In this paper, we consider the challenge of summarizing patients medical progress notes in a limited data setting. For the Problem List Summarization (shared task 1A) at the BioNLP Workshop 2023, we demonstrate that ClinicalT5 fine-tuned to 765 medical clinic notes outperforms other extractive, abstractive and zero-shot baselines, yielding reasonable baseline systems for medical note summarization. Further, we introduce Hierarchical Ensemble of Summarization Models (HESM), consisting of token-level ensembles of diverse fine-tuned ClinicalT5 models, followed by Minimum Bayes Risk (MBR) decoding. Our HESM approach lead to a considerable summarization performance boost, and when evaluated on held-out challenge data achieved a ROUGE-L of 32.77, which was the best-performing system at the top of the shared task leaderboard.

Recently it has been shown that without any access to the contextual passage, multiple choice reading comprehension (MCRC) systems are able to answer questions significantly better than random on average. These systems use their accumulated “world knowledge” to directly answer questions, rather than using information from the passage. This paper examines the possibility of exploiting this observation as a tool for test designers to ensure that the form of “world knowledge” is acceptable for a particular set of questions. We propose information-theory based metrics that enable the level of “world knowledge” exploited by systems to be assessed. Two metrics are described: the expected number of options, which measures whether a passage-free system can identify the answer a question using world knowledge; and the contextual mutual information, which measures the importance of context for a given question. We demonstrate that questions with low expected number of options, and hence answerable by the shortcut system, are often similarly answerable by humans without context. This highlights that the general knowledge ‘shortcuts’ could be equally used by exam candidates, and that our proposed metrics may be helpful for future test designers to monitor the quality of questions.

Machine learning systems have shown impressive performance across a range of natural language tasks. However, it has been hypothesized that these systems are prone to learning spurious correlations that may be present in the training data. Though these correlations will not impact in-domain performance, they are unlikely to generalize well to out-of-domain data, limiting the applicability of systems. This work examines this phenomenon on text classification tasks. Rather than artificially injecting features into the data, we demonstrate that real spurious correlations can be exploited by current state-of-the-art deep-learning systems. Specifically, we show that even when only ‘stop’ words are available at the input stage, it is possible to predict the class significantly better than random. Though it is shown that these stop words are not required for good in-domain performance, they can degrade the ability of the system to generalize well to out-of-domain data.