# Learning to Ask Like a Physician

arXiv: https://arxiv.org/abs/2206.02696 · HTML: https://mlsanity.com/paper/2206.02696/

## Key facts

- Cited by 16 papers in the map (data through 14 Oct 2026).
- Builds on 39 of its 72 references that are in the map.
- First posted on arXiv 6 Jun 2022.

## Builds on (most cited first, 30 of 39)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer](https://mlsanity.com/paper/1910.10683/) (2019)
- [Scaling Laws for Neural Language Models](https://mlsanity.com/paper/2001.08361/) (2020)
- [BART: Denoising Sequence-to-Sequence Pre-training for Natural Language Generation, Translation, and Comprehension](https://mlsanity.com/paper/1910.13461/) (2019)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Pre-train, Prompt, and Predict: A Systematic Survey of Prompting Methods in Natural Language Processing](https://mlsanity.com/paper/2107.13586/) (2021)
- [HuggingFace's Transformers: State-of-the-art Natural Language Processing](https://mlsanity.com/paper/1910.03771/) (2019)
- [Extracting Training Data from Large Language Models](https://mlsanity.com/paper/2012.07805/) (2020)
- [Multitask Prompted Training Enables Zero-Shot Task Generalization](https://mlsanity.com/paper/2110.08207/) (2021)
- [Publicly Available Clinical BERT Embeddings](https://mlsanity.com/paper/1904.03323/) (2019)
- [Unified Language Model Pre-training for Natural Language Understanding and Generation](https://mlsanity.com/paper/1905.03197/) (2019)
- [It's Not Just Size That Matters: Small Language Models Are Also Few-Shot Learners](https://mlsanity.com/paper/2009.07118/) (2020)
- [A Corpus and Evaluation Framework for Deeper Understanding of Commonsense Stories](https://mlsanity.com/paper/1604.01696/) (2016)
- [PromptSource: An Integrated Development Environment and Repository for Natural Language Prompts](https://mlsanity.com/paper/2202.01279/) (2022)
- [ScispaCy: Fast and Robust Models for Biomedical Natural Language Processing](https://mlsanity.com/paper/1902.07669/) (2019)
- [Why We Need New Evaluation Metrics for NLG](https://mlsanity.com/paper/1707.06875/) (2017)
- [ProphetNet: Predicting Future N-gram for Sequence-to-Sequence Pre-training](https://mlsanity.com/paper/2001.04063/) (2020)
- [UniLMv2: Pseudo-Masked Language Models for Unified Language Model Pre-Training](https://mlsanity.com/paper/2002.12804/) (2020)
- [Learning to Ask: Neural Question Generation for Reading Comprehension](https://mlsanity.com/paper/1705.00106/) (2017)
- [Re-evaluating Evaluation in Text Summarization](https://mlsanity.com/paper/2010.07100/) (2020)
- [emrQA: A Large Corpus for Question Answering on Electronic Medical Records](https://mlsanity.com/paper/1809.00732/) (2018)
- [Neural Responding Machine for Short-Text Conversation](https://mlsanity.com/paper/1503.02364/) (2015)
- [Training Question Answering Models From Synthetic Data](https://mlsanity.com/paper/2002.09599/) (2020)
- [Does BERT Pretrained on Clinical Notes Reveal Sensitive Data?](https://mlsanity.com/paper/2104.07762/) (2021)
- [From Eliza to XiaoIce: Challenges and Opportunities with Social Chatbots](https://mlsanity.com/paper/1801.01957/) (2018)
- [Question-Driven Summarization of Answers to Consumer Health Questions](https://mlsanity.com/paper/2005.09067/) (2020)
- [Semantic Graphs for Generating Deep Questions](https://mlsanity.com/paper/2004.12704/) (2020)
- [Question Answering and Question Generation as Dual Tasks](https://mlsanity.com/paper/1706.02027/) (2017)
- [CliCR: A Dataset of Clinical Case Reports for Machine Reading Comprehension](https://mlsanity.com/paper/1803.09720/) (2018)

## Built on by (most cited first, 16 of 16)

- [MedAlign: A Clinician-Generated Dataset for Instruction Following with Electronic Medical Records](https://mlsanity.com/paper/2308.14089/) (2023)
- [EHRXQA: A Multi-Modal Question Answering Dataset for Electronic Health Records with Chest X-ray Images](https://mlsanity.com/paper/2310.18652/) (2023)
- [Prompt Engineering for Healthcare: Methodologies and Applications](https://mlsanity.com/paper/2304.14670/) (2023)
- [Publicly Shareable Clinical Large Language Model Built on Synthetic Clinical Notes](https://mlsanity.com/paper/2309.00237/) (2023)
- [EHRNoteQA: An LLM Benchmark for Real-World Clinical Practice Using Discharge Summaries](https://mlsanity.com/paper/2402.16040/) (2024)
- [PaniniQA: Enhancing Patient Education Through Interactive Question Answering](https://mlsanity.com/paper/2308.03253/) (2023)
- [UMASS_BioNLP at MEDIQA-Chat 2023: Can LLMs generate high-quality synthetic note-oriented doctor-patient conversations?](https://mlsanity.com/paper/2306.16931/) (2023)
- [Question Answering for Electronic Health Records: A Scoping Review of datasets and models](https://mlsanity.com/paper/2310.08759/) (2023)
- [STRUX: An LLM for Decision-Making with Structured Explanations](https://mlsanity.com/paper/2410.12583/) (2024)
- [Entity Decomposition with Filtering: A Zero-Shot Clinical Named Entity Recognition Framework](https://mlsanity.com/paper/2407.04629/) (2024)
- [Rethinking Prospect Theory for LLMs: Revealing the Instability of Decision-Making under Epistemic Uncertainty](https://mlsanity.com/paper/2508.08992/) (2025)
- [Clinical Text Deduplication Practices for Efficient Pretraining and Improved Clinical Tasks](https://mlsanity.com/paper/2312.09469/) (2023)
- [Emerging Challenges in Personalized Medicine: Assessing Demographic Effects on Biomedical Question Answering Systems](https://mlsanity.com/paper/2310.10571/) (2023)
- [XAIQA: Explainer-Based Data Augmentation for Extractive Question Answering](https://mlsanity.com/paper/2312.03567/) (2023)
- [Investigating LLM Capabilities on Long Context Comprehension for Medical Question Answering](https://mlsanity.com/paper/2510.18691/) (2025)
- [COTCAgent: Preventive Consultation via Probabilistic Chain-of-Thought Completion](https://mlsanity.com/paper/2605.15016/) (2026)

## Abstract (arXiv)

Existing question answering (QA) datasets derived from electronic health records (EHR) are artificially generated and consequently fail to capture realistic physician information needs. We present Discharge Summary Clinical Questions (DiSCQ), a newly curated question dataset composed of 2,000+ questions paired with the snippets of text (triggers) that prompted each question. The questions are generated by medical experts from 100+ MIMIC-III discharge summaries. We analyze this dataset to characterize the types of information sought by medical experts. We also train baseline models for trigger detection and question generation (QG), paired with unsupervised answer retrieval over EHRs. Our baseline model is able to generate high quality questions in over 62% of cases when prompted with human selected triggers. We release this dataset (and all code to reproduce baseline model results) to facilitate further research into realistic clinical QA and QG: https://github.com/elehman16/discq.
