# IgnitionInnovators at "Discharge Me!": Chain-of-Thought Instruction Finetuning Large Language Models for Discharge Summaries

arXiv: https://arxiv.org/abs/2407.17636 · HTML: https://mlsanity.com/paper/2407.17636/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 7 of its 29 references that are in the map.
- First posted on arXiv 24 Jul 2024.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 7 of 7)

- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [AlignScore: Evaluating Factual Consistency with a Unified Alignment Function](https://mlsanity.com/paper/2305.16739/) (2023)
- [Can language models learn from explanations in context?](https://mlsanity.com/paper/2204.02329/) (2022)
- [Exploring Versatile Generative Language Model Via Parameter-Efficient Transfer Learning](https://mlsanity.com/paper/2004.03829/) (2020)
- [ACI-BENCH: a Novel Ambient Clinical Intelligence Dataset for Benchmarking Automatic Visit Note Generation](https://mlsanity.com/paper/2306.02022/) (2023)
- [Summarizing Patients Problems from Hospital Progress Notes Using Pre-trained Sequence-to-Sequence Models](https://mlsanity.com/paper/2208.08408/) (2022)

## Built on by (most cited first, 2 of 2)

- [MEDIC: Comprehensive Evaluation of Leading Indicators for LLM Safety and Utility in Clinical Applications](https://mlsanity.com/paper/2409.07314/) (2024)
- [Overview of the First Shared Task on Clinical Text Generation: RRG24 and "Discharge Me!"](https://mlsanity.com/paper/2409.16603/) (2024)

## Abstract (arXiv)

This paper presents our proposed approach to the Discharge Me! shared task, collocated with the 23th Workshop on Biomedical Natural Language Processing (BioNLP). In this work, we develop an LLM-based framework for solving the Discharge Summary Documentation (DSD) task, i.e., generating the two critical target sections `Brief Hospital Course' and `Discharge Instructions' in the discharge summary. By streamlining the recent instruction-finetuning process on LLMs, we explore several prompting strategies for optimally adapting LLMs to specific generation task of DSD. Experimental results show that providing a clear output structure, complimented by a set of comprehensive Chain-of-Thoughts (CoT) questions, effectively improves the model's reasoning capability, and thereby, enhancing the structural correctness and faithfulness of clinical information in the generated text. Source code is available at: https://github.com/antangrocket1312/Discharge_LLM