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Introduction to Language of Pathophysiology l01:25

Introduction to Language of Pathophysiology l

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Pathophysiology investigates how biological mechanisms—typically starting at the cellular level—disrupt normal bodily functions. It bridges anatomy and physiology to explain the progression of disease. With this foundation, it is important to understand the following key terms used to describe disease processes: Diagnosis:The process of identifying a disease using clinical evaluation, including signs (objective evidence like rashes), symptoms (subjective experiences like...
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Introduction to Language of Pathophysiology ll01:17

Introduction to Language of Pathophysiology ll

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This lesson explores key terms that describe how diseases progress, their outcomes, and their distribution in populations.Diagnostic tests identify diseases and monitor treatment. These include blood and urine tests, biopsies, imaging (X-ray, MRI), and detection of infectious agents.Remission is a reduction or disappearance of symptoms.Exacerbation refers to the worsening of symptoms, such as increased wheezing during an asthma attack.A precipitating factor triggers an acute episode, while a...
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Related Experiment Video

Updated: May 2, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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Medical Feature Extraction From Clinical Examination Notes: Development and Evaluation of a Two-Phase Large Language

Manal Abumelha1,2, Abdullah Al-Malaise Al-Ghamdi1,3, Ayman Fayoumi1

  • 1Information Systems Department, Faculty of Computing and Information Technology, King Abdulaziz University, Jeddah, Saudi Arabia.

JMIR Medical Informatics
|October 31, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces a novel two-phase framework for medical feature extraction using large language models (LLMs). The framework significantly enhances accuracy and reduces hallucinations and missing features, even with limited training data.

Keywords:
automated medical assessmentclinical NLPhallucination mitigationinstruction tuninglarge language modelsmedical feature extractionsemantic matching

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Area of Science:

  • Natural Language Processing
  • Medical Informatics
  • Machine Learning

Background:

  • Medical feature extraction from clinical text is hindered by data scarcity and terminology variations.
  • Large language models (LLMs) show promise but struggle with hallucination in medical applications.

Purpose of the Study:

  • To develop a robust LLM framework for accurate medical feature extraction.
  • To minimize hallucination and improve performance with limited training data.

Main Methods:

  • A two-phase training approach was implemented: instructing fine-tuning and confidence-regularization fine-tuning.
  • The model was trained on full (700 notes) and few-shot (100 notes) datasets.
  • Evaluation utilized the USMLE Step-2 Clinical Skills dataset with extensive testing.

Main Results:

  • Achieved high F1-scores (0.968-0.983 on full, 0.960-0.973 on few-shot data), outperforming existing methods.
  • Reduced hallucinations by 89.9% and missing features by 88.9% compared to baseline LLM.
  • Demonstrated stable model confidence despite performance improvements.

Conclusions:

  • The two-phase LLM framework offers state-of-the-art medical feature extraction with reduced errors.
  • The framework exhibits strong generalization, performing well with minimal data for resource-constrained settings.
  • The approach provides reliable outputs for automated clinical assessment.