# A Role-specific Guided Large Language Model for Ophthalmic Consultation Based on Stylistic Differentiation

arXiv: https://arxiv.org/abs/2407.18483 · HTML: https://mlsanity.com/paper/2407.18483/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 13 of its 35 references that are in the map.
- First posted on arXiv 26 Jul 2024.

## Builds on (most cited first, 13 of 13)

- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [RoBERTa: A Robustly Optimized BERT Pretraining Approach](https://mlsanity.com/paper/1907.11692/) (2019)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Prefix-Tuning: Optimizing Continuous Prompts for Generation](https://mlsanity.com/paper/2101.00190/) (2021)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [GLM: General Language Model Pretraining with Autoregressive Blank Infilling](https://mlsanity.com/paper/2103.10360/) (2021)
- [Contrastive Learning of Medical Visual Representations from Paired Images and Text](https://mlsanity.com/paper/2010.00747/) (2020)
- [ChatDoctor: A Medical Chat Model Fine-Tuned on a Large Language Model Meta-AI (LLaMA) Using Medical Domain Knowledge](https://mlsanity.com/paper/2303.14070/) (2023)
- [HuatuoGPT, towards Taming Language Model to Be a Doctor](https://mlsanity.com/paper/2305.15075/) (2023)
- [HuaTuo: Tuning LLaMA Model with Chinese Medical Knowledge](https://mlsanity.com/paper/2304.06975/) (2023)
- [DoctorGLM: Fine-tuning your Chinese Doctor is not a Herculean Task](https://mlsanity.com/paper/2304.01097/) (2023)
- [MedDG: An Entity-Centric Medical Consultation Dataset for Entity-Aware Medical Dialogue Generation](https://mlsanity.com/paper/2010.07497/) (2020)

## Abstract (arXiv)

Ophthalmology consultations are crucial for diagnosing, treating, and preventing eye diseases. However, the growing demand for consultations exceeds the availability of ophthalmologists. By leveraging large pre-trained language models, we can design effective dialogues for specific scenarios, aiding in consultations. Traditional fine-tuning strategies for question-answering tasks are impractical due to increasing model size and often ignoring patient-doctor role function during consultations. In this paper, we propose EyeDoctor, an ophthalmic medical questioning large language model that enhances accuracy through doctor-patient role perception guided and an augmented knowledge base with external disease information. Experimental results show EyeDoctor achieves higher question-answering precision in ophthalmology consultations. Notably, EyeDoctor demonstrated a 7.25% improvement in Rouge-1 scores and a 10.16% improvement in F1 scores on multi-round datasets compared to second best model ChatGPT, highlighting the importance of doctor-patient role differentiation and dynamic knowledge base expansion for intelligent medical consultations. EyeDoc also serves as a free available web based service and souce code is available at https://github.com/sperfu/EyeDoc.
