Scoring clinical patient notes (PNs) written by medical students is a necessary but resource-intensive task in medical education. This paper describes the organization and key lessons from a Kaggle competition on automated scoring of such notes. 1,471 teams took part in the competition and developed an extensive, publicly available code repository of varying solutions evaluated over the first public dataset for this task. The most successful approaches from this community effort are described and utilized in the development of a PN scoring system. We discuss the choice of models and system architecture with a view to operational use and scalability, and evaluate its performance on both the public Kaggle data (10 clinical cases, 43,985 PNs) and an extended internal dataset (178 clinical cases, 6,940 PNs). The results show that the system significantly outperforms a state-of-the-art existing tool for PN scoring and that task-adaptive pretraining using masked language modeling can be an effective approach even for small training samples.

This paper reports findings from the First Shared Task on Automated Prediction of Difficulty and Response Time for Multiple-Choice Questions. The task was organized as part of the 19th Workshop on Innovative Use of NLP for Building Educational Applications (BEA’24), held in conjunction with NAACL 2024, and called upon the research community to contribute solutions to the problem of modeling difficulty and response time for clinical multiple-choice questions (MCQs). A set of 667 previously used and now retired MCQs from the United States Medical Licensing Examination (USMLE®) and their corresponding difficulties and mean response times were made available for experimentation. A total of 17 teams submitted solutions and 12 teams submitted system report papers describing their approaches. This paper summarizes the findings from the shared task and analyzes the main approaches proposed by the participants.

This paper summarises the differences and similarities found between humans and three natural language processing models when attempting to identify whether English online comments are sarcastic or not. Three models were used to analyse 300 comments from the FigLang 2020 Reddit Dataset, with and without context. The same 300 comments were also given to 39 non-native speakers of English and the results were compared. The aim was to find whether there were any results that could be applied to English as a Foreign Language (EFL) teaching. The results showed that there were similarities between the models and non-native speakers, in particular the logistic regression model. They also highlighted weaknesses with both non-native speakers and the models in detecting sarcasm when the comments included political topics or were phrased as questions. This has potential implications for how the EFL teaching industry could implement the results of error analysis of NLP models in teaching practices.

Relationship extraction from unstructured data remains one of the most challenging tasks in the field of Natural Language Processing (NLP). The complexity of relationship extraction arises from the need to comprehend the underlying semantics, syntactic structures, and contextual dependencies within the text. Unstructured data poses challenges with diverse linguistic patterns, implicit relationships, contextual nuances, complicating accurate relationship identification and extraction. The emergence of Large Language Models (LLMs), such as GPT (Generative Pre-trained Transformer), has indeed marked a significant advancement in the field of NLP. In this work, we assess and evaluate the effectiveness of LLMs in relationship extraction in the Holocaust testimonies within the context of the Historical realm. By delving into this domain-specific context, we aim to gain deeper insights into the performance and capabilities of LLMs in accurately capturing and extracting relationships within the Holocaust domain by developing a novel knowledge graph to visualise the relationships of the Holocaust. To the best of our knowledge, there is no existing study which discusses relationship extraction in Holocaust testimonies. The majority of current approaches for Information Extraction (IE) in historic documents are either manual or OCR based. Moreover, in this study, we found that the Subject-Object-Verb extraction using GPT3-based relations produced more meaningful results compared to the Semantic Role labeling-based triple extraction.

This paper presents the ACTA system, which performs automated short-answer grading in the domain of high-stakes medical exams. The system builds upon previous work on neural similarity-based grading approaches by applying these to the medical domain and utilizing contrastive learning as a means to optimize the similarity metric. ACTA is evaluated against three strong baselines and is developed in alignment with operational needs, where low-confidence responses are flagged for human review. Learning curves are explored to understand the effects of training data on performance. The results demonstrate that ACTA leads to substantially lower number of responses being flagged for human review, while maintaining high classification accuracy.

This study examines the relationship between the linguistic characteristics of a test item and the complexity of the response process required to answer it correctly. Using data from a large-scale medical licensing exam, clustering methods identified items that were similar with respect to their relative difficulty and relative response-time intensiveness to create low response process complexity and high response process complexity item classes. Interpretable models were used to investigate the linguistic features that best differentiated between these classes from a descriptive and predictive framework. Results suggest that nuanced features such as the number of ambiguous medical terms help explain response process complexity beyond superficial item characteristics such as word count. Yet, although linguistic features carry signal relevant to response process complexity, the classification of individual items remains challenging.

This paper brings together approaches from the fields of NLP and psychometric measurement to address the problem of predicting examinee proficiency from responses to short-answer questions (SAQs). While previous approaches train on manually labeled data to predict the human-ratings assigned to SAQ responses, the approach presented here models examinee proficiency directly and does not require manually labeled data to train on. We use data from a large medical exam where experimental SAQ items are embedded alongside 106 scored multiple-choice questions (MCQs). First, the latent trait of examinee proficiency is measured using the scored MCQs and then a model is trained on the experimental SAQ responses as input, aiming to predict proficiency as its target variable. The predicted value is then used as a “score” for the SAQ response and evaluated in terms of its contribution to the precision of proficiency estimation.

Film age appropriateness classification is an important problem with a significant societal impact that has so far been out of the interest of Natural Language Processing and Machine Learning researchers. To this end, we have collected a corpus of 17000 films along with their age ratings. We use the textual contents in an experiment to predict the correct age classification for the United States (G, PG, PG-13, R and NC-17) and the United Kingdom (U, PG, 12A, 15, 18 and R18). Our experiments indicate that gradient boosting machines beat FastText and various Deep Learning architectures. We reach an overall accuracy of 79.3% for the US ratings compared to a projected super human accuracy of 84%. For the UK ratings, we reach an overall accuracy of 65.3% (UK) compared to a projected super human accuracy of 80.0%.

One of the most resource-intensive problems in the educational testing industry relates to ensuring that newly-developed exam questions can adequately distinguish between students of high and low ability. The current practice for obtaining this information is the costly procedure of pretesting: new items are administered to test-takers and then the items that are too easy or too difficult are discarded. This paper presents the first study towards automatic prediction of an item’s probability to “survive” pretesting (item survival), focusing on human-produced MCQs for a medical exam. Survival is modeled through a number of linguistic features and embedding types, as well as features inspired by information retrieval. The approach shows promising first results for this challenging new application and for modeling the difficulty of expert-knowledge questions.

Metaphor is a linguistic device in which a concept is expressed by mentioning another. Identifying metaphorical expressions, therefore, requires a non-compositional understanding of semantics. Multiword Expressions (MWEs), on the other hand, are linguistic phenomena with varying degrees of semantic opacity and their identification poses a challenge to computational models. This work is the first attempt at analysing the interplay of metaphor and MWEs processing through the design of a neural architecture whereby classification of metaphors is enhanced by informing the model of the presence of MWEs. To the best of our knowledge, this is the first “MWE-aware” metaphor identification system paving the way for further experiments on the complex interactions of these phenomena. The results and analyses show that this proposed architecture reach state-of-the-art on two different established metaphor datasets.

We introduce a new method to tag Multiword Expressions (MWEs) using a linguistically interpretable language-independent deep learning architecture. We specifically target discontinuity, an under-explored aspect that poses a significant challenge to computational treatment of MWEs. Two neural architectures are explored: Graph Convolutional Network (GCN) and multi-head self-attention. GCN leverages dependency parse information, and self-attention attends to long-range relations. We finally propose a combined model that integrates complementary information from both, through a gating mechanism. The experiments on a standard multilingual dataset for verbal MWEs show that our model outperforms the baselines not only in the case of discontinuous MWEs but also in overall F-score.

Predicting the construct-relevant difficulty of Multiple-Choice Questions (MCQs) has the potential to reduce cost while maintaining the quality of high-stakes exams. In this paper, we propose a method for estimating the difficulty of MCQs from a high-stakes medical exam, where all questions were deliberately written to a common reading level. To accomplish this, we extract a large number of linguistic features and embedding types, as well as features quantifying the difficulty of the items for an automatic question-answering system. The results show that the proposed approach outperforms various baselines with a statistically significant difference. Best results were achieved when using the full feature set, where embeddings had the highest predictive power, followed by linguistic features. An ablation study of the various types of linguistic features suggested that information from all levels of linguistic processing contributes to predicting item difficulty, with features related to semantic ambiguity and the psycholinguistic properties of words having a slightly higher importance. Owing to its generic nature, the presented approach has the potential to generalize over other exams containing MCQs.

Recent developments in deep learning have prompted a surge of interest in the application of multitask and transfer learning to NLP problems. In this study, we explore for the first time, the application of transfer learning (TRL) and multitask learning (MTL) to the identification of Multiword Expressions (MWEs). For MTL, we exploit the shared syntactic information between MWE and dependency parsing models to jointly train a single model on both tasks. We specifically predict two types of labels: MWE and dependency parse. Our neural MTL architecture utilises the supervision of dependency parsing in lower layers and predicts MWE tags in upper layers. In the TRL scenario, we overcome the scarcity of data by learning a model on a larger MWE dataset and transferring the knowledge to a resource-poor setting in another language. In both scenarios, the resulting models achieved higher performance compared to standard neural approaches.

We present a novel approach to automatic question answering that does not depend on the performance of an information retrieval (IR) system and does not require that the training data come from the same source as the questions. We evaluate the system performance on a challenging set of university-level medical science multiple-choice questions. Best performance is achieved when combining a neural approach with an IR approach, both of which work independently. Unlike previous approaches, the system achieves statistically significant improvement over the random guess baseline even for questions that are labeled as challenging based on the performance of baseline solvers.

NLP approaches to automatic text adaptation often rely on user-need guidelines which are generic and do not account for the differences between various types of target groups. One such group are adults with high-functioning autism, who are usually able to read long sentences and comprehend difficult words but whose comprehension may be impeded by other linguistic constructions. This is especially challenging for real-world user-generated texts such as product reviews, which cannot be controlled editorially and are thus a particularly good applcation for automatic text adaptation systems. In this paper we present a mixed-methods survey conducted with 24 adult web-users diagnosed with autism and an age-matched control group of 33 neurotypical participants. The aim of the survey was to identify whether the group with autism experienced any barriers when reading online reviews, what these potential barriers were, and what NLP methods would be best suited to improve the accessibility of online reviews for people with autism. The group with autism consistently reported significantly greater difficulties with understanding online product reviews compared to the control group and identified issues related to text length, poor topic organisation, and the use of irony and sarcasm.

Developing plausible distractors (wrong answer options) when writing multiple-choice questions has been described as one of the most challenging and time-consuming parts of the item-writing process. In this paper we propose a fully automatic method for generating distractor suggestions for multiple-choice questions used in high-stakes medical exams. The system uses a question stem and the correct answer as an input and produces a list of suggested distractors ranked based on their similarity to the stem and the correct answer. To do this we use a novel approach of combining concept embeddings with information retrieval methods. We frame the evaluation as a prediction task where we aim to “predict” the human-produced distractors used in large sets of medical questions, i.e. if a distractor generated by our system is good enough it is likely to feature among the list of distractors produced by the human item-writers. The results reveal that combining concept embeddings with information retrieval approaches significantly improves the generation of plausible distractors and enables us to match around 1 in 5 of the human-produced distractors. The approach proposed in this paper is generalisable to all scenarios where the distractors refer to concepts.

When processing a text, humans and machines must disambiguate between different uses of the pronoun it, including non-referential, nominal anaphoric or clause anaphoric ones. In this paper we use eye-tracking data to learn how humans perform this disambiguation and use this knowledge to improve the automatic classification of it. We show that by using gaze data and a POS-tagger we are able to significantly outperform a common baseline and classify between three categories of it with an accuracy comparable to that of linguistic-based approaches. In addition, the discriminatory power of specific gaze features informs the way humans process the pronoun, which, to the best of our knowledge, has not been explored using data from a natural reading task.

This paper describes the system submitted to SemEval 2018 shared task 10 ‘Capturing Dicriminative Attributes’. We use a combination of knowledge-based and co-occurrence features to capture the semantic difference between two words in relation to an attribute. We define scores based on association measures, ngram counts, word similarity, and ConceptNet relations. The system is ranked 4th (joint) on the official leaderboard of the task.

In recent years gaze data has been increasingly used to improve and evaluate NLP models due to the fact that it carries information about the cognitive processing of linguistic phenomena. In this paper we conduct a preliminary study towards the automatic identification of multiword expressions based on gaze features from native and non-native speakers of English. We report comparisons between a part-of-speech (POS) and frequency baseline to: i) a prediction model based solely on gaze data and ii) a combined model of gaze data, POS and frequency. In spite of the challenging nature of the task, best performance was achieved by the latter. Furthermore, we explore how the type of gaze data (from native versus non-native speakers) affects the prediction, showing that data from the two groups is discriminative to an equal degree for the task. Finally, we show that late processing measures are more predictive than early ones, which is in line with previous research on idioms and other formulaic structures.

This paper describes a novel methodology to perform bilingual terminology extraction, in which automatic alignment is used to improve the performance of terminology extraction for each language. The strengths of monolingual terminology extraction for each language are exploited to improve the performance of terminology extraction in the other language, thanks to the availability of a sentence-level aligned bilingual corpus, and an automatic noun phrase alignment mechanism. The experiment indicates that weaknesses in monolingual terminology extraction due to the limitation of resources in certain languages can be overcome by using another language which has no such limitation.