Conversational System for Clinical Communication Training Supporting User-defined Tasks

Effective clinical communication is essential for delivering safe and high-quality patient care, especially in emergent cases. Standard communication protocols have been developed to improve communication accuracy and efficiency. However, traditional training and evaluation require substantial manpower and time, which can be infeasible during public crises when training is most needed. This research aims to facilitate autonomous, low-cost, adaptive clinical communication training via artificial intelligence (AI)-powered techniques. We propose a conversational system for clinical communication training supporting user-defined tasks. Two data augmentation (DA) methods, term replacement and context expansion, are proposed to allow non-professional users to create Al models with a small number of samples. Equipped with biomedical ontology and pre-trained language models, our system is able to simulate clinical communication scenarios, provide timely evaluation, and adapt to new tasks with minimal editing. Various experiments demonstrate that our proposed algorithms can achieve satisfactory performance using a small amount of training data. Real-world practice in local hospitals shows that our system can provide expert-level evaluation and deliver effective clinical communication training.

[1]  Eduard Hovy,et al.  A Survey of Data Augmentation Approaches for NLP , 2021, FINDINGS.

[2]  Soya Park,et al.  Facilitating Knowledge Sharing from Domain Experts to Data Scientists for Building NLP Models , 2021, IUI.

[3]  Christopher G Chute,et al.  The Human Phenotype Ontology in 2021 , 2020, Nucleic Acids Res..

[4]  A. Finset,et al.  Effective health communication – a key factor in fighting the COVID-19 pandemic , 2020, Patient Education and Counseling.

[5]  Eunah Cho,et al.  Data Augmentation using Pre-trained Transformer Models , 2020, LIFELONGNLP.

[6]  Hongfang Liu,et al.  Natural language processing to advance EHR-based clinical research in Allergy, Asthma, and Immunology. , 2019, The Journal of allergy and clinical immunology.

[7]  Taghi M. Khoshgoftaar,et al.  A survey on Image Data Augmentation for Deep Learning , 2019, Journal of Big Data.

[8]  Jaewoo Kang,et al.  BioBERT: a pre-trained biomedical language representation model for biomedical text mining , 2019, Bioinform..

[9]  Lukasz Kaiser,et al.  Attention is All you Need , 2017, NIPS.

[10]  Rico Sennrich,et al.  Improving Neural Machine Translation Models with Monolingual Data , 2015, ACL.

[11]  Ye Zhang,et al.  A Sensitivity Analysis of (and Practitioners’ Guide to) Convolutional Neural Networks for Sentence Classification , 2015, IJCNLP.

[12]  Jun Zhao,et al.  Recurrent Convolutional Neural Networks for Text Classification , 2015, AAAI.

[13]  Jeffrey Pennington,et al.  GloVe: Global Vectors for Word Representation , 2014, EMNLP.

[14]  Yoshua Bengio,et al.  Neural Machine Translation by Jointly Learning to Align and Translate , 2014, ICLR.

[15]  Jeffrey Dean,et al.  Distributed Representations of Words and Phrases and their Compositionality , 2013, NIPS.

[16]  B. Flanagan,et al.  The teaching of a structured tool improves the clarity and content of interprofessional clinical communication , 2009, Quality & Safety in Health Care.

[17]  Martin Boeker,et al.  Strengths and limitations of formal ontologies in the biomedical domain. , 2009, Revista electronica de comunicacao, informacao & inovacao em saude : RECIIS.

[18]  M. Leonard,et al.  The human factor: the critical importance of effective teamwork and communication in providing safe care , 2004, Quality and Safety in Health Care.

[19]  S. Hochreiter,et al.  Long Short-Term Memory , 1997, Neural Computation.

[20]  Ming-Wei Chang,et al.  BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding , 2019, NAACL.

[21]  A. Brazma,et al.  Databases and ontologies Advance Access publication March 3, 2010 Modeling sample variables with an Experimental Factor Ontology , 2009 .

[22]  Kevin Donnelly,et al.  SNOMED-CT: The advanced terminology and coding system for eHealth. , 2006, Studies in health technology and informatics.