United States

Medical calculators are fundamental to quantitative, evidence-based clinical practice. However, their real-world use is an adaptive, multi-stage process, requiring proactive EHR data acquisition, scenario-dependent calculator selection, and multi-step computation, whereas current benchmarks focus only on static single-step calculations with explicit instructions. To address these limitations, we introduce MedMCP-Calc, the first benchmark for evaluating LLMs in realistic medical calculator scenarios through Model Context Protocol (MCP) integration. MedMCP-Calc comprises 118 scenario tasks across 4 clinical domains, featuring fuzzy task descriptions mimicking natural queries, structured EHR database interaction, external reference retrieval, and process-level evaluation. Our evaluation of 23 leading models reveals critical limitations: even top performers like GPT-5 exhibit substantial gaps, including difficulty selecting appropriate calculators for end-to-end workflows given fuzzy queries, poor performance in iterative SQL-based database interactions, and marked reluctance to leverage external tools for numerical computation. Performance also varies considerably across clinical domains. Building on these findings, we develop CalcMate, a fine-tuned model incorporating scenario planning and tool augmentation, achieving state-of-the-art performance among open-source models.

ACL 2026

MedMCP-Calc: Benchmarking LLMs for Realistic Medical Calculator Scenarios via MCP Integration

**Welcome to EMNLP 2023!**

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EMNLP 2023

EMNLP 2023 took place in Singapore from Dec 6th to Dec 10th, 2023.

technical paper

It is my great pleasure and honor to welcome you to the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026), held in San Diego, California, USA, July 2–7, 2026. ACL 2026 continues our fields tradition of excellence in scholarship, innovation, and inclusivity, and I am deeply grateful to the many volunteers who have worked tirelessly to bring this event to life.

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As Large Language Models (LLMs) can now process extremely long contexts, efficient inference over these extended inputs has become increasingly important, especially for emerging applications like LLM agents that highly depend on this capability. Speculative decoding (SD) offers a promising lossless acceleration technique compared to lossy alternatives such as quantization and model cascades. However, most state-of-the-art SD methods are trained on short texts (typically fewer than 4k tokens), making them unsuitable for long-context scenarios. Specifically, adapting these methods to long contexts presents three key challenges: (1) the excessive memory demands posed by draft models due to large Key-Value (KV) cache; (2) performance degradation resulting from the mismatch between short-context training and long-context inference; and (3) inefficiencies in tree attention mechanisms when managing long token sequences. This work introduces LongSpec, a framework that addresses these challenges through three core innovations: a memory-efficient draft model with a constant-sized KV cache; novel position indices that mitigate the training–inference mismatch; and an attention aggregation strategy that combines fast prefix computation with standard tree attention to enable efficient decoding. Experimental results confirm the effectiveness of LongSpec, achieving up to a 3.26x speedup over strong Flash Attention baselines across five long-context understanding datasets, as well as a 2.34x reduction in wall-clock time on four math reasoning tasks with the QwQ model, demonstrating significant latency improvements for long-context applications.

LongSpec: Long-Context Lossless Speculative Decoding with Efficient Drafting and Verification

Large vision–language models (VLMs) commonly process images at native or high resolution to remain effective across tasks. This inflates visual tokens to 97-99% of total tokens, resulting in high compute and latency, even when low-resolution images would suffice. We introduce \emph{CARES}—a \textbf{C}ontext-\textbf{A}ware \textbf{R}esolution \textbf{S}elector, a lightweight preprocessing module that, given an image–query pair, predicts the \emph{minimal} sufficient input resolution. CARES uses a compact VLM (350M) to extract features and predict when a target pretrained VLM's response converges to its peak ability to answer correctly. Though trained as a discrete classifier over a set of optional resolutions, CARES interpolates continuous resolutions at inference for fine-grained control. Across five multimodal benchmarks spanning documents and natural images, as well as diverse target VLMs, CARES preserves task performance while reducing compute by up to 80%.

CARES: Context-Aware Resolution Selector for VLMs

Large language models (LLMs) have demonstrated remarkable progress in reasoning, often through supervised fine-tuning (SFT). However, SFT is resource-intensive, relying on large curated datasets, rejection-sampled demonstrations, and uniform optimization across all tokens—even though only a fraction carry meaningful learning value. In this work, we explore a counterintuitive idea: can smaller language models (SLMs) teach larger language models (LLMs) by revealing high-value reasoning moments that reflect the latter's unique strength? We propose LightReasoner, a novel framework that leverages the behavioral divergence between a stronger expert model (LLM) and a weaker amateur model (SLM). LightReasoner operates in two stages: (1) a sampling stage that pinpoints critical reasoning moments and constructs supervision examples capturing the expert's advantage through expert–amateur contrast, and (2) a fine-tuning stage that aligns the expert model with these distilled examples, amplifying its reasoning strengths. Across seven benchmarks, LightReasoner improves accuracy by up to 28.1%, while reducing time consumption by 90%, sampled problems by 80%, and tuned token usage by 99%, all without relying on ground-truth labels. By turning weaker SLMs into effective teaching signals, LightReasoner offers a scalable and resource-efficient approach for advancing LLM reasoning.

LightReasoner: Can Small Language Models Teach Large Language Models Reasoning?

Large language models (LLMs) require frequent knowledge updates to reflect changing facts and mitigate hallucinations. To meet this demand, lifelong knowledge editing has emerged as a continual approach to modify specific pieces of knowledge without retraining the entire model. Existing parameter-editing methods struggle with stability during sequential edits due to catastrophic forgetting. While retrieval-based approaches are proposed to alleviate this issue, their applicability remains limited across various datasets because of high training costs. To address these limitations and enhance scalability in lifelong settings, we propose LightEdit. Our framework first selects relevant knowledge from retrieved information to modify the query effectively. It then incorporates a decoding strategy to suppress the model’s original knowledge probabilities, thereby enabling efficient edits based on the selected information. Extensive experiments on ZSRE, Counterfact, and RIPE benchmarks demonstrate that LightEdit outperforms existing lifelong knowledge editing methods. Furthermore, by minimizing training costs, LightEdit achieves cost-effective scalability, enabling easy adaptation to various datasets.

Towards Scalable Lifelong Knowledge Editing with Selective Knowledge Suppression

Large Language Models (LLMs) have significantly advanced Machine Translation (MT), applying them to linguistically complex domains-such as Social Network Services, literature etc. In these scenarios, translations often require handling non-literal expressions, leading to the inaccuracy of MT metrics. To systematically investigate the reliability of MT metrics, we first curate a meta-evaluation dataset focused on non-literal translations, namely MENT. MENT encompasses four non-literal translation domains and features source sentences paired with translations from diverse MT systems, with 7,530 human-annotated scores on translation quality. Experimental results reveal the inaccuracies of traditional MT metrics and the limitations of LLM-as-a-Judge, particularly the knowledge cutoff and score inconsistency problem. To mitigate these limitations, we propose RATE, a novel agentic translation evaluation framework, centered by a reflective Core Agent that dynamically invokes specialized sub-agents. Experimental results indicate the efficacy of RATE, achieving an improvement of at least 3.2 points in combined system- and segment-level correlation with human judgments compared with current methods. Further experiments demonstrate the robustness of RATE to general-domain MT evaluation. Code and dataset are available at: https://github.com/BITHLP/RATE.

Beyond Literal Mapping: Benchmarking and Improving Non-Literal Translation Evaluation

Large Vision–Language Models (LVLMs) achieve strong performance across multimodal tasks by integrating visual perception with language understanding. However, how vision information contributes to the model’s decoding process remains under-explored, as reflected in frequent hallucinations. Through a series of analyses, we found that (i) vision tokens provide meaningful visual information even when hallucinations occur, and (ii) their semantics are encoded in the textual space and become explicit under appropriate vocabulary constraints. Building on these observations, we propose ReVisiT, a simple training-free decoding method that guides text generation in LVLMs by Referencing Vision Tokens. Our approach leverages the semantic information embedded within vision tokens by projecting them into the text token distribution. Specifically, ReVisiT dynamically selects the most relevant vision token at each decoding step via context-aware constrained divergence minimization. Then, ReVisiT uses its constrained projection to refine the output distribution to better incorporate visual semantics. Across five benchmarks on recent LVLMs, ReVisiT consistently enhances visual grounding with minimal computational overhead, and achieves competitive or superior results to state-of-the-art decoding baselines while reducing computational cost by up to $2\times$.

Revisit What You See: Revealing Visual Semantics in Vision Tokens to Guide LVLM Decoding

Although artificial intelligence (AI) shows growing promise for mental health care, current approaches to evaluating AI tools in this domain remain fragmented and poorly aligned with clinical practice, social context, and first-hand user experience. This paper argues for a rethinking of responsible evaluation -- what is measured, by whom, and for what purpose -- by introducing an interdisciplinary framework that integrates clinical soundness, social context, and equity, providing a structured basis for evaluation. Through an analysis of 135 recent *CL publications, we identify recurring limitations, including over-reliance on generic metrics that do not capture clinical validity, therapeutic appropriateness, or user experience, limited participation from mental health professionals, and insufficient attention to safety and equity. To address these gaps, we propose a taxonomy of AI mental health support types -- assessment-, intervention-, and information synthesis-oriented -- each with distinct risks and evaluative requirements, and illustrate its use through case studies.

Responsible Evaluation of AI for Mental Health

As large language models (LLMs) evolve into autonomous agents, evaluating repository-level reasoning, the ability to maintain logical consistency across massive, real-world, interdependent file systems, has become critical. Current benchmarks typically fluctuate between isolated code snippets and black-box evaluations. We present RepoReason, a white-box diagnostic benchmark centered on abductive assertion verification. To eliminate memorization while preserving authentic logical depth, we implement an execution-driven mutation framework that utilizes the environment as a semantic oracle to regenerate ground-truth states. Furthermore, we establish a fine-grained diagnostic system using dynamic program slicing, quantifying reasoning via three orthogonal metrics: $ESV$ (reading load), $MCL$ (simulation depth), and $DFI$ (integration width). Comprehensive evaluations of frontier models (e.g., Claude-4.5-Sonnet, DeepSeek-v3.1-Terminus) reveal a prevalent aggregation deficit, where integration width serves as the primary cognitive bottleneck. Our findings provide granular white-box insights for optimizing the next generation of agentic software engineering.

From Laboratory to Real-World Applications: Benchmarking Agentic Code Reasoning at the Repository Level

For generative AI agents to partner effectively with human users, the ability to accurately predict human intent is critical. But this ability to collaborate remains limited by a critical deficit: an inability to model common ground. We present a referential communication experiment with a factorial design involving director-matcher pairs (human-human, human-AI, AI-human, and AI-AI) that interact with multiple turns in repeated rounds to match pictures of objects not associated with any obvious lexicalized labels. We show that LVLMs cannot 
interactively generate and resolve referring expressions in a way that enables smooth communication, a crucial skill that underlies human language use. We release our corpus of 356 dialogues (89 pairs over 4 rounds each) along with the online pipeline for data collection and the tools for analyzing accuracy, efficiency, and lexical overlap.

LVLMs and Humans Ground Differently in Referential Communication

Current conversational agents often follow static learning paradigms and miss the implicit, evolving feedback embedded in users’ follow-up behaviors. We propose IEvoAgent, an evolving conversational agent framework that leverages the structured dependency between agent responses and user reactions. We construct an annotated dataset from LMSYS-Chat-1M and WildChat and find consistent response-conditioned feedback patterns. Based on this finding, IEvoAgent uses a conditional feedback distribution matrix to estimate expected feedback rewards, combining offline KTO alignment with an inference-time prompt-evolution mechanism driven by a dynamic matrix. Experiments on MT-Bench-101, WildBench, and FB-Bench show improvements over open-source baselines, indicating that mining implicit feedback supports better multi-turn alignment under evolving user preferences. Our code and dataset are available at https://github.com/Hualeez/IEvoAgent.

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LongSpec: Long-Context Lossless Speculative Decoding with Efficient Drafting and Verification

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