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Are Large Language Models Ready for Healthcare? A Comparative Study on Clinical Language Understanding

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arxiv 2304.05368 v3 pith:QY7X76C6 submitted 2023-04-09 cs.CL cs.AI

classification cs.CLcs.AI
keywords languagellmsclinicalhealthcaretaskspromptingunderstandingerror
verification ladder T0 review T1 audit T2 compute T3 formal
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Large language models (LLMs) have made significant progress in various domains, including healthcare. However, the specialized nature of clinical language understanding tasks presents unique challenges and limitations that warrant further investigation. In this study, we conduct a comprehensive evaluation of state-of-the-art LLMs, namely GPT-3.5, GPT-4, and Bard, within the realm of clinical language understanding tasks. These tasks span a diverse range, including named entity recognition, relation extraction, natural language inference, semantic textual similarity, document classification, and question-answering. We also introduce a novel prompting strategy, self-questioning prompting (SQP), tailored to enhance LLMs' performance by eliciting informative questions and answers pertinent to the clinical scenarios at hand. Our evaluation underscores the significance of task-specific learning strategies and prompting techniques for improving LLMs' effectiveness in healthcare-related tasks. Additionally, our in-depth error analysis on the challenging relation extraction task offers valuable insights into error distribution and potential avenues for improvement using SQP. Our study sheds light on the practical implications of employing LLMs in the specialized domain of healthcare, serving as a foundation for future research and the development of potential applications in healthcare settings.

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  1. Performance and Practical Considerations of Large and Small Language Models in Clinical Decision Support in Rheumatology

    cs.CL 2025-07 reject novelty 4.0 of 10

    In a 10-case rheumatology benchmark, a 46-billion-parameter model with retrieval-augmented generation scored highest on diagnosis and treatment, but the result lacks error bars and a released dataset.

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