United States

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare seven public ``medical&#39;&#39; LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting regime for medical question-answering (QA) tasks. For instance, across the tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 12.1% of cases, reach a (statistical) tie in 49.8% of cases, and are significantly worse than their base models in the remaining 38.2% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.

EMNLP 2024

Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?

multilingual reasoning

llms

mathematical reasoning

cross-lingual

## Welcome to 2024 Annual Conference of the North American Chapter of the Association for Computational Linguistics!
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The University of Texas at Austin 
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NAACL 2024

2024 Annual Conference of the North American Chapter of the Association for Computational Linguistics

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare seven public ``medical'' LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting regime for medical question-answering (QA) tasks. For instance, across the tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 12.1% of cases, reach a (statistical) tie in 49.8% of cases, and are significantly worse than their base models in the remaining 38.2% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.

technical paper

## Welcome to EMNLP 2024! 
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We discover that many natural-language prompts can be replaced by corresponding prompts that are unintelligible to humans but that provably elicit similar behavior in language models. We call these prompts ``evil twins'' because they are obfuscated and uninterpretable (evil), but at the same time mimic the functionality of the original natural-language prompts (twins). Remarkably, evil twins transfer between models. We find these prompts by solving a maximum-likelihood problem which has applications of independent interest.

Prompts have evil twins

In this paper, we present EH-MAM (Easy-to-Hard adaptive Masked Acoustic Modeling), a novel self-supervised learning approach for speech representation learning. In contrast to the prior methods that use random masking schemes for Masked Acoustic Modeling (MAM), we introduce a novel selective and adaptive masking strategy. Specifically, during SSL training, we progressively introduce harder regions to the model for reconstruction. Our approach automatically selects hard regions and is built on the observation that the reconstruction loss of individual frames in MAM can provide natural signals to judge the difficulty of solving the MAM pre-text task for that frame. To identify these hard regions, we employ a teacher model that first predicts the frame-wise losses and then decides which frames to mask. By learning to create challenging problems, such as identifying harder frames and solving them simultaneously, the model is able to learn more effective representations and thereby acquire a more comprehensive understanding of the speech. Quantitatively, EH-MAM outperforms several state-of-the-art baselines across various low-resource speech recognition and SUPERB benchmarks by 5%-10%. Additionally, we conduct a thorough analysis to show that the regions masked by EH-MAM effectively capture useful context across speech frames.

EH-MAM: Easy-to-Hard Masked Acoustic Modeling for Self-Supervised Speech Representation Learning

Language Model Programs, i.e. sophisticated pipelines of modular language model (LM) calls, are increasingly advancing NLP tasks, but they require crafting prompts that are jointly effective for all modules. We study prompt optimization for LM programs, i.e. how to update these prompts to maximize a downstream metric without access to module-level labels or gradients. To make this tractable, we factorize our problem into optimizing the free-form instructions and few-shot demonstrations of every module and introduce several strategies to craft task-grounded instructions and navigate credit assignment across modules. Our strategies include (i) program- and data-aware techniques for proposing effective instructions, (ii) a stochastic mini-batch evaluation function for learning a surrogate model of our objective, and (iii) a meta-optimization procedure in which we refine how LMs construct proposals over time. Using these insights we develop MIPRO, a novel algorithm for optimizing LM programs. MIPRO outperforms baseline optimizers on five of seven diverse multi-stage LM programs using a best-in-class open-source model (Llama-3-8B), by as high as 13% accuracy. We have released our new optimizers and benchmark in DSPy at [http://dspy.ai](http://dspy.ai).

Optimizing Instructions and Demonstrations for Multi-Stage Language Model Programs

This paper investigates the capability of LLMs on controllable generation with prompt-based controlling, focusing on Lexically Constrained Generation (LCG). We systematically evaluate the performance of LLMs on satisfying lexical constraints with prompt-based controlling, as well as their efficacy in downstream applications. We identified three key reasons that highlight the limitations of LLMs in LCG, including (1) position bias, where LLMs tend to satisfy constraints that appear in specific positions within the input; (2) low responsiveness to control decoding parameters, which minimally impact the performance of LLMs; and (3) struggle with handling the inherent complexity of certain constraints (e.g. compound word). We conclude that black-box LLMs face significant challenges in consistently satisfying lexical constraints with prompt-based controlling. To address this bottleneck, we introduce the Divide and Conquer Generation strategy, effective for both white-box and black-box LLMs, to enhance LLMs performance in LCG tasks, which demonstrates over 90% improvement on success rate in the most challenging LCG task. Our analysis aims to provide valuable insights into the performance of LLMs in LCG with prompt-based controlling, and our proposed strategy offers a pathway to more sophisticated and customized text generation applications.

Evaluating LLMs' Capability in Satisfying Lexical Constraints

Vision Language Models (VLMs) are rapidly advancing in their capability to answer information-seeking questions. As these models are widely deployed in consumer applications, they could lead to new privacy risks due to emergent abilities to identify people in photos, geolocate images, etc. As we demonstrate, somewhat surprisingly, current open-source and proprietary VLMs are very capable image geolocators, making widespread geolocation with VLMs an immediate privacy risk, rather than merely a theoretical future concern. As a first step to address this challenge, we develop a new benchmark, GPTGeoChat, to test the capability of VLMs to moderate geolocation dialogues with users. We collect a set of 1,000 image geolocation conversations between in-house annotators and GPT-4v, which are annotated with the granularity of location information revealed at each turn. Using this new dataset we evaluate the ability of various VLMs to moderate GPT-4v geolocation conversations by determining when too much location information has been revealed. We find that custom fine-tuned models perform on par with prompted API-based models when identifying leaked location information at the country or city level, however fine-tuning on supervised data appears to be needed to accurately moderate finer granularities, such as the name of a restaurant or building.

Granular Privacy Control for Geolocation with Vision Language Models

Deep Learning-based end-to-end Automatic Speech Recognition (ASR) has made significant strides but still struggles with performance on out-of-domain samples due to domain shifts in real-world scenarios. Test-Time Adaptation (TTA) methods address this issue by adapting models using test samples at inference time. However, current ASR TTA methods have largely focused on non-continual TTA, which limits cross-sample knowledge learning compared to continual TTA. In this work, we first propose a Fast-slow TTA framework for ASR that leverages the advantage of continual and non-continual TTA. Following this framework, we introduce Dynamic SUTA (DSUTA), an entropy-minimization-based continual TTA method for ASR. To enhance DSUTA’s robustness for time-varying data, we design a dynamic reset strategy to automatically detect domain shifts and reset the model, making it more effective at handling multi-domain data. Our method demonstrates superior performance on various noisy ASR datasets, outperforming both non-continual and continual TTA baselines while maintaining robustness to domain changes without requiring domain boundary information.

Continual Test-time Adaptation for End-to-end Speech Recognition on Noisy Speech

While instruction fine-tuned LLMs are effective text generators, sensitivity to prompt construction makes performance unstable and sub-optimal in practice. Relying on a single 'best' prompt cannot capture all differing approaches to a generation problem. Using this observation, we propose multi-prompt decoding, where many candidate generations are decoded from a prompt bank at inference-time. To ensemble candidates, we use Minimum Bayes Risk (MBR) decoding, which selects a final output using a trained value metric. We show multi-prompt improves MBR across a comprehensive set of conditional generation tasks, and show this is a result of estimating a more diverse and higher quality candidate space than that of a single prompt. Our experiments confirm multi-prompt improves generation across tasks, models and metrics.

Improving Minimum Bayes Risk Decoding with Multi-Prompt

Recent models for natural language understanding are inclined to exploit simple patterns in datasets, commonly known as shortcuts. These shortcuts hinge on spurious correlations between labels and latent features existing in the training data. At inference time, shortcut-dependent models are likely to generate erroneous predictions under distribution shifts, particularly when some latent features are no longer correlated with the labels. To avoid this, previous studies have trained models to eliminate the reliance on shortcuts. In this study, we explore a different direction: pessimistically aggregating the predictions of a mixture-of-experts, assuming each expert captures relatively different latent features. The experimental results demonstrate that our post-hoc control over the experts significantly enhances the model's robustness to the distribution shift in shortcuts. Besides, we show that our approach has some practical advantages. We also analyze our model and provide results to support the assumption.

Not Eliminate but Aggregate: Post-Hoc Control over Mixture-of-Experts to Address Shortcut Shifts in Natural Language Understanding

This paper introduces Filtered Corpus Training, a method that trains language models (LMs) on corpora with certain linguistic constructions filtered out from the training data, and uses it to measure the ability of LMs to perform linguistic generalization on the basis of indirect evidence. We apply the method to both LSTM and Transformer LMs (of roughly comparable size), developing filtered corpora that target a wide range of linguistic phenomena. Our results show that while transformers are better qua LMs (as measured by perplexity), both models perform equally and surprisingly well on linguistic generalization measures, suggesting that they are capable of generalizing from indirect evidence.

Filtered Corpus Training (FiCT) Shows that Language Models can Generalize from Indirect Evidence

Detecting logical fallacies in texts can help users spot argument flaws, but automating this detection is not easy. Manually annotating fallacies in large-scale, real-world text data to create datasets for developing and validating detection models is costly. This paper introduces CoCoLoFa, the largest known logical fallacy dataset, containing 7,706 comments for 648 news articles, with each comment labeled for fallacy presence and type. We recruited 143 crowd workers to write comments embodying specific fallacy types (e.g., slippery slope) in response to news articles. Recognizing the complexity of this writing task, we built an LLM-powered assistant into the workers' interface to aid in drafting and refining their comments. Experts rated the writing quality and labeling validity of CoCoLoFa as high and reliable. BERT-based models fine-tuned using CoCoLoFa achieved the highest fallacy detection (F1=0.86) and classification (F1=0.87) performance on its test set, outperforming the state-of-the-art LLMs. Our work shows that combining crowdsourcing and LLMs enables us to more effectively construct datasets for complex linguistic phenomena that crowd workers find challenging to produce on their own.

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Prompts have evil twins

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