Daily Papers

Our work tackles the challenge of securing user inputs in cloud-hosted large language model (LLM) serving while ensuring output invariance, model confidentiality, and compute efficiency. We introduce secure multi-party decoding (SMD), which leverages confidential computing to confine user prompts to a trusted execution environment (TEE), namely a confidential virtual machine (CVM), while allowing service providers to generate tokens efficiently. We also introduce a novel cryptographic method, prompt obfuscation (PO), to ensure robustness against reconstruction attacks on SMD. We demonstrate that our approach preserves both prompt confidentiality and LLM serving efficiency. Our solution can enable privacy-preserving cloud LLM serving that handles sensitive prompts, such as clinical records, financial data, and personal information.

NeMo Guardrails is an open-source toolkit for easily adding programmable guardrails to LLM-based conversational systems. Guardrails (or rails for short) are a specific way of controlling the output of an LLM, such as not talking about topics considered harmful, following a predefined dialogue path, using a particular language style, and more. There are several mechanisms that allow LLM providers and developers to add guardrails that are embedded into a specific model at training, e.g. using model alignment. Differently, using a runtime inspired from dialogue management, NeMo Guardrails allows developers to add programmable rails to LLM applications - these are user-defined, independent of the underlying LLM, and interpretable. Our initial results show that the proposed approach can be used with several LLM providers to develop controllable and safe LLM applications using programmable rails.

Large language models (LLMs) have become an essential tool to support developers using traditional text-based programming languages, but the graphical notation of the block-based Scratch programming environment inhibits the use of LLMs. To overcome this limitation, we propose the LitterBox+ framework that extends the Scratch static code analysis tool LitterBox with the generative abilities of LLMs. By converting block-based code to a textual representation suitable for LLMs, LitterBox+ allows users to query LLMs about their programs, about quality issues reported by LitterBox, and it allows generating code fixes. Besides offering a programmatic API for these functionalities, LitterBox+ also extends the Scratch user interface to make these functionalities available directly in the environment familiar to learners. The framework is designed to be easily extensible with other prompts, LLM providers, and new features combining the program analysis capabilities of LitterBox with the generative features of LLMs. We provide a screencast demonstrating the tool at https://youtu.be/RZ6E0xgrIgQ.

Large language models (LLMs) are increasingly used as personal agents, accessing sensitive user data such as calendars, emails, and medical records. Users currently face a trade-off: They can send private records, many of which are stored in remote databases, to powerful but untrusted LLM providers, increasing their exposure risk. Alternatively, they can run less powerful models locally on trusted devices. We bridge this gap. Our Socratic Chain-of-Thought Reasoning first sends a generic, non-private user query to a powerful, untrusted LLM, which generates a Chain-of-Thought (CoT) prompt and detailed sub-queries without accessing user data. Next, we embed these sub-queries and perform encrypted sub-second semantic search using our Homomorphically Encrypted Vector Database across one million entries of a single user's private data. This represents a realistic scale of personal documents, emails, and records accumulated over years of digital activity. Finally, we feed the CoT prompt and the decrypted records to a local language model and generate the final response. On the LoCoMo long-context QA benchmark, our hybrid framework, combining GPT-4o with a local Llama-3.2-1B model, outperforms using GPT-4o alone by up to 7.1 percentage points. This demonstrates a first step toward systems where tasks are decomposed and split between untrusted strong LLMs and weak local ones, preserving user privacy.

Training a state-of-the-art Large Language Model (LLM) is an increasingly expensive endeavor due to growing computational, hardware, energy, and engineering demands. Yet, an often-overlooked (and seldom paid) expense is the human labor behind these models' training data. Every LLM is built on an unfathomable amount of human effort: trillions of carefully written words sourced from books, academic papers, codebases, social media, and more. This position paper aims to assign a monetary value to this labor and argues that the most expensive part of producing an LLM should be the compensation provided to training data producers for their work. To support this position, we study 64 LLMs released between 2016 and 2024, estimating what it would cost to pay people to produce their training datasets from scratch. Even under highly conservative estimates of wage rates, the costs of these models' training datasets are 10-1000 times larger than the costs to train the models themselves, representing a significant financial liability for LLM providers. In the face of the massive gap between the value of training data and the lack of compensation for its creation, we highlight and discuss research directions that could enable fairer practices in the future.

Large language model (LLM) providers boast big numbers for maximum context window sizes. To test the real world use of context windows, we 1) define a concept of maximum effective context window, 2) formulate a testing method of a context window's effectiveness over various sizes and problem types, and 3) create a standardized way to compare model efficacy for increasingly larger context window sizes to find the point of failure. We collected hundreds of thousands of data points across several models and found significant differences between reported Maximum Context Window (MCW) size and Maximum Effective Context Window (MECW) size. Our findings show that the MECW is, not only, drastically different from the MCW but also shifts based on the problem type. A few top of the line models in our test group failed with as little as 100 tokens in context; most had severe degradation in accuracy by 1000 tokens in context. All models fell far short of their Maximum Context Window by as much as 99 percent. Our data reveals the Maximum Effective Context Window shifts based on the type of problem provided, offering clear and actionable insights into how to improve model accuracy and decrease model hallucination rates.

Systematic literature reviews and meta-analyses are essential for synthesizing research insights, but they remain time-intensive and labor-intensive due to the iterative processes of screening, evaluation, and data extraction. This paper introduces and evaluates LatteReview, a Python-based framework that leverages large language models (LLMs) and multi-agent systems to automate key elements of the systematic review process. Designed to streamline workflows while maintaining rigor, LatteReview utilizes modular agents for tasks such as title and abstract screening, relevance scoring, and structured data extraction. These agents operate within orchestrated workflows, supporting sequential and parallel review rounds, dynamic decision-making, and iterative refinement based on user feedback. LatteReview's architecture integrates LLM providers, enabling compatibility with both cloud-based and locally hosted models. The framework supports features such as Retrieval-Augmented Generation (RAG) for incorporating external context, multimodal reviews, Pydantic-based validation for structured inputs and outputs, and asynchronous programming for handling large-scale datasets. The framework is available on the GitHub repository, with detailed documentation and an installable package.

Users can divulge sensitive information to proprietary LLM providers, raising significant privacy concerns. While open-source models, hosted locally on the user's machine, alleviate some concerns, models that users can host locally are often less capable than proprietary frontier models. Toward preserving user privacy while retaining the best quality, we propose Privacy-Conscious Delegation, a novel task for chaining API-based and local models. We utilize recent public collections of user-LLM interactions to construct a natural benchmark called PUPA, which contains personally identifiable information (PII). To study potential approaches, we devise PAPILLON, a multi-stage LLM pipeline that uses prompt optimization to address a simpler version of our task. Our best pipeline maintains high response quality for 85.5% of user queries while restricting privacy leakage to only 7.5%. We still leave a large margin to the generation quality of proprietary LLMs for future work. Our data and code is available at https://github.com/siyan-sylvia-li/PAPILLON.

High-quality training data has proven crucial for developing performant large language models (LLMs). However, commercial LLM providers disclose few, if any, details about the data used for training. This lack of transparency creates multiple challenges: it limits external oversight and inspection of LLMs for issues such as copyright infringement, it undermines the agency of data authors, and it hinders scientific research on critical issues such as data contamination and data selection. How can we recover what training data is known to LLMs? In this work, we demonstrate a new method to identify training data known to proprietary LLMs like GPT-4 without requiring any access to model weights or token probabilities, by using information-guided probes. Our work builds on a key observation: text passages with high surprisal are good search material for memorization probes. By evaluating a model's ability to successfully reconstruct high-surprisal tokens in text, we can identify a surprising number of texts memorized by LLMs.

The commercialization of large language models (LLMs) has led to the common practice of high-level API-only access to proprietary models. In this work, we show that even with a conservative assumption about the model architecture, it is possible to learn a surprisingly large amount of non-public information about an API-protected LLM from a relatively small number of API queries (e.g., costing under $1,000 for OpenAI's gpt-3.5-turbo). Our findings are centered on one key observation: most modern LLMs suffer from a softmax bottleneck, which restricts the model outputs to a linear subspace of the full output space. We show that this lends itself to a model image or a model signature which unlocks several capabilities with affordable cost: efficiently discovering the LLM's hidden size, obtaining full-vocabulary outputs, detecting and disambiguating different model updates, identifying the source LLM given a single full LLM output, and even estimating the output layer parameters. Our empirical investigations show the effectiveness of our methods, which allow us to estimate the embedding size of OpenAI's gpt-3.5-turbo to be about 4,096. Lastly, we discuss ways that LLM providers can guard against these attacks, as well as how these capabilities can be viewed as a feature (rather than a bug) by allowing for greater transparency and accountability.

Large Language Models (LLMs) reasoning processes are challenging to analyze due to their complexity and the lack of organized visualization tools. We present ReasonGraph, a web-based platform for visualizing and analyzing LLM reasoning processes. It supports both sequential and tree-based reasoning methods while integrating with major LLM providers and over fifty state-of-the-art models. ReasonGraph incorporates an intuitive UI with meta reasoning method selection, configurable visualization parameters, and a modular framework that facilitates efficient extension. Our evaluation shows high parsing reliability, efficient processing, and strong usability across various downstream applications. By providing a unified visualization framework, ReasonGraph reduces cognitive load in analyzing complex reasoning paths, improves error detection in logical processes, and enables more effective development of LLM-based applications. The platform is open-source, promoting accessibility and reproducibility in LLM reasoning analysis.

Large language models (LLMs) are increasingly being applied to programming tasks, ranging from single-turn code completion to autonomous agents. Current code agent designs frequently depend on complex, hand-crafted workflows and tool sets. However, this reliance on elaborate scaffolding presents several challenges: agent performance becomes overly dependent on prompt tuning and custom design choices, heavy human intervention obscures a model's true underlying capabilities, and intricate pipelines are costly to build and maintain. Furthermore, optimizing complex task prompts increases the risk of data leakage. Currently, when introducing new models, LLM providers like OpenAI and Anthropic often publish benchmark scores to demonstrate their models' coding proficiency, but keep their proprietary evaluation frameworks confidential. To address these limitations, we introduce Lita (Lite Agent), which operationalizes liteness, a principle of minimizing manual design while retaining the essential elements of a fully autonomous agent. Lita enables a more faithful and unified evaluation without elaborate scaffolding. Experiments on the Aider Polyglot and SWE-Bench with frontier models demonstrate that Lita achieves competitive or superior performance compared to workflow-based and agentic baselines. Crucially, Lita also consumes fewer tokens and requires significantly less design effort. Our results suggest that Lita is sufficient to reveal the underlying coding competence of modern LLMs. Finally, we propose the Agent Complexity Law: the performance gap between agents of varying complexity, from simple to sophisticated designs, will shrink as the core model improves, ultimately converging to a negligible difference.

Long-context LLMs have enabled numerous downstream applications but also introduced significant challenges related to computational and memory efficiency. To address these challenges, optimizations for long-context inference have been developed, centered around the KV cache. However, existing benchmarks often evaluate in single-request, neglecting the full lifecycle of the KV cache in real-world use. This oversight is particularly critical, as KV cache reuse has become widely adopted in LLMs inference frameworks, such as vLLM and SGLang, as well as by LLM providers, including OpenAI, Microsoft, Google, and Anthropic. To address this gap, we introduce SCBench(SharedContextBench), a comprehensive benchmark for evaluating long-context methods from a KV cachecentric perspective: 1) KV cache generation, 2) KV cache compression, 3) KV cache retrieval, 4) KV cache loading. Specifically, SCBench uses test examples with shared context, ranging 12 tasks with two shared context modes, covering four categories of long-context capabilities: string retrieval, semantic retrieval, global information, and multi-task. With it, we provide an extensive KV cache-centric analysis of eight categories long-context solutions, including Gated Linear RNNs, Mamba-Attention hybrids, and efficient methods such as sparse attention, KV cache dropping, quantization, retrieval, loading, and prompt compression. The evaluation is conducted on 8 long-context LLMs. Our findings show that sub-O(n) memory methods suffer in multi-turn scenarios, while sparse encoding with O(n) memory and sub-O(n^2) pre-filling computation perform robustly. Dynamic sparsity yields more expressive KV caches than static patterns, and layer-level sparsity in hybrid architectures reduces memory usage with strong performance. Additionally, we identify attention distribution shift issues in long-generation scenarios. https://aka.ms/SCBench.

AI agents powered by large language models (LLMs) are being deployed at scale, yet we lack a systematic understanding of how the choice of backbone LLM affects agent security. The non-deterministic sequential nature of AI agents complicates security modeling, while the integration of traditional software with AI components entangles novel LLM vulnerabilities with conventional security risks. Existing frameworks only partially address these challenges as they either capture specific vulnerabilities only or require modeling of complete agents. To address these limitations, we introduce threat snapshots: a framework that isolates specific states in an agent's execution flow where LLM vulnerabilities manifest, enabling the systematic identification and categorization of security risks that propagate from the LLM to the agent level. We apply this framework to construct the b^3 benchmark, a security benchmark based on 194331 unique crowdsourced adversarial attacks. We then evaluate 31 popular LLMs with it, revealing, among other insights, that enhanced reasoning capabilities improve security, while model size does not correlate with security. We release our benchmark, dataset, and evaluation code to facilitate widespread adoption by LLM providers and practitioners, offering guidance for agent developers and incentivizing model developers to prioritize backbone security improvements.

Numerous studies have investigated methods for jailbreaking Large Language Models (LLMs) to generate harmful content. Typically, these methods are evaluated using datasets of malicious prompts designed to bypass security policies established by LLM providers. However, the generally broad scope and open-ended nature of existing datasets can complicate the assessment of jailbreaking effectiveness, particularly in specific domains, notably cybersecurity. To address this issue, we present and publicly release CySecBench, a comprehensive dataset containing 12662 prompts specifically designed to evaluate jailbreaking techniques in the cybersecurity domain. The dataset is organized into 10 distinct attack-type categories, featuring close-ended prompts to enable a more consistent and accurate assessment of jailbreaking attempts. Furthermore, we detail our methodology for dataset generation and filtration, which can be adapted to create similar datasets in other domains. To demonstrate the utility of CySecBench, we propose and evaluate a jailbreaking approach based on prompt obfuscation. Our experimental results show that this method successfully elicits harmful content from commercial black-box LLMs, achieving Success Rates (SRs) of 65% with ChatGPT and 88% with Gemini; in contrast, Claude demonstrated greater resilience with a jailbreaking SR of 17%. Compared to existing benchmark approaches, our method shows superior performance, highlighting the value of domain-specific evaluation datasets for assessing LLM security measures. Moreover, when evaluated using prompts from a widely used dataset (i.e., AdvBench), it achieved an SR of 78.5%, higher than the state-of-the-art methods.

Recent innovation in large language models (LLMs), and their myriad use-cases have rapidly driven up the compute capacity demand for datacenter GPUs. Several cloud providers and other enterprises have made substantial plans of growth in their datacenters to support these new workloads. One of the key bottleneck resources in datacenters is power, and given the increasing model sizes of LLMs, they are becoming increasingly power intensive. In this paper, we show that there is a significant opportunity to oversubscribe power in LLM clusters. Power oversubscription improves the power efficiency of these datacenters, allowing more deployable servers per datacenter, and reduces the deployment time, since building new datacenters is slow. We extensively characterize the power consumption patterns of a variety of LLMs and their configurations. We identify the differences between the inference and training power consumption patterns. Based on our analysis of these LLMs, we claim that the average and peak power utilization in LLM clusters for inference should not be very high. Our deductions align with the data from production LLM clusters, revealing that inference workloads offer substantial headroom for power oversubscription. However, the stringent set of telemetry and controls that GPUs offer in a virtualized environment, makes it challenging to have a reliable and robust power oversubscription mechanism. We propose POLCA, our framework for power oversubscription that is robust, reliable, and readily deployable for GPU clusters. Using open-source models to replicate the power patterns observed in production, we simulate POLCA and demonstrate that we can deploy 30% more servers in the same GPU cluster for inference, with minimal performance loss

Though safety alignment has been applied to most large language models (LLMs), LLM service providers generally deploy a subsequent moderation as the external safety guardrail in real-world products. Existing moderators mainly practice a conventional full detection, which determines the harmfulness based on the complete LLM output, causing high service latency. Recent works pay more attention to partial detection where moderators oversee the generation midway and early stop the output if harmfulness is detected, but they directly apply moderators trained with the full detection paradigm to incomplete outputs, introducing a training-inference gap that lowers the performance. In this paper, we explore how to form a data-and-model solution that natively supports partial detection. For the data, we construct FineHarm, a dataset consisting of 29K prompt-response pairs with fine-grained annotations to provide reasonable supervision for token-level training. Then, we propose the streaming content monitor, which is trained with dual supervision of response- and token-level labels and can follow the output stream of LLM to make a timely judgment of harmfulness. Experiments show that SCM gains 0.95+ in macro F1 score that is comparable to full detection, by only seeing the first 18% of tokens in responses on average. Moreover, the SCM can serve as a pseudo-harmfulness annotator for improving safety alignment and lead to a higher harmlessness score than DPO.

The growing demand for Large Language Models (LLMs) in applications such as content generation, intelligent chatbots, and sentiment analysis poses considerable challenges for LLM service providers. To efficiently use GPU resources and boost throughput, batching multiple requests has emerged as a popular paradigm; to further speed up batching, LLM quantization techniques reduce memory consumption and increase computing capacity. However, prevalent quantization schemes (e.g., 8-bit weight-activation quantization) cannot fully leverage the capabilities of modern GPUs, such as 4-bit integer operators, resulting in sub-optimal performance. To maximize LLMs' serving throughput, we introduce Atom, a low-bit quantization method that achieves high throughput improvements with negligible accuracy loss. Atom significantly boosts serving throughput by using low-bit operators and considerably reduces memory consumption via low-bit quantization. It attains high accuracy by applying a novel mixed-precision and fine-grained quantization process. We evaluate Atom on 4-bit weight-activation quantization setups in the serving context. Atom improves end-to-end throughput by up to 7.73times compared to the FP16 and by 2.53times compared to INT8 quantization, while maintaining the same latency target.

The rapid advancement and widespread use of large language models (LLMs) have raised significant concerns regarding the potential leakage of personally identifiable information (PII). These models are often trained on vast quantities of web-collected data, which may inadvertently include sensitive personal data. This paper presents ProPILE, a novel probing tool designed to empower data subjects, or the owners of the PII, with awareness of potential PII leakage in LLM-based services. ProPILE lets data subjects formulate prompts based on their own PII to evaluate the level of privacy intrusion in LLMs. We demonstrate its application on the OPT-1.3B model trained on the publicly available Pile dataset. We show how hypothetical data subjects may assess the likelihood of their PII being included in the Pile dataset being revealed. ProPILE can also be leveraged by LLM service providers to effectively evaluate their own levels of PII leakage with more powerful prompts specifically tuned for their in-house models. This tool represents a pioneering step towards empowering the data subjects for their awareness and control over their own data on the web.

The most effective techniques to detect LLM-generated text rely on inserting a detectable signature -- or watermark -- during the model's decoding process. Most existing watermarking methods require access to the underlying LLM's logits, which LLM API providers are loath to share due to fears of model distillation. As such, these watermarks must be implemented independently by each LLM provider. In this paper, we develop PostMark, a modular post-hoc watermarking procedure in which an input-dependent set of words (determined via a semantic embedding) is inserted into the text after the decoding process has completed. Critically, PostMark does not require logit access, which means it can be implemented by a third party. We also show that PostMark is more robust to paraphrasing attacks than existing watermarking methods: our experiments cover eight baseline algorithms, five base LLMs, and three datasets. Finally, we evaluate the impact of PostMark on text quality using both automated and human assessments, highlighting the trade-off between quality and robustness to paraphrasing. We release our code, outputs, and annotations at https://github.com/lilakk/PostMark.

Prompt caching in large language models (LLMs) results in data-dependent timing variations: cached prompts are processed faster than non-cached prompts. These timing differences introduce the risk of side-channel timing attacks. For example, if the cache is shared across users, an attacker could identify cached prompts from fast API response times to learn information about other users' prompts. Because prompt caching may cause privacy leakage, transparency around the caching policies of API providers is important. To this end, we develop and conduct statistical audits to detect prompt caching in real-world LLM API providers. We detect global cache sharing across users in seven API providers, including OpenAI, resulting in potential privacy leakage about users' prompts. Timing variations due to prompt caching can also result in leakage of information about model architecture. Namely, we find evidence that OpenAI's embedding model is a decoder-only Transformer, which was previously not publicly known.

AlayaDB is a cutting-edge vector database system natively architected for efficient and effective long-context inference for Large Language Models (LLMs) at AlayaDB AI. Specifically, it decouples the KV cache and attention computation from the LLM inference systems, and encapsulates them into a novel vector database system. For the Model as a Service providers (MaaS), AlayaDB consumes fewer hardware resources and offers higher generation quality for various workloads with different kinds of Service Level Objectives (SLOs), when comparing with the existing alternative solutions (e.g., KV cache disaggregation, retrieval-based sparse attention). The crux of AlayaDB is that it abstracts the attention computation and cache management for LLM inference into a query processing procedure, and optimizes the performance via a native query optimizer. In this work, we demonstrate the effectiveness of AlayaDB via (i) three use cases from our industry partners, and (ii) extensive experimental results on LLM inference benchmarks.

Should a large language model (LLM) be used as a therapist? In this paper, we investigate the use of LLMs to *replace* mental health providers, a use case promoted in the tech startup and research space. We conduct a mapping review of therapy guides used by major medical institutions to identify crucial aspects of therapeutic relationships, such as the importance of a therapeutic alliance between therapist and client. We then assess the ability of LLMs to reproduce and adhere to these aspects of therapeutic relationships by conducting several experiments investigating the responses of current LLMs, such as `gpt-4o`. Contrary to best practices in the medical community, LLMs 1) express stigma toward those with mental health conditions and 2) respond inappropriately to certain common (and critical) conditions in naturalistic therapy settings -- e.g., LLMs encourage clients' delusional thinking, likely due to their sycophancy. This occurs even with larger and newer LLMs, indicating that current safety practices may not address these gaps. Furthermore, we note foundational and practical barriers to the adoption of LLMs as therapists, such as that a therapeutic alliance requires human characteristics (e.g., identity and stakes). For these reasons, we conclude that LLMs should not replace therapists, and we discuss alternative roles for LLMs in clinical therapy.

As post-training techniques evolve, large language models (LLMs) are increasingly augmented with structured multi-step reasoning abilities, often optimized through reinforcement learning. These reasoning-enhanced models outperform standard LLMs on complex tasks and now underpin many commercial LLM APIs. However, to protect proprietary behavior and reduce verbosity, providers typically conceal the reasoning traces while returning only the final answer. This opacity introduces a critical transparency gap: users are billed for invisible reasoning tokens, which often account for the majority of the cost, yet have no means to verify their authenticity. This opens the door to token count inflation, where providers may overreport token usage or inject synthetic, low-effort tokens to inflate charges. To address this issue, we propose CoIn, a verification framework that audits both the quantity and semantic validity of hidden tokens. CoIn constructs a verifiable hash tree from token embedding fingerprints to check token counts, and uses embedding-based relevance matching to detect fabricated reasoning content. Experiments demonstrate that CoIn, when deployed as a trusted third-party auditor, can effectively detect token count inflation with a success rate reaching up to 94.7%, showing the strong ability to restore billing transparency in opaque LLM services. The dataset and code are available at https://github.com/CASE-Lab-UMD/LLM-Auditing-CoIn.

As large language models grow in capability and agency, identifying vulnerabilities through red-teaming becomes vital for safe deployment. However, traditional prompt-engineering approaches may prove ineffective once red-teaming turns into a weak-to-strong problem, where target models surpass red-teamers in capabilities. To study this shift, we frame red-teaming through the lens of the capability gap between attacker and target. We evaluate more than 500 attacker-target pairs using LLM-based jailbreak attacks that mimic human red-teamers across diverse families, sizes, and capability levels. Three strong trends emerge: (i) more capable models are better attackers, (ii) attack success drops sharply once the target's capability exceeds the attacker's, and (iii) attack success rates correlate with high performance on social science splits of the MMLU-Pro benchmark. From these trends, we derive a jailbreaking scaling law that predicts attack success for a fixed target based on attacker-target capability gap. These findings suggest that fixed-capability attackers (e.g., humans) may become ineffective against future models, increasingly capable open-source models amplify risks for existing systems, and model providers must accurately measure and control models' persuasive and manipulative abilities to limit their effectiveness as attackers.

As large language models (LLMs) increasingly integrate native code interpreters, they enable powerful real-time execution capabilities, substantially expanding their utility. However, such integrations introduce potential system-level cybersecurity threats, fundamentally different from prompt-based vulnerabilities. To systematically evaluate these interpreter-specific risks, we propose CIRCLE (Code-Interpreter Resilience Check for LLM Exploits), a simple benchmark comprising 1,260 prompts targeting CPU, memory, and disk resource exhaustion. Each risk category includes explicitly malicious ("direct") and plausibly benign ("indirect") prompt variants. Our automated evaluation framework assesses not only whether LLMs refuse or generates risky code, but also executes the generated code within the interpreter environment to evaluate code correctness, simplifications made by the LLM to make the code safe, or execution timeouts. Evaluating 7 commercially available models from OpenAI and Google, we uncover significant and inconsistent vulnerabilities. For instance, evaluations show substantial disparities even within providers - OpenAI's o4-mini correctly refuses risky requests at 7.1%, notably higher rates compared to GPT-4.1 at 0.5%. Results particularly underscore that indirect, socially-engineered prompts substantially weaken model defenses. This highlights an urgent need for interpreter-specific cybersecurity benchmarks, dedicated mitigation tools (e.g., guardrails), and clear industry standards to guide safe and responsible deployment of LLM interpreter integrations. The benchmark dataset and evaluation code are publicly released to foster further research.

The EU's Artificial Intelligence Act (AI Act) is a significant step towards responsible AI development, but lacks clear technical interpretation, making it difficult to assess models' compliance. This work presents COMPL-AI, a comprehensive framework consisting of (i) the first technical interpretation of the EU AI Act, translating its broad regulatory requirements into measurable technical requirements, with the focus on large language models (LLMs), and (ii) an open-source Act-centered benchmarking suite, based on thorough surveying and implementation of state-of-the-art LLM benchmarks. By evaluating 12 prominent LLMs in the context of COMPL-AI, we reveal shortcomings in existing models and benchmarks, particularly in areas like robustness, safety, diversity, and fairness. This work highlights the need for a shift in focus towards these aspects, encouraging balanced development of LLMs and more comprehensive regulation-aligned benchmarks. Simultaneously, COMPL-AI for the first time demonstrates the possibilities and difficulties of bringing the Act's obligations to a more concrete, technical level. As such, our work can serve as a useful first step towards having actionable recommendations for model providers, and contributes to ongoing efforts of the EU to enable application of the Act, such as the drafting of the GPAI Code of Practice.

Commercial LLM services often conceal internal reasoning traces while still charging users for every generated token, including those from hidden intermediate steps, raising concerns of token inflation and potential overbilling. This gap underscores the urgent need for reliable token auditing, yet achieving it is far from straightforward: cryptographic verification (e.g., hash-based signature) offers little assurance when providers control the entire execution pipeline, while user-side prediction struggles with the inherent variance of reasoning LLMs, where token usage fluctuates across domains and prompt styles. To bridge this gap, we present PALACE (Predictive Auditing of LLM APIs via Reasoning Token Count Estimation), a user-side framework that estimates hidden reasoning token counts from prompt-answer pairs without access to internal traces. PALACE introduces a GRPO-augmented adaptation module with a lightweight domain router, enabling dynamic calibration across diverse reasoning tasks and mitigating variance in token usage patterns. Experiments on math, coding, medical, and general reasoning benchmarks show that PALACE achieves low relative error and strong prediction accuracy, supporting both fine-grained cost auditing and inflation detection. Taken together, PALACE represents an important first step toward standardized predictive auditing, offering a practical path to greater transparency, accountability, and user trust.

Emerging Large Language Model (LLM) system patterns, such as disaggregated inference, Mixture-of-Experts (MoE) routing, and asynchronous reinforcement fine-tuning, require flexible point-to-point communication beyond simple collectives. Existing implementations are locked to specific Network Interface Controllers (NICs), hindering integration into inference engines and portability across hardware providers. We present TransferEngine, which bridges the functionality of common NICs to expose a uniform interface. TransferEngine exposes one-sided WriteImm operations with a ImmCounter primitive for completion notification, without ordering assumptions of network transport, transparently managing multiple NICs per GPU. We demonstrate peak throughput of 400 Gbps on both NVIDIA ConnectX-7 and AWS Elastic Fabric Adapter (EFA). We showcase TransferEngine through three production systems: (1) KvCache transfer for disaggregated inference with dynamic scaling, (2) RL weight updates achieving 1.3 seconds for trillion-parameter models, and (3) MoE dispatch/combine implementation exceeding DeepEP decode latency on ConnectX-7, with the first viable latencies on EFA. We demonstrate that our portable point-to-point communication complements collectives while avoiding lock-in.

Multimodal large language models (MLLMs) have enabled LLM-based agents to directly interact with application user interfaces (UIs), enhancing agents' performance in complex tasks. However, these agents often suffer from high latency and low reliability due to the extensive sequential UI interactions. To address this issue, we propose AXIS, a novel LLM-based agents framework prioritize actions through application programming interfaces (APIs) over UI actions. This framework also facilitates the creation and expansion of APIs through automated exploration of applications. Our experiments on Office Word demonstrate that AXIS reduces task completion time by 65%-70% and cognitive workload by 38%-53%, while maintaining accuracy of 97%-98% compare to humans. Our work contributes to a new human-agent-computer interaction (HACI) framework and a fresh UI design principle for application providers in the era of LLMs. It also explores the possibility of turning every applications into agents, paving the way towards an agent-centric operating system (Agent OS).

Large Language Models (LLMs) heavily rely on high-quality training data, making data valuation crucial for optimizing model performance, especially when working within a limited budget. In this work, we aim to offer a third-party data valuation approach that benefits both data providers and model developers. We introduce a linearized future influence kernel (LinFiK), which assesses the value of individual data samples in improving LLM performance during training. We further propose ALinFiK, a learning strategy to approximate LinFiK, enabling scalable data valuation. Our comprehensive evaluations demonstrate that this approach surpasses existing baselines in effectiveness and efficiency, demonstrating significant scalability advantages as LLM parameters increase.

Efficiently serving Large Language Models (LLMs) requires selecting an optimal parallel execution plan, balancing computation, memory, and communication overhead. However, determining the best strategy is challenging due to varying parallelism techniques (data, pipeline, tensor) and workload characteristics (e.g., compute-intensive tasks with long prompts vs. memory-intensive tasks with long generation). We propose APEX, an LLM serving system simulator that efficiently identifies optimal parallel execution plans by considering key factors of LLM serving systems, such as memory usage, batching behavior, etc. APEX performs dynamism-aware simulation to model iteration-level batching, and leverages LLMs' repetitive structure to reduce design space, scaling efficiently to trillion-scale models. APEX abstracts the key components of LLM serving systems, including the model, batching module, quantization formats, and device clusters, enabling the simulator to be general and extensible. Simulating on a CPU, APEX evaluates execution plans for various device clusters, covering diverse LLMs and workloads. APEX finds plans up to 3.37x faster than heuristics, and also plans that reduce energy consumption by up to 45% compared to latency-optimal plans. APEX performs comprehensive evaluations, reporting key system metrics like time per output token and time to first token, which can help service providers meet SLOs. APEX identifies an optimal plan within 15 minutes on a CPU, making it 71x faster and 1234x more cost-effective than cloud-based GPU deployment. APEX can be accessed at https://github.com/microsoft/apex_plus

The proliferation of Large Language Models (LLMs) accessed via black-box APIs introduces a significant trust challenge: users pay for services based on advertised model capabilities (e.g., size, performance), but providers may covertly substitute the specified model with a cheaper, lower-quality alternative to reduce operational costs. This lack of transparency undermines fairness, erodes trust, and complicates reliable benchmarking. Detecting such substitutions is difficult due to the black-box nature, typically limiting interaction to input-output queries. This paper formalizes the problem of model substitution detection in LLM APIs. We systematically evaluate existing verification techniques, including output-based statistical tests, benchmark evaluations, and log probability analysis, under various realistic attack scenarios like model quantization, randomized substitution, and benchmark evasion. Our findings reveal the limitations of methods relying solely on text outputs, especially against subtle or adaptive attacks. While log probability analysis offers stronger guarantees when available, its accessibility is often limited. We conclude by discussing the potential of hardware-based solutions like Trusted Execution Environments (TEEs) as a pathway towards provable model integrity, highlighting the trade-offs between security, performance, and provider adoption. Code is available at https://github.com/sunblaze-ucb/llm-api-audit

There is great interest in fine-tuning frontier large language models (LLMs) to inject new information and update existing knowledge. While commercial LLM fine-tuning APIs from providers such as OpenAI and Google promise flexible adaptation for various applications, the efficacy of fine-tuning remains unclear. In this study, we introduce FineTuneBench, an evaluation framework and dataset for understanding how well commercial fine-tuning APIs can successfully learn new and updated knowledge. We analyze five frontier LLMs with commercially available fine-tuning APIs, including GPT-4o and Gemini 1.5 Pro, on their effectiveness in two settings: (1) ingesting novel information, such as recent news events and new people profiles, and (2) updating existing knowledge, such as updated medical guidelines and code frameworks. Our results reveal substantial shortcomings in all the models' abilities to effectively learn new information through fine-tuning, with an average generalization accuracy of 37% across all models. When updating existing knowledge, such as incorporating medical guideline updates, commercial fine-tuning APIs show even more limited capability (average generalization accuracy of 19%). Overall, fine-tuning GPT-4o mini is the most effective for infusing new knowledge and updating knowledge, followed by GPT-3.5 Turbo and GPT-4o. The fine-tuning APIs for Gemini 1.5 Flesh and Gemini 1.5 Pro are unable to learn new knowledge or update existing knowledge. These findings underscore a major shortcoming in using current commercial fine-tuning services to achieve reliable knowledge infusion in common scenarios. We open source the FineTuneBench dataset at https://github.com/kevinwu23/StanfordFineTuneBench.

Major search engine providers are rapidly incorporating Large Language Model (LLM)-generated content in response to user queries. These conversational search engines operate by loading retrieved website text into the LLM context for summarization and interpretation. Recent research demonstrates that LLMs are highly vulnerable to jailbreaking and prompt injection attacks, which disrupt the safety and quality goals of LLMs using adversarial strings. This work investigates the impact of prompt injections on the ranking order of sources referenced by conversational search engines. To this end, we introduce a focused dataset of real-world consumer product websites and formalize conversational search ranking as an adversarial problem. Experimentally, we analyze conversational search rankings in the absence of adversarial injections and show that different LLMs vary significantly in prioritizing product name, document content, and context position. We then present a tree-of-attacks-based jailbreaking technique which reliably promotes low-ranked products. Importantly, these attacks transfer effectively to state-of-the-art conversational search engines such as perplexity.ai. Given the strong financial incentive for website owners to boost their search ranking, we argue that our problem formulation is of critical importance for future robustness work.

Recent advancements in large language model(LLM) performance on medical multiple choice question (MCQ) benchmarks have stimulated interest from healthcare providers and patients globally. Particularly in low-and middle-income countries (LMICs) facing acute physician shortages and lack of specialists, LLMs offer a potentially scalable pathway to enhance healthcare access and reduce costs. However, their effectiveness in the Global South, especially across the African continent, remains to be established. In this work, we introduce AfriMed-QA, the first large scale Pan-African English multi-specialty medical Question-Answering (QA) dataset, 15,000 questions (open and closed-ended) sourced from over 60 medical schools across 16 countries, covering 32 medical specialties. We further evaluate 30 LLMs across multiple axes including correctness and demographic bias. Our findings show significant performance variation across specialties and geographies, MCQ performance clearly lags USMLE (MedQA). We find that biomedical LLMs underperform general models and smaller edge-friendly LLMs struggle to achieve a passing score. Interestingly, human evaluations show a consistent consumer preference for LLM answers and explanations when compared with clinician answers.

We introduce GVGAI-LLM, a video game benchmark for evaluating the reasoning and problem-solving capabilities of large language models (LLMs). Built on the General Video Game AI framework, it features a diverse collection of arcade-style games designed to test a model's ability to handle tasks that differ from most existing LLM benchmarks. The benchmark leverages a game description language that enables rapid creation of new games and levels, helping to prevent overfitting over time. Each game scene is represented by a compact set of ASCII characters, allowing for efficient processing by language models. GVGAI-LLM defines interpretable metrics, including the meaningful step ratio, step efficiency, and overall score, to assess model behavior. Through zero-shot evaluations across a broad set of games and levels with diverse challenges and skill depth, we reveal persistent limitations of LLMs in spatial reasoning and basic planning. Current models consistently exhibit spatial and logical errors, motivating structured prompting and spatial grounding techniques. While these interventions lead to partial improvements, the benchmark remains very far from solved. GVGAI-LLM provides a reproducible testbed for advancing research on language model capabilities, with a particular emphasis on agentic behavior and contextual reasoning.

Language models have become increasingly powerful tools for formal mathematical reasoning. However, most existing approaches rely exclusively on either large general-purpose models or smaller specialized models, each with distinct limitations, while training specialized large models still requires significant computational resources. This paper introduces ProofCompass, a novel hybrid methodology that achieves remarkable computational efficiency by strategically guiding existing specialized prover methods, such as DeepSeek-Prover-v1.5-RL (DSP-v1.5) with a Large Language Model (LLM) without requiring additional model training. The LLM provides natural language proof strategies and analyzes failed attempts to select intermediate lemmas, enabling effective problem decomposition. On the miniF2F benchmark, ProofCompass demonstrates substantial resource efficiency: it outperforms DSP-v1.5 (54.9% rightarrow 55.3%) while using 25x fewer attempts (3200 rightarrow 128). Our synergistic approach paves the way for simultaneously improving computational efficiency and accuracy in formal theorem proving.

Although Large Language Models (LLMs) have demonstrated extraordinary capabilities in many domains, they still have a tendency to hallucinate and generate fictitious responses to user requests. This problem can be alleviated by augmenting LLMs with information retrieval (IR) systems (also known as retrieval-augmented LLMs). Applying this strategy, LLMs can generate more factual texts in response to user input according to the relevant content retrieved by IR systems from external corpora as references. In addition, by incorporating external knowledge, retrieval-augmented LLMs can answer in-domain questions that cannot be answered by solely relying on the world knowledge stored in parameters. To support research in this area and facilitate the development of retrieval-augmented LLM systems, we develop RETA-LLM, a {RET}reival-{A}ugmented LLM toolkit. In RETA-LLM, we create a complete pipeline to help researchers and users build their customized in-domain LLM-based systems. Compared with previous retrieval-augmented LLM systems, RETA-LLM provides more plug-and-play modules to support better interaction between IR systems and LLMs, including {request rewriting, document retrieval, passage extraction, answer generation, and fact checking} modules. Our toolkit is publicly available at https://github.com/RUC-GSAI/YuLan-IR/tree/main/RETA-LLM.

We introduce Fraud-R1, a benchmark designed to evaluate LLMs' ability to defend against internet fraud and phishing in dynamic, real-world scenarios. Fraud-R1 comprises 8,564 fraud cases sourced from phishing scams, fake job postings, social media, and news, categorized into 5 major fraud types. Unlike previous benchmarks, Fraud-R1 introduces a multi-round evaluation pipeline to assess LLMs' resistance to fraud at different stages, including credibility building, urgency creation, and emotional manipulation. Furthermore, we evaluate 15 LLMs under two settings: 1. Helpful-Assistant, where the LLM provides general decision-making assistance, and 2. Role-play, where the model assumes a specific persona, widely used in real-world agent-based interactions. Our evaluation reveals the significant challenges in defending against fraud and phishing inducement, especially in role-play settings and fake job postings. Additionally, we observe a substantial performance gap between Chinese and English, underscoring the need for improved multilingual fraud detection capabilities.

Retrieval-Augmented Generation (RAG) systems often struggle to handle multi-hop question-answering tasks accurately due to irrelevant context retrieval and limited complex reasoning capabilities. We introduce Collab-RAG, a collaborative training framework that leverages mutual enhancement between a white-box small language model (SLM) and a blackbox large language model (LLM) for RAG. Specifically, the SLM decomposes complex queries into simpler sub-questions, thus enhancing the accuracy of the retrieval and facilitating more effective reasoning by the black-box LLM. Concurrently, the black-box LLM provides feedback signals to improve the SLM's decomposition capability. We observe that Collab-RAG relies solely on supervision from an affordable black-box LLM without additional distillation from frontier LLMs, yet demonstrates strong generalization across multiple black-box LLMs. Experimental evaluations across five multi-hop QA datasets demonstrate that Collab-RAG substantially outperforms existing black-box-only and SLM fine-tuning baselines by 1.8%-14.2% on average. In particular, our fine-tuned 3B SLM surpasses a frozen 32B LLM in question decomposition, highlighting the efficiency of Collab-RAG in improving reasoning and retrieval for complex questions. The code of Collab-RAG is available on https://github.com/ritaranx/Collab-RAG/.

In the domain of Large Language Model (LLM), LLMs demonstrate significant capabilities in natural language understanding and generation. With the growing needs of applying LLMs on various domains, it is a research question that how to efficiently train and build a model that has expertise in different domains but with a low training cost. We propose CCoE architecture, a framework of easily coupling multiple strong domain experts together to fuse into a big LLM, provides a collective way of utilizing the different domain expert LLMs. Besides, training a large collaborative of multiple expert LLMs requires a high requirements on training sources. CCoE bypasses this problem through isolating other experts and train each expert separately. The design of CCoE assembles multiple expert LLMs through the CoE (Collaboration of Experts) layer. Each CoE layer could have one or more expert LLMs. Expert LLMs have different number of layers and have been well-trained for different domain tasks. Each expert is fine-tuned to be able to achieve the comparable results with SOTA domain LLMs. We start from 5 experts in the domain of Code, Math, Law, text-to-SQL and Medical. The results indicate that our CCoE framework can easily and efficiently boost nearly 10%-20% performance on original base model in different domains but using less resources on training, as well as inference.

In recent advancements, multimodal large language models (MLLMs) have been fine-tuned on specific medical image datasets to address medical visual question answering (Med-VQA) tasks. However, this common approach of task-specific fine-tuning is costly and necessitates separate models for each downstream task, limiting the exploration of zero-shot capabilities. In this paper, we introduce MC-CoT, a modular cross-modal collaboration Chain-of-Thought (CoT) framework designed to enhance the zero-shot performance of MLLMs in Med-VQA by leveraging large language models (LLMs). MC-CoT improves reasoning and information extraction by integrating medical knowledge and task-specific guidance, where LLM provides various complex medical reasoning chains and MLLM provides various observations of medical images based on instructions of the LLM. Our experiments on datasets such as SLAKE, VQA-RAD, and PATH-VQA show that MC-CoT surpasses standalone MLLMs and various multimodality CoT frameworks in recall rate and accuracy. These findings highlight the importance of incorporating background information and detailed guidance in addressing complex zero-shot Med-VQA tasks.

With the rapid development of technology and the acceleration of digitalisation, the frequency and complexity of cyber security threats are increasing. Traditional cybersecurity approaches, often based on static rules and predefined scenarios, are struggling to adapt to the rapidly evolving nature of modern cyberattacks. There is an urgent need for more adaptive and intelligent defence strategies. The emergence of Large Language Model (LLM) provides an innovative solution to cope with the increasingly severe cyber threats, and its potential in analysing complex attack patterns, predicting threats and assisting real-time response has attracted a lot of attention in the field of cybersecurity, and exploring how to effectively use LLM to defend against cyberattacks has become a hot topic in the current research field. This survey examines the applications of LLM from the perspective of the cyber attack lifecycle, focusing on the three phases of defense reconnaissance, foothold establishment, and lateral movement, and it analyzes the potential of LLMs in Cyber Threat Intelligence (CTI) tasks. Meanwhile, we investigate how LLM-based security solutions are deployed and applied in different network scenarios. It also summarizes the internal and external risk issues faced by LLM during its application. Finally, this survey also points out the facing risk issues and possible future research directions in this domain.

Recent research has shown that Large Language Models (LLMs) are vulnerable to automated jailbreak attacks, where adversarial suffixes crafted by algorithms appended to harmful queries bypass safety alignment and trigger unintended responses. Current methods for generating these suffixes are computationally expensive and have low Attack Success Rates (ASR), especially against well-aligned models like Llama2 and Llama3. To overcome these limitations, we introduce ADV-LLM, an iterative self-tuning process that crafts adversarial LLMs with enhanced jailbreak ability. Our framework significantly reduces the computational cost of generating adversarial suffixes while achieving nearly 100\% ASR on various open-source LLMs. Moreover, it exhibits strong attack transferability to closed-source models, achieving 99\% ASR on GPT-3.5 and 49\% ASR on GPT-4, despite being optimized solely on Llama3. Beyond improving jailbreak ability, ADV-LLM provides valuable insights for future safety alignment research through its ability to generate large datasets for studying LLM safety.

Prompting has become a dominant paradigm for adapting large language models (LLMs). While discrete (textual) prompts are widely used for their interpretability, soft (parameter) prompts have recently gained traction in APIs. This is because they can encode information from more training samples while minimizing the user's token usage, leaving more space in the context window for task-specific input. However, soft prompts are tightly coupled to the LLM they are tuned on, limiting their generalization to other LLMs. This constraint is particularly problematic for efficiency and privacy: (1) tuning prompts on each LLM incurs high computational costs, especially as LLMs continue to grow in size. Additionally, (2) when the LLM is hosted externally, soft prompt tuning often requires sharing private data with the LLM provider. For instance, this is the case with the NVIDIA NeMo API. To address these issues, we propose POST (Privacy Of Soft prompt Transfer), a framework that enables private tuning of soft prompts on a small model and subsequently transfers these prompts to a larger LLM. POST uses knowledge distillation to derive a small model directly from the large LLM to improve prompt transferability, tunes the soft prompt locally, optionally with differential privacy guarantees, and transfers it back to the larger LLM using a small public dataset. Our experiments show that POST reduces computational costs, preserves privacy, and effectively transfers high-utility soft prompts.

Customer service is how companies interface with their customers. It can contribute heavily towards the overall customer satisfaction. However, high-quality service can become expensive, creating an incentive to make it as cost efficient as possible and prompting most companies to utilize AI-powered assistants, or "chat bots". On the other hand, human-to-human interaction is still desired by customers, especially when it comes to complex scenarios such as disputes and sensitive topics like bill payment. This raises the bar for customer service agents. They need to accurately understand the customer's question or concern, identify a solution that is acceptable yet feasible (and within the company's policy), all while handling multiple conversations at once. In this work, we introduce "Ask Me Anything" (AMA) as an add-on feature to an agent-facing customer service interface. AMA allows agents to ask questions to a large language model (LLM) on demand, as they are handling customer conversations -- the LLM provides accurate responses in real-time, reducing the amount of context switching the agent needs. In our internal experiments, we find that agents using AMA versus a traditional search experience spend approximately 10% fewer seconds per conversation containing a search, translating to millions of dollars of savings annually. Agents that used the AMA feature provided positive feedback nearly 80% of the time, demonstrating its usefulness as an AI-assisted feature for customer care.

Global healthcare providers are exploring use of large language models (LLMs) to provide medical advice to the public. LLMs now achieve nearly perfect scores on medical licensing exams, but this does not necessarily translate to accurate performance in real-world settings. We tested if LLMs can assist members of the public in identifying underlying conditions and choosing a course of action (disposition) in ten medical scenarios in a controlled study with 1,298 participants. Participants were randomly assigned to receive assistance from an LLM (GPT-4o, Llama 3, Command R+) or a source of their choice (control). Tested alone, LLMs complete the scenarios accurately, correctly identifying conditions in 94.9% of cases and disposition in 56.3% on average. However, participants using the same LLMs identified relevant conditions in less than 34.5% of cases and disposition in less than 44.2%, both no better than the control group. We identify user interactions as a challenge to the deployment of LLMs for medical advice. Standard benchmarks for medical knowledge and simulated patient interactions do not predict the failures we find with human participants. Moving forward, we recommend systematic human user testing to evaluate interactive capabilities prior to public deployments in healthcare.

The rise of large language models (LLMs) has enabled LLM-based applications (a.k.a. AI agents or co-pilots), a new software paradigm that combines the strength of LLM and conventional software. Diverse LLM applications from different tenants could design complex workflows using multiple LLM requests to accomplish one task. However, they have to use the over-simplified request-level API provided by today's public LLM services, losing essential application-level information. Public LLM services have to blindly optimize individual LLM requests, leading to sub-optimal end-to-end performance of LLM applications. This paper introduces Parrot, an LLM service system that focuses on the end-to-end experience of LLM-based applications. Parrot proposes Semantic Variable, a unified abstraction to expose application-level knowledge to public LLM services. A Semantic Variable annotates an input/output variable in the prompt of a request, and creates the data pipeline when connecting multiple LLM requests, providing a natural way to program LLM applications. Exposing Semantic Variables to the public LLM service allows it to perform conventional data flow analysis to uncover the correlation across multiple LLM requests. This correlation opens a brand-new optimization space for the end-to-end performance of LLM-based applications. Extensive evaluations demonstrate that Parrot can achieve up to an order-of-magnitude improvement for popular and practical use cases of LLM applications.

Video creation has become increasingly popular, yet the expertise and effort required for editing often pose barriers to beginners. In this paper, we explore the integration of large language models (LLMs) into the video editing workflow to reduce these barriers. Our design vision is embodied in LAVE, a novel system that provides LLM-powered agent assistance and language-augmented editing features. LAVE automatically generates language descriptions for the user's footage, serving as the foundation for enabling the LLM to process videos and assist in editing tasks. When the user provides editing objectives, the agent plans and executes relevant actions to fulfill them. Moreover, LAVE allows users to edit videos through either the agent or direct UI manipulation, providing flexibility and enabling manual refinement of agent actions. Our user study, which included eight participants ranging from novices to proficient editors, demonstrated LAVE's effectiveness. The results also shed light on user perceptions of the proposed LLM-assisted editing paradigm and its impact on users' creativity and sense of co-creation. Based on these findings, we propose design implications to inform the future development of agent-assisted content editing.

With the ubiquitous use of modern large language models (LLMs) across industries, the inference serving for these models is ever expanding. Given the high compute and memory requirements of modern LLMs, more and more top-of-the-line GPUs are being deployed to serve these models. Energy availability has come to the forefront as the biggest challenge for data center expansion to serve these models. In this paper, we present the trade-offs brought up by making energy efficiency the primary goal of LLM serving under performance SLOs. We show that depending on the inputs, the model, and the service-level agreements, there are several knobs available to the LLM inference provider to use for being energy efficient. We characterize the impact of these knobs on the latency, throughput, as well as the energy. By exploring these trade-offs, we offer valuable insights into optimizing energy usage without compromising on performance, thereby paving the way for sustainable and cost-effective LLM deployment in data center environments.

We aim to present a comprehensive overview of the latest advancements in utilizing Large Language Models (LLMs) within the healthcare sector, emphasizing their transformative impact across various medical domains. LLMs have become pivotal in supporting healthcare, including physicians, healthcare providers, and patients. Our review provides insight into the applications of Large Language Models (LLMs) in healthcare, specifically focusing on diagnostic and treatment-related functionalities. We shed light on how LLMs are applied in cancer care, dermatology, dental care, neurodegenerative disorders, and mental health, highlighting their innovative contributions to medical diagnostics and patient care. Throughout our analysis, we explore the challenges and opportunities associated with integrating LLMs in healthcare, recognizing their potential across various medical specialties despite existing limitations. Additionally, we offer an overview of handling diverse data types within the medical field.

Today's LLM ecosystem comprises a wide spectrum of models that differ in size, capability, and cost. No single model is optimal for all scenarios; hence, LLM routers have become essential for selecting the most appropriate model under varying circumstances. However, the rapid emergence of various routers makes choosing the right one increasingly challenging. To address this problem, we need a comprehensive router comparison and a standardized leaderboard, similar to those available for models. In this work, we introduce RouterArena, the first open platform enabling comprehensive comparison of LLM routers. RouterArena has (1) a principally constructed dataset with broad knowledge domain coverage, (2) distinguishable difficulty levels for each domain, (3) an extensive list of evaluation metrics, and (4) an automated framework for leaderboard updates. Leveraging our framework, we have produced the initial leaderboard with detailed metrics comparison as shown in Figure 1. We will make our platform open to the public soon.

Large language models (LLM) have demonstrated emergent abilities in text generation, question answering, and reasoning, facilitating various tasks and domains. Despite their proficiency in various tasks, LLMs like LaPM 540B and Llama-3.1 405B face limitations due to large parameter sizes and computational demands, often requiring cloud API use which raises privacy concerns, limits real-time applications on edge devices, and increases fine-tuning costs. Additionally, LLMs often underperform in specialized domains such as healthcare and law due to insufficient domain-specific knowledge, necessitating specialized models. Therefore, Small Language Models (SLMs) are increasingly favored for their low inference latency, cost-effectiveness, efficient development, and easy customization and adaptability. These models are particularly well-suited for resource-limited environments and domain knowledge acquisition, addressing LLMs' challenges and proving ideal for applications that require localized data handling for privacy, minimal inference latency for efficiency, and domain knowledge acquisition through lightweight fine-tuning. The rising demand for SLMs has spurred extensive research and development. However, a comprehensive survey investigating issues related to the definition, acquisition, application, enhancement, and reliability of SLM remains lacking, prompting us to conduct a detailed survey on these topics. The definition of SLMs varies widely, thus to standardize, we propose defining SLMs by their capability to perform specialized tasks and suitability for resource-constrained settings, setting boundaries based on the minimal size for emergent abilities and the maximum size sustainable under resource constraints. For other aspects, we provide a taxonomy of relevant models/methods and develop general frameworks for each category to enhance and utilize SLMs effectively.

Large language models (LLMs), such as ChatGPT, have received substantial attention due to their impressive human language understanding and generation capabilities. Therefore, the application of LLMs in medicine to assist physicians and patient care emerges as a promising research direction in both artificial intelligence and clinical medicine. To reflect this trend, this survey provides a comprehensive overview of the principles, applications, and challenges faced by LLMs in medicine. Specifically, we aim to address the following questions: 1) How can medical LLMs be built? 2) What are the downstream performances of medical LLMs? 3) How can medical LLMs be utilized in real-world clinical practice? 4) What challenges arise from the use of medical LLMs? and 5) How can we better construct and utilize medical LLMs? As a result, this survey aims to provide insights into the opportunities and challenges of LLMs in medicine and serve as a valuable resource for constructing practical and effective medical LLMs. A regularly updated list of practical guides on medical LLMs can be found at https://github.com/AI-in-Health/MedLLMsPracticalGuide.

Large Language Models (LLMs) have gained significant attention in the medical domain for their human-level capabilities, leading to increased efforts to explore their potential in various healthcare applications. However, despite such a promising future, there are multiple challenges and obstacles that remain for their real-world uses in practical settings. This work discusses key challenges for LLMs in medical applications from four unique aspects: operational vulnerabilities, ethical and social considerations, performance and assessment difficulties, and legal and regulatory compliance. Addressing these challenges is crucial for leveraging LLMs to their full potential and ensuring their responsible integration into healthcare.

Large Language Models (LLMs) have demonstrated considerable potential in general practice. However, existing benchmarks and evaluation frameworks primarily depend on exam-style or simplified question-answer formats, lacking a competency-based structure aligned with the real-world clinical responsibilities encountered in general practice. Consequently, the extent to which LLMs can reliably fulfill the duties of general practitioners (GPs) remains uncertain. In this work, we propose a novel evaluation framework to assess the capability of LLMs to function as GPs. Based on this framework, we introduce a general practice benchmark (GPBench), whose data are meticulously annotated by domain experts in accordance with routine clinical practice standards. We evaluate ten state-of-the-art LLMs and analyze their competencies. Our findings indicate that current LLMs are not yet ready for deployment in such settings without human oversight, and further optimization specifically tailored to the daily responsibilities of GPs is essential.

Med42-v2 introduces a suite of clinical large language models (LLMs) designed to address the limitations of generic models in healthcare settings. These models are built on Llama3 architecture and fine-tuned using specialized clinical data. They underwent multi-stage preference alignment to effectively respond to natural prompts. While generic models are often preference-aligned to avoid answering clinical queries as a precaution, Med42-v2 is specifically trained to overcome this limitation, enabling its use in clinical settings. Med42-v2 models demonstrate superior performance compared to the original Llama3 models in both 8B and 70B parameter configurations and GPT-4 across various medical benchmarks. These LLMs are developed to understand clinical queries, perform reasoning tasks, and provide valuable assistance in clinical environments. The models are now publicly available at https://huggingface.co/m42-health{https://huggingface.co/m42-health}.

We develop Polaris, the first safety-focused LLM constellation for real-time patient-AI healthcare conversations. Unlike prior LLM works in healthcare focusing on tasks like question answering, our work specifically focuses on long multi-turn voice conversations. Our one-trillion parameter constellation system is composed of several multibillion parameter LLMs as co-operative agents: a stateful primary agent that focuses on driving an engaging conversation and several specialist support agents focused on healthcare tasks performed by nurses to increase safety and reduce hallucinations. We develop a sophisticated training protocol for iterative co-training of the agents that optimize for diverse objectives. We train our models on proprietary data, clinical care plans, healthcare regulatory documents, medical manuals, and other medical reasoning documents. We align our models to speak like medical professionals, using organic healthcare conversations and simulated ones between patient actors and experienced nurses. This allows our system to express unique capabilities such as rapport building, trust building, empathy and bedside manner. Finally, we present the first comprehensive clinician evaluation of an LLM system for healthcare. We recruited over 1100 U.S. licensed nurses and over 130 U.S. licensed physicians to perform end-to-end conversational evaluations of our system by posing as patients and rating the system on several measures. We demonstrate Polaris performs on par with human nurses on aggregate across dimensions such as medical safety, clinical readiness, conversational quality, and bedside manner. Additionally, we conduct a challenging task-based evaluation of the individual specialist support agents, where we demonstrate our LLM agents significantly outperform a much larger general-purpose LLM (GPT-4) as well as from its own medium-size class (LLaMA-2 70B).

With the rapid development of artificial intelligence, large language models (LLMs) have shown promising capabilities in mimicking human-level language comprehension and reasoning. This has sparked significant interest in applying LLMs to enhance various aspects of healthcare, ranging from medical education to clinical decision support. However, medicine involves multifaceted data modalities and nuanced reasoning skills, presenting challenges for integrating LLMs. This paper provides a comprehensive review on the applications and implications of LLMs in medicine. It begins by examining the fundamental applications of general-purpose and specialized LLMs, demonstrating their utilities in knowledge retrieval, research support, clinical workflow automation, and diagnostic assistance. Recognizing the inherent multimodality of medicine, the review then focuses on multimodal LLMs, investigating their ability to process diverse data types like medical imaging and EHRs to augment diagnostic accuracy. To address LLMs' limitations regarding personalization and complex clinical reasoning, the paper explores the emerging development of LLM-powered autonomous agents for healthcare. Furthermore, it summarizes the evaluation methodologies for assessing LLMs' reliability and safety in medical contexts. Overall, this review offers an extensive analysis on the transformative potential of LLMs in modern medicine. It also highlights the pivotal need for continuous optimizations and ethical oversight before these models can be effectively integrated into clinical practice. Visit https://github.com/mingze-yuan/Awesome-LLM-Healthcare for an accompanying GitHub repository containing latest papers.

Large Language Models(LLMs)have become effective tools for natural language processing and have been used in many different fields. This essay offers a succinct summary of various LLM subcategories. The survey emphasizes recent developments and efforts made for various LLM kinds, including task-based financial LLMs, multilingual language LLMs, biomedical and clinical LLMs, vision language LLMs, and code language models. The survey gives a general summary of the methods, attributes, datasets, transformer models, and comparison metrics applied in each category of LLMs. Furthermore, it highlights unresolved problems in the field of developing chatbots and virtual assistants, such as boosting natural language processing, enhancing chatbot intelligence, and resolving moral and legal dilemmas. The purpose of this study is to provide readers, developers, academics, and users interested in LLM-based chatbots and virtual intelligent assistant technologies with useful information and future directions.

Large language models (LLMs) have been applied to tasks in healthcare, ranging from medical exam questions to responding to patient questions. With increasing institutional partnerships between companies producing LLMs and healthcare systems, real world clinical application is coming closer to reality. As these models gain traction, it is essential for healthcare practitioners to understand what LLMs are, their development, their current and potential applications, and the associated pitfalls when utilized in medicine. This review and accompanying tutorial aim to give an overview of these topics to aid healthcare practitioners in understanding the rapidly changing landscape of LLMs as applied to medicine.

Large Language Models (LLMs) are transforming artificial intelligence, enabling autonomous agents to perform diverse tasks across various domains. These agents, proficient in human-like text comprehension and generation, have the potential to revolutionize sectors from customer service to healthcare. However, they face challenges such as multimodality, human value alignment, hallucinations, and evaluation. Techniques like prompting, reasoning, tool utilization, and in-context learning are being explored to enhance their capabilities. Evaluation platforms like AgentBench, WebArena, and ToolLLM provide robust methods for assessing these agents in complex scenarios. These advancements are leading to the development of more resilient and capable autonomous agents, anticipated to become integral in our digital lives, assisting in tasks from email responses to disease diagnosis. The future of AI, with LLMs at the forefront, is promising.

Post-training quantization is the leading method for addressing memory-related bottlenecks in LLM inference, but unfortunately, it suffers from significant performance degradation below 4-bit precision. An alternative approach involves training compressed models directly at a low bitwidth (e.g., binary or ternary models). However, the performance, training dynamics, and scaling trends of such models are not yet well understood. To address this issue, we train and openly release the Spectra LLM suite consisting of 54 language models ranging from 99M to 3.9B parameters, trained on 300B tokens. Spectra includes FloatLMs, post-training quantized QuantLMs (3, 4, 6, and 8 bits), and ternary LLMs (TriLMs) - our improved architecture for ternary language modeling, which significantly outperforms previously proposed ternary models of a given size (in bits), matching half-precision models at scale. For example, TriLM 3.9B is (bit-wise) smaller than the half-precision FloatLM 830M, but matches half-precision FloatLM 3.9B in commonsense reasoning and knowledge benchmarks. However, TriLM 3.9B is also as toxic and stereotyping as FloatLM 3.9B, a model six times larger in size. Additionally, TriLM 3.9B lags behind FloatLM in perplexity on validation splits and web-based corpora but performs better on less noisy datasets like Lambada and PennTreeBank. To enhance understanding of low-bitwidth models, we are releasing 500+ intermediate checkpoints of the Spectra suite at https://github.com/NolanoOrg/SpectraSuite{https://github.com/NolanoOrg/SpectraSuite}.

Data is a crucial element in large language model (LLM) alignment. Recent studies have explored using LLMs for efficient data collection. However, LLM-generated data often suffers from quality issues, with underrepresented or absent aspects and low-quality datapoints. To address these problems, we propose Data Advisor, an enhanced LLM-based method for generating data that takes into account the characteristics of the desired dataset. Starting from a set of pre-defined principles in hand, Data Advisor monitors the status of the generated data, identifies weaknesses in the current dataset, and advises the next iteration of data generation accordingly. Data Advisor can be easily integrated into existing data generation methods to enhance data quality and coverage. Experiments on safety alignment of three representative LLMs (i.e., Mistral, Llama2, and Falcon) demonstrate the effectiveness of Data Advisor in enhancing model safety against various fine-grained safety issues without sacrificing model utility.

Large Language Models (LLMs) are increasingly serving as evaluators in Natural Language Generation (NLG) tasks. However, the capabilities of LLMs in scoring NLG quality remain inadequately explored. Current studies depend on human assessments and simple metrics that fail to capture the discernment of LLMs across diverse NLG tasks. To address this gap, we propose the Discernment of Hierarchical Perturbation (DHP) benchmarking framework, which provides quantitative discernment scores for LLMs utilizing hierarchically perturbed text data and statistical tests to measure the NLG evaluation capabilities of LLMs systematically. We have re-established six evaluation datasets for this benchmark, covering four NLG tasks: Summarization, Story Completion, Question Answering, and Translation. Our comprehensive benchmarking of five major LLM series provides critical insight into their strengths and limitations as NLG evaluators.

Large Language Models (LLM)-based systems, i.e. interconnected elements that include an LLM as a central component (e.g., conversational agents), are typically monolithic static architectures that rely on a single LLM for all user queries. However, they often require different preprocessing strategies, levels of reasoning, or knowledge. Generalist LLMs (i.e. GPT-4), trained on very large multi-topic corpora, can perform well in a variety of tasks. However, they require significant financial, energy, and hardware resources that may not be justified for basic tasks. This implies potentially investing in unnecessary costs for a given query. To overcome this problem, a routing mechanism routes user queries to the most suitable components, such as smaller LLMs or experts in specific topics. This approach may improve response quality while minimising costs. Routing can be expanded to other components of the conversational agent architecture, such as the selection of optimal embedding strategies. This paper explores key considerations for integrating routing into LLM-based systems, focusing on resource management, cost definition, and strategy selection. Our main contributions include a formalisation of the problem, a novel taxonomy of existing approaches emphasising relevance and resource efficiency, and a comparative analysis of these strategies in relation to industry practices. Finally, we identify critical challenges and directions for future research.

The rapid evolution of Large Language Models (LLMs) offers promising potential to alleviate the global scarcity of mental health professionals. However, LLMs' alignment with essential mental health counseling competencies remains understudied. We introduce CounselingBench, a novel NCMHCE-based benchmark evaluating LLMs across five key mental health counseling competencies. Testing 22 general-purpose and medical-finetuned LLMs, we find frontier models exceed minimum thresholds but fall short of expert-level performance, with significant variations: they excel in Intake, Assessment & Diagnosis yet struggle with Core Counseling Attributes and Professional Practice & Ethics. Medical LLMs surprisingly underperform generalist models accuracy-wise, while at the same time producing slightly higher-quality justifications but making more context-related errors. Our findings highlight the complexities of developing AI systems for mental health counseling, particularly for competencies requiring empathy and contextual understanding. We found that frontier LLMs perform at a level exceeding the minimal required level of aptitude for all key mental health counseling competencies, but fall short of expert-level performance, and that current medical LLMs do not significantly improve upon generalist models in mental health counseling competencies. This underscores the critical need for specialized, mental health counseling-specific fine-tuned LLMs that rigorously aligns with core competencies combined with appropriate human supervision before any responsible real-world deployment can be considered.

Large language models (LLMs) for code have become indispensable in various domains, including code generation, reasoning tasks and agent systems.While open-access code LLMs are increasingly approaching the performance levels of proprietary models, high-quality code LLMs suitable for rigorous scientific investigation, particularly those with reproducible data processing pipelines and transparent training protocols, remain limited. The scarcity is due to various challenges, including resource constraints, ethical considerations, and the competitive advantages of keeping models advanced. To address the gap, we introduce OpenCoder, a top-tier code LLM that not only achieves performance comparable to leading models but also serves as an ``open cookbook'' for the research community. Unlike most prior efforts, we release not only model weights and inference code, but also the reproducible training data, complete data processing pipeline, rigorous experimental ablation results, and detailed training protocols for open scientific research. Through this comprehensive release, we identify the key ingredients for building a top-tier code LLM: (1) code optimized heuristic rules for data cleaning and methods for data deduplication, (2) recall of text corpus related to code and (3) high-quality synthetic data in both annealing and supervised fine-tuning stages. By offering this level of openness, we aim to broaden access to all aspects of a top-tier code LLM, with OpenCoder serving as both a powerful model and an open foundation to accelerate research, and enable reproducible advancements in code AI.

The integration of Large Language Models (LLMs) into healthcare holds significant potential to enhance diagnostic accuracy and support medical treatment planning. These AI-driven systems can analyze vast datasets, assisting clinicians in identifying diseases, recommending treatments, and predicting patient outcomes. This study evaluates the performance of a range of contemporary LLMs, including both open-source and closed-source models, on the 2024 Portuguese National Exam for medical specialty access (PNA), a standardized medical knowledge assessment. Our results highlight considerable variation in accuracy and cost-effectiveness, with several models demonstrating performance exceeding human benchmarks for medical students on this specific task. We identify leading models based on a combined score of accuracy and cost, discuss the implications of reasoning methodologies like Chain-of-Thought, and underscore the potential for LLMs to function as valuable complementary tools aiding medical professionals in complex clinical decision-making.

LLMs have become increasingly capable at accomplishing a range of specialized-tasks and can be utilized to expand equitable access to medical knowledge. Most medical LLMs have involved extensive fine-tuning, leveraging specialized medical data and significant, thus costly, amounts of computational power. Many of the top performing LLMs are proprietary and their access is limited to very few research groups. However, open-source (OS) models represent a key area of growth for medical LLMs due to significant improvements in performance and an inherent ability to provide the transparency and compliance required in healthcare. We present OpenMedLM, a prompting platform which delivers state-of-the-art (SOTA) performance for OS LLMs on medical benchmarks. We evaluated a range of OS foundation LLMs (7B-70B) on four medical benchmarks (MedQA, MedMCQA, PubMedQA, MMLU medical-subset). We employed a series of prompting strategies, including zero-shot, few-shot, chain-of-thought (random selection and kNN selection), and ensemble/self-consistency voting. We found that OpenMedLM delivers OS SOTA results on three common medical LLM benchmarks, surpassing the previous best performing OS models that leveraged computationally costly extensive fine-tuning. The model delivers a 72.6% accuracy on the MedQA benchmark, outperforming the previous SOTA by 2.4%, and achieves 81.7% accuracy on the MMLU medical-subset, establishing itself as the first OS LLM to surpass 80% accuracy on this benchmark. Our results highlight medical-specific emergent properties in OS LLMs which have not yet been documented to date elsewhere, and showcase the benefits of further leveraging prompt engineering to improve the performance of accessible LLMs for medical applications.

Large language models (LLMs) hold great promise in summarizing medical evidence. Most recent studies focus on the application of proprietary LLMs. Using proprietary LLMs introduces multiple risk factors, including a lack of transparency and vendor dependency. While open-source LLMs allow better transparency and customization, their performance falls short compared to proprietary ones. In this study, we investigated to what extent fine-tuning open-source LLMs can further improve their performance in summarizing medical evidence. Utilizing a benchmark dataset, MedReview, consisting of 8,161 pairs of systematic reviews and summaries, we fine-tuned three broadly-used, open-sourced LLMs, namely PRIMERA, LongT5, and Llama-2. Overall, the fine-tuned LLMs obtained an increase of 9.89 in ROUGE-L (95% confidence interval: 8.94-10.81), 13.21 in METEOR score (95% confidence interval: 12.05-14.37), and 15.82 in CHRF score (95% confidence interval: 13.89-16.44). The performance of fine-tuned LongT5 is close to GPT-3.5 with zero-shot settings. Furthermore, smaller fine-tuned models sometimes even demonstrated superior performance compared to larger zero-shot models. The above trends of improvement were also manifested in both human and GPT4-simulated evaluations. Our results can be applied to guide model selection for tasks demanding particular domain knowledge, such as medical evidence summarization.

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

Large Language Models (LLMs) have shown impressive reasoning capabilities in well-defined problems with clear solutions, such as mathematics and coding. However, they still struggle with complex real-world scenarios like business negotiations, which require strategic reasoning-an ability to navigate dynamic environments and align long-term goals amidst uncertainty. Existing methods for strategic reasoning face challenges in adaptability, scalability, and transferring strategies to new contexts. To address these issues, we propose explicit policy optimization (EPO) for strategic reasoning, featuring an LLM that provides strategies in open-ended action space and can be plugged into arbitrary LLM agents to motivate goal-directed behavior. To improve adaptability and policy transferability, we train the strategic reasoning model via multi-turn reinforcement learning (RL) using process rewards and iterative self-play, without supervised fine-tuning (SFT) as a preliminary step. Experiments across social and physical domains demonstrate EPO's ability of long-term goal alignment through enhanced strategic reasoning, achieving state-of-the-art performance on social dialogue and web navigation tasks. Our findings reveal various collaborative reasoning mechanisms emergent in EPO and its effectiveness in generating novel strategies, underscoring its potential for strategic reasoning in real-world applications.

We propose DISC-LawLLM, an intelligent legal system utilizing large language models (LLMs) to provide a wide range of legal services. We adopt legal syllogism prompting strategies to construct supervised fine-tuning datasets in the Chinese Judicial domain and fine-tune LLMs with legal reasoning capability. We augment LLMs with a retrieval module to enhance models' ability to access and utilize external legal knowledge. A comprehensive legal benchmark, DISC-Law-Eval, is presented to evaluate intelligent legal systems from both objective and subjective dimensions. Quantitative and qualitative results on DISC-Law-Eval demonstrate the effectiveness of our system in serving various users across diverse legal scenarios. The detailed resources are available at https://github.com/FudanDISC/DISC-LawLLM.

Accurate and efficient question-answering systems are essential for delivering high-quality patient care in the medical field. While Large Language Models (LLMs) have made remarkable strides across various domains, they continue to face significant challenges in medical question answering, particularly in understanding domain-specific terminologies and performing complex reasoning. These limitations undermine their effectiveness in critical medical applications. To address these issues, we propose a novel approach incorporating similar case generation within a multi-agent medical question-answering (MedQA) system. Specifically, we leverage the Llama3.1:70B model, a state-of-the-art LLM, in a multi-agent architecture to enhance performance on the MedQA dataset using zero-shot learning. Our method capitalizes on the model's inherent medical knowledge and reasoning capabilities, eliminating the need for additional training data. Experimental results show substantial performance gains over existing benchmark models, with improvements of 7% in both accuracy and F1-score across various medical QA tasks. Furthermore, we examine the model's interpretability and reliability in addressing complex medical queries. This research not only offers a robust solution for medical question answering but also establishes a foundation for broader applications of LLMs in the medical domain.

This paper presents a groundbreaking comparison between Large Language Models and traditional legal contract reviewers, Junior Lawyers and Legal Process Outsourcers. We dissect whether LLMs can outperform humans in accuracy, speed, and cost efficiency during contract review. Our empirical analysis benchmarks LLMs against a ground truth set by Senior Lawyers, uncovering that advanced models match or exceed human accuracy in determining legal issues. In speed, LLMs complete reviews in mere seconds, eclipsing the hours required by their human counterparts. Cost wise, LLMs operate at a fraction of the price, offering a staggering 99.97 percent reduction in cost over traditional methods. These results are not just statistics, they signal a seismic shift in legal practice. LLMs stand poised to disrupt the legal industry, enhancing accessibility and efficiency of legal services. Our research asserts that the era of LLM dominance in legal contract review is upon us, challenging the status quo and calling for a reimagined future of legal workflows.

The recommendation of medication is a vital aspect of intelligent healthcare systems, as it involves prescribing the most suitable drugs based on a patient's specific health needs. Unfortunately, many sophisticated models currently in use tend to overlook the nuanced semantics of medical data, while only relying heavily on identities. Furthermore, these models face significant challenges in handling cases involving patients who are visiting the hospital for the first time, as they lack prior prescription histories to draw upon. To tackle these issues, we harness the powerful semantic comprehension and input-agnostic characteristics of Large Language Models (LLMs). Our research aims to transform existing medication recommendation methodologies using LLMs. In this paper, we introduce a novel approach called Large Language Model Distilling Medication Recommendation (LEADER). We begin by creating appropriate prompt templates that enable LLMs to suggest medications effectively. However, the straightforward integration of LLMs into recommender systems leads to an out-of-corpus issue specific to drugs. We handle it by adapting the LLMs with a novel output layer and a refined tuning loss function. Although LLM-based models exhibit remarkable capabilities, they are plagued by high computational costs during inference, which is impractical for the healthcare sector. To mitigate this, we have developed a feature-level knowledge distillation technique, which transfers the LLM's proficiency to a more compact model. Extensive experiments conducted on two real-world datasets, MIMIC-III and MIMIC-IV, demonstrate that our proposed model not only delivers effective results but also is efficient. To ease the reproducibility of our experiments, we release the implementation code online.

Large language models (LLMs) represent a transformative class of AI tools capable of revolutionizing various aspects of healthcare by generating human-like responses across diverse contexts and adapting to novel tasks following human instructions. Their potential application spans a broad range of medical tasks, such as clinical documentation, matching patients to clinical trials, and answering medical questions. In this primer paper, we propose an actionable guideline to help healthcare professionals more efficiently utilize LLMs in their work, along with a set of best practices. This approach consists of several main phases, including formulating the task, choosing LLMs, prompt engineering, fine-tuning, and deployment. We start with the discussion of critical considerations in identifying healthcare tasks that align with the core capabilities of LLMs and selecting models based on the selected task and data, performance requirements, and model interface. We then review the strategies, such as prompt engineering and fine-tuning, to adapt standard LLMs to specialized medical tasks. Deployment considerations, including regulatory compliance, ethical guidelines, and continuous monitoring for fairness and bias, are also discussed. By providing a structured step-by-step methodology, this tutorial aims to equip healthcare professionals with the tools necessary to effectively integrate LLMs into clinical practice, ensuring that these powerful technologies are applied in a safe, reliable, and impactful manner.

Large Language Models (LLMs), like LLaMA, have exhibited remarkable performance across various tasks. Nevertheless, when deployed to specific domains such as law or medicine, the models still confront the challenge of a deficiency in domain-specific knowledge and an inadequate capability to leverage that knowledge to resolve domain-related problems. In this paper, we propose a new framework to adapt LLMs to specific domains and build Lawyer LLaMA, a legal domain LLM, based on this framework. Specifically, we inject domain knowledge during the continual training stage and teach the model to learn professional skills using properly designed supervised fine-tuning tasks. Moreover, to alleviate the hallucination problem during the model's generation, we add a retrieval module and extract relevant legal articles before the model answers any queries. When learning domain-specific skills, we find that experts' experience is much more useful than experiences distilled from ChatGPT, where hundreds of expert-written data outperform tens of thousands of ChatGPT-generated ones. We will release our model and data.

Current Large Language Models (LLMs) can assist developing program code beside many other things, but can they support working with Knowledge Graphs (KGs) as well? Which LLM is offering the best capabilities in the field of Semantic Web and Knowledge Graph Engineering (KGE)? Is this possible to determine without checking many answers manually? The LLM-KG-Bench framework in Version 3.0 is designed to answer these questions. It consists of an extensible set of tasks for automated evaluation of LLM answers and covers different aspects of working with semantic technologies. In this paper the LLM-KG-Bench framework is presented in Version 3 along with a dataset of prompts, answers and evaluations generated with it and several state-of-the-art LLMs. Significant enhancements have been made to the framework since its initial release, including an updated task API that offers greater flexibility in handling evaluation tasks, revised tasks, and extended support for various open models through the vllm library, among other improvements. A comprehensive dataset has been generated using more than 30 contemporary open and proprietary LLMs, enabling the creation of exemplary model cards that demonstrate the models' capabilities in working with RDF and SPARQL, as well as comparing their performance on Turtle and JSON-LD RDF serialization tasks.

Large language models (LLMs) mark a key shift in natural language processing (NLP), having advanced text generation, translation, and domain-specific reasoning. Closed-source models like GPT-4, powered by proprietary datasets and extensive computational resources, lead with state-of-the-art performance today. However, they face criticism for their "black box" nature and for limiting accessibility in a manner that hinders reproducibility and equitable AI development. By contrast, open-source initiatives like LLaMA and BLOOM prioritize democratization through community-driven development and computational efficiency. These models have significantly reduced performance gaps, particularly in linguistic diversity and domain-specific applications, while providing accessible tools for global researchers and developers. Notably, both paradigms rely on foundational architectural innovations, such as the Transformer framework by Vaswani et al. (2017). Closed-source models excel by scaling effectively, while open-source models adapt to real-world applications in underrepresented languages and domains. Techniques like Low-Rank Adaptation (LoRA) and instruction-tuning datasets enable open-source models to achieve competitive results despite limited resources. To be sure, the tension between closed-source and open-source approaches underscores a broader debate on transparency versus proprietary control in AI. Ethical considerations further highlight this divide. Closed-source systems restrict external scrutiny, while open-source models promote reproducibility and collaboration but lack standardized auditing documentation frameworks to mitigate biases. Hybrid approaches that leverage the strengths of both paradigms are likely to shape the future of LLM innovation, ensuring accessibility, competitive technical performance, and ethical deployment.

Large language models (LLMs) hold great promise for medical applications and are evolving rapidly, with new models being released at an accelerated pace. However, current evaluations of LLMs in clinical contexts remain limited. Most existing benchmarks rely on medical exam-style questions or PubMed-derived text, failing to capture the complexity of real-world electronic health record (EHR) data. Others focus narrowly on specific application scenarios, limiting their generalizability across broader clinical use. To address this gap, we present BRIDGE, a comprehensive multilingual benchmark comprising 87 tasks sourced from real-world clinical data sources across nine languages. We systematically evaluated 52 state-of-the-art LLMs (including DeepSeek-R1, GPT-4o, Gemini, and Llama 4) under various inference strategies. With a total of 13,572 experiments, our results reveal substantial performance variation across model sizes, languages, natural language processing tasks, and clinical specialties. Notably, we demonstrate that open-source LLMs can achieve performance comparable to proprietary models, while medically fine-tuned LLMs based on older architectures often underperform versus updated general-purpose models. The BRIDGE and its corresponding leaderboard serve as a foundational resource and a unique reference for the development and evaluation of new LLMs in real-world clinical text understanding.

With the introduction of ChatGPT, Large Language Models (LLMs) have received enormous attention in healthcare. Despite their potential benefits, researchers have underscored various ethical implications. While individual instances have drawn much attention, the debate lacks a systematic overview of practical applications currently researched and ethical issues connected to them. Against this background, this work aims to map the ethical landscape surrounding the current stage of deployment of LLMs in medicine and healthcare. Electronic databases and preprint servers were queried using a comprehensive search strategy. Studies were screened and extracted following a modified rapid review approach. Methodological quality was assessed using a hybrid approach. For 53 records, a meta-aggregative synthesis was performed. Four fields of applications emerged and testify to a vivid exploration phase. Advantages of using LLMs are attributed to their capacity in data analysis, personalized information provisioning, support in decision-making, mitigating information loss and enhancing information accessibility. However, we also identifies recurrent ethical concerns connected to fairness, bias, non-maleficence, transparency, and privacy. A distinctive concern is the tendency to produce harmful misinformation or convincingly but inaccurate content. A recurrent plea for ethical guidance and human oversight is evident. Given the variety of use cases, it is suggested that the ethical guidance debate be reframed to focus on defining what constitutes acceptable human oversight across the spectrum of applications. This involves considering diverse settings, varying potentials for harm, and different acceptable thresholds for performance and certainty in healthcare. In addition, a critical inquiry is necessary to determine the extent to which the current experimental use of LLMs is necessary and justified.

Open-source, multilingual medical large language models (LLMs) have the potential to serve linguistically diverse populations across different regions. Adapting generic LLMs for healthcare often requires continual pretraining, but this approach is computationally expensive and sometimes impractical. Instruction fine-tuning on a specific task may not always guarantee optimal performance due to the lack of broader domain knowledge that the model needs to understand and reason effectively in diverse scenarios. To address these challenges, we introduce two multilingual instruction fine-tuning datasets, MMed-IFT and MMed-IFT-MC, containing over 200k high-quality medical samples in six languages. We propose a two-stage training paradigm: the first stage injects general medical knowledge using MMed-IFT, while the second stage fine-tunes task-specific multiple-choice questions with MMed-IFT-MC. Our method achieves competitive results on both English and multilingual benchmarks, striking a balance between computational efficiency and performance. We plan to make our dataset and model weights public at https://github.com/SpassMed/Med-Llama3 in the future.

Large language models (LLMs) are increasingly integrated into applications ranging from review summarization to medical diagnosis support, where they affect human decisions. Even though LLMs perform well in many tasks, they may also inherit societal or cognitive biases, which can inadvertently transfer to humans. We investigate when and how LLMs expose users to biased content and quantify its severity. Specifically, we assess three LLM families in summarization and news fact-checking tasks, evaluating how much LLMs stay consistent with their context and/or hallucinate. Our findings show that LLMs expose users to content that changes the sentiment of the context in 21.86% of the cases, hallucinates on post-knowledge-cutoff data questions in 57.33% of the cases, and primacy bias in 5.94% of the cases. We evaluate 18 distinct mitigation methods across three LLM families and find that targeted interventions can be effective. Given the prevalent use of LLMs in high-stakes domains, such as healthcare or legal analysis, our results highlight the need for robust technical safeguards and for developing user-centered interventions that address LLM limitations.

Large Language Models (LLMs) are advanced Artificial Intelligence (AI) systems that have undergone extensive training using large datasets in order to understand and produce language that closely resembles that of humans. These models have reached a level of proficiency where they are capable of successfully completing university exams across several disciplines and generating functional code to handle novel problems. This research investigates the coding proficiency of ChatGPT 3.5, a LLM released by OpenAI in November 2022, which has gained significant recognition for its impressive text generating and code creation capabilities. The skill of the model in creating code snippets is evaluated across 10 various programming languages and 4 different software domains. Based on the findings derived from this research, major unexpected behaviors and limitations of the model have been identified. This study aims to identify potential areas for development and examine the ramifications of automated code generation on the evolution of programming languages and on the tech industry.

LLMs are bound to transform healthcare with advanced decision support and flexible chat assistants. However, LLMs are prone to generate inaccurate medical content. To ground LLMs in high-quality medical knowledge, LLMs have been equipped with external knowledge via RAG, where unstructured medical knowledge is split into small text chunks that can be selectively retrieved and integrated into the LLMs context. Yet, existing RAG pipelines rely on raw, unstructured medical text, which can be noisy, uncurated and difficult for LLMs to effectively leverage. Systematic approaches to organize medical knowledge to best surface it to LLMs are generally lacking. To address these challenges, we introduce MIRIAD, a large-scale, curated corpus of 5,821,948 medical QA pairs, each rephrased from and grounded in a passage from peer-reviewed medical literature using a semi-automated pipeline combining LLM generation, filtering, grounding, and human annotation. Unlike prior medical corpora, which rely on unstructured text, MIRIAD encapsulates web-scale medical knowledge in an operationalized query-response format, which enables more targeted retrieval. Experiments on challenging medical QA benchmarks show that augmenting LLMs with MIRIAD improves accuracy up to 6.7% compared to unstructured RAG baselines with the same source corpus and with the same amount of retrieved text. Moreover, MIRIAD improved the ability of LLMs to detect medical hallucinations by 22.5 to 37% (increase in F1 score). We further introduce MIRIAD-Atlas, an interactive map of MIRIAD spanning 56 medical disciplines, enabling clinical users to visually explore, search, and refine medical knowledge. MIRIAD promises to unlock a wealth of down-stream applications, including medical information retrievers, enhanced RAG applications, and knowledge-grounded chat interfaces, which ultimately enables more reliable LLM applications in healthcare.

This research tests the role of Large Language Models (LLMs) as formal second opinion tools in professional decision-making, particularly focusing on complex medical cases where even experienced physicians seek peer consultation. The work analyzed 183 challenging medical cases from Medscape over a 20-month period, testing multiple LLMs' performance against crowd-sourced physician responses. A key finding was the high overall score possible in the latest foundational models (>80% accuracy compared to consensus opinion), which exceeds most human metrics reported on the same clinical cases (450 pages of patient profiles, test results). The study rates the LLMs' performance disparity between straightforward cases (>81% accuracy) and complex scenarios (43% accuracy), particularly in these cases generating substantial debate among human physicians. The research demonstrates that LLMs may be valuable as generators of comprehensive differential diagnoses rather than as primary diagnostic tools, potentially helping to counter cognitive biases in clinical decision-making, reduce cognitive loads, and thus remove some sources of medical error. The inclusion of a second comparative legal dataset (Supreme Court cases, N=21) provides added empirical context to the AI use to foster second opinions, though these legal challenges proved considerably easier for LLMs to analyze. In addition to the original contributions of empirical evidence for LLM accuracy, the research aggregated a novel benchmark for others to score highly contested question and answer reliability between both LLMs and disagreeing human practitioners. These results suggest that the optimal deployment of LLMs in professional settings may differ substantially from current approaches that emphasize automation of routine tasks.

In this study, we investigated the ability of the large language model (LLM) to enhance healthcare data interoperability. We leveraged the LLM to convert clinical texts into their corresponding FHIR resources. Our experiments, conducted on 3,671 snippets of clinical text, demonstrated that the LLM not only streamlines the multi-step natural language processing and human calibration processes but also achieves an exceptional accuracy rate of over 90% in exact matches when compared to human annotations.

In this paper, we introduce SaulLM-7B, a large language model (LLM) tailored for the legal domain. With 7 billion parameters, SaulLM-7B is the first LLM designed explicitly for legal text comprehension and generation. Leveraging the Mistral 7B architecture as its foundation, SaulLM-7B is trained on an English legal corpus of over 30 billion tokens. SaulLM-7B exhibits state-of-the-art proficiency in understanding and processing legal documents. Additionally, we present a novel instructional fine-tuning method that leverages legal datasets to further enhance SaulLM-7B's performance in legal tasks. SaulLM-7B is released under the CC-BY-SA-4.0 License.

This study presents a comprehensive analysis and comparison of two predominant fine-tuning methodologies - full-parameter fine-tuning and parameter-efficient tuning - within the context of medical Large Language Models (LLMs). We developed and refined a series of LLMs, based on the Llama-2 architecture, specifically designed to enhance medical knowledge retrieval, reasoning, and question-answering capabilities. Our experiments systematically evaluate the effectiveness of these tuning strategies across various well-known medical benchmarks. Notably, our medical LLM Med42 showed an accuracy level of 72% on the US Medical Licensing Examination (USMLE) datasets, setting a new standard in performance for openly available medical LLMs. Through this comparative analysis, we aim to identify the most effective and efficient method for fine-tuning LLMs in the medical domain, thereby contributing significantly to the advancement of AI-driven healthcare applications.

The deployment of large language models (LLMs) within the healthcare sector has sparked both enthusiasm and apprehension. These models exhibit the remarkable capability to provide proficient responses to free-text queries, demonstrating a nuanced understanding of professional medical knowledge. This comprehensive survey delves into the functionalities of existing LLMs designed for healthcare applications, elucidating the trajectory of their development, starting from traditional Pretrained Language Models (PLMs) to the present state of LLMs in healthcare sector. First, we explore the potential of LLMs to amplify the efficiency and effectiveness of diverse healthcare applications, particularly focusing on clinical language understanding tasks. These tasks encompass a wide spectrum, ranging from named entity recognition and relation extraction to natural language inference, multi-modal medical applications, document classification, and question-answering. Additionally, we conduct an extensive comparison of the most recent state-of-the-art LLMs in the healthcare domain, while also assessing the utilization of various open-source LLMs and highlighting their significance in healthcare applications. Furthermore, we present the essential performance metrics employed to evaluate LLMs in the biomedical domain, shedding light on their effectiveness and limitations. Finally, we summarize the prominent challenges and constraints faced by large language models in the healthcare sector, offering a holistic perspective on their potential benefits and shortcomings. This review provides a comprehensive exploration of the current landscape of LLMs in healthcare, addressing their role in transforming medical applications and the areas that warrant further research and development.

Large Language Models (LLMs) have significantly advanced the development of Legal Artificial Intelligence (Legal AI) in recent years, enhancing the efficiency and accuracy of legal tasks. To advance research and applications of LLM-based approaches in legal domain, this paper provides a comprehensive review of 16 legal LLMs series and 47 LLM-based frameworks for legal tasks, and also gather 15 benchmarks and 29 datasets to evaluate different legal capabilities. Additionally, we analyse the challenges and discuss future directions for LLM-based approaches in the legal domain. We hope this paper provides a systematic introduction for beginners and encourages future research in this field. Resources are available at https://github.com/ZhitianHou/LLMs4LegalAI.

Recent advancements in Large Language Models (LLMs) have demonstrated their potential in delivering accurate answers to questions about world knowledge. Despite this, existing benchmarks for evaluating LLMs in healthcare predominantly focus on medical doctors, leaving other critical healthcare professions underrepresented. To fill this research gap, we introduce the Examinations for Medical Personnel in Chinese (EMPEC), a pioneering large-scale healthcare knowledge benchmark in traditional Chinese. EMPEC consists of 157,803 exam questions across 124 subjects and 20 healthcare professions, including underrepresented occupations like Optometrists and Audiologists. Each question is tagged with its release time and source, ensuring relevance and authenticity. We conducted extensive experiments on 17 LLMs, including proprietary, open-source models, general domain models and medical specific models, evaluating their performance under various settings. Our findings reveal that while leading models like GPT-4 achieve over 75\% accuracy, they still struggle with specialized fields and alternative medicine. Surprisingly, general-purpose LLMs outperformed medical-specific models, and incorporating EMPEC's training data significantly enhanced performance. Additionally, the results on questions released after the models' training cutoff date were consistent with overall performance trends, suggesting that the models' performance on the test set can predict their effectiveness in addressing unseen healthcare-related queries. The transition from traditional to simplified Chinese characters had a negligible impact on model performance, indicating robust linguistic versatility. Our study underscores the importance of expanding benchmarks to cover a broader range of healthcare professions to better assess the applicability of LLMs in real-world healthcare scenarios.

While large language models (LLMs) have showcased impressive capabilities, they struggle with addressing legal queries due to the intricate complexities and specialized expertise required in the legal field. In this paper, we introduce InternLM-Law, a specialized LLM tailored for addressing diverse legal queries related to Chinese laws, spanning from responding to standard legal questions (e.g., legal exercises in textbooks) to analyzing complex real-world legal situations. We meticulously construct a dataset in the Chinese legal domain, encompassing over 1 million queries, and implement a data filtering and processing pipeline to ensure its diversity and quality. Our training approach involves a novel two-stage process: initially fine-tuning LLMs on both legal-specific and general-purpose content to equip the models with broad knowledge, followed by exclusive fine-tuning on high-quality legal data to enhance structured output generation. InternLM-Law achieves the highest average performance on LawBench, outperforming state-of-the-art models, including GPT-4, on 13 out of 20 subtasks. We make InternLM-Law and our dataset publicly available to facilitate future research in applying LLMs within the legal domain.

We introduce GreekBarBench, a benchmark that evaluates LLMs on legal questions across five different legal areas from the Greek Bar exams, requiring citations to statutory articles and case facts. To tackle the challenges of free-text evaluation, we propose a three-dimensional scoring system combined with an LLM-as-a-judge approach. We also develop a meta-evaluation benchmark to assess the correlation between LLM-judges and human expert evaluations, revealing that simple, span-based rubrics improve their alignment. Our systematic evaluation of 13 proprietary and open-weight LLMs shows that even though the best models outperform average expert scores, they fall short of the 95th percentile of experts.

Legal contracts in the custody and fund services domain govern critical aspects such as key provider responsibilities, fee schedules, and indemnification rights. However, it is challenging for an off-the-shelf Large Language Model (LLM) to ingest these contracts due to the lengthy unstructured streams of text, limited LLM context windows, and complex legal jargon. To address these challenges, we introduce LAW (Legal Agentic Workflows for Custody and Fund Services Contracts). LAW features a modular design that responds to user queries by orchestrating a suite of domain-specific tools and text agents. Our experiments demonstrate that LAW, by integrating multiple specialized agents and tools, significantly outperforms the baseline. LAW excels particularly in complex tasks such as calculating a contract's termination date, surpassing the baseline by 92.9% points. Furthermore, LAW offers a cost-effective alternative to traditional fine-tuned legal LLMs by leveraging reusable, domain-specific tools.

The integration of large language model (LLM) and data management (DATA) is rapidly redefining both domains. In this survey, we comprehensively review the bidirectional relationships. On the one hand, DATA4LLM, spanning large-scale data processing, storage, and serving, feeds LLMs with high quality, diversity, and timeliness of data required for stages like pre-training, post-training, retrieval-augmented generation, and agentic workflows: (i) Data processing for LLMs includes scalable acquisition, deduplication, filtering, selection, domain mixing, and synthetic augmentation; (ii) Data Storage for LLMs focuses on efficient data and model formats, distributed and heterogeneous storage hierarchies, KV-cache management, and fault-tolerant checkpointing; (iii) Data serving for LLMs tackles challenges in RAG (e.g., knowledge post-processing), LLM inference (e.g., prompt compression, data provenance), and training strategies (e.g., data packing and shuffling). On the other hand, in LLM4DATA, LLMs are emerging as general-purpose engines for data management. We review recent advances in (i) data manipulation, including automatic data cleaning, integration, discovery; (ii) data analysis, covering reasoning over structured, semi-structured, and unstructured data, and (iii) system optimization (e.g., configuration tuning, query rewriting, anomaly diagnosis), powered by LLM techniques like retrieval-augmented prompting, task-specialized fine-tuning, and multi-agent collaboration.

Large language models (LLMs) have garnered significant attention and widespread usage due to their impressive performance in various tasks. However, they are not without their own set of challenges, including issues such as hallucinations, factual inconsistencies, and limitations in numerical-quantitative reasoning. Evaluating LLMs in miscellaneous reasoning tasks remains an active area of research. Prior to the breakthrough of LLMs, Transformers had already proven successful in the medical domain, effectively employed for various natural language understanding (NLU) tasks. Following this trend, LLMs have also been trained and utilized in the medical domain, raising concerns regarding factual accuracy, adherence to safety protocols, and inherent limitations. In this paper, we focus on evaluating the natural language inference capabilities of popular open-source and closed-source LLMs using clinical trial reports as the dataset. We present the performance results of each LLM and further analyze their performance on a development set, particularly focusing on challenging instances that involve medical abbreviations and require numerical-quantitative reasoning. Gemini, our leading LLM, achieved a test set F1-score of 0.748, securing the ninth position on the task scoreboard. Our work is the first of its kind, offering a thorough examination of the inference capabilities of LLMs within the medical domain.

Integrating tools into Large Language Models (LLMs) has facilitated the widespread application. Despite this, in specialized downstream task contexts, reliance solely on tools is insufficient to fully address the complexities of the real world. This particularly restricts the effective deployment of LLMs in fields such as medicine. In this paper, we focus on the downstream tasks of medical calculators, which use standardized tests to assess an individual's health status. We introduce MeNTi, a universal agent architecture for LLMs. MeNTi integrates a specialized medical toolkit and employs meta-tool and nested calling mechanisms to enhance LLM tool utilization. Specifically, it achieves flexible tool selection and nested tool calling to address practical issues faced in intricate medical scenarios, including calculator selection, slot filling, and unit conversion. To assess the capabilities of LLMs for quantitative assessment throughout the clinical process of calculator scenarios, we introduce CalcQA. This benchmark requires LLMs to use medical calculators to perform calculations and assess patient health status. CalcQA is constructed by professional physicians and includes 100 case-calculator pairs, complemented by a toolkit of 281 medical tools. The experimental results demonstrate significant performance improvements with our framework. This research paves new directions for applying LLMs in demanding scenarios of medicine.

Recent advances such as LLaVA and Mini-GPT4 have successfully integrated visual information into LLMs, yielding inspiring outcomes and giving rise to a new generation of multi-modal LLMs, or MLLMs. Nevertheless, these methods struggle with hallucinations and the mutual interference between tasks. To tackle these problems, we propose an efficient and accurate approach to adapt to downstream tasks by utilizing LLM as a bridge to connect multiple expert models, namely u-LLaVA. Firstly, we incorporate the modality alignment module and multi-task modules into LLM. Then, we reorganize or rebuild multi-type public datasets to enable efficient modality alignment and instruction following. Finally, task-specific information is extracted from the trained LLM and provided to different modules for solving downstream tasks. The overall framework is simple, effective, and achieves state-of-the-art performance across multiple benchmarks. We also release our model, the generated data, and the code base publicly available.

The integration of Large Language Models (LLMs) into healthcare promises to transform medical diagnostics, research, and patient care. Yet, the progression of medical LLMs faces obstacles such as complex training requirements, rigorous evaluation demands, and the dominance of proprietary models that restrict academic exploration. Transparent, comprehensive access to LLM resources is essential for advancing the field, fostering reproducibility, and encouraging innovation in healthcare AI. We present Hippocrates, an open-source LLM framework specifically developed for the medical domain. In stark contrast to previous efforts, it offers unrestricted access to its training datasets, codebase, checkpoints, and evaluation protocols. This open approach is designed to stimulate collaborative research, allowing the community to build upon, refine, and rigorously evaluate medical LLMs within a transparent ecosystem. Also, we introduce Hippo, a family of 7B models tailored for the medical domain, fine-tuned from Mistral and LLaMA2 through continual pre-training, instruction tuning, and reinforcement learning from human and AI feedback. Our models outperform existing open medical LLMs models by a large-margin, even surpassing models with 70B parameters. Through Hippocrates, we aspire to unlock the full potential of LLMs not just to advance medical knowledge and patient care but also to democratize the benefits of AI research in healthcare, making them available across the globe.

Although large language models (LLMs) have been assessed for general medical knowledge using medical licensing exams, their ability to effectively support clinical decision-making tasks, such as selecting and using medical calculators, remains uncertain. Here, we evaluate the capability of both medical trainees and LLMs to recommend medical calculators in response to various multiple-choice clinical scenarios such as risk stratification, prognosis, and disease diagnosis. We assessed eight LLMs, including open-source, proprietary, and domain-specific models, with 1,009 question-answer pairs across 35 clinical calculators and measured human performance on a subset of 100 questions. While the highest-performing LLM, GPT-4o, provided an answer accuracy of 74.3% (CI: 71.5-76.9%), human annotators, on average, outperformed LLMs with an accuracy of 79.5% (CI: 73.5-85.0%). With error analysis showing that the highest-performing LLMs continue to make mistakes in comprehension (56.6%) and calculator knowledge (8.1%), our findings emphasize that humans continue to surpass LLMs on complex clinical tasks such as calculator recommendation.

Large Language Models (LLMs) have demonstrated significant potential in handling specialized tasks, including medical problem-solving. However, most studies predominantly focus on English-language contexts. This study introduces a novel benchmark dataset based on Polish medical licensing and specialization exams (LEK, LDEK, PES) taken by medical doctor candidates and practicing doctors pursuing specialization. The dataset was web-scraped from publicly available resources provided by the Medical Examination Center and the Chief Medical Chamber. It comprises over 24,000 exam questions, including a subset of parallel Polish-English corpora, where the English portion was professionally translated by the examination center for foreign candidates. By creating a structured benchmark from these existing exam questions, we systematically evaluate state-of-the-art LLMs, including general-purpose, domain-specific, and Polish-specific models, and compare their performance against human medical students. Our analysis reveals that while models like GPT-4o achieve near-human performance, significant challenges persist in cross-lingual translation and domain-specific understanding. These findings underscore disparities in model performance across languages and medical specialties, highlighting the limitations and ethical considerations of deploying LLMs in clinical practice.

With the advent of Large Language Models (LLMs), medical artificial intelligence (AI) has experienced substantial technological progress and paradigm shifts, highlighting the potential of LLMs to streamline healthcare delivery and improve patient outcomes. Considering this rapid technical progress, in this survey, we trace the recent advances of Medical Large Language Models (Med-LLMs), including the background, key findings, and mainstream techniques, especially for the evolution from general-purpose models to medical-specialized applications. Firstly, we delve into the foundational technology of Med-LLMs, indicating how general models can be progressively adapted and refined for the complicated medical tasks. Secondly, the wide-ranging applications of Med-LLMs are investigated across various healthcare domains, as well as an up-to-date review of existing Med-LLMs. The transformative impact of these models on daily medical practice is evident through their ability to assist clinicians, educators, and patients. Recognizing the importance of responsible innovation, we discuss the challenges associated with ensuring fairness, accountability, privacy, and robustness. Ethical considerations, rigorous evaluation methodologies, and the establishment of regulatory frameworks are crucial for building trustworthiness in the real-world system. We emphasize the need for ongoing scrutiny and development to maintain high standards of safety and reliability. Finally, we anticipate possible future trajectories for Med-LLMs, identifying key avenues for prudent expansion. By consolidating these insights, our review aims to provide professionals and researchers with a thorough understanding of the strengths and limitations of Med-LLMs, fostering a balanced and ethical approach to their integration into the healthcare ecosystem.

Since the rise of large language models (LLMs), the domain adaptation has been one of the hot topics in various domains. Many medical LLMs trained with English medical dataset have made public recently. However, Japanese LLMs in medical domain still lack its research. Here we utilize multiple 70B-parameter LLMs for the first time and show that instruction tuning using Japanese medical question-answering dataset significantly improves the ability of Japanese LLMs to solve Japanese medical license exams, surpassing 50\% in accuracy. In particular, the Japanese-centric models exhibit a more significant leap in improvement through instruction tuning compared to their English-centric counterparts. This underscores the importance of continual pretraining and the adjustment of the tokenizer in our local language. We also examine two slightly different prompt formats, resulting in non-negligible performance improvement.

The complexity of large language model (LLM) serving workloads has substantially increased due to the integration with external tool invocations, such as ChatGPT plugins. In this paper, we identify a new opportunity for efficient LLM serving for requests that trigger tools: tool partial execution alongside LLM decoding. To this end, we design Conveyor, an efficient LLM serving system optimized for handling requests involving external tools. We introduce a novel interface for tool developers to expose partial execution opportunities to the LLM serving system and a request scheduler that facilitates partial tool execution. Our results demonstrate that tool partial execution can improve request completion latency by up to 38.8%.

Large Language Models (LLMs) have introduced a new era of proficiency in comprehending complex healthcare and biomedical topics. However, there is a noticeable lack of models in languages other than English and models that can interpret multi-modal input, which is crucial for global healthcare accessibility. In response, this study introduces Qilin-Med-VL, the first Chinese large vision-language model designed to integrate the analysis of textual and visual data. Qilin-Med-VL combines a pre-trained Vision Transformer (ViT) with a foundational LLM. It undergoes a thorough two-stage curriculum training process that includes feature alignment and instruction tuning. This method enhances the model's ability to generate medical captions and answer complex medical queries. We also release ChiMed-VL, a dataset consisting of more than 1M image-text pairs. This dataset has been carefully curated to enable detailed and comprehensive interpretation of medical data using various types of images.

Large Language Models (LLMs) have shown promising results on machine translation for high resource language pairs and domains. However, in specialised domains (e.g. medical) LLMs have shown lower performance compared to standard neural machine translation models. The consistency in the machine translation of terminology is crucial for users, researchers, and translators in specialised domains. In this study, we compare the performance between baseline LLMs and instruction-tuned LLMs in the medical domain. In addition, we introduce terminology from specialised medical dictionaries into the instruction formatted datasets for fine-tuning LLMs. The instruction-tuned LLMs significantly outperform the baseline models with automatic metrics.

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

Large Language Models (LLMs) like ChatGPT and GPT-4 are versatile and capable of addressing a diverse range of tasks. However, general LLMs, which are developed on open-domain data, may lack the domain-specific knowledge essential for tasks in vertical domains, such as legal, medical, etc. To address this issue, previous approaches either conduct continuous pre-training with domain-specific data or employ retrieval augmentation to support general LLMs. Unfortunately, these strategies are either cost-intensive or unreliable in practical applications. To this end, we present a novel framework named BLADE, which enhances Black-box LArge language models with small Domain-spEcific models. BLADE consists of a black-box LLM and a small domain-specific LM. The small LM preserves domain-specific knowledge and offers specialized insights, while the general LLM contributes robust language comprehension and reasoning capabilities. Specifically, our method involves three steps: 1) pre-training the small LM with domain-specific data, 2) fine-tuning this model using knowledge instruction data, and 3) joint Bayesian optimization of the general LLM and the small LM. Extensive experiments conducted on public legal and medical benchmarks reveal that BLADE significantly outperforms existing approaches. This shows the potential of BLADE as an effective and cost-efficient solution in adapting general LLMs for vertical domains.

Better understanding of Large Language Models' (LLMs) legal analysis abilities can contribute to improving the efficiency of legal services, governing artificial intelligence, and leveraging LLMs to identify inconsistencies in law. This paper explores LLM capabilities in applying tax law. We choose this area of law because it has a structure that allows us to set up automated validation pipelines across thousands of examples, requires logical reasoning and maths skills, and enables us to test LLM capabilities in a manner relevant to real-world economic lives of citizens and companies. Our experiments demonstrate emerging legal understanding capabilities, with improved performance in each subsequent OpenAI model release. We experiment with retrieving and utilising the relevant legal authority to assess the impact of providing additional legal context to LLMs. Few-shot prompting, presenting examples of question-answer pairs, is also found to significantly enhance the performance of the most advanced model, GPT-4. The findings indicate that LLMs, particularly when combined with prompting enhancements and the correct legal texts, can perform at high levels of accuracy but not yet at expert tax lawyer levels. As LLMs continue to advance, their ability to reason about law autonomously could have significant implications for the legal profession and AI governance.

In recent years, Recommender Systems(RS) have witnessed a transformative shift with the advent of Large Language Models(LLMs) in the field of Natural Language Processing(NLP). These models such as OpenAI's GPT-3.5/4, Llama from Meta, have demonstrated unprecedented capabilities in understanding and generating human-like text. This has led to a paradigm shift in the realm of personalized and explainable recommendations, as LLMs offer a versatile toolset for processing vast amounts of textual data to enhance user experiences. To provide a comprehensive understanding of the existing LLM-based recommendation systems, this survey aims to analyze how RS can benefit from LLM-based methodologies. Furthermore, we describe major challenges in Personalized Explanation Generating(PEG) tasks, which are cold-start problems, unfairness and bias problems in RS.

Large Language Models (LLMs) have great potential in the field of health care, yet they face great challenges in adapting to rapidly evolving medical knowledge. This can lead to outdated or contradictory treatment suggestions. This study investigated how LLMs respond to evolving clinical guidelines, focusing on concept drift and internal inconsistencies. We developed the DriftMedQA benchmark to simulate guideline evolution and assessed the temporal reliability of various LLMs. Our evaluation of seven state-of-the-art models across 4,290 scenarios demonstrated difficulties in rejecting outdated recommendations and frequently endorsing conflicting guidance. Additionally, we explored two mitigation strategies: Retrieval-Augmented Generation and preference fine-tuning via Direct Preference Optimization. While each method improved model performance, their combination led to the most consistent and reliable results. These findings underscore the need to improve LLM robustness to temporal shifts to ensure more dependable applications in clinical practice.

Large-scale language models (LLMs), such as ChatGPT, are capable of generating human-like responses for various downstream tasks, such as task-oriented dialogues and question answering. However, applying LLMs to medical domains remains challenging due to their inability to leverage domain-specific knowledge. In this study, we present the Large-scale Language Models Augmented with Medical Textbooks (LLM-AMT), which integrates authoritative medical textbooks as the cornerstone of its design, enhancing its proficiency in the specialized domain through plug-and-play modules, comprised of a Hybrid Textbook Retriever, supplemented by the Query Augmenter and the LLM Reader. Experimental evaluation on three open-domain medical question-answering tasks reveals a substantial enhancement in both the professionalism and accuracy of the LLM responses when utilizing LLM-AMT, exhibiting an improvement ranging from 11.4% to 13.2%. Despite being 100 times smaller, we found that medical textbooks as the retrieval corpus serves as a more valuable external knowledge source than Wikipedia in the medical domain. Our experiments show that textbook augmentation results in a performance improvement ranging from 9.7% to 12.2% over Wikipedia augmentation.

As the range of applications for Large Language Models (LLMs) continues to grow, the demand for effective serving solutions becomes increasingly critical. Despite the versatility of LLMs, no single model can optimally address all tasks and applications, particularly when balancing performance with cost. This limitation has led to the development of LLM routing systems, which combine the strengths of various models to overcome the constraints of individual LLMs. Yet, the absence of a standardized benchmark for evaluating the performance of LLM routers hinders progress in this area. To bridge this gap, we present RouterBench, a novel evaluation framework designed to systematically assess the efficacy of LLM routing systems, along with a comprehensive dataset comprising over 405k inference outcomes from representative LLMs to support the development of routing strategies. We further propose a theoretical framework for LLM routing, and deliver a comparative analysis of various routing approaches through RouterBench, highlighting their potentials and limitations within our evaluation framework. This work not only formalizes and advances the development of LLM routing systems but also sets a standard for their assessment, paving the way for more accessible and economically viable LLM deployments. The code and data are available at https://github.com/withmartian/routerbench.

Online education platforms, leveraging the internet to distribute education resources, seek to provide convenient education but often fall short in real-time communication with students. They often struggle to offer personalized education resources due to the challenge of addressing the diverse obstacles students encounter throughout their learning journey. Recently, the emergence of large language models (LLMs), such as ChatGPT, offers the possibility for resolving this issue by comprehending individual requests. Although LLMs have been successful in various fields, creating an LLM-based education system is still challenging for the wide range of educational skills required. This paper reviews the recently emerged LLM researches related to educational capabilities, including mathematics, writing, programming, reasoning, and knowledge-based question answering, with the aim to explore their potential in constructing the next-generation intelligent education system. Based on the current development status, we further outline two approaches for an LLM-based education system: a unified approach and a mixture-of-expert (MoE) approach. Finally, we explore the challenges and future directions, providing new research opportunities and perspectives on adapting LLMs for education.

Large language models (LLMs) are typically trained on enormous quantities of unlicensed text, a practice that has led to scrutiny due to possible intellectual property infringement and ethical concerns. Training LLMs on openly licensed text presents a first step towards addressing these issues, but prior data collection efforts have yielded datasets too small or low-quality to produce performant LLMs. To address this gap, we collect, curate, and release the Common Pile v0.1, an eight terabyte collection of openly licensed text designed for LLM pretraining. The Common Pile comprises content from 30 sources that span diverse domains including research papers, code, books, encyclopedias, educational materials, audio transcripts, and more. Crucially, we validate our efforts by training two 7 billion parameter LLMs on text from the Common Pile: Comma v0.1-1T and Comma v0.1-2T, trained on 1 and 2 trillion tokens respectively. Both models attain competitive performance to LLMs trained on unlicensed text with similar computational budgets, such as Llama 1 and 2 7B. In addition to releasing the Common Pile v0.1 itself, we also release the code used in its creation as well as the training mixture and checkpoints for the Comma v0.1 models.

Applying large language models (LLMs) to assist in psycho-counseling is an emerging and meaningful approach, driven by the significant gap between patient needs and the availability of mental health support. However, current LLMs struggle to consistently provide effective responses to client speeches, largely due to the lack of supervision from high-quality real psycho-counseling data, whose content is typically inaccessible due to client privacy concerns. Furthermore, the quality of therapists' responses in available sessions can vary significantly based on their professional training and experience. Assessing the quality of therapists' responses remains an open challenge. In this work, we address these challenges by first proposing a set of professional and comprehensive principles to evaluate therapists' responses to client speeches. Using these principles, we create a preference dataset, PsychoCounsel-Preference, which contains 36k high-quality preference comparison pairs. This dataset aligns with the preferences of professional psychotherapists, providing a robust foundation for evaluating and improving LLMs in psycho-counseling. Experiments on reward modeling and preference learning demonstrate that PsychoCounsel-Preference is an excellent resource for LLMs to acquire essential skills for responding to clients in a counseling session. Our best-aligned model, PsychoCounsel-Llama3-8B, achieves an impressive win rate of 87% against GPT-4o. We release PsychoCounsel-Preference, PsychoCounsel-Llama3-8B and the reward model PsychoCounsel Llama3-8B-Reward to facilitate the research of psycho-counseling with LLMs at: https://hf.co/Psychotherapy-LLM.