Lee White

Stefan Baack, Stella Biderman, Kasia Odrozek et al. · huggingface

Many AI companies are training their large language models (LLMs) on data without the permission of the copyright owners. The permissibility of doing so varies by jurisdiction: in countries like the EU and Japan, this is allowed under certain restrictions, while in the United States, the legal landscape is more ambiguous. Regardless of the legal status, concerns from creative producers have led to several high-profile copyright lawsuits, and the threat of litigation is commonly cited as a reason for the recent trend towards minimizing the information shared about training datasets by both corporate and public interest actors. This trend in limiting data information causes harm by hindering transparency, accountability, and innovation in the broader ecosystem by denying researchers, auditors, and impacted individuals access to the information needed to understand AI models. While this could be mitigated by training language models on open access and public domain data, at the time of writing, there are no such models (trained at a meaningful scale) due to the substantial technical and sociological challenges in assembling the necessary corpus. These challenges include incomplete and unreliable metadata, the cost and complexity of digitizing physical records, and the diverse set of legal and technical skills required to ensure relevance and responsibility in a quickly changing landscape. Building towards a future where AI systems can be trained on openly licensed data that is responsibly curated and governed requires collaboration across legal, technical, and policy domains, along with investments in metadata standards, digitization, and fostering a culture of openness.

Alejandra Perez, Anita Rau, Lee White et al.

Surgeons don't just see -- they interpret. When an expert observes a surgical scene, they understand not only what instrument is being used, but why it was chosen, what risk it poses, and what comes next. Current surgical AI cannot answer such questions, largely because training data that explicitly encodes surgical reasoning is immensely difficult to annotate at scale. Yet surgical video lectures already contain exactly this -- explanations of intent, rationale, and anticipation, narrated by experts for the purpose of teaching. Though inherently noisy and unstructured, these narrations encode the reasoning that surgical AI currently lacks. We introduce SUREON, a large-scale video QA dataset that systematically harvests this training signal from surgical academic videos. SUREON defines 12 question categories covering safety assessment, decision rationale, and forecasting, and uses a multi-agent pipeline to extract and structure supervision at scale. Across 134.7K clips and 170 procedure types, SUREON yields 206.8k QA pairs and an expert-validated benchmark of 354 examples. To evaluate the extent to which this supervision translates to surgical reasoning ability, we introduce two models: SureonVLM, a vision-language model adapted through supervised fine-tuning, and SureonVLM-R1, a reasoning model trained with Group Relative Policy Optimization. Both models can answer complex questions about surgery and substantially outperform larger general-domain models, exceeding 84% accuracy on the SUREON benchmark while outperforming general-domain models on standard surgical perception tasks. Qualitative analysis of SureonVLM-R1 reveals explicit reasoning behavior, such as inferring operative intent from visual context.