The adoption of large language models (LLMs) to assist clinicians has attracted remarkable attention. Existing works mainly adopt the close-ended question-answering (QA) task with answer options for evaluation. However, many clinical decisions involve answering open-ended questions without pre-set options. To better understand LLMs in the clinic, we construct a benchmark ClinicBench. We first collect eleven existing datasets covering diverse clinical language generation, understanding, and reasoning tasks. Furthermore, we construct six novel datasets and clinical tasks that are complex but common in real-world practice, e.g., open-ended decision-making, long document processing, and emerging drug analysis. We conduct an extensive evaluation of twenty-two LLMs under both zero-shot and few-shot settings. Finally, we invite medical experts to evaluate the clinical usefulness of LLMs

The ability of large language models (LLMs) to execute complex instructions is essential for their real-world applications. However, several recent studies indicate that LLMs struggle with challenging instructions. In this paper, we propose Evolutionary Contrastive Distillation (ECD), a novel method for generating high-quality synthetic preference data designed to enhance the complex instruction-following capability of language models. ECD generates data that specifically illustrates the difference between a response that successfully follows a set of complex instructions and a response that is high-quality, but nevertheless makes some subtle mistakes. This is done by prompting LLMs to progressively evolve simple instructions to more complex instructions. When the complexity of an instruction is increased, the original successful response to the original instruction becomes a “hard negative” response for the new instruction, mostly meeting requirements of the new instruction, but barely missing one or two. By pairing a good response with such a hard negative response, and employing contrastive learning algorithms such as DPO, we improve language models’ ability to follow complex instructions. Empirically, we observe that our method yields a 7B model that exceeds the complex instruction-following performance of current SOTA 7B models and is competitive even with open-source 70B models.

Multi-task learning (MTL) aims to solve multiple tasks jointly by sharing a base representation among them. This can lead to more efficient learning and better generalization, as compared to learning each task individually. However, one issue that often arises in MTL is the convergence speed between tasks varies due to differences in task difficulty, so it can be a challenge to simultaneously achieve the best performance on all tasks with a single model checkpoint. Various techniques have been proposed to address discrepancies in task convergence rate, including weighting the per-task losses and modifying task gradients. In this work, we propose a novel approach that avoids the problem of requiring all tasks to converge at the same rate, but rather allows for “asynchronous” convergence among the tasks where each task can converge on its own schedule. As our main contribution, we monitor per-task validation metrics and switch to a knowledge distillation loss once a task has converged instead of continuing to train on the true labels. This prevents the model from overfitting on converged tasks while it learns the remaining tasks. We evaluate the proposed method in two 5-task MTL setups consisting of internal e-commerce datasets. The results show that our method consistently outperforms existing loss weighting and gradient balancing approaches, achieving average improvements of 0.9% and 1.5% over the best performing baseline model in the two setups, respectively.

Recent research has shown that large language models pretrained using unsupervised approaches can achieve significant performance improvement on many downstream tasks. Typically when adapting these language models to downstream tasks, like a classification or regression task, we employ a fine-tuning paradigm in which the sentence representation from the language model is input to a task-specific head; the model is then fine-tuned end-to-end. However, with the emergence of models like GPT-3, prompt-based fine-tuning has been proven to be a successful approach for few-shot tasks. Inspired by this work, we study discrete prompt technologies in practice. There are two issues that arise with the standard prompt approach. First, it can overfit on the prompt template. Second, it requires manual effort to formulate the downstream task as a language model problem. In this paper, we propose an improvement to prompt-based fine-tuning that addresses these two issues. We refer to our approach as DynaMaR – Dynamic Prompt with Mask Token Representation. Results show that DynaMaR can achieve an average improvement of 10% in few-shot settings and improvement of 3.7% in data-rich settings over the standard fine-tuning approach on four e-commerce applications.