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A Chinese National Medical Licensing Examination dataset and large languge model benchmarks

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Note: If you are looking for a multimodal dataset, check out our new dataset, ChiMed-VL-Instruction, with 469,441 vision-language QA pairs: https://paperswithcode.com/dataset/qilin-med-vl)

This paper was presented at NeurIPS 2023, New Orleans, Louisana. See here for the poster and slides.

Benchmarking Large Language Models on CMExam - A Comprehensive Chinese Medical Exam Dataset

Introduction

CMExam is a dataset sourced from the Chinese National Medical Licensing Examination. It consists of 60K+ multiple-choice questions and five additional question-wise annotations, including disease groups, clinical departments, medical disciplines, areas of competency, and question difficulty levels. Alongside the dataset, comprehensive benchmarks were conducted on representative LLMs on CMExam.

Dataset Statistics

Train Val Test Total
Question 54,497 6,811 6,811 68,119
Vocab 4,545 3,620 3,599 4,629
Max Q tokens 676 500 585 676
Max A tokens 5 5 5 5
Max E tokens 2,999 2,678 2,680 2,999
Avg Q tokens 29.78 30.07 32.63 30.83
Avg A tokens 1.08 1.07 1.07 1.07
Avg E tokens 186.24 188.95 201.44 192.21
Median (Q1, Q3) Q tokens 17 (12, 32) 18 (12, 32) 18 (12, 37) 18 (12, 32)
Median (Q1, Q3) A tokens 1 (1, 1) 1 (1, 1) 1 (1, 1) 1 (1, 1)
Median (Q1, Q3) E tokens 146 (69, 246) 143 (65, 247) 158 (80, 263) 146 (69, 247)

*Q: Question; A: Answer; E: Explanation

Annotation Characteristics

Annotation Content References Unique values
Disease Groups The 11th revision of ICD-11 27
Clinical Departments The Directory of Medical Institution Diagnostic and Therapeutic Categories (DMIDTC) 36
Medical Disciplines List of Graduate Education Disciplinary Majors (2022) 7
Medical Competencies Medical Professionals 4
Difficulty Level Human Performance 5

Benchmarks

Alongside the dataset, we further conducted thorough experiments with representative LLMs and QA algorithms on CMExam.

Deployment

To deploy this project run

Environment Setup

  cd src
  pip install -r requirements.txt

Data Preprocess

  cd preprocess
  python generate_prompt.py

Ptuning

  cd ../ptuning
  bash train.sh
  bash prediction.sh

LoRA

  cd ../LoRA
  bash ./scripts/finetune.sh
  bash ./scripts/infer_ori.sh
  bash ./scripts/infer_sft.sh

Evaluation

  cd ../evaluation
  python evaluate_lora_results.py --csv_file_path path/to/csv/file

Side notes

Limitations:

  • Excluding non-textual questions may introduce biases.
  • BLEU and ROUGE metrics are inadequate for fully assessing explanations; better expert analysis needed in future.

Ethics in Data Collection:

  • Adheres to legal and ethical guidelines.
  • Authenticated and accurate for evaluating LLMs.
  • Intended for academic/research use only; commercial misuse prohibited.
  • Users should acknowledge dataset limitations and specific context.
  • Not for assessing individual medical competence or patient diagnosis.

Future directions:

Citation

Benchmarking Large Language Models on CMExam -- A Comprehensive Chinese Medical Exam Dataset https://arxiv.org/abs/2306.03030

@article{liu2023benchmarking,
  title={Benchmarking Large Language Models on CMExam--A Comprehensive Chinese Medical Exam Dataset},
  author={Liu, Junling and Zhou, Peilin and Hua, Yining and Chong, Dading and Tian, Zhongyu and Liu, Andrew and Wang, Helin and You, Chenyu and Guo, Zhenhua and Zhu, Lei and others},
  journal={arXiv preprint arXiv:2306.03030},
  year={2023}
}

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