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Bingquan Zhang

Publications and source records attributed to Bingquan Zhang.

6 recordsLinked to original sources

When Linguistic and Internal Confidence Diverge in Large Language Models

Users often ask large language models (LLMs) to report how confident they are, but it is unclear whether such linguistic confidence tracks the model's internal confidence. We study this question across 8 classification tasks, 2 generation tasks and 30 models from three families. For classification, we compare linguistic confidence with logits-based confidence along three axes: association, magnitude agreement and calibration. For generation, we test whether linguistic confidence tracks semantic-entropy-based uncertainty. The axes frequently diverge. Instance-level association is weak on average, although it improves on easier items and for stronger base models. Instruction-tuned models often report higher confidence and sometimes show higher association, but they also have larger confidence gaps and worse calibration. Prompt design mostly changes the distribution of reported confidence. Attitude cues inflate confidence without improving alignment, while score exemplars can preserve rank-order signal when they avoid collapsed confidence values. Regression analyses show that distributional properties of confidence scores explain much of the observed alignment pattern, with model metadata playing a smaller role after controls. These results support a lossy-channel view of linguistic confidence. A more dispersed verbal confidence distribution can carry useful rank information, but it does not make the scores calibrated. Linguistic confidence should therefore be evaluated with multi-axis diagnostics before being used in downstream reliability pipelines.

cs.CL

MedEasy: Designing AI Standardized Patients for Clinical Consultation Training

AI standardized patients are becoming a setting for professional training in clinical consultation. This paper presents MedEasy, a multi-agent system that organizes virtual-patient practice through patient dialogue, clinical actions, decision submission, documentation, and feedback. We first conducted a formative study with 12 clinical-year medical students through interviews and three co-design workshops. The findings informed a staged workflow, structured case records, action-contingent findings, and trajectory-based review. We then conducted an evaluative user study with a separate cohort of 12 clinical-year medical students, with each participant completing two counterbalanced cases. Learners interpreted MedEasy as a connected consultation environment. They used patient responses, examination findings, available actions, and feedback together to judge whether the represented case remained coherent. They valued repeatable practice and recorded review, while questioning missing actions and feedback criteria. The paper contributes design implications for AI-supported professional training systems that use case-specific standards to connect situated practice.

cs.HC

Do LLMs Triage Like Clinicians? A Dynamic Study of Outpatient Referral

Outpatient referral (OR) is a core clinical workflow that assigns patients to hospital departments under incomplete and evolving information, yet it is commonly simplified as a static classification problem despite being inherently interactive in practice. In this work, we study outpatient referral as a dynamic process driven by information acquisition and uncertainty reduction. We analyze both static scenarios based on fixed patient information and dynamic scenarios involving multi-turn dialogue, to test whether large language models (LLMs) improve referral outcomes through better prediction or more effective questioning. Our findings show that LLMs offer limited advantages over traditional classifiers in static referral accuracy, but consistently outperform them in dynamic settings by asking discriminative follow-up questions that reduce uncertainty over candidate departments. These results suggest that the primary value of LLMs in outpatient referral lies not in static prediction, but in supporting interactive, uncertainty-aware clinical decision-making.

cs.CL

Human or LLM as Standardized Patients? A Comparative Study for Medical Education

Standardized patients (SPs) are indispensable for clinical skills training but remain expensive and difficult to scale. Although large language model (LLM)-based virtual standardized patients (VSPs) have been proposed as an alternative, their behavior remains unstable and lacks rigorous comparison with human standardized patients. We propose EasyMED, a multi-agent VSP framework that separates case-grounded information disclosure from response generation to support stable, inquiry-conditioned patient behavior. We also introduce SPBench, a human-grounded benchmark with eight expert-defined criteria for interaction-level evaluation. Experiments show that EasyMED more closely matches human SP behavior than existing VSPs, particularly in case consistency and controlled disclosure. A four-week controlled study further demonstrates learning outcomes comparable to human SP training, with stronger early gains for novice learners and improved flexibility, psychological safety, and cost efficiency.

cs.CL

"It Talks Like a Patient, But Feels Different": Co-Designing AI Standardized Patients with Medical Learners

Standardized patients (SPs) play a central role in clinical communication training but are costly, difficult to scale, and inconsistent. Large language model (LLM) based AI standardized patients (AI-SPs) promise flexible, on-demand practice, yet learners often report that they talk like a patient but feel different. We interviewed 12 clinical-year medical students and conducted three co-design workshops to examine how learners experience constraints of SP encounters and what they expect from AI-SPs. We identified six learner-centered needs, translated them into AI-SP design requirements, and synthesized a conceptual workflow. Our findings position AI-SPs as tools for deliberate practice and show that instructional usability, rather than conversational realism alone, drives learner trust, engagement, and educational value.

cs.HC

A XGBoost Algorithm-based Fatigue Recognition Model Using Face Detection

As fatigue is normally revealed in the eyes and mouth of a person's face, this paper tried to construct a XGBoost Algorithm-Based fatigue recognition model using the two indicators, EAR (Eye Aspect Ratio) and MAR(Mouth Aspect Ratio). With an accuracy rate of 87.37% and sensitivity rate of 89.14%, the model was proved to be efficient and valid for further applications.

cs.CV