Kenza Benkirane

Kenza Benkirane, Dan Goldwater, Martin Asenov et al.

Document intelligence requires accurate text extraction and reliable reasoning over document content. We introduce \textbf{DISCO}, a \emph{Document Intelligence Suite for COmparative Evaluation}, that evaluates optical character recognition (OCR) pipelines and vision-language models (VLMs) separately on parsing and question answering across diverse document types, including handwritten text, multilingual scripts, medical forms, infographics, and multi-page documents. Our evaluation shows that performance varies substantially across tasks and document characteristics, underscoring the need for complexity-aware approach selection. OCR pipelines are generally more reliable for handwriting and for long or multi-page documents, where explicit text grounding supports text-heavy reasoning, while VLMs perform better on multilingual text and visually rich layouts. Task-aware prompting yields mixed effects, improving performance on some document types while degrading it on others. These findings provide empirical guidance for selecting document processing strategies based on document structure and reasoning demands.

Martin Asenov, Kenza Benkirane, Dan Goldwater et al.

Retrieval-augmented generation (RAG) is a common way to ground language models in external documents and up-to-date information. Classical retrieval systems relied on lexical methods such as BM25, which rank documents by term overlap with corpus-level weighting. End-to-end multimodal retrievers trained on large query-document datasets claim substantial improvements over these approaches, especially for multilingual documents with complex visual layouts. We demonstrate that better document representation is the primary driver of benchmark improvements. By systematically varying transcription and preprocessing methods while holding the retrieval mechanism fixed, we demonstrate that BM25 can recover large gaps on multilingual and visual benchmarks. Our findings call for decomposed evaluation benchmarks that separately measure transcription and retrieval capabilities, enabling the field to correctly attribute progress and focus effort where it matters.

Kenza Benkirane, Jackie Kay, Maria Perez-Ortiz

Recent advancements in Large Language Models (LLMs) have positioned them as powerful tools for clinical decision-making, with rapidly expanding applications in healthcare. However, concerns about bias remain a significant challenge in the clinical implementation of LLMs, particularly regarding gender and ethnicity. This research investigates the evaluation and mitigation of bias in LLMs applied to complex clinical cases, focusing on gender and ethnicity biases. We introduce a novel Counterfactual Patient Variations (CPV) dataset derived from the JAMA Clinical Challenge. Using this dataset, we built a framework for bias evaluation, employing both Multiple Choice Questions (MCQs) and corresponding explanations. We explore prompting with eight LLMs and fine-tuning as debiasing methods. Our findings reveal that addressing social biases in LLMs requires a multidimensional approach as mitigating gender bias can occur while introducing ethnicity biases, and that gender bias in LLM embeddings varies significantly across medical specialities. We demonstrate that evaluating both MCQ response and explanation processes is crucial, as correct responses can be based on biased \textit{reasoning}. We provide a framework for evaluating LLM bias in real-world clinical cases, offer insights into the complex nature of bias in these models, and present strategies for bias mitigation.