The unstructured nature of clinical notes within electronic health records often conceals vital patient-related information, making it challenging to access or interpret. To uncover this hidden information, specialized Natural Language Processing (NLP) models are required. However, training these models necessitates large amounts of labeled data, a process that is both time-consuming and costly when relying solely on human experts for annotation. In this paper, we propose an approach that combines Large Language Models (LLMs) with human expertise to create an efficient method for generating ground truth labels for medical text annotation. By utilizing LLMs in conjunction with human annotators, we significantly reduce the human annotation burden, enabling the rapid creation of labeled datasets. We rigorously evaluate our method on a medical information extraction task, demonstrating that our approach not only substantially cuts down on human intervention but also maintains high accuracy. The results highlight the potential of using LLMs to improve the utilization of unstructured clinical data, allowing for the swift deployment of tailored NLP solutions in healthcare.

Ensuring that large language models (LMs) are fair, robust and useful requires an understanding of how different modifications to their inputs impact the model's behaviour. In the context of open-text generation tasks, however, such an evaluation is not trivial. For example, when introducing a model with an input text and a perturbed, "contrastive" version of it, meaningful differences in the next-token predictions may not be revealed with standard decoding strategies. With this motivation in mind, we propose Contrastive Input Decoding (CID): a decoding algorithm to generate text given two inputs, where the generated text is likely given one input but unlikely given the other. In this way, the contrastive generations can highlight potentially subtle differences in how the LM output differs for the two inputs in a simple and interpretable manner. We use CID to highlight context-specific biases that are hard to detect with standard decoding strategies and quantify the effect of different input perturbations.