Recent progress in large vision-language models (LVLMs) has shown substantial potential across a broad spectrum of third-person tasks. However, adapting these LVLMs to egocentric scenarios remains challenging due to their third-person training bias. Existing methods that adapt LVLMs for first-person tasks often overlook critical agent-environment interactions, limiting their ability to perform egocentric reasoning. To address these challenges, we propose a novel zero-shot paradigm termed Front-Door Adjustments with Uncertainty Calibration (FRUIT) to enhance the egocentric reasoning abilities of LVLMs by simulating human causal reasoning. Specifically, the FRUIT operates in two stages: observation and understanding. Unlike conventional prompting techniques, we formalize egocentric reasoning using a structural causal model. Then, we ground interaction regions and expand them into hierarchical visual cues, augmented with corresponding captions, to form the initial observations. To reduce noise in these observations, we employ uncertainty calibration to filter out unreliable information. These refined observations as mediators are then incorporated into the prompt template, guiding the model to understand semantics from a first-person perspective. Extensive experiments conducted on the EgoThink benchmark demonstrate that our FRUIT method consistently enhances the performance of existing LVLMs on six distinct tasks. Our code is available at https://github.com/Mrshenshen/FRUIT.

Recent advances in Large Language Models (LLMs) have led to remarkable progresses in medical consultation.However, existing medical LLMs overlook the essential role of Electronic Health Records (EHR) and focus primarily on diagnosis recommendation, limiting their clinical applicability. We propose DiaLLM, the first medical LLM that integrates heterogeneous EHR data into clinically grounded dialogues, enabling clinical test recommendation, result interpretation, and diagnosis prediction to better align with real-world medical practice. To construct clinically grounded dialogues from EHR, we design a Clinical Test Reference (CTR) strategy that maps each clinical code to its corresponding description and classifies test results as “normal” or “abnormal”. Additionally, DiaLLM employs a reinforcement learning framework for evidence acquisition and automated diagnosis. To handle the large action space, we introduce a reject sampling strategy to reduce redundancy and improve exploration efficiency. Furthermore, a confirmation reward and a class-sensitive diagnosis reward are designed to guide accurate diagnosis prediction.Extensive experimental results demonstrate that DiaLLM outperforms baselines in clinical test recommendation and diagnosis prediction. Our code is available at Github.

Large language models (LLMs) have recently been shown to deliver impressive performance in various NLP tasks. To tackle multi-step reasoning tasks, Few-shot chain-of-thought (CoT) prompting includes a few manually crafted step-by-step reasoning demonstrations which enable LLMs to explicitly generate reasoning steps and improve their reasoning task accuracy. To eliminate the manual efforts, Zero-shot-CoT concatenates the target problem statement with “Let’s think step by step” as an input prompt to LLMs. Despite the success of Zero-shot-CoT, it still suffers from three pitfalls: calculation errors, missing-step errors, and semantic misunderstanding errors. To address the missing-step errors, we propose Plan-and-Solve (PS) Prompting. It consists of two components: first, devising a plan to divide the entire task into smaller subtasks, and then carrying out the subtasks according to the plan. To address the calculation errors and improve the quality of generated reasoning steps, we extend PS prompting with more detailed instructions and derive PS+ prompting. We evaluate our proposed prompting strategy on ten datasets across three reasoning problems. The experimental results over GPT-3 show that our proposed zero-shot prompting consistently outperforms Zero-shot-CoT across all datasets by a large margin, is comparable to or exceeds Zero-shot-Program-of-Thought Prompting, and has comparable performance with 8-shot CoT prompting on the math reasoning problem. The code can be found at https://github.com/AGI-Edgerunners/Plan-and-Solve-Prompting.