Daily Papers

As large language models (LLMs) are applied to more use cases, creating high quality, task-specific datasets for fine-tuning becomes a bottleneck for model improvement. Using high quality human data has been the most common approach to unlock model performance, but is prohibitively expensive in many scenarios. Several alternative methods have also emerged, such as generating synthetic or hybrid data, but the effectiveness of these approaches remain unclear, especially in resource-constrained scenarios and tasks that are not easily verified. To investigate this, we group various synthetic data generation strategies into three representative categories -- Answer Augmentation, Question Rephrase and New Question -- and study the performance of student LLMs trained under various constraints, namely seed instruction set size and query budget. We demonstrate that these strategies are not equally effective across settings. Notably, the optimal data generation strategy depends strongly on the ratio between the available teacher query budget and the size of the seed instruction set. When this ratio is low, generating new answers to existing questions proves most effective, but as this ratio increases, generating new questions becomes optimal. Across all tasks, we find that choice of augmentation method and other design choices matter substantially more in low to mid data regimes than in high data regimes. We provide a practical framework for selecting the appropriate augmentation method across settings, taking into account additional factors such as the scalability of each method, the importance of verifying synthetic data, and the use of different LLMs for synthetic data generation.

Large language models (LLMs) demonstrate exceptional performance in numerous tasks but still heavily rely on knowledge stored in their parameters. Moreover, updating this knowledge incurs high training costs. Retrieval-augmented generation (RAG) methods address this issue by integrating external knowledge. The model can answer questions it couldn't previously by retrieving knowledge relevant to the query. This approach improves performance in certain scenarios for specific tasks. However, if irrelevant texts are retrieved, it may impair model performance. In this paper, we propose Retrieval Augmented Iterative Self-Feedback (RA-ISF), a framework that iteratively decomposes tasks and processes them in three submodules to enhance the model's problem-solving capabilities. Experiments show that our method outperforms existing benchmarks, performing well on models like GPT3.5, Llama2, significantly enhancing factual reasoning capabilities and reducing hallucinations.

Supervised fine-tuning enhances the problem-solving abilities of language models across various mathematical reasoning tasks. To maximize such benefits, existing research focuses on broadening the training set with various data augmentation techniques, which is effective for standard single-round question-answering settings. Our work introduces a novel technique aimed at cultivating a deeper understanding of the training problems at hand, enhancing performance not only in standard settings but also in more complex scenarios that require reflective thinking. Specifically, we propose reflective augmentation, a method that embeds problem reflection into each training instance. It trains the model to consider alternative perspectives and engage with abstractions and analogies, thereby fostering a thorough comprehension through reflective reasoning. Extensive experiments validate the achievement of our aim, underscoring the unique advantages of our method and its complementary nature relative to existing augmentation techniques.

We present a study of retrieval-augmented language models (LMs) on long-form question answering. We analyze how retrieval augmentation impacts different LMs, by comparing answers generated from models while using the same evidence documents, and how differing quality of retrieval document set impacts the answers generated from the same LM. We study various attributes of generated answers (e.g., fluency, length, variance) with an emphasis on the attribution of generated long-form answers to in-context evidence documents. We collect human annotations of answer attribution and evaluate methods for automatically judging attribution. Our study provides new insights on how retrieval augmentation impacts long, knowledge-rich text generation of LMs. We further identify attribution patterns for long text generation and analyze the main culprits of attribution errors. Together, our analysis reveals how retrieval augmentation impacts long knowledge-rich text generation and provide directions for future work.

Current Large Language Models (LLMs) have shown strong reasoning capabilities in commonsense question answering benchmarks, but the process underlying their success remains largely opaque. As a consequence, recent approaches have equipped LLMs with mechanisms for knowledge retrieval, reasoning and introspection, not only to improve their capabilities but also to enhance the interpretability of their outputs. However, these methods require additional training, hand-crafted templates or human-written explanations. To address these issues, we introduce ZEBRA, a zero-shot question answering framework that combines retrieval, case-based reasoning and introspection and dispenses with the need for additional training of the LLM. Given an input question, ZEBRA retrieves relevant question-knowledge pairs from a knowledge base and generates new knowledge by reasoning over the relationships in these pairs. This generated knowledge is then used to answer the input question, improving the model's performance and interpretability. We evaluate our approach across 8 well-established commonsense reasoning benchmarks, demonstrating that ZEBRA consistently outperforms strong LLMs and previous knowledge integration approaches, achieving an average accuracy improvement of up to 4.5 points.

Understanding and reasoning about entire software repositories is an essential capability for intelligent software engineering tools. While existing benchmarks such as CoSQA and CodeQA have advanced the field, they predominantly focus on small, self-contained code snippets. These setups fail to capture the complexity of real-world repositories, where effective understanding and reasoning often require navigating multiple files, understanding software architecture, and grounding answers in long-range code dependencies. In this paper, we present SWE-QA, a repository-level code question answering (QA) benchmark designed to facilitate research on automated QA systems in realistic code environments. SWE-QA involves 576 high-quality question-answer pairs spanning diverse categories, including intention understanding, cross-file reasoning, and multi-hop dependency analysis. To construct SWE-QA, we first crawled 77,100 GitHub issues from 11 popular repositories. Based on an analysis of naturally occurring developer questions extracted from these issues, we developed a two-level taxonomy of repository-level questions and constructed a set of seed questions for each category. For each category, we manually curated and validated questions and collected their corresponding answers. As a prototype application, we further develop SWE-QA-Agent, an agentic framework in which LLM agents reason and act to find answers automatically. We evaluate six advanced LLMs on SWE-QA under various context augmentation strategies. Experimental results highlight the promise of LLMs, particularly our SWE-QA-Agent framework, in addressing repository-level QA, while also revealing open challenges and pointing to future research directions.

Robustness in Natural Language Processing continues to be a pertinent issue, where state of the art models under-perform under naturally shifted distributions. In the context of Question Answering, work on domain adaptation methods continues to be a growing body of research. However, very little attention has been given to the notion of domain generalization under natural distribution shifts, where the target domain is unknown. With drastic improvements in the quality and access to generative models, we answer the question: How do generated datasets influence the performance of QA models under natural distribution shifts? We perform experiments on 4 different datasets under varying amounts of distribution shift, and analyze how "in-the-wild" generation can help achieve domain generalization. We take a two-step generation approach, generating both contexts and QA pairs to augment existing datasets. Through our experiments, we demonstrate how augmenting reading comprehension datasets with generated data leads to better robustness towards natural distribution shifts.

Recent studies show that sentence-level extractive QA, i.e., based on Answer Sentence Selection (AS2), is outperformed by Generation-based QA (GenQA) models, which generate answers using the top-k answer sentences ranked by AS2 models (a la retrieval-augmented generation style). In this paper, we propose a novel training paradigm for GenQA using supervision from automatic QA evaluation models (GAVA). Specifically, we propose three strategies to transfer knowledge from these QA evaluation models to a GenQA model: (i) augmenting training data with answers generated by the GenQA model and labelled by GAVA (either statically, before training, or (ii) dynamically, at every training epoch); and (iii) using the GAVA score for weighting the generator loss during the learning of the GenQA model. We evaluate our proposed methods on two academic and one industrial dataset, obtaining a significant improvement in answering accuracy over the previous state of the art.

While models for Visual Question Answering (VQA) have steadily improved over the years, interacting with one quickly reveals that these models lack consistency. For instance, if a model answers "red" to "What color is the balloon?", it might answer "no" if asked, "Is the balloon red?". These responses violate simple notions of entailment and raise questions about how effectively VQA models ground language. In this work, we introduce a dataset, ConVQA, and metrics that enable quantitative evaluation of consistency in VQA. For a given observable fact in an image (e.g. the balloon's color), we generate a set of logically consistent question-answer (QA) pairs (e.g. Is the balloon red?) and also collect a human-annotated set of common-sense based consistent QA pairs (e.g. Is the balloon the same color as tomato sauce?). Further, we propose a consistency-improving data augmentation module, a Consistency Teacher Module (CTM). CTM automatically generates entailed (or similar-intent) questions for a source QA pair and fine-tunes the VQA model if the VQA's answer to the entailed question is consistent with the source QA pair. We demonstrate that our CTM-based training improves the consistency of VQA models on the ConVQA datasets and is a strong baseline for further research.

Retrieval-Augmented Generation (RAG), while effective in integrating external knowledge to address the limitations of large language models (LLMs), can be undermined by imperfect retrieval, which may introduce irrelevant, misleading, or even malicious information. Despite its importance, previous studies have rarely explored the behavior of RAG through joint analysis on how errors from imperfect retrieval attribute and propagate, and how potential conflicts arise between the LLMs' internal knowledge and external sources. We find that imperfect retrieval augmentation might be inevitable and quite harmful, through controlled analysis under realistic conditions. We identify the knowledge conflicts between LLM-internal and external knowledge from retrieval as a bottleneck to overcome in the post-retrieval stage of RAG. To render LLMs resilient to imperfect retrieval, we propose Astute RAG, a novel RAG approach that adaptively elicits essential information from LLMs' internal knowledge, iteratively consolidates internal and external knowledge with source-awareness, and finalizes the answer according to information reliability. Our experiments using Gemini and Claude demonstrate that Astute RAG significantly outperforms previous robustness-enhanced RAG methods. Notably, Astute RAG is the only approach that matches or exceeds the performance of LLMs without RAG under worst-case scenarios. Further analysis reveals that Astute RAG effectively resolves knowledge conflicts, improving the reliability and trustworthiness of RAG systems.

In math reasoning with large language models (LLMs), fine-tuning data augmentation by query evolution and diverse reasoning paths is empirically verified effective, profoundly narrowing the gap between open-sourced LLMs and cutting-edge proprietary LLMs. In this paper, we conduct an investigation for such data augmentation in math reasoning and are intended to answer: (1) What strategies of data augmentation are more effective; (2) What is the scaling relationship between the amount of augmented data and model performance; and (3) Can data augmentation incentivize generalization to out-of-domain mathematical reasoning tasks? To this end, we create a new dataset, AugGSM8K, by complicating and diversifying the queries from GSM8K and sampling multiple reasoning paths. We obtained a series of LLMs called MuggleMath by fine-tuning on subsets of AugGSM8K. MuggleMath substantially achieves new state-of-the-art on GSM8K (from 54% to 68.4% at the scale of 7B, and from 63.9% to 74.0% at the scale of 13B). A log-linear relationship is presented between MuggleMath's performance and the amount of augmented data. We also find that MuggleMath is weak in out-of-domain math reasoning generalization to MATH. This is attributed to the differences in query distribution between AugGSM8K and MATH which suggest that augmentation on a single benchmark could not help with overall math reasoning performance. Codes and AugGSM8K will be uploaded to https://github.com/OFA-Sys/gsm8k-ScRel.

Most large language models (LLMs) are trained once and never updated; thus, they lack the ability to dynamically adapt to our ever-changing world. In this work, we perform a detailed study of the factuality of LLM-generated text in the context of answering questions that test current world knowledge. Specifically, we introduce FreshQA, a novel dynamic QA benchmark encompassing a diverse range of question and answer types, including questions that require fast-changing world knowledge as well as questions with false premises that need to be debunked. We benchmark a diverse array of both closed and open-source LLMs under a two-mode evaluation procedure that allows us to measure both correctness and hallucination. Through human evaluations involving more than 50K judgments, we shed light on limitations of these models and demonstrate significant room for improvement: for instance, all models (regardless of model size) struggle on questions that involve fast-changing knowledge and false premises. Motivated by these results, we present FreshPrompt, a simple few-shot prompting method that substantially boosts the performance of an LLM on FreshQA by incorporating relevant and up-to-date information retrieved from a search engine into the prompt. Our experiments show that FreshPrompt outperforms both competing search engine-augmented prompting methods such as Self-Ask (Press et al., 2022) as well as commercial systems such as Perplexity.AI. Further analysis of FreshPrompt reveals that both the number of retrieved evidences and their order play a key role in influencing the correctness of LLM-generated answers. Additionally, instructing the LLM to generate concise and direct answers helps reduce hallucination compared to encouraging more verbose answers. To facilitate future work, we release FreshQA at github.com/freshllms/freshqa and commit to updating it at regular intervals.

Large Language Models (LLMs) have made significant strides in natural language processing but face challenges in terms of computational expense and inefficiency as they grow in size, especially in domain-specific tasks. Small Language Models (SLMs), on the other hand, often struggle in these tasks due to limited capacity and training data. In this paper, we introduce Dr. LLaMA, a method for improving SLMs through generative data augmentation using LLMs, focusing on medical question-answering tasks and the PubMedQA dataset. Our findings indicate that LLMs effectively refine and diversify existing question-answer pairs, resulting in improved performance of a much smaller model on domain-specific QA datasets after fine-tuning. This study highlights the challenges of using LLMs for domain-specific question answering and suggests potential research directions to address these limitations, ultimately aiming to create more efficient and capable models for specialized applications. We have also made our code available for interested researchers

Community Question Answering (CQA) fora such as Stack Overflow and Yahoo! Answers contain a rich resource of answers to a wide range of community-based questions. Each question thread can receive a large number of answers with different perspectives. One goal of answer summarization is to produce a summary that reflects the range of answer perspectives. A major obstacle for this task is the absence of a dataset to provide supervision for producing such summaries. Recent works propose heuristics to create such data, but these are often noisy and do not cover all answer perspectives present. This work introduces a novel dataset of 4,631 CQA threads for answer summarization curated by professional linguists. Our pipeline gathers annotations for all subtasks of answer summarization, including relevant answer sentence selection, grouping these sentences based on perspectives, summarizing each perspective, and producing an overall summary. We analyze and benchmark state-of-the-art models on these subtasks and introduce a novel unsupervised approach for multi-perspective data augmentation that boosts summarization performance according to automatic evaluation. Finally, we propose reinforcement learning rewards to improve factual consistency and answer coverage and analyze areas for improvement.

Current large multimodal models (LMMs) face significant challenges in processing and comprehending long-duration or high-resolution videos, which is mainly due to the lack of high-quality datasets. To address this issue from a data-centric perspective, we propose VISTA, a simple yet effective Video Spatiotemporal Augmentation framework that synthesizes long-duration and high-resolution video instruction-following pairs from existing video-caption datasets. VISTA spatially and temporally combines videos to create new synthetic videos with extended durations and enhanced resolutions, and subsequently produces question-answer pairs pertaining to these newly synthesized videos. Based on this paradigm, we develop seven video augmentation methods and curate VISTA-400K, a video instruction-following dataset aimed at enhancing long-duration and high-resolution video understanding. Finetuning various video LMMs on our data resulted in an average improvement of 3.3% across four challenging benchmarks for long-video understanding. Furthermore, we introduce the first comprehensive high-resolution video understanding benchmark HRVideoBench, on which our finetuned models achieve a 6.5% performance gain. These results highlight the effectiveness of our framework.

In the continuously advancing AI landscape, crafting context-rich and meaningful responses via Large Language Models (LLMs) is essential. Researchers are becoming more aware of the challenges that LLMs with fewer parameters encounter when trying to provide suitable answers to open-ended questions. To address these hurdles, the integration of cutting-edge strategies, augmentation of rich external domain knowledge to LLMs, offers significant improvements. This paper introduces a novel framework that combines graph-driven context retrieval in conjunction to knowledge graphs based enhancement, honing the proficiency of LLMs, especially in domain specific community question answering platforms like AskUbuntu, Unix, and ServerFault. We conduct experiments on various LLMs with different parameter sizes to evaluate their ability to ground knowledge and determine factual accuracy in answers to open-ended questions. Our methodology GraphContextGen consistently outperforms dominant text-based retrieval systems, demonstrating its robustness and adaptability to a larger number of use cases. This advancement highlights the importance of pairing context rich data retrieval with LLMs, offering a renewed approach to knowledge sourcing and generation in AI systems. We also show that, due to rich contextual data retrieval, the crucial entities, along with the generated answer, remain factually coherent with the gold answer.

Large Reasoning Models (LRMs) have become a central focus in today's large language model (LLM) research, where models are designed to output a step-by-step thinking process before arriving at a final answer to handle complex reasoning tasks. Despite their promise, recent empirical studies (e.g., [Shojaee et al., 2025] from Apple) suggest that this thinking process may not actually enhance reasoning ability, where LLMs without explicit reasoning actually outperform LRMs on tasks with low or high complexity. In this work, we revisit these findings and investigate whether the limitations of LRMs persist when tool augmentations are introduced. We incorporate two types of tools, Python interpreters and scratchpads, and evaluate three representative LLMs and their LRM counterparts on Apple's benchmark reasoning puzzles. Our results show that, with proper tool use, LRMs consistently outperform their non-reasoning counterparts across all levels of task complexity. These findings challenge the recent narrative that reasoning is an illusion and highlight the potential of tool-augmented LRMs for solving complex problems.

Recent work in open-domain question answering (ODQA) has shown that adversarial poisoning of the input contexts can cause large drops in accuracy for production systems. However, little to no work has proposed methods to defend against these attacks. To do so, we introduce a new method that uses query augmentation to search for a diverse set of retrieved passages that could answer the original question. We integrate these new passages into the model through the design of a novel confidence method, comparing the predicted answer to its appearance in the retrieved contexts (what we call Confidence from Answer Redundancy, e.g. CAR). Together these methods allow for a simple but effective way to defend against poisoning attacks and provide gains of 5-20% exact match across varying levels of data poisoning.

Deep learning algorithms have shown promising results in visual question answering (VQA) tasks, but a more careful look reveals that they often do not understand the rich signal they are being fed with. To understand and better measure the generalization capabilities of VQA systems, we look at their robustness to counterfactually augmented data. Our proposed augmentations are designed to make a focused intervention on a specific property of the question such that the answer changes. Using these augmentations, we propose a new robustness measure, Robustness to Augmented Data (RAD), which measures the consistency of model predictions between original and augmented examples. Through extensive experimentation, we show that RAD, unlike classical accuracy measures, can quantify when state-of-the-art systems are not robust to counterfactuals. We find substantial failure cases which reveal that current VQA systems are still brittle. Finally, we connect between robustness and generalization, demonstrating the predictive power of RAD for performance on unseen augmentations.

Recent advancements in reinforcement learning, particularly through Group Relative Policy Optimization (GRPO), have significantly improved multimodal large language models for complex reasoning tasks. However, two critical limitations persist: 1) they often produce unfocused, verbose reasoning chains that obscure salient spatiotemporal cues and 2) binary rewarding fails to account for partially correct answers, resulting in high reward variance and inefficient learning. In this paper, we propose TW-GRPO, a novel framework that enhances visual reasoning with focused thinking and dense reward granularity. Specifically, we employs a token weighting mechanism that prioritizes tokens with high informational density (estimated by intra-group variance), suppressing redundant tokens like generic reasoning prefixes. Furthermore, we reformulate RL training by shifting from single-choice to multi-choice QA tasks, where soft rewards enable finer-grained gradient estimation by distinguishing partial correctness. Additionally, we propose question-answer inversion, a data augmentation strategy to generate diverse multi-choice samples from existing benchmarks. Experiments demonstrate state-of-the-art performance on several video reasoning and general understanding benchmarks. Notably, TW-GRPO achieves 50.4\% accuracy on CLEVRER (18.8\% improvement over Video-R1) and 65.8\% on MMVU. Our codes are available at https://github.com/longmalongma/TW-GRPO.

Reward models (RMs) are fundamental to aligning Large Language Models (LLMs) via human feedback, yet they often suffer from reward hacking. They tend to latch on to superficial or spurious attributes, such as response length or formatting, mistaking these cues learned from correlations in training data for the true causal drivers of quality (e.g., factuality, relevance). This occurs because standard training objectives struggle to disentangle these factors, leading to brittle RMs and misaligned policies. We introduce Crome (Causally Robust Reward Modeling), a novel framework grounded in an explicit causal model designed to mitigate reward hacking. Crome employs the following synthetic targeted augmentations during training: (1) Causal Augmentations, which are pairs that differ along specific causal attributes, to enforce sensitivity along each causal attribute individually, and (2) Neutral Augmentations, which are tie-label pairs varying primarily in spurious attributes, to enforce invariance along spurious attributes. Notably, our augmentations are produced without any knowledge of spurious factors, via answer interventions only along causal rubrics, that are identified by querying an oracle LLM. Empirically, Crome significantly outperforms standard baselines on RewardBench, improving average accuracy by up to 5.4% and achieving gains of up to 13.2% and 7.2% in specific categories. The robustness of Crome is further testified by the consistent gains obtained in a Best-of-N inference setting across increasing N, across various benchmarks, including the popular RewardBench (covering chat, chat-hard, safety, and reasoning tasks), the safety-focused WildGuardTest, and the reasoning-specific GSM8k.

Despite impressive advances in recent multimodal large language models (MLLMs), state-of-the-art models such as from the GPT-4 suite still struggle with knowledge-intensive tasks. To address this, we consider Reverse Image Retrieval (RIR) augmented generation, a simple yet effective strategy to augment MLLMs with web-scale reverse image search results. RIR robustly improves knowledge-intensive visual question answering (VQA) of GPT-4V by 37-43%, GPT-4 Turbo by 25-27%, and GPT-4o by 18-20% in terms of open-ended VQA evaluation metrics. To our surprise, we discover that RIR helps the model to better access its own world knowledge. Concretely, our experiments suggest that RIR augmentation helps by providing further visual and textual cues without necessarily containing the direct answer to a query. In addition, we elucidate cases in which RIR can hurt performance and conduct a human evaluation. Finally, we find that the overall advantage of using RIR makes it difficult for an agent that can choose to use RIR to perform better than an approach where RIR is the default setting.

In this paper, we propose the task of consecutive question generation (CQG), which generates a set of logically related question-answer pairs to understand a whole passage, with a comprehensive consideration of the aspects including accuracy, coverage, and informativeness. To achieve this, we first examine the four key elements of CQG, i.e., question, answer, rationale, and context history, and propose a novel dynamic multitask framework with one main task generating a question-answer pair, and four auxiliary tasks generating other elements. It directly helps the model generate good questions through both joint training and self-reranking. At the same time, to fully explore the worth-asking information in a given passage, we make use of the reranking losses to sample the rationales and search for the best question series globally. Finally, we measure our strategy by QA data augmentation and manual evaluation, as well as a novel application of generated question-answer pairs on DocNLI. We prove that our strategy can improve question generation significantly and benefit multiple related NLP tasks.

Large Language Models (LLMs) can perform chart question-answering tasks but often generate unverified hallucinated responses. Existing answer attribution methods struggle to ground responses in source charts due to limited visual-semantic context, complex visual-text alignment requirements, and difficulties in bounding box prediction across complex layouts. We present ChartCitor, a multi-agent framework that provides fine-grained bounding box citations by identifying supporting evidence within chart images. The system orchestrates LLM agents to perform chart-to-table extraction, answer reformulation, table augmentation, evidence retrieval through pre-filtering and re-ranking, and table-to-chart mapping. ChartCitor outperforms existing baselines across different chart types. Qualitative user studies show that ChartCitor helps increase user trust in Generative AI by providing enhanced explainability for LLM-assisted chart QA and enables professionals to be more productive.

Large Language Models (LLMs) have quickly become an invaluable assistant for a variety of tasks. However, their effectiveness is constrained by their ability to tailor responses to human preferences and behaviors via personalization. Prior work in LLM personalization has largely focused on style transfer or incorporating small factoids about the user, as knowledge injection remains an open challenge. In this paper, we explore injecting knowledge of prior conversations into LLMs to enable future work on less redundant, personalized conversations. We identify two real-world constraints: (1) conversations are sequential in time and must be treated as such during training, and (2) per-user personalization is only viable in parameter-efficient settings. To this aim, we propose PLUM, a pipeline performing data augmentation for up-sampling conversations as question-answer pairs, that are then used to finetune a low-rank adaptation adapter with a weighted cross entropy loss. Even in this first exploration of the problem, we perform competitively with baselines such as RAG, attaining an accuracy of 81.5% across 100 conversations.

Uncertainty estimation is an essential and heavily-studied component for the reliable application of semantic segmentation methods. While various studies exist claiming methodological advances on the one hand, and successful application on the other hand, the field is currently hampered by a gap between theory and practice leaving fundamental questions unanswered: Can data-related and model-related uncertainty really be separated in practice? Which components of an uncertainty method are essential for real-world performance? Which uncertainty method works well for which application? In this work, we link this research gap to a lack of systematic and comprehensive evaluation of uncertainty methods. Specifically, we identify three key pitfalls in current literature and present an evaluation framework that bridges the research gap by providing 1) a controlled environment for studying data ambiguities as well as distribution shifts, 2) systematic ablations of relevant method components, and 3) test-beds for the five predominant uncertainty applications: OoD-detection, active learning, failure detection, calibration, and ambiguity modeling. Empirical results on simulated as well as real-world data demonstrate how the proposed framework is able to answer the predominant questions in the field revealing for instance that 1) separation of uncertainty types works on simulated data but does not necessarily translate to real-world data, 2) aggregation of scores is a crucial but currently neglected component of uncertainty methods, 3) While ensembles are performing most robustly across the different downstream tasks and settings, test-time augmentation often constitutes a light-weight alternative. Code is at: https://github.com/IML-DKFZ/values

Medical Visual Question Answering (MedVQA) is a promising field for developing clinical decision support systems, yet progress is often limited by the available datasets, which can lack clinical complexity and visual diversity. To address these gaps, we introduce Kvasir-VQA-x1, a new, large-scale dataset for gastrointestinal (GI) endoscopy. Our work significantly expands upon the original Kvasir-VQA by incorporating 159,549 new question-answer pairs that are designed to test deeper clinical reasoning. We developed a systematic method using large language models to generate these questions, which are stratified by complexity to better assess a model's inference capabilities. To ensure our dataset prepares models for real-world clinical scenarios, we have also introduced a variety of visual augmentations that mimic common imaging artifacts. The dataset is structured to support two main evaluation tracks: one for standard VQA performance and another to test model robustness against these visual perturbations. By providing a more challenging and clinically relevant benchmark, Kvasir-VQA-x1 aims to accelerate the development of more reliable and effective multimodal AI systems for use in clinical settings. The dataset is fully accessible and adheres to FAIR data principles, making it a valuable resource for the wider research community. Code and data: https://github.com/Simula/Kvasir-VQA-x1 and https://huggingface.co/datasets/SimulaMet/Kvasir-VQA-x1