Morocco

Artificial intelligence (AI) and large language models (LLMs) in healthcare require advanced clinical skills (CS), yet current benchmarks fail to evaluate these comprehensively. We introduce MedQA-CS, an AI-SCE framework inspired by medical education&#39;s Objective Structured Clinical Examinations (OSCEs), to address this gap. MedQA-CS evaluates LLMs through two instruction-following tasksвЂ”LLM-as-medical-student and LLM-as-CS-examinerвЂ”designed to reflect real clinical scenarios. Our contributions include developing MedQA-CS, a comprehensive evaluation framework with publicly available data and expert annotations, and providing the quantitative and qualitative assessment of LLMs as reliable judges in CS evaluation. Our experiments show that MedQA-CS is a more challenging benchmark for evaluating clinical skills than traditional multiple-choice QA benchmarks (e.g., MedQA). Combined with existing benchmarks, MedQA-CS enables a more comprehensive evaluation of LLMs&#39; clinical capabilities for both open- and closed-source LLMs.

EACL 2026

MedQA-CS: Objective Structured Clinical Examination (OSCE)-Style Benchmark for Evaluating LLM Clinical Skills

clinical skills

corpus creation; benchmarking

medical evaluation

osce

## Welcome!
"I am excited to welcome you to this year’s edition of the Conference on Empirical Methods in Natural Language Processing! Importantly, it marks the 30th edition of EMNLP. With over 8,000 submissions, more than 3,000 accepted papers, and thousands of attendees, we have come a long way from that first
workshop, which had 14 accepted papers. As the field looks ahead, Suzhou is the fitting location for celebrating this milestone: rooted in a long literary tradition, yet modern and forward-looking, and home to a large share of the NLP community."<br>

*Message from the General Chair, Dirk Hovy*





<br>

EMNLP 2025

Celebrate 30 Years of EMNLP! 
EMNLP 2025 will be held in Suzhou, China from November 5th to November 9th, 2025.

Artificial intelligence (AI) and large language models (LLMs) in healthcare require advanced clinical skills (CS), yet current benchmarks fail to evaluate these comprehensively. We introduce MedQA-CS, an AI-SCE framework inspired by medical education's Objective Structured Clinical Examinations (OSCEs), to address this gap. MedQA-CS evaluates LLMs through two instruction-following tasksвЂ”LLM-as-medical-student and LLM-as-CS-examinerвЂ”designed to reflect real clinical scenarios. Our contributions include developing MedQA-CS, a comprehensive evaluation framework with publicly available data and expert annotations, and providing the quantitative and qualitative assessment of LLMs as reliable judges in CS evaluation. Our experiments show that MedQA-CS is a more challenging benchmark for evaluating clinical skills than traditional multiple-choice QA benchmarks (e.g., MedQA). Combined with existing benchmarks, MedQA-CS enables a more comprehensive evaluation of LLMs' clinical capabilities for both open- and closed-source LLMs.

technical paper

#### *Message from the General Chair, Aline Villavicencio*
I’m delighted and honoured to welcome you to the 19th Conference of the European Chapter of the Association for Computational Linguistics (EACL 2026), taking place in the beautiful city of Rabat, in Morocco, in March 24-29, 2026. EACL is the flagship European conference of the Association and EACL 2026 proudly continues our field’s tradition of excellence in scholarship, innovation, and inclusivity. I am deeply grateful to the many volunteers whose dedication, generosity, and tireless efforts have made this conference possible.
For the first time EACL is being hosted in the African continent. This is an important milestone for our community, and we are grateful to our Moroccan hosts for enabling this historic moment by bringing this edition of EACL to Rabat. We are also delighted that the Second Arabic NLP School is co-located with EACL. We hope attendees enjoy this wonderful opportunity to strengthen ties with the Computational Linguistics communities across the African continent. *[Read full message](https://drive.google.com/file/d/14NlmHvwM6fPJuMmOvVh7K0vtQbEyv3SZ/view?usp=sharing)*<br><br>

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Welcome to the 19th Conference of the European Chapter of the Association for Computational Linguistics (EACL). EACL 2026 will be held in Rabat, Morocco, from March 24–29, 2026. 

Large language models (LLMs) have shown strong capabilities as task-solving agents across interactive domains. However, in complex environments, these agents may need to rely on auxiliary guidance to reduce the search space or make up for limited domain-specific knowledge. Such guidance includes human-provided manuals and demonstrations, retrieved examples from memory or external tools, high-level heuristics, and agent-acquired knowledge from prior interactions. However, this guidance may be imperfect. For example, due to changes in the environment, ambiguous or simplified language, or retrieval errors from external sources, guidance can be incomplete, outdated, or contextually mismatched, potentially causing errors or failures during task execution. To address this, we introduce MIRAGE, a benchmark for MeasurIng Robustness of LLM Agents under Imperfect GuidancE. MIRAGE includes procedurally generated environments in navigation, cooking, and gaming, where both the environment and the auxiliary guidance vary in fidelity and relevance. We further extend MIRAGE to realistic web tasks via WebArena, using noisy or underspecified instructions extracted from demonstrations. Our findings reveal critical failure modes in current LLM agents and motivate future work on improving their robustness under imperfect guidance.

Beyond Blind Following: Evaluating Robustness of LLM Agents under Imperfect Guidance

Recent advances in LLMs offer new opportunities for scalable, interactive mental health assessment, but excessive querying burdens users and is inefficient for real-world screening across transdiagnostic symptom profiles. We introduce MAQuA, a multi-outcome modeling and adaptive question-asking framework for simultaneous, multidimensional mental health screening. Combining multi-outcome modeling on language responses with item response theory (IRT) and factor analysis, MAQuA selects the questions with most informative responses across multiple dimensions at each turn to optimize diagnostic information, improving accuracy and potentially reducing response burden. Empirical results on a novel dataset reveal that MAQuA reduces the number of assessment questions required for score stabilization by 50вЂ“87% compared to random ordering (e.g., achieving stable depression scores with 71% fewer questions and eating disorder scores with 85% fewer questions). MAQuA demonstrates robust performance across both internalizing (depression, anxiety) and externalizing (substance use, eating disorder) domains, with early stopping strategies further reducing patient time and burden. These findings position MAQuA as a powerful and efficient tool for scalable, nuanced, and interactive mental health screening, advancing the integration of LLM-based agents into real-world clinical workflows.

MAQuA: Multi-outcome Adaptive Question-Asking for Mental Health using Item Response Theory

The ability of language models in RAG systems to selectively refuse to answer based on flawed context is critical for safety, yet remains a significant failure point. Our large-scale study reveals that even frontier models struggle in this setting, with refusal accuracy dropping below 50% on multi-document tasks, while exhibiting either dangerous overconfidence or overcaution. Static benchmarks fail to reliably evaluate this capability, as models exploit dataset-specific artifacts and memorize test instances. We introduce RefusalBench, a generative methodology that programmatically creates diagnostic test cases through controlled linguistic perturbation. Our framework employs 176 distinct perturbation strategies across six categories of informational uncertainty and three intensity levels. Evaluation of over 30 models uncovers systematic failure patterns: refusal comprises separable detection and categorization skills, and neither scale nor extended reasoning improves performance. We find that selective refusal is a trainable, alignment-sensitive capability, offering a clear path for improvement. We release two benchmarks -- RefusalBench-NQ (single document) and RefusalBench-GaRAGe (multi-document) -- and our complete generation framework to enable continued, dynamic evaluation of this critical capability.

RefusalBench: Generative Evaluation of Selective Refusal in Grounded Language Models

The alignment of pre-trained LLMs continues to draw significant attention from both industry and academia, aiming to ensure responses that are helpful, harmless, and honest. However, identifying a point in the model's representation subspace that simultaneously satisfies all these properties remains challenging. H3Fusion addresses this challenge by introducing a mixture-of-experts (MoE)-based fusion mechanism that models alignment as a controllable drift within the subspace, guided by a drift-regularization loss to balance competing alignment dimensions. Furthermore, we formulate the alignment by finding a dual objective of harnessing the distance of generated embeddings and alignment embeddings, and introduce a gating loss by canalizing the activations on the contributing experts. Extensive evaluations of three benchmark datasets show that H3Fusion is more helpful, less harmful, and more honest in three aspects: it outperforms each individually aligned model by 11.37, and provides stronger robustness compared to the state-of-the-art LLM ensemble approaches by 13.77 and model-merging approaches by 6.18. Code is available at https://anonymous.4open.science/r/h3fusion-F45E/.

H3Fusion: Helpful, Harmless, Honest Fusion of Aligned LLMs

Watermarking has emerged as a promising solution for tracing and authenticating text generated by large language models (LLMs). A common approach to LLM watermarking is to construct a green/red token list and assign higher or lower generation probabilities to the corresponding tokens, respectively. However, most existing watermarking algorithms rely on heuristic green/red token list designs, as directly optimizing the list design with techniques such as reinforcement learning (RL) comes with several challenges. First, desirable watermarking involves multiple criteria, i.e., detectability, text quality, robustness against removal attacks, and security against spoofing attacks. Directly optimizing for these criteria introduces many partially conflicting reward terms, leading to an unstable convergence process. Second, the vast action space of green/red token list choices is susceptible to reward hacking. In this paper, we propose an end-to-end RL framework for robust and secure LLM watermarking. Our approach adopts an anchoring mechanism for reward terms to ensure stable training and introduces additional regularization terms to prevent reward hacking. Experiments on standard benchmarks with two backbone LLMs show that our method achieves a state-of-the-art trade-off across all criteria, with notable improvements in resistance to spoofing attacks without degrading other criteria.

A Reinforcement Learning Framework for Robust and Secure LLM Watermarking

Large Language Models (LLMs) increasingly mediate our social, cultural, and political interactions. While they can simulate some aspects of human behavior and decision-making, it is still underexplored whether repeated interactions with other agents amplify their biases or lead to exclusionary behaviors. To this end, we study Chirper.aiвЂ”an LLM-driven social media platformвЂ”analyzing 7M posts and interactions among 32K LLM agents over a year. We start with homophily and social influence among LLMs, learning that similar to humans', their social networks exhibit these fundamental phenomena. Next, we study the toxic language of LLMs, its linguistic features, and their interaction patterns, finding that LLMs show different structural patterns in toxic posting than humans. After studying the ideological leaning in LLMs posts, and the polarization in their community, we focus on how to prevent their potential harmful activities. We present a simple yet effective method, called Chain of Social Thought (CoST), that reminds LLM agents to avoid harmful posting.

An Empirical Study of Collective Behaviors and Social Dynamics in Large Language Model Agents

In-context learning is governed by both temporal and semantic relationships, shaping how Large Language Models (LLMs) retrieve contextual information. Analogous to human episodic memory, where the retrieval of specific events is enabled by separating events that happened at different times, this work probes the ability of various pretrained LLMs, including transformer and state-space models, to differentiate and retrieve temporally separated events. Specifically, we prompted models with sequences containing multiple presentations of the same token, which reappears at the sequence end. By fixing the positions of these repeated tokens and permuting all others, we removed semantic confounds and isolated temporal effects on next-token prediction. Across diverse sequences, models consistently placed the highest probabilities on tokens following a repeated token, but with a notable bias for those nearest the beginning or end of the input. An ablation experiment linked this phenomenon in transformers to induction heads. Extending the analysis to unique semantic contexts with partial overlap further demonstrated that memories embedded in the middle of a prompt are retrieved less reliably. Despite architectural differences, state-space and transformer models showed comparable temporal biases. Our findings deepen the understanding of temporal biases in in-context learning and offer an illustration of how these biases can enable temporal separation and episodic retrieval.

Beyond Semantics: How Temporal Biases Shapes Retrieval in Transformer and State-Space Models

The advent of complex, interconnected long-horizon LLM systems has made it incredibly tricky to identify where and when these systems break down. Evaluation capabilities that currently exist today are limited in that they often focus on simple metrics, end-to-end outcomes, and are dependent on the perspectives of humans. In order to match the increasing complexity of these many component systems, evaluation frameworks must also be able to reason, probe, iterate, and understand the nuanced logic passing through these systems. In this paper, we present RAFFLES, an evaluation architecture that incorporates reasoning and iterative refinement. Specifically, RAFFLES operates as an iterative, multi-component pipeline, using a central Judge to systematically investigate faults and a set of specialized Evaluators to assess not only the system's components but also the quality of the reasoning by the Judge itself. We evaluated RAFFLES with several benchmarks - the Who&When dataset to identify step-level faults in agentic systems and the ReasonEval datasets to diagnose step-level mathematical reasoning errors. RAFFLES outperforms strong baselines, achieving an accuracy of over 20% and 50% on the Who&When Hand-Crafted and Algorithm datasets, and over 80% on the ReasonEval datasets. These results demonstrate a key step towards introducing automated fault detection for autonomous systems over labor-intensive manual human review.

RAFFLES: Reasoning-based Attribution of Faults for LLM Systems

Large vision-language models (LVLMs) have demonstrated outstanding performance in many downstream tasks. However, LVLMs are trained on large-scale datasets, which can pose privacy risks if training images contain sensitive information. Therefore, it is important to detect whether an image is used to train the LVLM. Recent studies have investigated membership inference attacks (MIAs) against LVLMs, including detecting image-text pairs and single-modality content. In this work, we focus on detecting whether a target image is used to train the target LVLM. We design simple yet effective Image Corruption-Inspired Membership Inference Attacks (ICIMIA) against LLVLMs, which are inspired by LVLM's different sensitivity to image corruption for member and non-member images. We first perform an MIA method under the white-box setting, where we can obtain the embeddings of the image through the vision part of the target LVLM. The attacks are based on embedding similarity between the image and its corrupted version. We further explore a more practical scenario where we have no knowledge about target LVLMs and we can only query the target LVLMs with an image and a question. We then conduct the attack by utilizing the output text embeddings' similarity. Experiments on existing datasets validate the effectiveness of our proposed attack methods under two different settings.

Image Corruption-Inspired Membership Inference Attacks against Large Vision-Language Models

Specialized visual tools can augment large language models or vision language models with expert knowledge (e.g., grounding, spatial reasoning, medical knowledge, etc.), but knowing which tools to call (and when to call them) can be challenging. We introduce DART, a multi-agent framework that uses disagreements between multiple debating visual agents to identify useful visual tools (e.g., object detection, OCR, spatial reasoning, etc.) that can resolve inter-agent disagreement. These tools allow for fruitful multi-agent discussion by introducing new information, and by providing tool-aligned agreement scores that highlight agents in agreement with expert tools, thereby facilitating discussion. We utilize an aggregator agent to select the best answer by providing the agent outputs and tool information. We test DART on four diverse benchmarks and show that our approach improves over multi-agent debate as well as over single agent tool-calling frameworks, beating the next-strongest baseline (multi-agent debate with a judge model) by 3.4% and 2.4% on A-OKVQA and MMMU respectively. We also find that DART adapts well to new tools in applied domains, with a 1.3% improvement on the M3D medical dataset over other strong tool-calling, single agent, and multi-agent baselines. Additionally, we measure text overlap across rounds to highlight the rich discussion in DART compared to existing multi-agent methods. Finally, we study the distribution of expert tool calls to ensure that every tool is being reliably used to help resolve disagreement.

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