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Mar 14

Large Language Models to Identify Social Determinants of Health in Electronic Health Records

Social determinants of health (SDoH) have an important impact on patient outcomes but are incompletely collected from the electronic health records (EHR). This study researched the ability of large language models to extract SDoH from free text in EHRs, where they are most commonly documented, and explored the role of synthetic clinical text for improving the extraction of these scarcely documented, yet extremely valuable, clinical data. 800 patient notes were annotated for SDoH categories, and several transformer-based models were evaluated. The study also experimented with synthetic data generation and assessed for algorithmic bias. Our best-performing models were fine-tuned Flan-T5 XL (macro-F1 0.71) for any SDoH, and Flan-T5 XXL (macro-F1 0.70). The benefit of augmenting fine-tuning with synthetic data varied across model architecture and size, with smaller Flan-T5 models (base and large) showing the greatest improvements in performance (delta F1 +0.12 to +0.23). Model performance was similar on the in-hospital system dataset but worse on the MIMIC-III dataset. Our best-performing fine-tuned models outperformed zero- and few-shot performance of ChatGPT-family models for both tasks. These fine-tuned models were less likely than ChatGPT to change their prediction when race/ethnicity and gender descriptors were added to the text, suggesting less algorithmic bias (p<0.05). At the patient-level, our models identified 93.8% of patients with adverse SDoH, while ICD-10 codes captured 2.0%. Our method can effectively extracted SDoH information from clinic notes, performing better compare to GPT zero- and few-shot settings. These models could enhance real-world evidence on SDoH and aid in identifying patients needing social support.

Flacuna: Unleashing the Problem Solving Power of Vicuna using FLAN Fine-Tuning

Recently, the release of INSTRUCTEVAL has provided valuable insights into the performance of large language models (LLMs) that utilize encoder-decoder or decoder-only architecture. Interestingly, despite being introduced four years ago, T5-based LLMs, such as FLAN-T5, continue to outperform the latest decoder-based LLMs, such as LLAMA and VICUNA, on tasks that require general problem-solving skills. This performance discrepancy can be attributed to three key factors: (1) Pre-training data, (2) Backbone architecture, and (3) Instruction dataset. In this technical report, our main focus is on investigating the impact of the third factor by leveraging VICUNA, a large language model based on LLAMA, which has undergone fine-tuning on ChatGPT conversations. To achieve this objective, we fine-tuned VICUNA using a customized instruction dataset collection called FLANMINI. This collection includes a subset of the large-scale instruction dataset known as FLAN, as well as various code-related datasets and conversational datasets derived from ChatGPT/GPT-4. This dataset comprises a large number of tasks that demand problem-solving skills. Our experimental findings strongly indicate that the enhanced problem-solving abilities of our model, FLACUNA, are obtained through fine-tuning VICUNA on the FLAN dataset, leading to significant improvements across numerous benchmark datasets in INSTRUCTEVAL. FLACUNA is publicly available at https://huggingface.co/declare-lab/flacuna-13b-v1.0.

UL2: Unifying Language Learning Paradigms

Existing pre-trained models are generally geared towards a particular class of problems. To date, there seems to be still no consensus on what the right architecture and pre-training setup should be. This paper presents a unified framework for pre-training models that are universally effective across datasets and setups. We begin by disentangling architectural archetypes with pre-training objectives -- two concepts that are commonly conflated. Next, we present a generalized & unified perspective for self-supervision in NLP and show how different pre-training objectives can be cast as one another and how interpolating between different objectives can be effective. We then propose Mixture-of-Denoisers (MoD), a pre-training objective that combines diverse pre-training paradigms together. We furthermore introduce a notion of mode switching, wherein downstream fine-tuning is associated with specific pre-training schemes. We conduct extensive ablative experiments to compare multiple pre-training objectives and find that our method pushes the Pareto-frontier by outperforming T5 & GPT-like models across multiple diverse setups. By scaling our model up to 20B parameters, we achieve SOTA performance on 50 well-established supervised finetuning based NLP tasks. Our model also achieve strong results at in-context learning, outperforming 175B GPT-3 on zero-shot SuperGLUE and tripling the performance of T5-XXL on one-shot summarization. On 0-shot MMLU, UL2 20B outperforms T0 and T5 models. UL2 20B also works well with chain-of-thought prompting and reasoning, making it an appealing choice for research into reasoning at a small to medium scale of 20B parameters. Finally, we apply FLAN instruction tuning to the UL2 20B model, achieving MMLU and Big-Bench scores competitive to FLAN-PaLM 62B. We release Flax-based T5X checkpoints for the UL2 20B & Flan-UL2 20B.

Closing the gap between open-source and commercial large language models for medical evidence summarization

Large language models (LLMs) hold great promise in summarizing medical evidence. Most recent studies focus on the application of proprietary LLMs. Using proprietary LLMs introduces multiple risk factors, including a lack of transparency and vendor dependency. While open-source LLMs allow better transparency and customization, their performance falls short compared to proprietary ones. In this study, we investigated to what extent fine-tuning open-source LLMs can further improve their performance in summarizing medical evidence. Utilizing a benchmark dataset, MedReview, consisting of 8,161 pairs of systematic reviews and summaries, we fine-tuned three broadly-used, open-sourced LLMs, namely PRIMERA, LongT5, and Llama-2. Overall, the fine-tuned LLMs obtained an increase of 9.89 in ROUGE-L (95% confidence interval: 8.94-10.81), 13.21 in METEOR score (95% confidence interval: 12.05-14.37), and 15.82 in CHRF score (95% confidence interval: 13.89-16.44). The performance of fine-tuned LongT5 is close to GPT-3.5 with zero-shot settings. Furthermore, smaller fine-tuned models sometimes even demonstrated superior performance compared to larger zero-shot models. The above trends of improvement were also manifested in both human and GPT4-simulated evaluations. Our results can be applied to guide model selection for tasks demanding particular domain knowledge, such as medical evidence summarization.

Towards Green AI in Fine-tuning Large Language Models via Adaptive Backpropagation

Fine-tuning is the most effective way of adapting pre-trained large language models (LLMs) to downstream applications. With the fast growth of LLM-enabled AI applications and democratization of open-souced LLMs, fine-tuning has become possible for non-expert individuals, but intensively performed LLM fine-tuning worldwide could result in significantly high energy consumption and carbon footprint, which may bring large environmental impact. Mitigating such environmental impact towards Green AI directly correlates to reducing the FLOPs of fine-tuning, but existing techniques on efficient LLM fine-tuning can only achieve limited reduction of such FLOPs, due to their ignorance of the backpropagation cost in fine-tuning. To address this limitation, in this paper we present GreenTrainer, a new LLM fine-tuning technique that adaptively evaluates different tensors' backpropagation costs and contributions to the fine-tuned model accuracy, to minimize the fine-tuning cost by selecting the most appropriate set of tensors in training. Such selection in GreenTrainer is made based on a given objective of FLOPs reduction, which can flexibly adapt to the carbon footprint in energy supply and the need in Green AI. Experiment results over multiple open-sourced LLM models and abstractive summarization datasets show that, compared to fine-tuning the whole LLM model, GreenTrainer can save up to 64% FLOPs in fine-tuning without any noticeable model accuracy loss. Compared to the existing fine-tuning techniques such as LoRa, GreenTrainer can achieve up to 4% improvement on model accuracy with on-par FLOPs reduction.

Generating Mathematical Derivations with Large Language Models

The derivation of mathematical results in specialised fields using Large Language Models (LLMs) is an emerging research direction that can help identify models' limitations, and potentially support mathematical discovery. In this paper, we leverage a symbolic engine to generate derivations of equations at scale, and investigate the capabilities of LLMs when deriving goal equations from premises. Specifically, we employ in-context learning for GPT and fine-tune a range of T5 models to compare the robustness and generalisation of pre-training strategies to specialised models. Empirical results show that fine-tuned FLAN-T5-large (MathT5) outperforms GPT models on all static and out-of-distribution test sets in terms of absolute performance. However, an in-depth analysis reveals that the fine-tuned models are more sensitive to perturbations involving unseen symbols and (to a lesser extent) changes to equation structure. In addition, we analyse 1.7K equations and over 200 derivations to highlight common reasoning errors such as the inclusion of incorrect, irrelevant, and redundant equations, along with the tendency to skip derivation steps. Finally, we explore the suitability of existing metrics for evaluating mathematical derivations finding evidence that, while they capture general properties such as sensitivity to perturbations, they fail to highlight fine-grained reasoning errors and essential differences between models. Overall, this work demonstrates that training models on synthetic data can improve their mathematical capabilities beyond larger architectures.

Efficient Deployment of Large Language Models on Resource-constrained Devices

Deploying Large Language Models (LLMs) on resource-constrained (or weak) devices presents significant challenges due to limited resources and heterogeneous data distribution. To address the data concern, it is necessary to fine-tune LLMs using on-device private data for various downstream tasks. While Federated Learning (FL) offers a promising privacy-preserving solution, existing fine-tuning methods retain the original LLM size, leaving issues of high inference latency and excessive memory demands unresolved. Hence, we design FedSpine, an FL framework that combines Parameter- Efficient Fine-Tuning (PEFT) with structured pruning for efficient deployment of LLMs on resource-constrained devices. Specifically, FedSpine introduces an iterative process to prune and tune the parameters of LLMs. To mitigate the impact of device heterogeneity, an online Multi-Armed Bandit (MAB) algorithm is employed to adaptively determine different pruning ratios and LoRA ranks for heterogeneous devices without any prior knowledge of their computing and communication capabilities. As a result, FedSpine maintains higher inference accuracy while improving fine-tuning efficiency. Experimental results conducted on a physical platform with 80 devices demonstrate that FedSpine can speed up fine-tuning by 1.4times-6.9times and improve final accuracy by 0.4%-4.5% under the same sparsity level compared to other baselines.

FineTuneBench: How well do commercial fine-tuning APIs infuse knowledge into LLMs?

There is great interest in fine-tuning frontier large language models (LLMs) to inject new information and update existing knowledge. While commercial LLM fine-tuning APIs from providers such as OpenAI and Google promise flexible adaptation for various applications, the efficacy of fine-tuning remains unclear. In this study, we introduce FineTuneBench, an evaluation framework and dataset for understanding how well commercial fine-tuning APIs can successfully learn new and updated knowledge. We analyze five frontier LLMs with commercially available fine-tuning APIs, including GPT-4o and Gemini 1.5 Pro, on their effectiveness in two settings: (1) ingesting novel information, such as recent news events and new people profiles, and (2) updating existing knowledge, such as updated medical guidelines and code frameworks. Our results reveal substantial shortcomings in all the models' abilities to effectively learn new information through fine-tuning, with an average generalization accuracy of 37% across all models. When updating existing knowledge, such as incorporating medical guideline updates, commercial fine-tuning APIs show even more limited capability (average generalization accuracy of 19%). Overall, fine-tuning GPT-4o mini is the most effective for infusing new knowledge and updating knowledge, followed by GPT-3.5 Turbo and GPT-4o. The fine-tuning APIs for Gemini 1.5 Flesh and Gemini 1.5 Pro are unable to learn new knowledge or update existing knowledge. These findings underscore a major shortcoming in using current commercial fine-tuning services to achieve reliable knowledge infusion in common scenarios. We open source the FineTuneBench dataset at https://github.com/kevinwu23/StanfordFineTuneBench.

Improving Large Language Model Fine-tuning for Solving Math Problems

Despite their success in many natural language tasks, solving math problems remains a significant challenge for large language models (LLMs). A large gap exists between LLMs' pass-at-one and pass-at-N performance in solving math problems, suggesting LLMs might be close to finding correct solutions, motivating our exploration of fine-tuning methods to unlock LLMs' performance. Using the challenging MATH dataset, we investigate three fine-tuning strategies: (1) solution fine-tuning, where we fine-tune to generate a detailed solution for a given math problem; (2) solution-cluster re-ranking, where the LLM is fine-tuned as a solution verifier/evaluator to choose among generated candidate solution clusters; (3) multi-task sequential fine-tuning, which integrates both solution generation and evaluation tasks together efficiently to enhance the LLM performance. With these methods, we present a thorough empirical study on a series of PaLM 2 models and find: (1) The quality and style of the step-by-step solutions used for fine-tuning can make a significant impact on the model performance; (2) While solution re-ranking and majority voting are both effective for improving the model performance when used separately, they can also be used together for an even greater performance boost; (3) Multi-task fine-tuning that sequentially separates the solution generation and evaluation tasks can offer improved performance compared with the solution fine-tuning baseline. Guided by these insights, we design a fine-tuning recipe that yields approximately 58.8% accuracy on the MATH dataset with fine-tuned PaLM 2-L models, an 11.2% accuracy improvement over the few-shot performance of pre-trained PaLM 2-L model with majority voting.

MeteoRA: Multiple-tasks Embedded LoRA for Large Language Models

The pretrain+fine-tune paradigm is foundational in deploying large language models (LLMs) across a diverse range of downstream applications. Among these, Low-Rank Adaptation (LoRA) stands out for its parameter-efficient fine-tuning (PEFT), producing numerous off-the-shelf task-specific LoRA adapters. However, this approach requires explicit task intention selection, posing challenges for automatic task sensing and switching during inference with multiple existing LoRA adapters embedded in a single LLM. In this work, we introduce MeteoRA (Multiple-Tasks embedded LoRA), a scalable multi-knowledge LoRA fusion framework designed for LLMs. MeteoRA integrates various LoRA adapters in a Mixture-of-Experts (MoE) style into the base LLM, enabling the model to automatically select the most pertinent adapter based on the task input. This advancement significantly enhances the LLM's capability to handle composite tasks that require different adapters to solve various components of the problem. Our evaluations, featuring the LlaMA2-13B and LlaMA3-8B base models equipped with off-the-shelf 28 LoRA adapters through MeteoRA, demonstrate equivalent performance with the individual adapters. Furthermore, both base models equipped with MeteoRA achieve superior performance in sequentially solving composite tasks with ten problems in only a single inference process, highlighting the ability of timely intention switching in MeteoRA embedded LLMs.