Classroom behavior monitoring is a critical aspect of educational research, with significant implications for student engagement and learning outcomes. Recent advancements in Visual Question Answering (VQA) models offer promising tools for automatically analyzing complex classroom interactions from video recordings. In this paper, we investigate the applicability of several state-of-the-art open-source VQA models, including LLaMA2, LLaMA3, QWEN3, and NVILA, in the context of classroom behavior analysis. To facilitate rigorous evaluation, we introduce our BAV-Classroom-VQA dataset derived from real-world classroom video recordings at the Banking Academy of Vietnam. We present the methodology for data collection, annotation, and benchmark the performance of the selected VQA models on this dataset. Our initial experimental results demonstrate that all four models achieve promising performance levels in answering behavior-related visual questions, showcasing their potential in future classroom analytics and intervention systems.

PlantVillageVQA is a large-scale visual question answering (VQA) dataset derived from the widely used PlantVillage image corpus. It was designed to advance the development and evaluation of vision-language models for agricultural decision-making and analysis. The PlantVillageVQA dataset comprises 193,609 high-quality question-answer (QA) pairs grounded over 55,448 images spanning 14 crop species and 38 disease conditions. Questions are organised into 3 levels of cognitive complexity and 9 distinct categories. Each question category was phrased manually following expert guidance and generated via an automated two-stage pipeline: (1) template-based QA synthesis from image metadata and (2) multi-stage linguistic re-engineering. The dataset was iteratively reviewed by domain experts for scientific accuracy and relevancy. The final dataset was evaluated using three state-of-the-art models for quality assessment. Our objective remains to provide a publicly available, standardised and expert-verified database to enhance diagnostic accuracy for plant disease identifications and advance scientific research in the agricultural domain. Our dataset will be open-sourced at https://huggingface.co/datasets/SyedNazmusSakib/PlantVillageVQA.

Multi-hop question answering faces substantial challenges due to data sparsity, which increases the likelihood of language models learning spurious patterns. To address this issue, prior research has focused on diversifying question generation through content planning and varied expression. However, these approaches often emphasize generating simple questions and neglect the integration of essential knowledge, such as relevant sentences within documents. This paper introduces the Knowledge Composition Sampling (KCS), an innovative framework designed to expand the diversity of generated multi-hop questions by sampling varied knowledge compositions within a given context. KCS models the knowledge composition selection as a sentence-level conditional prediction task and utilizes a probabilistic contrastive loss to predict the next most relevant piece of knowledge. During inference, we employ a stochastic decoding strategy to effectively balance accuracy and diversity. Compared to competitive baselines, our KCS improves the overall accuracy of knowledge composition selection by 3.9%, and its application for data augmentation yields improvements on HotpotQA and 2WikiMultihopQA datasets. Our code is available at: https://github.com/yangfanww/kcs.

This is an overview of the thirteenth edition of the BioASQ challenge in the context of the Conference and Labs of the Evaluation Forum (CLEF) 2025. BioASQ is a series of international challenges promoting advances in large-scale biomedical semantic indexing and question answering. This year, BioASQ consisted of new editions of the two established tasks, b and Synergy, and four new tasks: a) Task MultiClinSum on multilingual clinical summarization. b) Task BioNNE-L on nested named entity linking in Russian and English. c) Task ELCardioCC on clinical coding in cardiology. d) Task GutBrainIE on gut-brain interplay information extraction. In this edition of BioASQ, 83 competing teams participated with more than 1000 distinct submissions in total for the six different shared tasks of the challenge. Similar to previous editions, several participating systems achieved competitive performance, indicating the continuous advancement of the state-of-the-art in the field.

This is an overview of the twelfth edition of the BioASQ challenge in the context of the Conference and Labs of the Evaluation Forum (CLEF) 2024. BioASQ is a series of international challenges promoting advances in large-scale biomedical semantic indexing and question answering. This year, BioASQ consisted of new editions of the two established tasks b and Synergy, and two new tasks: a) MultiCardioNER on the adaptation of clinical entity detection to the cardiology domain in a multilingual setting, and b) BIONNE on nested NER in Russian and English. In this edition of BioASQ, 37 competing teams participated with more than 700 distinct submissions in total for the four different shared tasks of the challenge. Similarly to previous editions, most of the participating systems achieved competitive performance, suggesting the continuous advancement of the state-of-the-art in the field.

Large language models (LLMs) show promise for extracting information from Electronic Health Records (EHR) and supporting clinical decisions. However, deployment in clinical settings faces challenges due to hallucination risks. We propose Hallucination Controlled Accuracy at k% (HCAcc@k%), a novel metric quantifying the accuracy-reliability trade-off at varying confidence thresholds. We introduce TrustEHRAgent, a confidence-aware agent incorporating stepwise confidence estimation for clinical question answering. Experiments on MIMIC-III and eICU datasets show TrustEHRAgent outperforms baselines under strict reliability constraints, achieving improvements of 44.23%p and 25.34%p at HCAcc@70% while baseline methods fail at these thresholds. These results highlight limitations of traditional accuracy metrics in evaluating healthcare AI agents. Our work contributes to developing trustworthy clinical agents that deliver accurate information or transparently express uncertainty when confidence is low.

In high-stakes medical applications, consistent answering across diverse question phrasings is essential for reliable diagnosis. However, we reveal that current Medical Vision-Language Models (Med-VLMs) exhibit concerning fragility in Medical Visual Question Answering, as their answers fluctuate significantly when faced with semantically equivalent rephrasings of medical questions. We attribute this to two limitations: (1) insufficient alignment of medical concepts, leading to divergent reasoning patterns, and (2) hidden biases in training data that prioritize syntactic shortcuts over semantic understanding. To address these challenges, we construct RoMed, a dataset built upon original VQA datasets containing 144k questions with variations spanning word-level, sentence-level, and semantic-level perturbations. When evaluating state-of-the-art (SOTA) models like LLaVA-Med on RoMed, we observe alarming performance drops (e.g., a 40\% decline in Recall) compared to original VQA benchmarks, exposing critical robustness gaps. To bridge this gap, we propose Consistency and Contrastive Learning (CCL), which integrates two key components: (1) knowledge-anchored consistency learning, aligning Med-VLMs with medical knowledge rather than shallow feature patterns, and (2) bias-aware contrastive learning, mitigating data-specific priors through discriminative representation refinement. CCL achieves SOTA performance on three popular VQA benchmarks and notably improves answer consistency by 50\% on the challenging RoMed test set, demonstrating significantly enhanced robustness. Code will be released.

--Vision-language models (VLMs) have shown significant potential for medical tasks; however, their general-purpose nature can limit specialized diagnostic accuracy, and their large size poses substantial inference costs for real-world clinical deployment. T o address these challenges, we introduce CLARIFY, a Specialist-Generalist framework for dermatological visual question answering (VQA). CLARIFY combines two components: (i) a lightweight, domain-trained image classifier (the Specialist) that provides fast and highly accurate diagnostic predictions, and (ii) a powerful yet compressed conversational VLM (the Generalist) that generates natural language explanations to user query. This synergy is further enhanced by a knowledge graph-based retrieval module, which grounds the Generalist's responses in factual dermatological knowledge, ensuring both accuracy and reliability. This hierarchical design not only reduces diagnostic errors but also significantly improves computational efficiency. Experiments on our curated multimodal dermatology dataset demonstrate that CLARIFY achieves an 18% improvement in diagnostic accuracy over the strongest baseline--a fine-tuned, uncompressed single-line VLM--while reducing the average VRAM requirement and latency by at least 20% and 5% respectively. These results indicate that a Specialist-Generalist system provides a practical and powerful paradigm for building lightweight, trustworthy, and clinically viable AI systems. ISION language models (VLMs) like LLaV A [1] and Qwen-VL [2] have demonstrated a remarkable ability to interpret and reason about joint visual and textual data [3]. Their potential in medicine is vast, with promising applications in tasks ranging from radiological report generation to comprehensive clinical decision support [4], [5]. However, translating this potential into reliable clinical tools faces some critical hurdles.

A majority of recent work in AI assesses models' generalization capabilities through the lens of performance on out-of-distribution (OOD) datasets. Despite their practicality, such evaluations build upon a strong assumption: that OOD evaluations can capture and reflect upon possible failures in a real-world deployment. In this work, we challenge this assumption and confront the results obtained from OOD evaluations with a set of specific failure modes documented in existing question-answering (QA) models, referred to as a reliance on spurious features or prediction shortcuts. We find that different datasets used for OOD evaluations in QA provide an estimate of models' robustness to shortcuts that have a vastly different quality, some largely under-performing even a simple, in-distribution evaluation. We partially attribute this to the observation that spurious shortcuts are shared across ID+OOD datasets, but also find cases where a dataset's quality for training and evaluation is largely disconnected. Our work underlines limitations of commonly-used OOD-based evaluations of generalization, and provides methodology and recommendations for evaluating generalization within and beyond QA more robustly.

Through a controlled study, we identify a systematic deficiency in the multimodal grounding of Vision Language Models (VLMs). While VLMs can recall factual associations when provided a textual reference to an entity; their ability to do so is significantly diminished when the reference is visual instead. Forcing VLMs to rely on image representations of an entity halves their ability to recall factual knowledge, suggesting that VLMs struggle to link their internal knowledge of an entity with its image representation. We show that such linking failures are correlated with the expression of distinct patterns in model internal states, and that probes on these internal states achieve over 92% accuracy at flagging cases where the VLM response is unreliable. These probes can be applied, without retraining, to identify when a VLM will fail to correctly answer a question that requires an understanding of multimodal input. When used to facilitate selective prediction on a visual question answering task, the probes increase coverage by 7.87% (absolute) while also reducing the risk of error by 0.9% (absolute). Addressing the systematic, detectable deficiency is an important avenue in language grounding, and we provide informed recommendations for future directions.