MedNLI Is Not Immune: Natural Language Inference Artifacts in the Clinical Domain
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Abstract (arXiv)
Crowdworker-constructed natural language inference (NLI) datasets have been found to contain statistical artifacts associated with the annotation process that allow hypothesis-only classifiers to achieve better-than-random performance (Poliak et al., 2018; Gururanganet et al., 2018; Tsuchiya, 2018). We investigate whether MedNLI, a physician-annotated dataset with premises extracted from clinical notes, contains such artifacts (Romanov and Shivade, 2018). We find that entailed hypotheses contain generic versions of specific concepts in the premise, as well as modifiers related to responsiveness, duration, and probability. Neutral hypotheses feature conditions and behaviors that co-occur with, or cause, the condition(s) in the premise. Contradiction hypotheses feature explicit negation of the premise and implicit negation via assertion of good health. Adversarial filtering demonstrates that performance degrades when evaluated on the difficult subset. We provide partition information and recommendations for alternative dataset construction strategies for knowledge-intensive domains.
Key facts. Cited by 17 papers in the map (data through 7 Oct 2026). Builds on 12 of its 18 references that are in the map. First posted on arXiv 2 Jun 2021.
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12 of 18 references.
References · 12
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- 2015A large annotated corpus for learning natural language inferencecited by 1,837
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- 2019Right for the Wrong Reasons: Diagnosing Syntactic Heuristics in Natural Language Inferencecited by 864
- 2018Annotation Artifacts in Natural Language Inference Datacited by 656
- 2018Hypothesis Only Baselines in Natural Language Inferencecited by 291
- 2019ScispaCy: Fast and Robust Models for Biomedical Natural Language Processingcited by 244
- 2020Adversarial Filters of Dataset Biasescited by 159
- 2018Lessons from Natural Language Inference in the Clinical Domaincited by 149
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- 2015Incentivizing High Quality Crowdworkcited by 12
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Citing papers per year: 2021: 1; 2022: 2; 2023: 6; 2024: 3; 2025: 4; 2026: 1.
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- 2024Artifacts or Abduction: How Do LLMs Answer Multiple-Choice Questions Without the Question?cited by 68
- 2023Data Contamination Through the Lens of Timecited by 39
- 2025LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validationcited by 29
- 2023NLI4CT: Multi-Evidence Natural Language Inference for Clinical Trial Reportscited by 18
- 2023Understanding and Mitigating Spurious Correlations in Text Classification with Neighborhood Analysiscited by 11
- 2024WinoPron: Revisiting English Winogender Schemas for Consistency, Coverage, and Grammatical Casecited by 9
- 2022Partial-input baselines show that NLI models can ignore context, but they don'tcited by 6
- 2023SemEval-2023 Task 7: Multi-Evidence Natural Language Inference for Clinical Trial Datacited by 6
- 2023Several categories of Large Language Models (LLMs): A Short Surveycited by 6
- 2023GistScore: Learning Better Representations for In-Context Example Selection with Gist Bottleneckscited by 6
- 2024How often are errors in natural language reasoning due to paraphrastic variability?cited by 5
- 2021Decomposing Natural Logic Inferences in Neural NLIcited by 4
5 more
- 2022Scope of Pre-trained Language Models for Detecting Conflicting Health Informationcited by 4
- 2025Cross-Document Cross-Lingual NLI via RST-Enhanced Graph Fusion and Interpretability Predictioncited by 2
- 2025Temporal Entailment Pretraining for Clinical Language Models over EHR Datacited by 1
- 2025Diagnosing our datasets: How does my language model learn clinical information?cited by 1
- 2026When Retrieval Helps and Distracts: Evaluating Evidence-Generating LLMs for Biomedical Claim Verificationcited by 0
- 2026When Retrieval Helps and Distracts: Evaluating Evidence-Generating LLMs for Biomedical Claim Verification2 Aug 2026
- 2025LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validation4 Jun 2025
- 2025Diagnosing our datasets: How does my language model learn clinical information?21 May 2025
- 2025Temporal Entailment Pretraining for Clinical Language Models over EHR Data25 Apr 2025
- 2025Cross-Document Cross-Lingual NLI via RST-Enhanced Graph Fusion and Interpretability Prediction11 Apr 2025
- 2024WinoPron: Revisiting English Winogender Schemas for Consistency, Coverage, and Grammatical Case9 Sep 2024
- 2024How often are errors in natural language reasoning due to paraphrastic variability?17 Apr 2024
- 2024Artifacts or Abduction: How Do LLMs Answer Multiple-Choice Questions Without the Question?19 Feb 2024
- 2023GistScore: Learning Better Representations for In-Context Example Selection with Gist Bottlenecks16 Nov 2023
- 2023Data Contamination Through the Lens of Time16 Oct 2023
- 2023Several categories of Large Language Models (LLMs): A Short Survey5 Jul 2023
- 2023Understanding and Mitigating Spurious Correlations in Text Classification with Neighborhood Analysis23 May 2023
5 more
- 2023NLI4CT: Multi-Evidence Natural Language Inference for Clinical Trial Reports5 May 2023
- 2023SemEval-2023 Task 7: Multi-Evidence Natural Language Inference for Clinical Trial Data4 May 2023
- 2022Scope of Pre-trained Language Models for Detecting Conflicting Health Information22 Sep 2022
- 2022Partial-input baselines show that NLI models can ignore context, but they don't24 May 2022
- 2021Decomposing Natural Logic Inferences in Neural NLI15 Dec 2021
- 2024Artifacts or Abduction: How Do LLMs Answer Multiple-Choice Questions Without the Question?cited by 68
- 2023Data Contamination Through the Lens of Timecited by 39
- 2025LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validationcited by 29
- 2023NLI4CT: Multi-Evidence Natural Language Inference for Clinical Trial Reportscited by 18
- 2023Understanding and Mitigating Spurious Correlations in Text Classification with Neighborhood Analysiscited by 11
- 2024WinoPron: Revisiting English Winogender Schemas for Consistency, Coverage, and Grammatical Casecited by 9
- 2022Partial-input baselines show that NLI models can ignore context, but they don'tcited by 6
- 2023SemEval-2023 Task 7: Multi-Evidence Natural Language Inference for Clinical Trial Datacited by 6
- 2023Several categories of Large Language Models (LLMs): A Short Surveycited by 6
- 2023GistScore: Learning Better Representations for In-Context Example Selection with Gist Bottleneckscited by 6
- 2021Decomposing Natural Logic Inferences in Neural NLIcited by 4
- 2022Scope of Pre-trained Language Models for Detecting Conflicting Health Informationcited by 4
12 most cited of 16 All 16 (JSON)
- 2026When Retrieval Helps and Distracts: Evaluating Evidence-Generating LLMs for Biomedical Claim Verification2 Aug 2026
- 2025LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validation4 Jun 2025
- 2025Diagnosing our datasets: How does my language model learn clinical information?21 May 2025
- 2025Temporal Entailment Pretraining for Clinical Language Models over EHR Data25 Apr 2025
- 2025Cross-Document Cross-Lingual NLI via RST-Enhanced Graph Fusion and Interpretability Prediction11 Apr 2025
- 2024WinoPron: Revisiting English Winogender Schemas for Consistency, Coverage, and Grammatical Case9 Sep 2024
- 2024Artifacts or Abduction: How Do LLMs Answer Multiple-Choice Questions Without the Question?19 Feb 2024
- 2023GistScore: Learning Better Representations for In-Context Example Selection with Gist Bottlenecks16 Nov 2023
- 2023Data Contamination Through the Lens of Time16 Oct 2023
- 2023Several categories of Large Language Models (LLMs): A Short Survey5 Jul 2023
- 2023Understanding and Mitigating Spurious Correlations in Text Classification with Neighborhood Analysis23 May 2023
- 2023NLI4CT: Multi-Evidence Natural Language Inference for Clinical Trial Reports5 May 2023
12 newest of 16 All 16 (JSON)