FedMedICL: Towards Holistic Evaluation of Distribution Shifts in Federated Medical Imaging

For medical imaging AI models to be clinically impactful, they must generalize. However, this goal is hindered by (i) diverse types of distribution shifts, such as temporal, demographic, and label shifts, and (ii) limited diversity in datasets that are siloed within single medical institutions. While these limitations have spurred interest in federated learning, current evaluation benchmarks fail to evaluate different shifts simultaneously. However, in real healthcare settings, multiple types of shifts co-exist, yet their impact on medical imaging performance remains unstudied. In response, we introduce FedMedICL, a unified framework and benchmark to holistically evaluate federated medical imaging challenges, simultaneously capturing label, demographic, and temporal distribution shifts. We comprehensively evaluate several popular methods on six diverse medical imaging datasets (totaling 550 GPU hours). Furthermore, we use FedMedICL to simulate COVID-19 propagation across hospitals and evaluate whether methods can adapt to pandemic changes in disease prevalence. We find that a simple batch balancing technique surpasses advanced methods in average performance across FedMedICL experiments. This finding questions the applicability of results from previous, narrow benchmarks in real-world medical settings.

Composable Interventions for Language Models

Test-time interventions for language models can enhance factual accuracy, mitigate harmful outputs, and improve model efficiency without costly retraining. But despite a flood of new methods, different types of interventions are largely developing independently. In practice, multiple interventions must be applied sequentially to the same model, yet we lack standardized ways to study how interventions interact. We fill this gap by introducing composable interventions, a framework to study the effects of using multiple interventions on the same language models, featuring new metrics and a unified codebase. Using our framework, we conduct extensive experiments and compose popular methods from three emerging intervention categories -- Knowledge Editing, Model Compression, and Machine Unlearning. Our results from 310 different compositions uncover meaningful interactions: compression hinders editing and unlearning, composing interventions hinges on their order of application, and popular general-purpose metrics are inadequate for assessing composability. Taken together, our findings showcase clear gaps in composability, suggesting a need for new multi-objective interventions. All of our code is public: https://github.com/hartvigsen-group/composable-interventions.

Are Language Models Actually Useful for Time Series Forecasting?

Large language models (LLMs) are being applied to time series tasks, particularly time series forecasting. However, are language models actually useful for time series? After a series of ablation studies on three recent and popular LLM-based time series forecasting methods, we find that removing the LLM component or replacing it with a basic attention layer does not degrade the forecasting results -- in most cases the results even improved. We also find that despite their significant computational cost, pretrained LLMs do no better than models trained from scratch, do not represent the sequential dependencies in time series, and do not assist in few-shot settings. Additionally, we explore time series encoders and reveal that patching and attention structures perform similarly to state-of-the-art LLM-based forecasters.

Language Models are Surprisingly Fragile to Drug Names in Biomedical Benchmarks

Medical knowledge is context-dependent and requires consistent reasoning across various natural language expressions of semantically equivalent phrases. This is particularly crucial for drug names, where patients often use brand names like Advil or Tylenol instead of their generic equivalents. To study this, we create a new robustness dataset, RABBITS, to evaluate performance differences on medical benchmarks after swapping brand and generic drug names using physician expert annotations. We assess both open-source and API-based LLMs on MedQA and MedMCQA, revealing a consistent performance drop ranging from 1-10\%. Furthermore, we identify a potential source of this fragility as the contamination of test data in widely used pre-training datasets. All code is accessible at https://github.com/BittermanLab/RABBITS, and a HuggingFace leaderboard is available at https://huggingface.co/spaces/AIM-Harvard/rabbits-leaderboard.

Dr-LLaVA: Visual Instruction Tuning with Symbolic Clinical Grounding

Vision-Language Models (VLM) can support clinicians by analyzing medical images and engaging in natural language interactions to assist in diagnostic and treatment tasks. However, VLMs often exhibit "hallucinogenic" behavior, generating textual outputs not grounded in contextual multimodal information. This challenge is particularly pronounced in the medical domain, where we do not only require VLM outputs to be accurate in single interactions but also to be consistent with clinical reasoning and diagnostic pathways throughout multi-turn conversations. For this purpose, we propose a new alignment algorithm that uses symbolic representations of clinical reasoning to ground VLMs in medical knowledge. These representations are utilized to (i) generate GPT-4-guided visual instruction tuning data at scale, simulating clinician-VLM conversations with demonstrations of clinical reasoning, and (ii) create an automatic reward function that evaluates the clinical validity of VLM generations throughout clinician-VLM interactions. Our algorithm eliminates the need for human involvement in training data generation or reward model construction, reducing costs compared to standard reinforcement learning with human feedback (RLHF). We apply our alignment algorithm to develop Dr-LLaVA, a conversational VLM finetuned for analyzing bone marrow pathology slides, demonstrating strong performance in multi-turn medical conversations.

PolygloToxicityPrompts: Multilingual Evaluation of Neural Toxic Degeneration in Large Language Models

Recent advances in large language models (LLMs) have led to their extensive global deployment, and ensuring their safety calls for comprehensive and multilingual toxicity evaluations. However, existing toxicity benchmarks are overwhelmingly focused on English, posing serious risks to deploying LLMs in other languages. We address this by introducing PolygloToxicityPrompts (PTP), the first large-scale multilingual toxicity evaluation benchmark of 425K naturally occurring prompts spanning 17 languages. We overcome the scarcity of naturally occurring toxicity in web-text and ensure coverage across languages with varying resources by automatically scraping over 100M web-text documents. Using PTP, we investigate research questions to study the impact of model size, prompt language, and instruction and preference-tuning methods on toxicity by benchmarking over 60 LLMs. Notably, we find that toxicity increases as language resources decrease or model size increases. Although instruction- and preference-tuning reduce toxicity, the choice of preference-tuning method does not have any significant impact. Our findings shed light on crucial shortcomings of LLM safeguarding and highlight areas for future research.

TAXI: Evaluating Categorical Knowledge Editing for Language Models

Humans rarely learn one fact in isolation. Instead, learning a new fact induces knowledge of other facts about the world. For example, in learning a korat is a type of cat, you also infer it is a mammal and has claws, ensuring your model of the world is consistent. Knowledge editing aims to inject new facts into language models to improve their factuality, but current benchmarks fail to evaluate consistency, which is critical to ensure efficient, accurate, and generalizable edits. We manually create TAXI, a new benchmark dataset specifically created to evaluate consistency. TAXI contains 11,120 multiple-choice queries for 976 edits spanning 41 categories (e.g., Dogs), 164 subjects (e.g., Labrador), and 183 properties (e.g., is a mammal). We then use TAXI to evaluate popular editors' consistency, measuring how often editing a subject's category appropriately edits its properties. We find that 1) the editors achieve marginal, yet non-random consistency, 2) their consistency far underperforms human baselines, and 3) consistency is more achievable when editing atypical subjects. Our code and data are available at https://github.com/derekpowell/taxi.

MATHWELL: Generating Educational Math Word Problems at Scale

Math word problems are critical K-8 educational tools, but writing them is time-consuming and requires domain expertise. We suggest that language models can support K-8 math education by automatically generating problems at scale. To be educational, generated problems must be 1) solvable, 2) accurate, and 3) appropriate. Existing datasets are unlabeled for these criteria, making them ill-suited for training problem generators. We introduce MATHWELL, a Llama-2 (70B) model iteratively finetuned to generate K-8 math word problems using data from expert annotation. Using MATHWELL, we generate the largest English word problem dataset with Program of Thought (PoT) rationales to date, containing 20,490 problems. 3,484 are scored by domain experts who find MATHWELL has a 40% higher share of problems that have executable solutions and meet all criteria than alternatives, with 74% of its problems with executable solutions being solvable, accurate, and appropriate. We release our model, data, and annotations.

UniTS: Building a Unified Time Series Model

Foundation models, especially LLMs, are profoundly transforming deep learning. Instead of training many task-specific models, we can adapt a single pretrained model to many tasks via fewshot prompting or fine-tuning. However, current foundation models apply to sequence data but not to time series, which present unique challenges due to the inherent diverse and multidomain time series datasets, diverging task specifications across forecasting, classification and other types of tasks, and the apparent need for task-specialized models. We developed UNITS, a unified time series model that supports a universal task specification, accommodating classification, forecasting, imputation, and anomaly detection tasks. This is achieved through a novel unified network backbone, which incorporates sequence and variable attention along with a dynamic linear operator and is trained as a unified model. Across 38 multi-domain datasets, UNITS demonstrates superior performance compared to task-specific models and repurposed natural language-based LLMs. UNITS exhibits remarkable zero-shot, few-shot, and prompt learning capabilities when evaluated on new data domains and tasks. The source code and datasets are available at https://github.com/mims-harvard/UniTS.

Improving Black-box Robustness with In-Context Rewriting

Machine learning models often excel on in-distribution (ID) data but struggle with unseen out-of-distribution (OOD) inputs. Most techniques for improving OOD robustness are not applicable to settings where the model is effectively a black box, such as when the weights are frozen, retraining is costly, or the model is leveraged via an API. Test-time augmentation (TTA) is a simple post-hoc technique for improving robustness that sidesteps black-box constraints by aggregating predictions across multiple augmentations of the test input. TTA has seen limited use in NLP due to the challenge of generating effective natural language augmentations. In this work, we propose LLM-TTA, which uses LLM-generated augmentations as TTA's augmentation function. LLM-TTA outperforms conventional augmentation functions across sentiment, toxicity, and news classification tasks for BERT and T5 models, with BERT's OOD robustness improving by an average of 4.30 percentage points without regressing average ID performance. We explore selectively augmenting inputs based on prediction entropy to reduce the rate of expensive LLM augmentations, allowing us to maintain performance gains while reducing the average number of generated augmentations by 57.76%. LLM-TTA is agnostic to the task model architecture, does not require OOD labels, and is effective across low and high-resource settings. We share our data, models, and code for reproducibility.