Marco Naguib

Jamil Zaghir, Marco Naguib, Mina Bjelogrlic et al.

Prompt engineering is crucial for harnessing the potential of large language models (LLMs), especially in the medical domain where specialized terminology and phrasing is used. However, the efficacy of prompt engineering in the medical domain remains to be explored. In this work, 114 recent studies (2022-2024) applying prompt engineering in medicine, covering prompt learning (PL), prompt tuning (PT), and prompt design (PD) are reviewed. PD is the most prevalent (78 articles). In 12 papers, PD, PL, and PT terms were used interchangeably. ChatGPT is the most commonly used LLM, with seven papers using it for processing sensitive clinical data. Chain-of-Thought emerges as the most common prompt engineering technique. While PL and PT articles typically provide a baseline for evaluating prompt-based approaches, 64% of PD studies lack non-prompt-related baselines. We provide tables and figures summarizing existing work, and reporting recommendations to guide future research contributions.

Marco Naguib, Xavier Tannier, Aurélie Névéol

Large language models (LLMs) have become the preferred solution for many natural language processing tasks. In low-resource environments such as specialized domains, their few-shot capabilities are expected to deliver high performance. Named Entity Recognition (NER) is a critical task in information extraction that is not covered in recent LLM benchmarks. There is a need for better understanding the performance of LLMs for NER in a variety of settings including languages other than English. This study aims to evaluate generative LLMs, employed through prompt engineering, for few-shot clinical NER. %from the perspective of F1 performance and environmental impact. We compare 13 auto-regressive models using prompting and 16 masked models using fine-tuning on 14 NER datasets covering English, French and Spanish. While prompt-based auto-regressive models achieve competitive F1 for general NER, they are outperformed within the clinical domain by lighter biLSTM-CRF taggers based on masked models. Additionally, masked models exhibit lower environmental impact compared to auto-regressive models. Findings are consistent across the three languages studied, which suggests that LLM prompting is not yet suited for NER production in the clinical domain.