Geoffrey Martin

Geoffrey Martin, Xuan Zhong Feng, Yifan Peng

Suicide is a leading cause of death in the United States, and understanding the circumstances that precede it requires extracting structured information from death investigation narratives. Many of these circumstances require semantic inference beyond simple keyword matching. We develop a ``Complexity Score'' algorithm that analyzes coding manual structure to predict when detailed prompts with full coding guidelines improve over name-only prompts. We then construct a hybrid approach that selects prompt strategy per circumstance. We evaluate large language models (LLMs) against fine-tuned RoBERTa on 25 inferentially complex circumstances from the National Violent Death Reporting System (NVDRS). We found that LLMs substantially outperform on low-prevalence circumstances where training data is insufficient. We further demonstrate that our framework generalizes across frontier LLMs, with GPT-5.2, Gemini 2.5 Pro and Llama-3 70B showing consistent performance patterns. These findings support a hybrid architecture where LLMs handle rare, inferentially complex circumstances while fine-tuned models handle common ones.

Khizar Qureshi, Geoffrey Martin, Yifan Peng

A key challenge for large language models is token cost per query and overall deployment cost. Clinical inputs are long, heterogeneous, and often redundant, while downstream tasks are short and high stakes. We study budgeted context selection, where a subset of document units is chosen under a strict token budget so an off-the-shelf generator can meet fixed cost and latency constraints. We cast this as a knapsack-constrained subset selection problem with two design choices, unitization that defines document segmentation and selection that determines which units are kept. We propose \textbf{RCD}, a monotone submodular objective that balances relevance, coverage, and diversity. We compare sentence, section, window, and cluster-based unitization, and introduce a routing heuristic that adapts to the budget regime. Experiments on MIMIC discharge notes, Cochrane abstracts, and L-Eval show that optimal strategies depend on the evaluation setting. Positional heuristics perform best at low budgets in extractive tasks, while diversity-aware methods such as MMR improve LLM generation. Selector choice matters more than unitization, with cluster-based grouping reducing performance and other schemes behaving similarly. ROUGE saturates for LLM summaries, while BERTScore better reflects quality differences. We release our code at https://github.com/stone-technologies/ACL_budget_paper.

Ruiqi Deng, Geoffrey Martin, Tony Wang et al.

Clinical practice guidelines (CPGs) provide evidence-based recommendations for patient care; however, integrating them into Artificial Intelligence (AI) remains challenging. Previous approaches, such as rule-based systems, face significant limitations, including poor interpretability, inconsistent adherence to guidelines, and narrow domain applicability. To address this, we develop and validate CPGPrompt, an auto-prompting system that converts narrative clinical guidelines into large language models (LLMs). Our framework translates CPGs into structured decision trees and utilizes an LLM to dynamically navigate them for patient case evaluation. Synthetic vignettes were generated across three domains (headache, lower back pain, and prostate cancer) and distributed into four categories to test different decision scenarios. System performance was assessed on both binary specialty-referral decisions and fine-grained pathway-classification tasks. The binary specialty referral classification achieved consistently strong performance across all domains (F1: 0.85-1.00), with high recall (1.00 $\pm$ 0.00). In contrast, multi-class pathway assignment showed reduced performance, with domain-specific variations: headache (F1: 0.47), lower back pain (F1: 0.72), and prostate cancer (F1: 0.77). Domain-specific performance differences reflected the structure of each guideline. The headache guideline highlighted challenges with negation handling. The lower back pain guideline required temporal reasoning. In contrast, prostate cancer pathways benefited from quantifiable laboratory tests, resulting in more reliable decision-making.

Yihao Ding, Siwen Luo, Yue Dai et al.

Visually-Rich Document Understanding (VRDU) has emerged as a critical field, driven by the need to automatically process documents containing complex visual, textual, and layout information. Recently, Multimodal Large Language Models (MLLMs) have shown remarkable potential in this domain, leveraging both Optical Character Recognition (OCR)-dependent and OCR-free frameworks to extract and interpret information in document images. This survey reviews recent advancements in MLLM-based VRDU, highlighting three core components: (1) methods for encoding and fusing textual, visual, and layout features; (2) training paradigms, including pretraining strategies, instruction-response tuning, and the trainability of different model modules; and (3) datasets utilized for pretraining, instruction-tuning, and supervised fine-tuning. Finally, we discuss the challenges and opportunities in this evolving field and propose future directions to advance the efficiency, generalizability, and robustness of VRDU systems.