Papers
Topics
Authors
Recent
Gemini 2.5 Flash
Gemini 2.5 Flash
11 tokens/sec
GPT-4o
12 tokens/sec
Gemini 2.5 Pro Pro
40 tokens/sec
o3 Pro
5 tokens/sec
GPT-4.1 Pro
37 tokens/sec
DeepSeek R1 via Azure Pro
33 tokens/sec
2000 character limit reached

Customizing Large Language Models for Business Context: Framework and Experiments (2312.10225v2)

Published 15 Dec 2023 in cs.CY

Abstract: The advent of LLMs has ushered in a new era for design science in Information Systems, demanding a paradigm shift in tailoring LLMs design for business contexts. We propose and test a novel framework to customize LLMs for general business contexts that aims to achieve three fundamental objectives simultaneously: (1) aligning conversational patterns, (2) integrating in-depth domain knowledge, and (3) embodying theory-driven soft skills and core principles. We design methodologies that combine domain-specific theory with Supervised Fine Tuning (SFT) to achieve these objectives simultaneously. We instantiate our proposed framework in the context of medical consultation. Specifically, we carefully construct a large volume of real doctors' consultation records and medical knowledge from multiple professional databases. Additionally, drawing on medical theory, we identify three soft skills and core principles of human doctors: professionalism, explainability, and emotional support, and design approaches to integrate these traits into LLMs. We demonstrate the feasibility of our framework using online experiments with thousands of real patients as well as evaluation by domain experts and consumers. Experimental results show that the customized LLM model substantially outperforms untuned base model in medical expertise as well as consumer satisfaction and trustworthiness, and it substantially reduces the gap between untuned LLMs and human doctors, elevating LLMs to the level of human experts. Additionally, we delve into the characteristics of textual consultation records and adopt interpretable machine learning techniques to identify what drives the performance gain. Finally, we showcase the practical value of our model through a decision support system designed to assist human doctors in a lab experiment.

Definition Search Book Streamline Icon: https://streamlinehq.com
References (25)
  1. Arora NK (2003) Interacting with cancer patients: the significance of physicians’ communication behavior. Social science & medicine 57(5):791–806.
  2. Babaei S, Taleghani F (2019) Compassionate care challenges and barriers in clinical nurses: A qualitative study. Iranian journal of nursing and midwifery research 24(3):213.
  3. Baichuan (2023) Baichuan 2: Open large-scale language models. arXiv preprint arXiv:2309.10305 URL https://arxiv.org/abs/2309.10305.
  4. Cohen JJ (2006) Professionalism in medical education, an american perspective: from evidence to accountability. Medical education 40(7):607–617.
  5. Delbanco TL (1992) Enriching the doctor-patient relationship by inviting the patient’s perspective. Annals of internal medicine 116(5):414–418.
  6. DiMatteo M (1998) The role of the physician in the emerging health care environment. Western Journal of Medicine 168(5):328.
  7. Finset A (2012) “i am worried, doctor!” emotions in the doctor–patient relationship. Patient education and counseling 88(3):359–363.
  8. Freeman AL (2019) How to communicate evidence to patients. Drug and therapeutics bulletin 57(8):119–124.
  9. Frohna A, Stern D (2005) The nature of qualitative comments in evaluating professionalism. Medical Education 39(8):763–768.
  10. Ha JF, Longnecker N (2010) Doctor-patient communication: a review. Ochsner Journal 10(1):38–43.
  11. Hagihara A, Tarumi K (2007) Association between physicians’ communicative behaviors and judges’ decisions in lawsuits on negligent care. Health Policy 83(2-3):213–222.
  12. Hilton SR, Slotnick HB (2005) Proto-professionalism: how professionalisation occurs across the continuum of medical education. Medical education 39(1):58–65.
  13. Kearney RA (2005) Defining professionalism in anaesthesiology. Medical education 39(8):769–776.
  14. Kokkodis M, Ipeirotis PG (2021) Demand-aware career path recommendations: A reinforcement learning approach. Management Science 67(7):4362–4383.
  15. Larsen KM, Smith CK (1981) Assessment of nonverbal communication in the patient-physician interview. J Fam Pract 12(3):481–488.
  16. Markides M (2011) The importance of good communication between patient and health professionals. Journal of Pediatric Hematology/Oncology 33:S123–S125.
  17. Minhas R (2007) Does copying clinical or sharing correspondence to patients result in better care? International journal of clinical practice 61(8):1390–1395.
  18. Northcott S, Hilari K (2018) “i’ve got somebody there, someone cares”: what support is most valued following a stroke? Disability and rehabilitation 40(20):2439–2448.
  19. Noy S, Zhang W (2023) Experimental evidence on the productivity effects of generative artificial intelligence. Science 381(6654):187–192.
  20. Olson DP, Windish DM (2010) Communication discrepancies between physicians and hospitalized patients. Archives of internal medicine 170(15):1302–1307.
  21. OpenAI (2023) Gpt-4 technical report. arXiv preprint arXiv:2303.08774 .
  22. Project MP (2002) Medical professionalism in the new millennium: a physicians’ charter. The Lancet 359(9305):520–522.
  23. Song Y, Sun T (2023) Ensemble experiments to optimize interventions along the customer journey: A reinforcement learning approach. Management Science .
  24. Swick HM (2000) Toward a normative definition of medical professionalism. Academic medicine 75(6):612–616.
  25. Wear D, Castellani B (2000) The development of professionalism: curriculum matters. Academic Medicine 75(6):602–611.
Citations (1)

Summary

We haven't generated a summary for this paper yet.