In this paper, we consider the challenge of summarizing patients medical progress notes in a limited data setting. For the Problem List Summarization (shared task 1A) at the BioNLP Workshop 2023, we demonstrate that ClinicalT5 fine-tuned to 765 medical clinic notes outperforms other extractive, abstractive and zero-shot baselines, yielding reasonable baseline systems for medical note summarization. Further, we introduce Hierarchical Ensemble of Summarization Models (HESM), consisting of token-level ensembles of diverse fine-tuned ClinicalT5 models, followed by Minimum Bayes Risk (MBR) decoding. Our HESM approach lead to a considerable summarization performance boost, and when evaluated on held-out challenge data achieved a ROUGE-L of 32.77, which was the best-performing system at the top of the shared task leaderboard.

Recently it has been shown that without any access to the contextual passage, multiple choice reading comprehension (MCRC) systems are able to answer questions significantly better than random on average. These systems use their accumulated “world knowledge” to directly answer questions, rather than using information from the passage. This paper examines the possibility of exploiting this observation as a tool for test designers to ensure that the form of “world knowledge” is acceptable for a particular set of questions. We propose information-theory based metrics that enable the level of “world knowledge” exploited by systems to be assessed. Two metrics are described: the expected number of options, which measures whether a passage-free system can identify the answer a question using world knowledge; and the contextual mutual information, which measures the importance of context for a given question. We demonstrate that questions with low expected number of options, and hence answerable by the shortcut system, are often similarly answerable by humans without context. This highlights that the general knowledge ‘shortcuts’ could be equally used by exam candidates, and that our proposed metrics may be helpful for future test designers to monitor the quality of questions.

Multiple-choice tests are a common approach for assessing candidates’ comprehension skills. Standard multiple-choice reading comprehension exams require candidates to select the correct answer option from a discrete set based on a question in relation to a contextual passage. For appropriate assessment, the distractor answer options must by definition be incorrect but plausible and diverse. However, generating good quality distractors satisfying these criteria is a challenging task for content creators. We propose automated assessment metrics for the quality of distractors in multiple-choice reading comprehension tests. Specifically, we define quality in terms of the incorrectness, plausibility and diversity of the distractor options. We assess incorrectness using the classification ability of a binary multiple-choice reading comprehension system. Plausibility is assessed by considering the distractor confidence - the probability mass associated with the distractor options for a standard multi-class multiple-choice reading comprehension system. Diversity is assessed by pairwise comparison of an embedding-based equivalence metric between the distractors of a question. To further validate the plausibility metric we compare against candidate distributions over multiple-choice questions and agreement with a ChatGPT model’s interpretation of distractor plausibility and diversity.

Embedding representations of text are useful for downstream natural language processing tasks. Several universal sentence representation methods have been proposed with a particular focus on self-supervised pre-training approaches to leverage the vast quantities of unlabelled data. However, there are two challenges for generating rich embedding representations for a new document. 1) The latest rich embedding generators are based on very large costly transformer-based architectures. 2) The rich embedding representation of a new document is limited to only the information provided without access to any explicit contextual and temporal information that could potentially further enrich the representation. We propose efficient retrieval-augmented text embeddings (ERATE) that tackles the first issue and offers a method to tackle the second issue. To the best of our knowledge, we are the first to incorporate retrieval to general purpose embeddings as a new paradigm, which we apply to the semantic similarity tasks of SentEval. Despite not reaching state-of-the-art performance, ERATE offers key insights that encourages future work into investigating the potential of retrieval-based embeddings.

Machine learning systems have shown impressive performance across a range of natural language tasks. However, it has been hypothesized that these systems are prone to learning spurious correlations that may be present in the training data. Though these correlations will not impact in-domain performance, they are unlikely to generalize well to out-of-domain data, limiting the applicability of systems. This work examines this phenomenon on text classification tasks. Rather than artificially injecting features into the data, we demonstrate that real spurious correlations can be exploited by current state-of-the-art deep-learning systems. Specifically, we show that even when only ‘stop’ words are available at the input stage, it is possible to predict the class significantly better than random. Though it is shown that these stop words are not required for good in-domain performance, they can degrade the ability of the system to generalize well to out-of-domain data.

Machine reading comprehension (MRC) has drawn a lot of attention as an approach for assessing the ability of systems to understand natural language. Usually systems focus on selecting the correct answer to a question given a contextual paragraph. However, for many applications of multiple-choice MRC systems there are two additional considerations. For multiple-choice exams there is often a negative marking scheme; there is a penalty for an incorrect answer. In terms of an MRC system this means that the system is required to have an idea of the uncertainty in the predicted answer. The second consideration is that many multiple-choice questions have the option of none-of-the-above (NOA) indicating that none of the answers is applicable, rather than there always being the correct answer in the list of choices. This paper investigates both of these issues by making use of predictive uncertainty. Whether the system should propose an answer is a direct application of answer uncertainty. There are two possibilities when considering the NOA option. The simplest is to explicitly build a system on data that includes this option. Alternatively uncertainty can be applied to detect whether the other options include the correct answer. If the system is not sufficiently confident it will select NOA. As there is no standard corpus available to investigate these topics, the ReClor corpus is modified by removing the correct answer from a subset of possible answers. A high-performance MRC system is used to evaluate whether answer uncertainty can be applied in these situations. It is shown that uncertainty does allow questions that the system is not confident about to be detected. Additionally it is shown that uncertainty outperforms a system explicitly built with an NOA option.

Increased demand to learn English for business and education has led to growing interest in automatic spoken language assessment and teaching systems. With this shift to automated approaches it is important that systems reliably assess all aspects of a candidate’s responses. This paper examines one form of spoken language assessment; whether the response from the candidate is relevant to the prompt provided. This will be referred to as off-topic spoken response detection. Two forms of previously proposed approaches are examined in this work: the hierarchical attention-based topic model (HATM); and the similarity grid model (SGM). The work focuses on the scenario when the prompt, and associated responses, have not been seen in the training data, enabling the system to be applied to new test scripts without the need to collect data or retrain the model. To improve the performance of the systems for unseen prompts, data augmentation based on easy data augmentation (EDA) and translation based approaches are applied. Additionally for the HATM, a form of prompt dropout is described. The systems were evaluated on both seen and unseen prompts from Linguaskill Business and General English tests. For unseen data the performance of the HATM was improved using data augmentation, in contrast to the SGM where no gains were obtained. The two approaches were found to be complementary to one another, yielding a combined F0.5 score of 0.814 for off-topic response detection where the prompts have not been seen in training.