To Generate or to Retrieve? On the Effectiveness of Artificial Contexts for Medical Open-Domain Question Answering

Giacomo Frisoni, Alessio Cocchieri, Alex Presepi, Gianluca Moro, Zaiqiao Meng


Abstract
Medical open-domain question answering demands substantial access to specialized knowledge. Recent efforts have sought to decouple knowledge from model parameters, counteracting architectural scaling and allowing for training on common low-resource hardware. The retrieve-then-read paradigm has become ubiquitous, with model predictions grounded on relevant knowledge pieces from external repositories such as PubMed, textbooks, and UMLS. An alternative path, still under-explored but made possible by the advent of domain-specific large language models, entails constructing artificial contexts through prompting. As a result, “to generate or to retrieve” is the modern equivalent of Hamlet’s dilemma. This paper presents MedGENIE, the first generate-then-read framework for multiple-choice question answering in medicine. We conduct extensive experiments on MedQA-USMLE, MedMCQA, and MMLU, incorporating a practical perspective by assuming a maximum of 24GB VRAM. MedGENIE sets a new state-of-the-art in the open-book setting of each testbed, allowing a small-scale reader to outcompete zero-shot closed-book 175B baselines while using up to 706x fewer parameters. Our findings reveal that generated passages are more effective than retrieved ones in attaining higher accuracy.
Anthology ID:
2024.acl-long.533
Volume:
Proceedings of the 62nd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)
Month:
August
Year:
2024
Address:
Bangkok, Thailand
Editors:
Lun-Wei Ku, Andre Martins, Vivek Srikumar
Venue:
ACL
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
9878–9919
Language:
URL:
https://aclanthology.org/2024.acl-long.533
DOI:
Bibkey:
Cite (ACL):
Giacomo Frisoni, Alessio Cocchieri, Alex Presepi, Gianluca Moro, and Zaiqiao Meng. 2024. To Generate or to Retrieve? On the Effectiveness of Artificial Contexts for Medical Open-Domain Question Answering. In Proceedings of the 62nd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers), pages 9878–9919, Bangkok, Thailand. Association for Computational Linguistics.
Cite (Informal):
To Generate or to Retrieve? On the Effectiveness of Artificial Contexts for Medical Open-Domain Question Answering (Frisoni et al., ACL 2024)
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PDF:
https://aclanthology.org/2024.acl-long.533.pdf