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Dec 5

Generalist Foundation Models Are Not Clinical Enough for Hospital Operations

Hospitals and healthcare systems rely on operational decisions that determine patient flow, cost, and quality of care. Despite strong performance on medical knowledge and conversational benchmarks, foundation models trained on general text may lack the specialized knowledge required for these operational decisions. We introduce Lang1, a family of models (100M-7B parameters) pretrained on a specialized corpus blending 80B clinical tokens from NYU Langone Health's EHRs and 627B tokens from the internet. To rigorously evaluate Lang1 in real-world settings, we developed the REalistic Medical Evaluation (ReMedE), a benchmark derived from 668,331 EHR notes that evaluates five critical tasks: 30-day readmission prediction, 30-day mortality prediction, length of stay, comorbidity coding, and predicting insurance claims denial. In zero-shot settings, both general-purpose and specialized models underperform on four of five tasks (36.6%-71.7% AUROC), with mortality prediction being an exception. After finetuning, Lang1-1B outperforms finetuned generalist models up to 70x larger and zero-shot models up to 671x larger, improving AUROC by 3.64%-6.75% and 1.66%-23.66% respectively. We also observed cross-task scaling with joint finetuning on multiple tasks leading to improvement on other tasks. Lang1-1B effectively transfers to out-of-distribution settings, including other clinical tasks and an external health system. Our findings suggest that predictive capabilities for hospital operations require explicit supervised finetuning, and that this finetuning process is made more efficient by in-domain pretraining on EHR. Our findings support the emerging view that specialized LLMs can compete with generalist models in specialized tasks, and show that effective healthcare systems AI requires the combination of in-domain pretraining, supervised finetuning, and real-world evaluation beyond proxy benchmarks.

Unlocking Reasoning Potential in Large Langauge Models by Scaling Code-form Planning

Despite the remarkable success of large language models (LLMs) on traditional natural language processing tasks, their planning ability remains a critical bottleneck in tackling complex multi-step reasoning tasks. Existing approaches mainly rely on prompting or task-specific fine-tuning, often suffering from poor robustness and cross-task generalization. To address the limitation, we introduce CodePlan, a scalable framework that empowers LLMs to generate and follow code-form plans -- pseudocode that outlines high-level, structured reasoning processes. By leveraging the structured and versatile nature of code, CodePlan effectively captures the rich semantics and control flows inherent to sophisticated reasoning tasks. Importantly, CodePlan allows automatic extraction of code-form plans from massive, wide-ranging text corpora without the need for curated, task-specific datasets. This enables it to scale up efficiently and improve LLM's reasoning capabilities across diverse scenarios. To train CodePlan, we construct a large-scale dataset of 2M examples that integrate code-form plans with standard prompt-response pairs from existing corpora. With minimal computation overhead during both training and inference, CodePlan achieves a 25.1\% relative improvement compared with directly generating responses, averaged across 13 challenging multi-step reasoning benchmarks, spanning mathematical reasoning, symbolic reasoning, instruction-following, multi-hop QA, and decision-making tasks. Further analysis reveals CodePlan's increasing performance gains on more complex reasoning tasks, as well as significant data efficiency thanks to its generalization ability.

  • 5 authors
·
Sep 19, 2024

Scaling Laws for Downstream Task Performance of Large Language Models

Scaling laws provide important insights that can guide the design of large language models (LLMs). Existing work has primarily focused on studying scaling laws for pretraining (upstream) loss. However, in transfer learning settings, in which LLMs are pretrained on an unsupervised dataset and then finetuned on a downstream task, we often also care about the downstream performance. In this work, we study the scaling behavior in a transfer learning setting, where LLMs are finetuned for machine translation tasks. Specifically, we investigate how the choice of the pretraining data and its size affect downstream performance (translation quality) as judged by two metrics: downstream cross-entropy and BLEU score. Our experiments indicate that the size of the finetuning dataset and the distribution alignment between the pretraining and downstream data significantly influence the scaling behavior. With sufficient alignment, both downstream cross-entropy and BLEU score improve monotonically with more pretraining data. In such cases, we show that it is possible to predict the downstream BLEU score with good accuracy using a log-law. However, there are also cases where moderate misalignment causes the BLEU score to fluctuate or get worse with more pretraining, whereas downstream cross-entropy monotonically improves. By analyzing these observations, we provide new practical insights for choosing appropriate pretraining data.

  • 6 authors
·
Feb 6, 2024 4

RAPO++: Cross-Stage Prompt Optimization for Text-to-Video Generation via Data Alignment and Test-Time Scaling

Prompt design plays a crucial role in text-to-video (T2V) generation, yet user-provided prompts are often short, unstructured, and misaligned with training data, limiting the generative potential of diffusion-based T2V models. We present RAPO++, a cross-stage prompt optimization framework that unifies training-data--aligned refinement, test-time iterative scaling, and large language model (LLM) fine-tuning to substantially improve T2V generation without modifying the underlying generative backbone. In Stage 1, Retrieval-Augmented Prompt Optimization (RAPO) enriches user prompts with semantically relevant modifiers retrieved from a relation graph and refactors them to match training distributions, enhancing compositionality and multi-object fidelity. Stage 2 introduces Sample-Specific Prompt Optimization (SSPO), a closed-loop mechanism that iteratively refines prompts using multi-source feedback -- including semantic alignment, spatial fidelity, temporal coherence, and task-specific signals such as optical flow -- yielding progressively improved video generation quality. Stage 3 leverages optimized prompt pairs from SSPO to fine-tune the rewriter LLM, internalizing task-specific optimization patterns and enabling efficient, high-quality prompt generation even before inference. Extensive experiments across five state-of-the-art T2V models and five benchmarks demonstrate that RAPO++ achieves significant gains in semantic alignment, compositional reasoning, temporal stability, and physical plausibility, outperforming existing methods by large margins. Our results highlight RAPO++ as a model-agnostic, cost-efficient, and scalable solution that sets a new standard for prompt optimization in T2V generation. The code is available at https://github.com/Vchitect/RAPO.

Amplifying Pathological Detection in EEG Signaling Pathways through Cross-Dataset Transfer Learning

Pathology diagnosis based on EEG signals and decoding brain activity holds immense importance in understanding neurological disorders. With the advancement of artificial intelligence methods and machine learning techniques, the potential for accurate data-driven diagnoses and effective treatments has grown significantly. However, applying machine learning algorithms to real-world datasets presents diverse challenges at multiple levels. The scarcity of labelled data, especially in low regime scenarios with limited availability of real patient cohorts due to high costs of recruitment, underscores the vital deployment of scaling and transfer learning techniques. In this study, we explore a real-world pathology classification task to highlight the effectiveness of data and model scaling and cross-dataset knowledge transfer. As such, we observe varying performance improvements through data scaling, indicating the need for careful evaluation and labelling. Additionally, we identify the challenges of possible negative transfer and emphasize the significance of some key components to overcome distribution shifts and potential spurious correlations and achieve positive transfer. We see improvement in the performance of the target model on the target (NMT) datasets by using the knowledge from the source dataset (TUAB) when a low amount of labelled data was available. Our findings indicate a small and generic model (e.g. ShallowNet) performs well on a single dataset, however, a larger model (e.g. TCN) performs better on transfer and learning from a larger and diverse dataset.

  • 6 authors
·
Sep 19, 2023

Is Diversity All You Need for Scalable Robotic Manipulation?

Data scaling has driven remarkable success in foundation models for Natural Language Processing (NLP) and Computer Vision (CV), yet the principles of effective data scaling in robotic manipulation remain insufficiently understood. In this work, we investigate the nuanced role of data diversity in robot learning by examining three critical dimensions-task (what to do), embodiment (which robot to use), and expert (who demonstrates)-challenging the conventional intuition of "more diverse is better". Throughout extensive experiments on various robot platforms, we reveal that (1) task diversity proves more critical than per-task demonstration quantity, benefiting transfer from diverse pre-training tasks to novel downstream scenarios; (2) multi-embodiment pre-training data is optional for cross-embodiment transfer-models trained on high-quality single-embodiment data can efficiently transfer to different platforms, showing more desirable scaling property during fine-tuning than multi-embodiment pre-trained models; and (3) expert diversity, arising from individual operational preferences and stochastic variations in human demonstrations, can be confounding to policy learning, with velocity multimodality emerging as a key contributing factor. Based on this insight, we propose a distribution debiasing method to mitigate velocity ambiguity, the yielding GO-1-Pro achieves substantial performance gains of 15%, equivalent to using 2.5 times pre-training data. Collectively, these findings provide new perspectives and offer practical guidance on how to scale robotic manipulation datasets effectively.