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Mar 14

OccuQuest: Mitigating Occupational Bias for Inclusive Large Language Models

The emergence of large language models (LLMs) has revolutionized natural language processing tasks. However, existing instruction-tuning datasets suffer from occupational bias: the majority of data relates to only a few occupations, which hampers the instruction-tuned LLMs to generate helpful responses to professional queries from practitioners in specific fields. To mitigate this issue and promote occupation-inclusive LLMs, we create an instruction-tuning dataset named OccuQuest, which contains 110,000+ prompt-completion pairs and 30,000+ dialogues covering over 1,000 occupations in 26 occupational categories. We systematically request ChatGPT, organizing queries hierarchically based on Occupation, Responsibility, Topic, and Question, to ensure a comprehensive coverage of occupational specialty inquiries. By comparing with three commonly used datasets (Dolly, ShareGPT, and WizardLM), we observe that OccuQuest exhibits a more balanced distribution across occupations. Furthermore, we assemble three test sets for comprehensive evaluation, an occu-test set covering 25 occupational categories, an estate set focusing on real estate, and an occu-quora set containing real-world questions from Quora. We then fine-tune LLaMA on OccuQuest to obtain OccuLLaMA, which significantly outperforms state-of-the-art LLaMA variants (Vicuna, Tulu, and WizardLM) on professional questions in GPT-4 and human evaluations. Notably, on the occu-quora set, OccuLLaMA reaches a high win rate of 86.4\% against WizardLM.

Exploring the Inquiry-Diagnosis Relationship with Advanced Patient Simulators

Online medical consultation (OMC) restricts doctors to gathering patient information solely through inquiries, making the already complex sequential decision-making process of diagnosis even more challenging. Recently, the rapid advancement of large language models has demonstrated a significant potential to transform OMC. However, most studies have primarily focused on improving diagnostic accuracy under conditions of relatively sufficient information, while paying limited attention to the "inquiry" phase of the consultation process. This lack of focus has left the relationship between "inquiry" and "diagnosis" insufficiently explored. In this paper, we first extract real patient interaction strategies from authentic doctor-patient conversations and use these strategies to guide the training of a patient simulator that closely mirrors real-world behavior. By inputting medical records into our patient simulator to simulate patient responses, we conduct extensive experiments to explore the relationship between "inquiry" and "diagnosis" in the consultation process. Experimental results demonstrate that inquiry and diagnosis adhere to the Liebig's law: poor inquiry quality limits the effectiveness of diagnosis, regardless of diagnostic capability, and vice versa. Furthermore, the experiments reveal significant differences in the inquiry performance of various models. To investigate this phenomenon, we categorize the inquiry process into four types: (1) chief complaint inquiry; (2) specification of known symptoms; (3) inquiry about accompanying symptoms; and (4) gathering family or medical history. We analyze the distribution of inquiries across the four types for different models to explore the reasons behind their significant performance differences. We plan to open-source the weights and related code of our patient simulator at https://github.com/LIO-H-ZEN/PatientSimulator.