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Aligning Large Language Models for Clinical Tasks

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arxiv 2309.02884 v2 pith:FUCB7INR submitted 2023-09-06 cs.CL

classification cs.CL
keywords llmsclinicallanguagealignmentapplicationscrucialdemonstratedlarge
verification ladder T0 review T1 audit T2 compute T3 formal
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Large Language Models (LLMs) have demonstrated remarkable adaptability, showcasing their capacity to excel in tasks for which they were not explicitly trained. However, despite their impressive natural language processing (NLP) capabilities, effective alignment of LLMs remains a crucial challenge when deploying them for specific clinical applications. The ability to generate responses with factually accurate content and to engage in non-trivial reasoning steps are crucial for the LLMs to be eligible for applications in clinical medicine. Employing a combination of techniques including instruction-tuning and in-prompt strategies like few-shot and chain-of-thought prompting has significantly enhanced the performance of LLMs. Our proposed alignment strategy for medical question-answering, known as 'expand-guess-refine', offers a parameter and data-efficient solution. A preliminary analysis of this method demonstrated outstanding performance, achieving a score of 70.63% on a subset of questions sourced from the USMLE dataset.

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  1. MedOrchestra: A Hybrid Cloud-Local LLM Approach for Clinical Data Interpretation

    cs.CL 2025-05 conditional novelty 6.0 of 10

    A cloud-local hybrid, where the cloud writes subtask prompts offline and a local model executes them on patient data, reached 70-85% staging accuracy, above local baselines and clinicians.

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