Scoring clinical patient notes (PNs) written by medical students is a necessary but resource-intensive task in medical education. This paper describes the organization and key lessons from a Kaggle competition on automated scoring of such notes. 1,471 teams took part in the competition and developed an extensive, publicly available code repository of varying solutions evaluated over the first public dataset for this task. The most successful approaches from this community effort are described and utilized in the development of a PN scoring system. We discuss the choice of models and system architecture with a view to operational use and scalability, and evaluate its performance on both the public Kaggle data (10 clinical cases, 43,985 PNs) and an extended internal dataset (178 clinical cases, 6,940 PNs). The results show that the system significantly outperforms a state-of-the-art existing tool for PN scoring and that task-adaptive pretraining using masked language modeling can be an effective approach even for small training samples.

This paper presents the ACTA system, which performs automated short-answer grading in the domain of high-stakes medical exams. The system builds upon previous work on neural similarity-based grading approaches by applying these to the medical domain and utilizing contrastive learning as a means to optimize the similarity metric. ACTA is evaluated against three strong baselines and is developed in alignment with operational needs, where low-confidence responses are flagged for human review. Learning curves are explored to understand the effects of training data on performance. The results demonstrate that ACTA leads to substantially lower number of responses being flagged for human review, while maintaining high classification accuracy.