Austria

Clinical notes contain crucial information about medical decisions, including diagnosis, treatment choices, and follow-up plans. However, these decisions are embedded within unstructured text, making it challenging to systematically analyze decision-making patterns or support clinical workflows. We present MedDecXtract, an open-source interactive system that automatically extracts and visualizes medical decisions from clinical text. The system combines a RoBERTa-based model for identifying ten categories of medical decisions (e.g., diagnosis, treatment, follow-up) according to the DICTUM framework, with an intuitive interface for exploration, visualization, and annotation. The system enables various applications including clinical decision support, research on decision patterns, and creation of training data for improved medical language models. The system and its source code can be accessed at https://mohdelgaar-clinical-decisions.hf.space. A video demo is available at https://youtu.be/19j6-XtIE_s.

ACL 2025

MedDecXtract: A Clinician-Support System for Extracting, Visualizing, and Annotating Medical Decisions in Clinical Narratives

medical decisions

span extraction

clinical nlp

### Welcome!
The 62nd Annual Meeting of the Association for Computational Linguistics (ACL 2024) will take place in Bangkok, Thailand from August 11th to 16th, 2024. Our Virtual Poster Sessions will take place online Thursday, August 22, 2024.

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ACL 2024

The 62nd Annual Meeting of the Association for Computational Linguistics (ACL 2024) will take place in Bangkok, Thailand from August 11th to 16th, 2024. More information will be announced soon.

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### Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

Message from the General Chair: 
*It is my great pleasure and honor to welcome you to the 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025), held in beautiful Vienna, Austria, from July 27 to August 1, 2025. ACL2025continues our field’s tradition of excellence in scholarship, innovation, and inclusivity, and I am deeply grateful to the many volunteers who have worked tirelessly to bring this event to life.* 
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Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

While originally designed for unidirectional generative modeling, decoder-only large language models (LLMs) are increasingly being adapted for bidirectional modeling. However, unidirectional and bidirectional models are typically trained separately with distinct objectives (generation and representation learning). This separation overlooks the opportunity for developing a more versatile language model and for these objectives to complement each other. In this work, we propose MAGNET, a method for adapting decoder-only LLMs to generate robust representations and infill missing text spans. MAGNET employs three self-supervised training objectives and introduces an attention mechanism that combines bidirectional and causal attention, enabling unified training across all objectives. Our results demonstrate that LLMs adapted with MAGNET (1) surpass strong text encoders on token-level and sentence-level representation learning tasks, (2) generate contextually appropriate text infills by leveraging past and future contexts, (3) perform open-ended text generation without excessive repetition of words or phrases, and (4) preserve the knowledge and reasoning capability gained by the LLM during pretraining.

MAGNET: Augmenting Generative Decoders with Representation Learning and Infilling Capabilities

Recent large-scale T2I models like DALLE-3 have made progress in reducing gender stereotypes when generating single-person images. However, significant biases remain when generating images with more than one person. To systematically evaluate this, we propose the **Paired Stereotype Test (PST)** framework, which queries T2I models to depict two individuals assigned with male-stereotyped and female-stereotyped social identities, respectively (e.g. "a CEO" and "an Assistant"). This contrastive setting often triggers T2I models to generate gender-stereotyped images. Using PST, we evaluate two aspects of gender biases -- the well-known **bias in gendered occupation** and a novel aspect: **bias in organizational power**. Experiments show that **over 74% images generated by DALLE-3 display gender-occupational biases**. Additionally, compared to single-person settings, DALLE-3 is more likely to perpetuate male-associated stereotypes under PST. We further propose **FairCritic**, a novel and interpretable framework that leverages an LLM-based critic model to i) detect bias in generated images, and ii) adaptively provide feedback to T2I models for improving fairness. FairCritic achieves near-perfect fairness on PST, overcoming the limitations of previous prompt-based intervention approaches.

The Male CEO and the Female Assistant: Evaluation and Mitigation of Gender Biases in Text-To-Image Generation of Dual Subjects

Large Language Models (LLMs) excel in various natural language processing tasks but remain vulnerable to generating harmful content or being exploited for malicious purposes. Although safety alignment datasets have been introduced to mitigate such risks through supervised fine-tuning (SFT), these datasets often lack comprehensive risk coverage. Most existing datasets focus primarily on lexical diversity while neglecting other critical dimensions. To address this limitation, we propose a novel analysis framework to systematically measure the risk coverage of alignment datasets across three essential dimensions: Lexical Diversity, Malicious Intent, and Jailbreak Tactics. We further introduce TRIDENT, an automated pipeline that leverages persona-based, zero-shot LLM generation to produce diverse and comprehensive instructions spanning these dimensions. Each harmful instruction is paired with an ethically aligned response, resulting in two datasets: TRIDENT-Core, comprising 26,311 examples, and TRIDENT-Edge, with 18,773 examples. Fine-tuning Llama 3.1-8B on TRIDENT-Edge demonstrates substantial improvements, achieving an average 14.29% reduction in Harm Score, and a 20% decrease in Attack Success Rate compared to the best-performing baseline model fine-tuned on the WildBreak dataset.

TRIDENT: Enhancing Large Language Model Safety with Tri-Dimensional Diversified Red-Teaming Data Synthesis

State-of-the-art multimodal web agents, powered by Multimodal Large Language Models (MLLMs), can autonomously execute many web tasks by processing user instructions and interacting with graphical user interfaces (GUIs). Current strategies for building web agents rely on (i) the generalizability of underlying MLLMs and their steerability via prompting, and (ii) large-scale fine-tuning of MLLMs on web-related tasks. However, web agents still struggle to automate tasks on unseen websites and domains, limiting their applicability to enterprise-specific and proprietary platforms. Beyond generalization from large-scale pre-training and fine-tuning, we propose building agents for few-shot adaptability using human demonstrations. We introduce the AdaptAgent framework that enables both proprietary and open-weights multimodal web agents to adapt to new websites and domains using few human demonstrations (up to 2). Our experiments on two popular benchmarks — Mind2Web & VisualWebArena — show that using in-context demonstrations (for proprietary models) or meta-adaptation demonstrations (for meta-learned open-weights models) boosts task success rate by 3.36% to 7.21% over non-adapted state-of-the-art models, corresponding to a relative increase of 21.03% to 65.75%. Furthermore, our additional analyses (a) show the effectiveness of multimodal demonstrations over text-only ones, (b) illuminate how different meta-learning data selection strategies influence the agent’s generalization, and (c) demonstrate how the number of few-shot examples affects the web agent’s success rate. Our results offer a complementary axis for developing widely applicable multimodal web agents beyond large-scale pre-training and fine-tuning, emphasizing few-shot adaptability.

AdaptAgent: Adapting Multimodal Web Agents with Few-Shot Learning from Human Demonstrations

Open-world planning with incomplete knowledge is crucial for real-world embodied AI tasks. Despite that, existing LLM-based planners struggle with long chains of sequential reasoning, while symbolic planners face combinatorial explosion of states and actions for complex domains due to reliance on grounding. To address these deficiencies, we introduce LLM-Regress, an open-world planning approach integrating lifted regression with LLM-generated affordances. LLM-Regress generates sound and complete plans in a compact lifted form, avoiding exhaustive enumeration of irrelevant states and actions. Additionally, it makes efficient use of LLMs to infer goal-related objects and affordances without the need to predefine all possible objects and affordances. We conduct extensive experiments on three benchmarks and show that LLM-Regress significantly outperforms state-of-the-art LLM planners and a grounded planner using LLM-generated affordances.

Open-World Planning via Lifted Regression with LLM-Inferred Affordances for Embodied Agents

Evaluating large language model (LLM) is a complex task. Pairwise ranking has emerged as state-of-the-art method to evaluate human preferences by having humans compare pairs of LLM outputs based on predefined criteria, enabling ranking across multiple LLMs by aggregating pairwise results through algorithms like Elo. However, applying these ranking algorithms in the context of LLM evaluation introduces several challenges, such as inconsistent ranking results when using ELO. Currently there is a lack of systematic study of those ranking algorithms in evaluating LLMs. In this paper, we explore the effectiveness of ranking systems for head-to-head comparisons of LLMs. We formally define a set of fundamental principles for effective ranking and conduct extensive evaluations on the robustness of several ranking algorithms in the context of LLMs. Our analysis uncovers key insights into the factors that affect ranking accuracy and efficiency, offering guidelines for selecting the most appropriate methods based on specific evaluation contexts and resource constraints.

Ranking Unraveled: Recipes for LLM Rankings in Head-to-Head AI Combat

Recent advancements in long-context language models (LCLMs) promise to transform Retrieval-Augmented Generation (RAG) by simplifying pipelines. With their expanded context windows, LCLMs can process entire knowledge bases and perform retrieval and reasoning directly -- a capability we define as In-Context Retrieval and Reasoning (ICR^2). However, existing benchmarks like LOFT often overestimate LCLM performance by providing overly simplified contexts. To address this, we introduce ICR^2, a benchmark that evaluates LCLMs in more realistic scenarios by including confounding passages retrieved with strong retrievers. We then propose three methods to enhance LCLM performance: (1) retrieve-then-generate fine-tuning, (2) retrieval-attention-probing, which uses attention heads to filter and de-noise long contexts during decoding, and (3) joint retrieval head training alongside the generation head. Our evaluation of five well-known LCLMs on LOFT and ICR^2 demonstrates significant gains with our best approach applied to Mistral-7B: +17 and +15 points by Exact Match on LOFT, and +13 and +2 points on ICR^2, compared to vanilla RAG and supervised fine-tuning, respectively. It even outperforms GPT-4-Turbo on most tasks despite being a much smaller model.

Eliciting In-context Retrieval and Reasoning for Long-context Language Models

Large Language Models (LLMs) are powerful in-context learners, achieving strong performance with just a few high-quality demonstrations. However, fairness concerns arise in many in-context classification tasks, especially when predictions involve sensitive attributes. To address this, we propose JUDGE—a simple yet effective framework for selecting fair and representative demonstrations that improve group fairness in In-Context Learning. JUDGE constructs the demonstration set iteratively using a greedy approach, guided by a small, carefully selected jury set. Our method remains robust across varying LLM architectures and datasets, ensuring consistent fairness improvements. We evaluate JUDGE on four datasets using four LLMs, comparing it against seven baselines. Results show that JUDGE consistently improves fairness metrics without compromising accuracy.

Let The Jury Decide: Fair Demonstration Selection for In-Context Learning through Incremental Greedy Evaluation

We focus on the problem of fusing two or more heterogeneous large language models (LLMs) to leverage their complementary strengths. One of the challenges of model fusion is high computational load, specifically in fine-tuning or aligning vocabularies. To address this, we propose Cool-Fusion, a simple yet effective approach that fuses the knowledge of source LLMs, which does not require training. Unlike ensemble methods, Cool-Fusion is applicable to any set of source LLMs that have different vocabularies. To overcome the vocabulary discrepancies among LLMs, we ensemble LLMs on text level, allowing them to rerank the generated texts by each other with different granularities. Extensive experiments have been conducted across a variety of benchmark datasets. On GSM8K, Cool-Fusion increases accuracy from three strong source LLMs by a significant margin of 17.4\%.

Cool-Fusion: Fuse Large Language Models without Training

We evaluate the parseability of structured outputs generated by small language models for open attribute-value extraction from clinical notes. Across JSON, YAML, and XML, JSON consistently yields the highest parseability. Targeted prompts and larger models improve structural validity, while longer documents reduce it. Error analysis reveals common failure patterns. Our findings highlight how model size, prompt specificity, document type, and output format interact to affect structural reliability.

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MAGNET: Augmenting Generative Decoders with Representation Learning and Infilling Capabilities

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