Daily Papers

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

Although humans inherently have diverse values, current large language model (LLM) alignment methods often assume that aligning LLMs with the general public's preferences is optimal. A major challenge in adopting a more individualized approach to LLM alignment is its lack of scalability, as it involves repeatedly acquiring preference data and training new reward models and LLMs for each individual's preferences. To address these challenges, we propose a new paradigm where users specify what they value most within the system message, steering the LLM's generation behavior to better align with the user's intentions. However, a naive application of such an approach is non-trivial since LLMs are typically trained on a uniform system message (e.g., "You are a helpful assistant") which limits their ability to generalize to diverse, unseen system messages. To improve this generalization, we create the Multifaceted Collection, a preference dataset with 192k combinations of values beyond generic helpfulness and harmlessness, spanning 65k user instructions. Using this dataset, we train a 7B LLM called Janus and test it on 921 prompts from 5 benchmarks (AlpacaEval 2.0, FLASK, Koala, MT-Bench, and Self-Instruct) by adding various unseen system messages that reflect user preferences. Janus achieves tie+win rate of 75.2%, 72.4%, and 66.4% against Mistral 7B Instruct v0.2, GPT-3.5 Turbo, and GPT-4, respectively. Unexpectedly, on three benchmarks focused on response helpfulness (AlpacaEval 2.0, MT-Bench, Arena Hard Auto v0.1), Janus also outperforms LLaMA 3 8B Instruct by a +4.0%, +0.1%, +3.0% margin, underscoring that training with a vast array of system messages could also enhance alignment to the general public's preference as well. Our code, dataset, benchmark, and models are available at https://github.com/kaistAI/Janus.