLMs have been tested for their comprehension and problem-solving skills, their capability in teaching remains largely unexplored.In teaching, questioning is a key skill that guides students to analyze, evaluate, and synthesize core concepts and principles.Therefore, our research introduces a benchmark to evaluate the questioning capability in education as a teacher of LLMs through evaluating their generated educational questions, utilizing Anderson and Krathwohl’s taxonomy across general, monodisciplinary, and interdisciplinary domains. We shift the focus from LLMs as learners to LLMs as educators, assessing their teaching capability through guiding them to generate questions. We apply four metrics, including relevance, coverage, representativeness, and consistency, to evaluate the educational quality of LLMs’ outputs. Our results indicate that GPT-4 demonstrates significant potential in teaching general, humanities, and science courses; Claude2 appears more apt as an interdisciplinary teacher. Furthermore, the automatic scores align with human perspectives.
In recent years, large language models (LLMs) have achieved remarkable success in the field of natural language generation. Compared to previous small-scale models, they are capable of generating fluent output based on the provided prefix or prompt. However, one critical challenge — the *hallucination* problem — remains to be resolved. Generally, the community refers to the undetected hallucination scenario where the LLMs generate text unrelated to the input text or facts. In this study, we intend to model the distributional distance between the regular conditional output and the unconditional output, which is generated without a given input text. Based upon Taylor Expansion for this distance at the output probability space, our approach manages to leverage the embedding and first-order gradient information. The resulting approach is plug-and-play that can be easily adapted to any autoregressive LLM. On the hallucination benchmarks HADES and other datasets, our approach achieves state-of-the-art performance.