A common solution for mitigating outdated or incorrect information in Large Language Models (LLMs) is to provide updated facts in-context or through knowledge editing. However, these methods introduce knowledge conflicts when the knowledge update fails to overwrite the model’s parametric knowledge, which propagate to faulty reasoning. Current benchmarks for this problem, however, largely focus only on single knowledge updates and fact recall without evaluating how these updates affect downstream reasoning. In this work, we introduce Tʀᴀᴄᴋ (*Testing Reasoning Amid Conflicting Knowledge*), a new benchmark for studying how LLMs propagate new knowledge through multi-step reasoning when it conflicts with the model’s initial parametric knowledge. Spanning three reasoning-intensive scenarios (WIKI, CODE, and MATH), Tʀᴀᴄᴋ introduces multiple, realistic conflicts to mirror real-world complexity. Our results on Tʀᴀᴄᴋ reveal that providing updated facts to models for reasoning can worsen performance compared to providing no updated facts to a model, and that this performance degradation exacerbates as more updated facts are provided. We show this failure stems from both inability to faithfully integrate updated facts, but also flawed reasoning even when knowledge is integrated. Tʀᴀᴄᴋ provides a rigorous new benchmark to measure and guide future progress on propagating conflicting knowledge in multi-step reasoning.

This paper presents our contribution to the Streamlining Discharge Documentation shared task organized as part of the ACL’24 workshop. We propose MEDISCHARGE (Meditron-7B Based Medical Summary Generation System for Discharge Me), an LLM-based system to generate Brief Hospital Course and Discharge Instruction summaries based on a patient’s Electronic Health Record. Our system is build on a Meditron-7B with context window extension, ensuring the system can handle cases of variable lengths with high quality. When the length of the input exceeds the system input limitation, we use a dynamic information selection framework to automatically extract important sections from the full discharge text. Then, extracted sections are removed in increasing order of importance until the input length requirement is met. We demonstrate our approach outperforms tripling the size of the context window of the model. Our system obtains a 0.289 overall score in the leaderboard, an improvement of 183% compared to the baseline, and a ROUGE-1 score of 0.444, achieving a second place performance in the shared task.