Data-Efficient Adaptation of LLMs via Attention Head Reweighting

Learning effectively from limited data is critical in domains like security where labeled examples are scarce. Large language models (LLMs) have demonstrated some capabilities for data-efficient learning, especially through parameter-efficient adaptation methods, but continue to struggle when faced with few samples for difficult tasks. To meet this challenge, we propose Attention Head Reweighting (AHR), a data-efficient method that adapts LLMs to new text-classification tasks by learning only a single scalar per attention head. This drastically reduces the number of parameters that need to be learned by making use of the functional specialization of individual attention heads. Experiments on diverse open-source text classification datasets show that AHR can outperform standard baselines like LoRA when learning from limited samples, despite having 200-1000x fewer trainable parameters, as our AHR only modifies ~0.0001% of the model's parameters. In addition, our learned weights are easy to interpret and can be analyzed to better understand the mechanisms and attention heads responsible for in-context learning abilities in LLMs.

MedDialogRubrics: A Comprehensive Benchmark and Evaluation Framework for Multi-turn Medical Consultations in Large Language Models

Medical conversational AI (AI) plays a pivotal role in the development of safer and more effective medical dialogue systems. However, existing benchmarks and evaluation frameworks for assessing the information-gathering and diagnostic reasoning abilities of medical large language models (LLMs) have not been rigorously evaluated. To address these gaps, we present MedDialogRubrics, a novel benchmark comprising 5,200 synthetically constructed patient cases and over 60,000 fine-grained evaluation rubrics generated by LLMs and subsequently refined by clinical experts, specifically designed to assess the multi-turn diagnostic capabilities of LLM. Our framework employs a multi-agent system to synthesize realistic patient records and chief complaints from underlying disease knowledge without accessing real-world electronic health records, thereby mitigating privacy and data-governance concerns. We design a robust Patient Agent that is limited to a set of atomic medical facts and augmented with a dynamic guidance mechanism that continuously detects and corrects hallucinations throughout the dialogue, ensuring internal coherence and clinical plausibility of the simulated cases. Furthermore, we propose a structured LLM-based and expert-annotated rubric-generation pipeline that retrieves Evidence-Based Medicine (EBM) guidelines and utilizes the reject sampling to derive a prioritized set of rubric items ("must-ask" items) for each case. We perform a comprehensive evaluation of state-of-the-art models and demonstrate that, across multiple assessment dimensions, current models face substantial challenges. Our results indicate that improving medical dialogue will require advances in dialogue management architectures, not just incremental tuning of the base-model.