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Generating Natural-Language Surgical Feedback: From Structured Representation to Domain-Grounded Evaluation

arXiv.org Artificial Intelligence

High-quality intraoperative feedback from a surgical trainer is pivotal for improving trainee performance and long-term skill acquisition. Automating natural, trainer-style feedback promises timely, accessible, and consistent guidance at scale but requires models that understand clinically relevant representations. We present a structure-aware pipeline that learns a surgical action ontology from real trainer-to-trainee transcripts (33 surgeries) and uses it to condition feedback generation. We contribute by (1) mining Instrument-Action-Target (IAT) triplets from real-world feedback text and clustering surface forms into normalized categories, (2) fine-tuning a video-to-IAT model that leverages the surgical procedure and task contexts as well as fine-grained temporal instrument motion, and (3) demonstrating how to effectively use IAT triplet representations to guide GPT-4o in generating clinically grounded, trainer-style feedback. We show that, on Task 1: Video-to-IAT recognition, our context injection and temporal tracking deliver consistent AUC gains (Instrument: 0.67 to 0.74; Action: 0.60 to 0.63; Tissue: 0.74 to 0.79). For Task 2: feedback text generation (rated on a 1-5 fidelity rubric where 1 = opposite/unsafe, 3 = admissible, and 5 = perfect match to a human trainer), GPT-4o from video alone scores 2.17, while IAT conditioning reaches 2.44 (+12.4%), doubling the share of admissible generations with score >= 3 from 21% to 42%. Traditional text-similarity metrics also improve: word error rate decreases by 15-31% and ROUGE (phrase/substring overlap) increases by 9-64%. Grounding generation in explicit IAT structure improves fidelity and yields clinician-verifiable rationales, supporting auditable use in surgical training.


Parameter Importance-Driven Continual Learning for Foundation Models

arXiv.org Artificial Intelligence

Domain-specific post-training often causes catastrophic forgetting, making foundation models lose their general reasoning ability and limiting their adaptability to dynamic real-world environments. Preserving general capabilities while acquiring downstream domain knowledge is a central challenge for large language and multimodal models. Traditional continual learning methods, such as regularization, replay and architectural isolation, suffer from poor downstream performance, reliance on inaccessible historical data, or additional parameter overhead. While recent parameter-efficient tuning (PET) methods can alleviate forgetting, their effectiveness strongly depends on the choice of parameters and update strategies. In this paper, we introduce PIECE, a Parameter Importance Estimation-based Continual Enhancement method that preserves general ability while efficiently learning domain knowledge without accessing prior training data or increasing model parameters. PIECE selectively updates only 0.1% of core parameters most relevant to new tasks, guided by two importance estimators: PIECE-F based on Fisher Information, and PIECE-S based on a second-order normalization that combines gradient and curvature information. Experiments across three language models and two multimodal models show that PIECE maintains general capabilities and achieves state-of-the-art continual learning performance across diverse downstream tasks. Our results highlight a practical path to scalable, domain-adaptive foundation models without catastrophic forgetting.


RescueLens: LLM-Powered Triage and Action on Volunteer Feedback for Food Rescue

arXiv.org Artificial Intelligence

Food rescue organizations simultaneously tackle food insecurity and waste by working with volunteers to redistribute food from donors who have excess to recipients who need it. Volunteer feedback allows food rescue organizations to identify issues early and ensure volunteer satisfaction. However, food rescue organizations monitor feedback manually, which can be cumbersome and labor-intensive, making it difficult to prioritize which issues are most important. In this work, we investigate how large language models (LLMs) assist food rescue organizers in understanding and taking action based on volunteer experiences. We work with 412 Food Rescue, a large food rescue organization based in Pittsburgh, Pennsylvania, to design RescueLens, an LLM-powered tool that automatically categorizes volunteer feedback, suggests donors and recipients to follow up with, and updates volunteer directions based on feedback. We evaluate the performance of RescueLens on an annotated dataset, and show that it can recover 96% of volunteer issues at 71% precision. Moreover, by ranking donors and recipients according to their rates of volunteer issues, RescueLens allows organizers to focus on 0.5% of donors responsible for more than 30% of volunteer issues. RescueLens is now deployed at 412 Food Rescue and through semi-structured interviews with organizers, we find that RescueLens streamlines the feedback process so organizers better allocate their time.


Exploration of Summarization by Generative Language Models for Automated Scoring of Long Essays

arXiv.org Artificial Intelligence

The majority of summarized essays fall well below the 512 - token limit (marked by the red dashed line), indicating that the summarization process effectively compressed the original texts while maintaining consistency in length. The smooth decline beyond 300 tokens and the sparse occurrence of samples approaching the upper l imit suggest that v ery few summaries exceeded the intended compression threshold. Overall, this distribution demonstrates that the GPT - 5 - mini summarizer produced concise and length - stable representations, ensuring efficient model input handling and minimizing the risk of truncation in downstream processing.


HSKBenchmark: Modeling and Benchmarking Chinese Second Language Acquisition in Large Language Models through Curriculum Tuning

arXiv.org Artificial Intelligence

Language acquisition is vital to revealing the nature of human language intelligence and has recently emerged as a promising perspective for improving the interpretability of large language models (LLMs). However, it is ethically and practically infeasible to conduct experiments that require controlling human learners' language inputs. This poses challenges for the verifiability and scalability of language acquisition modeling, particularly in Chinese second language acquisition (SLA). While LLMs provide a controllable and reproducible alternative, a systematic benchmark to support phase-wise modeling and assessment is still lacking. In this paper, we present HSKBenchmark, the first benchmark for staged modeling and writing assessment of LLMs in Chinese SLA. It covers HSK levels 3 to 6 and includes authentic textbooks with 6.76 million tokens, 16K synthetic instruction samples, 30 test topics, and a linguistically grounded evaluation system. To simulate human learning trajectories, we introduce a curriculum-tuning framework that trains models from beginner to advanced levels. An evaluation system is created to examine level-based grammar coverage, writing errors, lexical and syntactic complexity, and holistic scoring. We also build HSKAgent, fine-tuned on 10K learner compositions. Extensive experimental results demonstrate that HSKBenchmark not only models Chinese SLA effectively, but also serves as a reliable benchmark for dynamic writing assessment in LLMs. Our fine-tuned LLMs have writing performance on par with advanced human learners and exhibit human-like acquisition characteristics. The HSKBenchmark, HSKAgent, and checkpoints serve as foundational tools and resources, with the potential to pave the way for future research on language acquisition modeling and LLMs interpretability. Code and data are publicly available at: https://github.com/CharlesYang030/HSKB.


Insights from the ICLR Peer Review and Rebuttal Process

arXiv.org Artificial Intelligence

Peer review is a cornerstone of scientific publishing, including at premier machine learning conferences such as ICLR. As submission volumes increase, understanding the nature and dynamics of the review process is crucial for improving its efficiency, effectiveness, and the quality of published papers. We present a large-scale analysis of the ICLR 2024 and 2025 peer review processes, focusing on before- and after-rebuttal scores and reviewer-author interactions. We examine review scores, author-reviewer engagement, temporal patterns in review submissions, and co-reviewer influence effects. Combining quantitative analyses with LLM-based categorization of review texts and rebuttal discussions, we identify common strengths and weaknesses for each rating group, as well as trends in rebuttal strategies that are most strongly associated with score changes. Our findings show that initial scores and the ratings of co-reviewers are the strongest predictors of score changes during the rebuttal, pointing to a degree of reviewer influence. Rebuttals play a valuable role in improving outcomes for borderline papers, where thoughtful author responses can meaningfully shift reviewer perspectives. More broadly, our study offers evidence-based insights to improve the peer review process, guiding authors on effective rebuttal strategies and helping the community design fairer and more efficient review processes. Our code and score changes data are available at https://github.com/papercopilot/iclr-insights.


HISE-KT: Synergizing Heterogeneous Information Networks and LLMs for Explainable Knowledge Tracing with Meta-Path Optimization

arXiv.org Artificial Intelligence

Knowledge Tracing (KT) aims to mine students' evolving knowledge states and predict their future question-answering performance. Existing methods based on heterogeneous information networks (HINs) are prone to introducing noises due to manual or random selection of meta-paths and lack necessary quality assessment of meta-path instances. Conversely, recent large language models (LLMs)- based methods ignore the rich information across students, and both paradigms struggle to deliver consistently accurate and evidence-based explanations. To address these issues, we propose an innovative framework, HIN-LLM Synergistic Enhanced Knowledge Tracing (HISE-KT), which seam-lessly integrates HINs with LLMs. HISE-KT first builds a multi-relationship HIN containing diverse node types to capture the structural relations through multiple meta-paths. The LLM is then employed to intelligently score and filter meta-path instances and retain high-quality paths, pioneering automated meta-path quality assessment. Inspired by educational psychology principles, a similar student retrieval mechanism based on meta-paths is designed to provide a more valuable context for prediction. Finally, HISE-KT uses a structured prompt to integrate the target student's history with the retrieved similar trajectories, enabling the LLM to generate not only accurate predictions but also evidence-backed, explainable analysis reports. Experiments on four public datasets show that HISE-KT outperforms existing KT baselines in both prediction performance and interpretability.


HinTel-AlignBench: A Framework and Benchmark for Hindi-Telugu with English-Aligned Samples

arXiv.org Artificial Intelligence

With nearly 1.5 billion people and more than 120 major languages, India represents one of the most diverse regions in the world. As multilingual Vision-Language Models (VLMs) gain prominence, robust evaluation methodologies are essential to drive progress toward equitable AI for low-resource languages. Current multilingual VLM evaluations suffer from four major limitations: reliance on unverified auto-translations, narrow task/domain coverage, limited sample sizes, and lack of cultural and natively sourced Question-Answering (QA). To address these gaps, we present a scalable framework to evaluate VLMs in Indian languages and compare it with performance in English. Using the framework, we generate HinTel-AlignBench, a benchmark that draws from diverse sources in Hindi and Telugu with English-aligned samples. Our contributions are threefold: (1) a semi-automated dataset creation framework combining back-translation, filtering, and human verification; (2) the most comprehensive vision-language benchmark for Hindi and and Telugu, including adapted English datasets (VQAv2, RealWorldQA, CLEVR-Math) and native novel Indic datasets (JEE for STEM, VAANI for cultural grounding) with approximately 4,000 QA pairs per language; and (3) a detailed performance analysis of various State-of-the-Art (SOTA) open-weight and closed-source VLMs. We find a regression in performance for tasks in English versus in Indian languages for 4 out of 5 tasks across all the models, with an average regression of 8.3 points in Hindi and 5.5 points for Telugu. We categorize common failure modes to highlight concrete areas of improvement in multilingual multimodal understanding.


Teaching According to Students' Aptitude: Personalized Mathematics Tutoring via Persona-, Memory-, and Forgetting-Aware LLMs

arXiv.org Artificial Intelligence

Large Language Models (LLMs) are increasingly integrated into intelligent tutoring systems to provide human-like and adaptive instruction. However, most existing approaches fail to capture how students' knowledge evolves dynamically across their proficiencies, conceptual gaps, and forgetting patterns. This challenge is particularly acute in mathematics tutoring, where effective instruction requires fine-grained scaffolding precisely calibrated to each student's mastery level and cognitive retention. To address this issue, we propose T ASA (Teaching According to Students' Aptitude), a student-aware tutoring framework that integrates persona, memory, and forgetting dynamics for personalized mathematics learning. Specifically, T ASA maintains a structured student persona capturing proficiency profiles and an event memory recording prior learning interactions. By incorporating a continuous forgetting curve with knowledge tracing, T ASA dynamically updates each student's mastery state and generates contextually appropriate, difficulty-calibrated questions and explanations. Empirical results demonstrate that T ASA achieves superior learning outcomes and more adaptive tutoring behavior compared to representative baselines, underscoring the importance of modeling temporal forgetting and learner profiles in LLM-based tutoring systems.


Novel sparse matrix algorithm expands the feasible size of a self-organizing map of the knowledge indexed by a database of peer-reviewed medical literature

arXiv.org Artificial Intelligence

Past efforts to map the Medline database have been limited to small subsets of the available data because of the exponentially increasing memory and processing demands of existing algorithms. We designed a novel algorithm for sparse matrix multiplication that allowed us to apply a self-organizing map to the entire Medline dataset, allowing for a more complete map of existing medical knowledge. The algorithm also increases the feasibility of refining the self-organizing map to account for changes in the dataset over time.