Traditional applications of natural language processing (NLP) in healthcare have predominantly focused on patient-centered services, enhancing patient interactions and care delivery, such as through medical dialogue systems. However, the potential of NLP to benefit inexperienced doctors, particularly in areas such as communicative medical coaching, remains largely unexplored. We introduce “ChatCoach”, a human-AI cooperative framework designed to assist medical learners in practicing their communication skills during patient consultations. ChatCoach differentiates itself from conventional dialogue systems by offering a simulated environment where medical learners can practice dialogues with a patient agent, while a coach agent provides immediate, structured feedback. This is facilitated by our proposed Generalized Chain-of-Thought (GCoT) approach, which fosters the generation of structured feedback and enhances the utilization of external knowledge sources. Additionally, we have developed a dataset specifically for evaluating Large Language Models (LLMs) within the ChatCoach framework on communicative medical coaching tasks. Our empirical results validate the effectiveness of ChatCoach.

While large language models have significantly enhanced the effectiveness of discourse relation classifications, it remains unclear whether their comprehension is faithful and reliable. We provide DiSQ, a new method for evaluating the faithfulness of understanding discourse based on question answering. We first employ in-context learning to annotate the reasoning for discourse comprehension, based on the connections among key events within the discourse. Following this, DiSQ interrogates the model with a sequence of questions to assess its grasp of core event relations, its resilience to counterfactual queries, as well as its consistency to its previous responses. then evaluate language models with different architectural designs using DiSQ, finding: (1) DiSQ presents a significant challenge for all models, with the top-performing GPT model attaining only 41% of the ideal performance in PDTB; (2) DiSQ is robust to domain shifts and paraphrase variations; (3) Open-source models generally lag behind their closed-source GPT counterparts, with notable exceptions being those enhanced with chat and code/math features; (4) Our analysis validates the effectiveness of explicitly signalled discourse connectives, the role of contextual information, and the benefits of using historical QA data.

Large Language models (LLMs) possess the capability to engage In-context Learning (ICL) by leveraging a few demonstrations pertaining to a new downstream task as conditions. However, this particular learning paradigm suffers from high instability stemming from substantial variances induced by factors such as the input distribution of selected examples, their ordering, and prompt formats. In this work, we demonstrate that even when all these factors are held constant, the random selection of examples still results in high variance. Consequently, we aim to explore the informative ability of data examples by quantifying the Information Gain (IG) obtained in prediction after observing a given example candidate. Then we propose to sample those with maximum IG. Additionally, we identify the presence of template bias, which can lead to unfair evaluations of IG during the sampling process. To mitigate this bias, we introduce Calibration Before Sampling strategy. The experimental results illustrate that our proposed method can yield an average relative improvement of 14.3% across six classification tasks using three LLMs.