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Paper · arXiv

Understanding Clinical Cognitive Dialogues Using Large Language Models

In-person cognitive assessment is both a test and an interaction. Clinicians explain tasks, repair misunderstandings, and adapt to patient responses, while patients may hesitate, seek clarification, or disengage. Yet clinical dialogue resources rarely label the interaction structure needed to study these behaviors at scale. We present an de-identified corpus of 33 cognitive assessment conversations with 8,250 utterances annotated for three speaker roles and 56 dialogue acts. We use this corpus to benchmark large language models on fine-grained dialogue-act classification and next-patient-utterance generation. We also test whether out-of-domain instruction data and explanation-augmented tr...

AuthorsVishalakshi Arumugam, Dan Schumacher, Veronica Rammouz et al.
Primary categorycs.CL
Published28 September 2026
Last updated at source1 October 2026
cs.CL
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