Zhengxu Li

Zhengxu Li, Junling Wang, April Yi Wang

Generative AI has the potential to help teachers rapidly create classroom-ready visual materials, particularly in mathematics where diagrams and visual representations must be pedagogically meaningful and instructionally correct. However, current generative tools primarily support prompting and post-hoc editing, leaving open a key question for correctness-sensitive educational authoring: when in the generation pipeline should teachers exert control? In this paper, we investigate how the timing of human control in AI-assisted generation shapes teachers' visual authoring practices in correctness-sensitive tasks. We introduce a design space of three stages of control: pre-generation control, where users specify intent solely through natural language prompts before generation; mid-generation control, where users inspect and confirm an explicit layout structure before the system completes generation; and post-generation control, where users directly modify AI-generated visuals after generation through object-level edits. In a within-subject, mixed-methods study with 24 primary mathematics teachers, post-generation control received higher ratings on predictability and correctness, while other subjective measures showed no reliable differences. Qualitative findings explain these differences by revealing workflow trade-offs: highly automated, pre-generation control supports rapid ideation but reduces perceived agency and predictability; mid-generation control improves structural alignment at the cost of additional effort; and post-generation control preserves user agency through low-cost, direct verification and correction. Together, these results suggest that in correctness-sensitive educational tasks, effective generative tools should align system behavior with teacher intent and support stage-dependent workflows that combine automation with direct manipulation.

Wenhao Li, Hongkuan Zhang, Hongwei Zhang et al.

Current medical language models, adapted from large language models (LLMs), typically predict ICD code-based diagnosis from electronic health records (EHRs) because these labels are readily available. However, ICD codes do not capture the nuanced, context-rich reasoning clinicians use for diagnosis. Clinicians synthesize diverse patient data and reference clinical practice guidelines (CPGs) to make evidence-based decisions. This misalignment limits the clinical utility of existing models. We introduce GARMLE-G, a Generation-Augmented Retrieval framework that grounds medical language model outputs in authoritative CPGs. Unlike conventional Retrieval-Augmented Generation based approaches, GARMLE-G enables hallucination-free outputs by directly retrieving authoritative guideline content without relying on model-generated text. It (1) integrates LLM predictions with EHR data to create semantically rich queries, (2) retrieves relevant CPG knowledge snippets via embedding similarity, and (3) fuses guideline content with model output to generate clinically aligned recommendations. A prototype system for hypertension diagnosis was developed and evaluated on multiple metrics, demonstrating superior retrieval precision, semantic relevance, and clinical guideline adherence compared to RAG-based baselines, while maintaining a lightweight architecture suitable for localized healthcare deployment. This work provides a scalable, low-cost, and hallucination-free method for grounding medical language models in evidence-based clinical practice, with strong potential for broader clinical deployment.