Disentangling Reasoning and Knowledge in Medical Large Language Models

Medical reasoning in large language models (LLMs) aims to emulate clinicians' diagnostic thinking, but current benchmarks such as MedQA-USMLE, MedMCQA, and PubMedQA often mix reasoning with factual recall. We address this by separating 11 biomedical QA benchmarks into reasoning- and knowledge-focused subsets using a PubMedBERT classifier that reaches 81 percent accuracy, comparable to human performance. Our analysis shows that only 32.8 percent of questions require complex reasoning. We evaluate biomedical models (HuatuoGPT-o1, MedReason, m1) and general-domain models (DeepSeek-R1, o4-mini, Qwen3), finding consistent gaps between knowledge and reasoning performance. For example, m1 scores 60.5 on knowledge but only 47.1 on reasoning. In adversarial tests where models are misled with incorrect initial reasoning, biomedical models degrade sharply, while larger or RL-trained general models show more robustness. To address this, we train BioMed-R1 using fine-tuning and reinforcement learning on reasoning-heavy examples. It achieves the strongest performance among similarly sized models. Further gains may come from incorporating clinical case reports and training with adversarial and backtracking scenarios.

Improving Model Alignment Through Collective Intelligence of Open-Source LLMS

Building helpful and harmless large language models (LLMs) requires effective model alignment approach based on human instructions and feedback, which necessitates high-quality human-labeled data. Constructing such datasets is often expensive and hard to scale, and may face potential limitations on diversity and generalization. To address these challenges, we introduce Mixture of Agents Alignment (MoAA), that leverages the collective strengths of various language models to provide high-quality data for model alignment. By employing MoAA, we enhance both supervised fine-tuning and preference optimization, leading to improved performance compared to using a single model alone to generate alignment data (e.g. using GPT-4o alone). Evaluation results show that our approach can improve win rate of LLaMA-3.1-8B-Instruct from 19.5 to 48.3 on Arena-Hard and from 22.33 to 57.23 on AlpacaEval2, highlighting a promising direction for model alignment through this new scalable and diverse synthetic data recipe. Furthermore, we demonstrate that MoAA enables a self-improvement pipeline, where models finetuned on MoA-generated data surpass their own initial capabilities, providing evidence that our approach can push the frontier of open-source LLMs without reliance on stronger external supervision. Data and code will be released.

How Well Can General Vision-Language Models Learn Medicine By Watching Public Educational Videos?

Publicly available biomedical videos, such as those on YouTube, serve as valuable educational resources for medical students. Unlike standard machine learning datasets, these videos are designed for human learners, often mixing medical imagery with narration, explanatory diagrams, and contextual framing. In this work, we investigate whether such pedagogically rich, yet non-standardized and heterogeneous videos can effectively teach general-domain vision-language models biomedical knowledge. To this end, we introduce OpenBiomedVi, a biomedical video instruction tuning dataset comprising 1031 hours of video-caption and Q/A pairs, curated through a multi-step human-in-the-loop pipeline. Diverse biomedical video datasets are rare, and OpenBiomedVid fills an important gap by providing instruction-style supervision grounded in real-world educational content. Surprisingly, despite the informal and heterogeneous nature of these videos, the fine-tuned Qwen-2-VL models exhibit substantial performance improvements across most benchmarks. The 2B model achieves gains of 98.7% on video tasks, 71.2% on image tasks, and 0.2% on text tasks. The 7B model shows improvements of 37.09% on video and 11.2% on image tasks, with a slight degradation of 2.7% on text tasks compared to their respective base models. To address the lack of standardized biomedical video evaluation datasets, we also introduce two new expert curated benchmarks, MIMICEchoQA and SurgeryVideoQA. On these benchmarks, the 2B model achieves gains of 99.1% and 98.1%, while the 7B model shows gains of 22.5% and 52.1%, respectively, demonstrating the models' ability to generalize and perform biomedical video understanding on cleaner and more standardized datasets than those seen during training. These results suggest that educational videos created for human learning offer a surprisingly effective training signal for biomedical VLMs.

Think Deep, Think Fast: Investigating Efficiency of Verifier-free Inference-time-scaling Methods

There is intense interest in investigating how inference time compute (ITC) (e.g. repeated sampling, refinements, etc) can improve large language model (LLM) capabilities. At the same time, recent breakthroughs in reasoning models, such as Deepseek-R1, unlock the opportunity for reinforcement learning to improve LLM reasoning skills. An in-depth understanding of how ITC interacts with reasoning across different models could provide important guidance on how to further advance the LLM frontier. This work conducts a comprehensive analysis of inference-time scaling methods for both reasoning and non-reasoning models on challenging reasoning tasks. Specifically, we focus our research on verifier-free inference time-scaling methods due to its generalizability without needing a reward model. We construct the Pareto frontier of quality and efficiency. We find that non-reasoning models, even with an extremely high inference budget, still fall substantially behind reasoning models. For reasoning models, majority voting proves to be a robust inference strategy, generally competitive or outperforming other more sophisticated ITC methods like best-of-N and sequential revisions, while the additional inference compute offers minimal improvements. We further perform in-depth analyses of the association of key response features (length and linguistic markers) with response quality, with which we can improve the existing ITC methods. We find that correct responses from reasoning models are typically shorter and have fewer hedging and thinking markers (but more discourse markers) than the incorrect responses.

Ladder-residual: parallelism-aware architecture for accelerating large model inference with communication overlapping

Large language model inference is both memory-intensive and time-consuming, often requiring distributed algorithms to efficiently scale. Various model parallelism strategies are used in multi-gpu training and inference to partition computation across multiple devices, reducing memory load and computation time. However, using model parallelism necessitates communication of information between GPUs, which has been a major bottleneck and limits the gains obtained by scaling up the number of devices. We introduce Ladder Residual, a simple architectural modification applicable to all residual-based models that enables straightforward overlapping that effectively hides the latency of communication. Our insight is that in addition to systems optimization, one can also redesign the model architecture to decouple communication from computation. While Ladder Residual can allow communication-computation decoupling in conventional parallelism patterns, we focus on Tensor Parallelism in this paper, which is particularly bottlenecked by its heavy communication. For a Transformer model with 70B parameters, applying Ladder Residual to all its layers can achieve 30% end-to-end wall clock speed up at inference time with TP sharding over 8 devices. We refer the resulting Transformer model as the Ladder Transformer. We train a 1B and 3B Ladder Transformer from scratch and observe comparable performance to a standard dense transformer baseline. We also show that it is possible to convert parts of the Llama-3.1 8B model to our Ladder Residual architecture with minimal accuracy degradation by only retraining for 3B tokens.

CorDA: Context-Oriented Decomposition Adaptation of Large Language Models

Current parameter-efficient fine-tuning (PEFT) methods build adapters without considering the context of downstream task to learn, or the context of important knowledge to maintain. As a result, there is often a performance gap compared to full-parameter finetuning, and meanwhile the finetuned model suffers from catastrophic forgetting of the pre-trained world knowledge. In this paper, we propose CorDA, a Context-oriented Decomposition Adaptation method that builds learnable adapters from weight decomposition oriented by the context of downstream task or world knowledge. Concretely, we collect a few data samples, and perform singular value decomposition for each linear layer of a pre-trained LLM multiplied by the covariance matrix of the input activation using these samples. By doing so, the context of the representative samples is captured through deciding the factorizing orientation. Our method enables two options, the knowledge-preserved adaptation and the instruction-previewed adaptation. For the former, we use question-answering samples to obtain the covariance matrices, and use the decomposed components with the smallest $r$ singular values to initialize a learnable adapter, with the others frozen such that the world knowledge is better preserved. For the latter, we use the instruction data from the finetuning task, such as math or coding, to orientate the decomposition and train the largest $r$ components that capture the main characteristics of the task to learn. We conduct extensive experiments on Math, Code, and Instruction Following tasks. Our knowledge-preserved adaptation not only achieves better performance than LoRA on finetuning tasks, but also mitigates the forgetting of world knowledge. Our instruction-previewed adaptation is able to further enhance the finetuning performance, surpassing full-parameter finetuning and the state-of-the-art PEFT methods.

Dragonfly: Multi-Resolution Zoom Supercharges Large Visual-Language Model

Recent advances in large multimodal models (LMMs) suggest that higher image resolution enhances the fine-grained understanding of image details, crucial for tasks such as visual commonsense reasoning and analyzing biomedical images. However, increasing input resolution poses two main challenges: 1) It extends the context length required by the language model, leading to inefficiencies and hitting the model's context limit; 2) It increases the complexity of visual features, necessitating more training data or more complex architecture. We introduce Dragonfly, a new LMM architecture that enhances fine-grained visual understanding and reasoning about image regions to address these challenges. Dragonfly employs two key strategies: multi-resolution visual encoding and zoom-in patch selection. These strategies allow the model to process high-resolution images efficiently while maintaining reasonable context length. Our experiments on eight popular benchmarks demonstrate that Dragonfly achieves competitive or better performance compared to other architectures, highlighting the effectiveness of our design. Additionally, we finetuned Dragonfly on biomedical instructions, achieving state-of-the-art results on multiple biomedical tasks requiring fine-grained visual understanding, including 92.3% accuracy on the Path-VQA dataset (compared to 83.3% for Med-Gemini) and the highest reported results on biomedical image captioning. To support model training, we curated a visual instruction-tuning dataset with 5.5 million image-instruction samples in the general domain and 1.4 million samples in the biomedical domain. We also conducted ablation studies to characterize the impact of various architectural designs and image resolutions, providing insights for future research on visual instruction alignment. The codebase and model are available at https://github.com/togethercomputer/Dragonfly.

FP6-LLM: Efficiently Serving Large Language Models Through FP6-Centric Algorithm-System Co-Design

Six-bit quantization (FP6) can effectively reduce the size of large language models (LLMs) and preserve the model quality consistently across varied applications. However, existing systems do not provide Tensor Core support for FP6 quantization and struggle to achieve practical performance improvements during LLM inference. It is challenging to support FP6 quantization on GPUs due to (1) unfriendly memory access of model weights with irregular bit-width and (2) high runtime overhead of weight de-quantization. To address these problems, we propose TC-FPx, the first full-stack GPU kernel design scheme with unified Tensor Core support of float-point weights for various quantization bit-width. We integrate TC-FPx kernel into an existing inference system, providing new end-to-end support (called FP6-LLM) for quantized LLM inference, where better trade-offs between inference cost and model quality are achieved. Experiments show that FP6-LLM enables the inference of LLaMA-70b using only a single GPU, achieving 1.69x-2.65x higher normalized inference throughput than the FP16 baseline. The source code will be publicly available soon.

DeepSpeed4Science Initiative: Enabling Large-Scale Scientific Discovery through Sophisticated AI System Technologies

In the upcoming decade, deep learning may revolutionize the natural sciences, enhancing our capacity to model and predict natural occurrences. This could herald a new era of scientific exploration, bringing significant advancements across sectors from drug development to renewable energy. To answer this call, we present DeepSpeed4Science initiative (deepspeed4science.ai) which aims to build unique capabilities through AI system technology innovations to help domain experts to unlock today's biggest science mysteries. By leveraging DeepSpeed's current technology pillars (training, inference and compression) as base technology enablers, DeepSpeed4Science will create a new set of AI system technologies tailored for accelerating scientific discoveries by addressing their unique complexity beyond the common technical approaches used for accelerating generic large language models (LLMs). In this paper, we showcase the early progress we made with DeepSpeed4Science in addressing two of the critical system challenges in structural biology research.

Flash-LLM: Enabling Cost-Effective and Highly-Efficient Large Generative Model Inference with Unstructured Sparsity

With the fast growth of parameter size, it becomes increasingly challenging to deploy large generative models as they typically require large GPU memory consumption and massive computation. Unstructured model pruning has been a common approach to reduce both GPU memory footprint and the overall computation while retaining good model accuracy. However, the existing solutions do not provide a highly-efficient support for handling unstructured sparsity on modern GPUs, especially on the highly-structured Tensor Core hardware. Therefore, we propose Flash-LLM for enabling low-cost and highly-efficient large generative model inference with the sophisticated support of unstructured sparsity on high-performance but highly restrictive Tensor Cores. Based on our key observation that the main bottleneck of generative model inference is the several skinny matrix multiplications for which Tensor Cores would be significantly under-utilized due to low computational intensity, we propose a general Load-as-Sparse and Compute-as-Dense methodology for unstructured sparse matrix multiplication. The basic insight is to address the significant memory bandwidth bottleneck while tolerating redundant computations that are not critical for end-to-end performance on Tensor Cores. Based on this, we design an effective software framework for Tensor Core based unstructured SpMM, leveraging on-chip resources for efficient sparse data extraction and computation/memory-access overlapping. At SpMM kernel level, Flash-LLM significantly outperforms the state-of-the-art library, i.e., Sputnik and SparTA by an average of 2.9x and 1.5x, respectively. At end-to-end framework level on OPT-30B/66B/175B models, for tokens per GPU-second, Flash-LLM achieves up to 3.8x and 3.6x improvement over DeepSpeed and FasterTransformer, respectively, with significantly lower inference cost.