Can LLMs get help from other LLMs without revealing private information?

Cascades are a common type of machine learning systems in which a large, remote model can be queried if a local model is not able to accurately label a user's data by itself. Serving stacks for large language models (LLMs) increasingly use cascades due to their ability to preserve task performance while dramatically reducing inference costs. However, applying cascade systems in situations where the local model has access to sensitive data constitutes a significant privacy risk for users since such data could be forwarded to the remote model. In this work, we show the feasibility of applying cascade systems in such setups by equipping the local model with privacy-preserving techniques that reduce the risk of leaking private information when querying the remote model. To quantify information leakage in such setups, we introduce two privacy measures. We then propose a system that leverages the recently introduced social learning paradigm in which LLMs collaboratively learn from each other by exchanging natural language. Using this paradigm, we demonstrate on several datasets that our methods minimize the privacy loss while at the same time improving task performance compared to a non-cascade baseline.

Social Learning: Towards Collaborative Learning with Large Language Models

We introduce the framework of "social learning" in the context of large language models (LLMs), whereby models share knowledge with each other in a privacy-aware manner using natural language. We present and evaluate two approaches for knowledge transfer between LLMs. In the first scenario, we allow the model to generate abstract prompts aiming to teach the task. In our second approach, models transfer knowledge by generating synthetic examples. We evaluate these methods across diverse datasets and quantify memorization as a proxy for privacy loss. These techniques inspired by social learning yield promising results with low memorization of the original data. In particular, we show that performance using these methods is comparable to results with the use of original labels and prompts. Our work demonstrates the viability of social learning for LLMs, establishes baseline approaches and highlights several unexplored areas for future work.

Towards Generalist Biomedical AI

Medicine is inherently multimodal, with rich data modalities spanning text, imaging, genomics, and more. Generalist biomedical artificial intelligence (AI) systems that flexibly encode, integrate, and interpret this data at scale can potentially enable impactful applications ranging from scientific discovery to care delivery. To enable the development of these models, we first curate MultiMedBench, a new multimodal biomedical benchmark. MultiMedBench encompasses 14 diverse tasks such as medical question answering, mammography and dermatology image interpretation, radiology report generation and summarization, and genomic variant calling. We then introduce Med-PaLM Multimodal (Med-PaLM M), our proof of concept for a generalist biomedical AI system. Med-PaLM M is a large multimodal generative model that flexibly encodes and interprets biomedical data including clinical language, imaging, and genomics with the same set of model weights. Med-PaLM M reaches performance competitive with or exceeding the state of the art on all MultiMedBench tasks, often surpassing specialist models by a wide margin. We also report examples of zero-shot generalization to novel medical concepts and tasks, positive transfer learning across tasks, and emergent zero-shot medical reasoning. To further probe the capabilities and limitations of Med-PaLM M, we conduct a radiologist evaluation of model-generated (and human) chest X-ray reports and observe encouraging performance across model scales. In a side-by-side ranking on 246 retrospective chest X-rays, clinicians express a pairwise preference for Med-PaLM M reports over those produced by radiologists in up to 40.50% of cases, suggesting potential clinical utility. While considerable work is needed to validate these models in real-world use cases, our results represent a milestone towards the development of generalist biomedical AI systems.

Towards Expert-Level Medical Question Answering with Large Language Models

Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style questions with a score of 67.2% on the MedQA dataset. However, this and other prior work suggested significant room for improvement, especially when models' answers were compared to clinicians' answers. Here we present Med-PaLM 2, which bridges these gaps by leveraging a combination of base LLM improvements (PaLM 2), medical domain finetuning, and prompting strategies including a novel ensemble refinement approach. Med-PaLM 2 scored up to 86.5% on the MedQA dataset, improving upon Med-PaLM by over 19% and setting a new state-of-the-art. We also observed performance approaching or exceeding state-of-the-art across MedMCQA, PubMedQA, and MMLU clinical topics datasets. We performed detailed human evaluations on long-form questions along multiple axes relevant to clinical applications. In pairwise comparative ranking of 1066 consumer medical questions, physicians preferred Med-PaLM 2 answers to those produced by physicians on eight of nine axes pertaining to clinical utility (p < 0.001). We also observed significant improvements compared to Med-PaLM on every evaluation axis (p < 0.001) on newly introduced datasets of 240 long-form "adversarial" questions to probe LLM limitations. While further studies are necessary to validate the efficacy of these models in real-world settings, these results highlight rapid progress towards physician-level performance in medical question answering.

Large Language Models Encode Clinical Knowledge

Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.

UIBert: Learning Generic Multimodal Representations for UI Understanding

To improve the accessibility of smart devices and to simplify their usage, building models which understand user interfaces (UIs) and assist users to complete their tasks is critical. However, unique challenges are proposed by UI-specific characteristics, such as how to effectively leverage multimodal UI features that involve image, text, and structural metadata and how to achieve good performance when high-quality labeled data is unavailable. To address such challenges we introduce UIBert, a transformer-based joint image-text model trained through novel pre-training tasks on large-scale unlabeled UI data to learn generic feature representations for a UI and its components. Our key intuition is that the heterogeneous features in a UI are self-aligned, i.e., the image and text features of UI components, are predictive of each other. We propose five pretraining tasks utilizing this self-alignment among different features of a UI component and across various components in the same UI. We evaluate our method on nine real-world downstream UI tasks where UIBert outperforms strong multimodal baselines by up to 9.26% accuracy.

A Field Guide to Federated Optimization

Federated learning and analytics are a distributed approach for collaboratively learning models (or statistics) from decentralized data, motivated by and designed for privacy protection. The distributed learning process can be formulated as solving federated optimization problems, which emphasize communication efficiency, data heterogeneity, compatibility with privacy and system requirements, and other constraints that are not primary considerations in other problem settings. This paper provides recommendations and guidelines on formulating, designing, evaluating and analyzing federated optimization algorithms through concrete examples and practical implementation, with a focus on conducting effective simulations to infer real-world performance. The goal of this work is not to survey the current literature, but to inspire researchers and practitioners to design federated learning algorithms that can be used in various practical applications.

Meta-Learning Bidirectional Update Rules

In this paper, we introduce a new type of generalized neural network where neurons and synapses maintain multiple states. We show that classical gradient-based backpropagation in neural networks can be seen as a special case of a two-state network where one state is used for activations and another for gradients, with update rules derived from the chain rule. In our generalized framework, networks have neither explicit notion of nor ever receive gradients. The synapses and neurons are updated using a bidirectional Hebb-style update rule parameterized by a shared low-dimensional "genome". We show that such genomes can be meta-learned from scratch, using either conventional optimization techniques, or evolutionary strategies, such as CMA-ES. Resulting update rules generalize to unseen tasks and train faster than gradient descent based optimizers for several standard computer vision and synthetic tasks.

Generative Models for Effective ML on Private, Decentralized Datasets

To improve real-world applications of machine learning, experienced modelers develop intuition about their datasets, their models, and how the two interact. Manual inspection of raw data - of representative samples, of outliers, of misclassifications - is an essential tool in a) identifying and fixing problems in the data, b) generating new modeling hypotheses, and c) assigning or refining human-provided labels. However, manual data inspection is problematic for privacy sensitive datasets, such as those representing the behavior of real-world individuals. Furthermore, manual data inspection is impossible in the increasingly important setting of federated learning, where raw examples are stored at the edge and the modeler may only access aggregated outputs such as metrics or model parameters. This paper demonstrates that generative models - trained using federated methods and with formal differential privacy guarantees - can be used effectively to debug many commonly occurring data issues even when the data cannot be directly inspected. We explore these methods in applications to text with differentially private federated RNNs and to images using a novel algorithm for differentially private federated GANs.