Medical dialogue generation (MDG) has gained increasing attention due to its substantial practical value. Previous works typically employ a sequence-to-sequence framework to generate medical responses by modeling dialogue context as sequential text with annotated medical entities. While these methods have been successful in generating fluent responses, they fail to provide process explanations of reasoning and require extensive entity annotation. To address these limitations, we propose the method Bootstrap Prompting for Explicit Reasoning in MDG (BP4ER), which explicitly model MDG’s multi-step reasoning process and iteratively enhance this reasoning process. We employ a least-to-most prompting strategy to guide a large language model (LLM) in explicit reasoning, breaking down MDG into simpler sub-questions. These sub-questions build on answers from previous ones. Additionally, we also introduce two distinct bootstrapping techniques for prompting, which autonomously correct errors and facilitate the LLM’s explicit reasoning. This approach eliminates the need for entity annotation and increases the transparency of the MDG process by explicitly generating the intermediate reasoning chain. Experimental results on the two publicly datasets show that BP4ER outperforms state-of-the-art methods across both objective and subjective evaluation.

Previous Sign Language Translation (SLT) methods achieve superior performance by relying on gloss annotations. However, labeling high-quality glosses is a labor-intensive task, which limits the further development of SLT. Although some approaches work towards gloss-free SLT through jointly training the visual encoder and translation network, these efforts still suffer from poor performance and inefficient use of the powerful Large Language Model (LLM). Most seriously, we find that directly introducing LLM into SLT will lead to insufficient learning of visual representations as LLM dominates the learning curve. To address these problems, we propose Factorized Learning assisted with Large Language Model (FLa-LLM) for gloss-free SLT. Concretely, we factorize the training process into two stages. In the visual initialing stage, we employ a lightweight translation model after the visual encoder to pre-train the visual encoder. In the LLM fine-tuning stage, we freeze the acquired knowledge in the visual encoder and integrate it with a pre-trained LLM to inspire the LLM’s translation potential. This factorized training strategy proves to be highly effective as evidenced by significant improvements achieved across three SLT datasets which are all conducted under the gloss-free setting.