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Oct 23

BadTemplate: A Training-Free Backdoor Attack via Chat Template Against Large Language Models

Chat template is a common technique used in the training and inference stages of Large Language Models (LLMs). It can transform input and output data into role-based and templated expressions to enhance the performance of LLMs. However, this also creates a breeding ground for novel attack surfaces. In this paper, we first reveal that the customizability of chat templates allows an attacker who controls the template to inject arbitrary strings into the system prompt without the user's notice. Building on this, we propose a training-free backdoor attack, termed BadTemplate. Specifically, BadTemplate inserts carefully crafted malicious instructions into the high-priority system prompt, thereby causing the target LLM to exhibit persistent backdoor behaviors. BadTemplate outperforms traditional backdoor attacks by embedding malicious instructions directly into the system prompt, eliminating the need for model retraining while achieving high attack effectiveness with minimal cost. Furthermore, its simplicity and scalability make it easily and widely deployed in real-world systems, raising serious risks of rapid propagation, economic damage, and large-scale misinformation. Furthermore, detection by major third-party platforms HuggingFace and LLM-as-a-judge proves largely ineffective against BadTemplate. Extensive experiments conducted on 5 benchmark datasets across 6 open-source and 3 closed-source LLMs, compared with 3 baselines, demonstrate that BadTemplate achieves up to a 100% attack success rate and significantly outperforms traditional prompt-based backdoors in both word-level and sentence-level attacks. Our work highlights the potential security risks raised by chat templates in the LLM supply chain, thereby supporting the development of effective defense mechanisms.

  • 5 authors
·
Feb 5

Learning neuroimaging models from health system-scale data

Neuroimaging is a ubiquitous tool for evaluating patients with neurological diseases. The global demand for magnetic resonance imaging (MRI) studies has risen steadily, placing significant strain on health systems, prolonging turnaround times, and intensifying physician burnout. These challenges disproportionately impact patients in low-resource and rural settings. Here, we utilized a large academic health system as a data engine to develop Prima, the first vision language model (VLM) serving as an AI foundation for neuroimaging that supports real-world, clinical MRI studies as input. Trained on over 220,000 MRI studies, Prima uses a hierarchical vision architecture that provides general and transferable MRI features. Prima was tested in a 1-year health system-wide study that included 30K MRI studies. Across 52 radiologic diagnoses from the major neurologic disorders, including neoplastic, inflammatory, infectious, and developmental lesions, Prima achieved a mean diagnostic area under the ROC curve of 92.0, outperforming other state-of-the-art general and medical AI models. Prima offers explainable differential diagnoses, worklist priority for radiologists, and clinical referral recommendations across diverse patient demographics and MRI systems. Prima demonstrates algorithmic fairness across sensitive groups and can help mitigate health system biases, such as prolonged turnaround times for low-resource populations. These findings highlight the transformative potential of health system-scale VLMs and Prima's role in advancing AI-driven healthcare.

  • 21 authors
·
Sep 23, 2025

Priority-Aware Learning-Unlearning Correction for Dynamic Decentralized LoRA Fine-Tuning

As large language models (LLMs) are increasingly deployed at the network edge to provide pervasive generative AI services, decentralized federated learning (DFL) provides a vital mechanism for privacy-preserving, domain-specific fine-tuning through peer-to-peer exchanges of parameter-efficient updates. However, the dynamic nature of practical decentralized edge networks, where devices may dynamically join or leave the collaborative training process, requires the system to continuously adapt to new data while selectively removing prior contributions. This correction process remains a significant bottleneck, as individual device updates become deeply entangled within the global fine-tuned parameters. To address this challenge, we propose a priority-aware learning-unlearning correction framework based on orthogonal LoRA that can enhance the knowledge evaluation through topology adjustment. Specifically, we first design an orthogonal LoRA mechanism that yields post-training contribution coordinates, enabling history-free projection addition and deletion in response to membership changes. We then analyze the correction bottleneck and develop a priority-aware policy that selects among topology refinement, local correction, proximal damping, and synchronization scheduling according to the dominant residual term. A resource allocation algorithm is further developed to allocate limited communication across layer groups, prioritizing the primary bottlenecks within per-round wireless constraints. Experiments demonstrate that the proposed framework achieves robust post-event correction for both device join and leave events and validate that different residual regimes necessitate distinct correction actions.

  • 6 authors
·
Jun 21

Guardians of the Agentic System: Preventing Many Shots Jailbreak with Agentic System

The autonomous AI agents using large language models can create undeniable values in all span of the society but they face security threats from adversaries that warrants immediate protective solutions because trust and safety issues arise. Considering the many-shot jailbreaking and deceptive alignment as some of the main advanced attacks, that cannot be mitigated by the static guardrails used during the supervised training, points out a crucial research priority for real world robustness. The combination of static guardrails in dynamic multi-agent system fails to defend against those attacks. We intend to enhance security for LLM-based agents through the development of new evaluation frameworks which identify and counter threats for safe operational deployment. Our work uses three examination methods to detect rogue agents through a Reverse Turing Test and analyze deceptive alignment through multi-agent simulations and develops an anti-jailbreaking system by testing it with GEMINI 1.5 pro and llama-3.3-70B, deepseek r1 models using tool-mediated adversarial scenarios. The detection capabilities are strong such as 94\% accuracy for GEMINI 1.5 pro yet the system suffers persistent vulnerabilities when under long attacks as prompt length increases attack success rates (ASR) and diversity metrics become ineffective in prediction while revealing multiple complex system faults. The findings demonstrate the necessity of adopting flexible security systems based on active monitoring that can be performed by the agents themselves together with adaptable interventions by system admin as the current models can create vulnerabilities that can lead to the unreliable and vulnerable system. So, in our work, we try to address such situations and propose a comprehensive framework to counteract the security issues.

  • 6 authors
·
Feb 23, 2025 2

Reinforcement Learning for Adaptive Resource Scheduling in Complex System Environments

This study presents a novel computer system performance optimization and adaptive workload management scheduling algorithm based on Q-learning. In modern computing environments, characterized by increasing data volumes, task complexity, and dynamic workloads, traditional static scheduling methods such as Round-Robin and Priority Scheduling fail to meet the demands of efficient resource allocation and real-time adaptability. By contrast, Q-learning, a reinforcement learning algorithm, continuously learns from system state changes, enabling dynamic scheduling and resource optimization. Through extensive experiments, the superiority of the proposed approach is demonstrated in both task completion time and resource utilization, outperforming traditional and dynamic resource allocation (DRA) algorithms. These findings are critical as they highlight the potential of intelligent scheduling algorithms based on reinforcement learning to address the growing complexity and unpredictability of computing environments. This research provides a foundation for the integration of AI-driven adaptive scheduling in future large-scale systems, offering a scalable, intelligent solution to enhance system performance, reduce operating costs, and support sustainable energy consumption. The broad applicability of this approach makes it a promising candidate for next-generation computing frameworks, such as edge computing, cloud computing, and the Internet of Things.

  • 5 authors
·
Nov 7, 2024

MEMONDEMAND: A Memory Management System for Large-Scale Enterprise Data

Enterprise repositories are large, heteroge- neous, and continuously updated, making re- trieval difficult when efficient access, source- faithful evidence, and cross-query adaptation must be supported together. Enterprise mem- ory extends retrieval beyond the model con- text, but existing systems do not jointly address collection-specific hierarchy construction, low- cost routing, detailed evidence loading, and workload-aware memory updates at this scale. We introduce MEMONDEMAND, short for On- Demand Memory, a memory management sys- tem with three coordinated mechanisms: a dy- namic multi-level hierarchy that determines the abstraction structure and depth for each col- lection, dual memory at every hierarchy level that separates distilled routing from detailed evidence, and on-demand memory promotion that updates node priority under a bounded active-state budget. On EnterpriseRAG-Bench, MEMONDEMAND outperforms the strongest published LB#1 result at every evaluated scale from 10M tokens through the complete 618M- token collection, with gains of 12.23% at 10M and 4.66% at 618M. Results on FinanceBench, HotpotQA, and FRAMES further show strong performance across financial, multi-hop, and fact-retrieval settings. Together, these results establish MEMONDEMAND as an accurate, ef- ficient, and scalable memory solution for very large enterprise repositories across data scales, domains, and evidence requirements. Our code is available at https://github.com/ xfab-xinyuansong/MemOnDemand.git.

  • 4 authors
·
Aug 21

Large Language Models (LLMs) as Traffic Control Systems at Urban Intersections: A New Paradigm

This study introduces a novel approach for traffic control systems by using Large Language Models (LLMs) as traffic controllers. The study utilizes their logical reasoning, scene understanding, and decision-making capabilities to optimize throughput and provide feedback based on traffic conditions in real-time. LLMs centralize traditionally disconnected traffic control processes and can integrate traffic data from diverse sources to provide context-aware decisions. LLMs can also deliver tailored outputs using various means such as wireless signals and visuals to drivers, infrastructures, and autonomous vehicles. To evaluate LLMs ability as traffic controllers, this study proposed a four-stage methodology. The methodology includes data creation and environment initialization, prompt engineering, conflict identification, and fine-tuning. We simulated multi-lane four-leg intersection scenarios and generates detailed datasets to enable conflict detection using LLMs and Python simulation as a ground truth. We used chain-of-thought prompts to lead LLMs in understanding the context, detecting conflicts, resolving them using traffic rules, and delivering context-sensitive traffic management solutions. We evaluated the prformance GPT-mini, Gemini, and Llama as traffic controllers. Results showed that the fine-tuned GPT-mini achieved 83% accuracy and an F1-score of 0.84. GPT-mini model exhibited a promising performance in generating actionable traffic management insights, with high ROUGE-L scores across conflict identification of 0.95, decision-making of 0.91, priority assignment of 0.94, and waiting time optimization of 0.92. We demonstrated that LLMs can offer precise recommendations to drivers in real-time including yielding, slowing, or stopping based on vehicle dynamics.

  • 3 authors
·
Nov 15, 2024

Skill-MAS: Evolving Meta-Skill for Automatic Multi-Agent Systems

Large Language Model (LLM)-based automatic Multi-Agent Systems (MAS) generation has become a crucial frontier for tackling complex tasks. However, existing methods face a dilemma between model capability and experience retention. Inference-time MAS leverages frozen frontier LLMs but repeats identical searches without learning from past experience. Conversely, Training-time MAS internalizes experience via gradient updates but is constrained by the low capability ceiling of smaller models, and is hard to scale to large frontier LLMs. To bridge this gap, we propose Skill-MAS, a novel third path that decouples experience retention from parametric updates by conceptualizing the high-level orchestration capability as an evolvable Meta-Skill. Skill-MAS refines this architectural knowledge through a closed optimization loop: (1) Multi-Trajectory Rollout samples a behavioral distribution for each task under the current Meta-Skill; and (2) Selective Reflection adaptively selects priority tasks and applies hierarchical contrastive analysis to distill systemic experience into generalizable, strategy-level principles. Extensive experiments across four complex benchmarks and four distinct LLMs demonstrate that Skill-MAS not only achieves remarkable performance gains but also maintains a favorable cost-performance trade-off. Further analysis reveals that the evolved Meta-Skills are highly robust and exhibit strong transferability across unseen tasks and different LLMs.

HKUST HKUST
·
Jun 16

Graph-Based Self-Healing Tool Routing for Cost-Efficient LLM Agents

Tool-using LLM agents face a reliability-cost tradeoff: routing every decision through the LLM improves correctness but incurs high latency and inference cost, while pre-coded workflow graphs reduce cost but become brittle under unanticipated compound tool failures. We present Self-Healing Router, a fault-tolerant orchestration architecture that treats most agent control-flow decisions as routing rather than reasoning. The system combines (i) parallel health monitors that assign priority scores to runtime conditions such as tool outages and risk signals, and (ii) a cost-weighted tool graph where Dijkstra's algorithm performs deterministic shortest-path routing. When a tool fails mid-execution, its edges are reweighted to infinity and the path is recomputed -- yielding automatic recovery without invoking the LLM. The LLM is reserved exclusively for cases where no feasible path exists, enabling goal demotion or escalation. Prior graph-based tool-use systems (ControlLLM, ToolNet, NaviAgent) focus on tool selection and planning; our contribution is runtime fault tolerance with deterministic recovery and binary observability -- every failure is either a logged reroute or an explicit escalation, never a silent skip. Across 19 scenarios spanning three graph topologies (linear pipeline, dependency DAG, parallel fan-out), Self-Healing Router matches ReAct's correctness while reducing control-plane LLM calls by 93% (9 vs 123 aggregate) and eliminating the silent-failure cases observed in a well-engineered static workflow baseline under compound failures.

  • 1 authors
·
Mar 2

Kolmogorov-Arnold Networks: A Critical Assessment of Claims, Performance, and Practical Viability

Kolmogorov-Arnold Networks (KANs) have gained significant attention as an alternative to traditional multilayer perceptrons, with proponents claiming superior interpretability and performance through learnable univariate activation functions. However, recent systematic evaluations reveal substantial discrepancies between theoretical claims and empirical evidence. This critical assessment examines KANs' actual performance across diverse domains using fair comparison methodologies that control for parameters and computational costs. Our analysis demonstrates that KANs outperform MLPs only in symbolic regression tasks, while consistently underperforming in machine learning, computer vision, and natural language processing benchmarks. The claimed advantages largely stem from B-spline activation functions rather than architectural innovations, and computational overhead (1.36-100x slower) severely limits practical deployment. Furthermore, theoretical claims about breaking the "curse of dimensionality" lack rigorous mathematical foundation. We systematically identify the conditions under which KANs provide value versus traditional approaches, establish evaluation standards for future research, and propose a priority-based roadmap for addressing fundamental limitations. This work provides researchers and practitioners with evidence-based guidance for the rational adoption of KANs while highlighting critical research gaps that must be addressed for broader applicability.

  • 4 authors
·
Jul 13, 2024

Efficient Training on Multiple Consumer GPUs with RoundPipe

Fine-tuning Large Language Models (LLMs) on consumer-grade GPUs is highly cost-effective, yet constrained by limited GPU memory and slow PCIe interconnects. Pipeline parallelism combined with CPU offloading mitigates these hardware bottlenecks by reducing communication overhead. However, existing PP schedules suffer from an inherent limitation termed the weight binding issue. Binding uneven model stages (e.g., the LM head is large) to GPUs limits the pipeline's throughput to that of the GPU with the heaviest load, leading to severe pipeline bubbles. In this paper, we propose RoundPipe, a novel pipeline schedule that breaks the weight binding constraint on consumer GPU servers. RoundPipe treats GPUs as a pool of stateless execution workers and dynamically dispatches computation stages across devices in a round-robin manner, achieving a near-zero-bubble pipeline. To ensure training correctness and system efficiency, RoundPipe integrates a priority-aware transfer scheduling engine, a fine-grained distributed event-based synchronization protocol, and an automated layer partitioning algorithm. Evaluations on an 8times RTX 4090 server demonstrate that RoundPipe achieves 1.48--2.16times speedups over state-of-the-art baselines when fine-tuning 1.7B to 32B models. Remarkably, RoundPipe enables LoRA fine-tuning of the Qwen3-235B model with 31K sequence length on a single server. RoundPipe is publicly available as an open-source Python library with comprehensive documentation.

  • 5 authors
·
Apr 28 3

POLCA: Stochastic Generative Optimization with LLM

Optimizing complex systems, ranging from LLM prompts to multi-turn agents, traditionally requires labor-intensive manual iteration. We formalize this challenge as a stochastic generative optimization problem where a generative language model acts as the optimizer, guided by numerical rewards and text feedback to discover the best system. We introduce Prioritized Optimization with Local Contextual Aggregation (POLCA), a scalable framework designed to handle stochasticity in optimization -- such as noisy feedback, sampling minibatches, and stochastic system behaviors -- while effectively managing the unconstrained expansion of solution space. POLCA maintains a priority queue to manage the exploration-exploitation tradeoff, systematically tracking candidate solutions and their evaluation histories. To enhance efficiency, we integrate an varepsilon-Net mechanism to maintain parameter diversity and an LLM Summarizer to perform meta-learning across historical trials. We theoretically prove that POLCA converges to near-optimal candidate solutions under stochasticity. We evaluate our framework on diverse benchmarks, including τ-bench, HotpotQA (agent optimization), VeriBench (code translation) and KernelBench (CUDA kernel generation). Experimental results demonstrate that POLCA achieves robust, sample and time-efficient performance, consistently outperforming state-of-the-art algorithms in both deterministic and stochastic problems. The codebase for this work is publicly available at https://github.com/rlx-lab/POLCA.

deepmind Deepmind
·
Mar 15 2

Instructional Segment Embedding: Improving LLM Safety with Instruction Hierarchy

Large Language Models (LLMs) are susceptible to security and safety threats, such as prompt injection, prompt extraction, and harmful requests. One major cause of these vulnerabilities is the lack of an instruction hierarchy. Modern LLM architectures treat all inputs equally, failing to distinguish between and prioritize various types of instructions, such as system messages, user prompts, and data. As a result, lower-priority user prompts may override more critical system instructions, including safety protocols. Existing approaches to achieving instruction hierarchy, such as delimiters and instruction-based training, do not address this issue at the architectural level. We introduce the Instructional Segment Embedding (ISE) technique, inspired by BERT, to modern large language models, which embeds instruction priority information directly into the model. This approach enables models to explicitly differentiate and prioritize various instruction types, significantly improving safety against malicious prompts that attempt to override priority rules. Our experiments on the Structured Query and Instruction Hierarchy benchmarks demonstrate an average robust accuracy increase of up to 15.75% and 18.68%, respectively. Furthermore, we observe an improvement in instruction-following capability of up to 4.1% evaluated on AlpacaEval. Overall, our approach offers a promising direction for enhancing the safety and effectiveness of LLM architectures.

zoom-ai Zoom AI
·
Oct 9, 2024

FastSwitch: Optimizing Context Switching Efficiency in Fairness-aware Large Language Model Serving

Serving numerous users and requests concurrently requires good fairness in Large Language Models (LLMs) serving system. This ensures that, at the same cost, the system can meet the Service Level Objectives (SLOs) of more users , such as time to first token (TTFT) and time between tokens (TBT), rather than allowing a few users to experience performance far exceeding the SLOs. To achieve better fairness, the preemption-based scheduling policy dynamically adjusts the priority of each request to maintain balance during runtime. However, existing systems tend to overly prioritize throughput, overlooking the overhead caused by preemption-induced context switching, which is crucial for maintaining fairness through priority adjustments. In this work, we identify three main challenges that result in this overhead. 1) Inadequate I/O utilization. 2) GPU idleness. 3) Unnecessary I/O transmission during multi-turn conversations. Our key insight is that the block-based KV cache memory policy in existing systems, while achieving near-zero memory waste, leads to discontinuity and insufficient granularity in the KV cache memory. To respond, we introduce FastSwitch, a fairness-aware serving system that not only aligns with existing KV cache memory allocation policy but also mitigates context switching overhead. Our evaluation shows that FastSwitch outperforms the state-of-the-art LLM serving system vLLM with speedups of 1.4-11.2x across different tail TTFT and TBT.

  • 3 authors
·
Nov 27, 2024

Co-Optimizing Cache Partitioning and Multi-Core Task Scheduling: Exploit Cache Sensitivity or Not?

Cache partitioning techniques have been successfully adopted to mitigate interference among concurrently executing real-time tasks on multi-core processors. Considering that the execution time of a cache-sensitive task strongly depends on the cache available for it to use, co-optimizing cache partitioning and task allocation improves the system's schedulability. In this paper, we propose a hybrid multi-layer design space exploration technique to solve this multi-resource management problem. We explore the interplay between cache partitioning and schedulability by systematically interleaving three optimization layers, viz., (i) in the outer layer, we perform a breadth-first search combined with proactive pruning for cache partitioning; (ii) in the middle layer, we exploit a first-fit heuristic for allocating tasks to cores; and (iii) in the inner layer, we use the well-known recurrence relation for the schedulability analysis of non-preemptive fixed-priority (NP-FP) tasks in a uniprocessor setting. Although our focus is on NP-FP scheduling, we evaluate the flexibility of our framework in supporting different scheduling policies (NP-EDF, P-EDF) by plugging in appropriate analysis methods in the inner layer. Experiments show that, compared to the state-of-the-art techniques, the proposed framework can improve the real-time schedulability of NP-FP task sets by an average of 15.2% with a maximum improvement of 233.6% (when tasks are highly cache-sensitive) and a minimum of 1.6% (when cache sensitivity is low). For such task sets, we found that clustering similar-period (or mutually compatible) tasks often leads to higher schedulability (on average 7.6%) than clustering by cache sensitivity. In our evaluation, the framework also achieves good results for preemptive and dynamic-priority scheduling policies.

  • 6 authors
·
Oct 3, 2023

Llumnix: Dynamic Scheduling for Large Language Model Serving

Inference serving for large language models (LLMs) is the key to unleashing their potential in people's daily lives. However, efficient LLM serving remains challenging today because the requests are inherently heterogeneous and unpredictable in terms of resource and latency requirements, as a result of the diverse applications and the dynamic execution nature of LLMs. Existing systems are fundamentally limited in handling these characteristics and cause problems such as severe queuing delays, poor tail latencies, and SLO violations. We introduce Llumnix, an LLM serving system that reacts to such heterogeneous and unpredictable requests by runtime rescheduling across multiple model instances. Similar to context switching across CPU cores in modern operating systems, Llumnix reschedules requests to improve load balancing and isolation, mitigate resource fragmentation, and differentiate request priorities and SLOs. Llumnix implements the rescheduling with an efficient and scalable live migration mechanism for requests and their in-memory states, and exploits it in a dynamic scheduling policy that unifies the multiple rescheduling scenarios elegantly. Our evaluations show that Llumnix improves tail latencies by an order of magnitude, accelerates high-priority requests by up to 1.5x, and delivers up to 36% cost savings while achieving similar tail latencies, compared against state-of-the-art LLM serving systems. Llumnix is publicly available at https://github.com/AlibabaPAI/llumnix.

  • 7 authors
·
Jun 5, 2024

Multiobjective Optimization of Non-Smooth PDE-Constrained Problems

Multiobjective optimization plays an increasingly important role in modern applications, where several criteria are often of equal importance. The task in multiobjective optimization and multiobjective optimal control is therefore to compute the set of optimal compromises (the Pareto set) between the conflicting objectives. The advances in algorithms and the increasing interest in Pareto-optimal solutions have led to a wide range of new applications related to optimal and feedback control - potentially with non-smoothness both on the level of the objectives or in the system dynamics. This results in new challenges such as dealing with expensive models (e.g., governed by partial differential equations (PDEs)) and developing dedicated algorithms handling the non-smoothness. Since in contrast to single-objective optimization, the Pareto set generally consists of an infinite number of solutions, the computational effort can quickly become challenging, which is particularly problematic when the objectives are costly to evaluate or when a solution has to be presented very quickly. This article gives an overview of recent developments in the field of multiobjective optimization of non-smooth PDE-constrained problems. In particular we report on the advances achieved within Project 2 "Multiobjective Optimization of Non-Smooth PDE-Constrained Problems - Switches, State Constraints and Model Order Reduction" of the DFG Priority Programm 1962 "Non-smooth and Complementarity-based Distributed Parameter Systems: Simulation and Hierarchical Optimization".

  • 7 authors
·
Aug 2, 2023

Triage in Software Engineering: A Systematic Review of Research and Practice

As modern software systems continue to grow in complexity, triage has become a fundamental process in system operations and maintenance. Triage aims to efficiently prioritize, assign, and assess issues to ensure the reliability of complex environments. The vast amount of heterogeneous data generated by software systems has made effective triage indispensable for maintaining reliability, facilitating maintainability, and enabling rapid issue response. Motivated by these challenges, researchers have devoted extensive effort to advancing triage automation and have achieved significant progress over the past two decades. This survey provides a comprehensive review of 234 papers from 2004 to the present, offering an in-depth examination of the fundamental concepts, system architecture, and problem statement. By comparing the distinct goals of academic and industrial research and by analyzing empirical studies of industrial practices, we identify the major obstacles that limit the practical deployment of triage systems. To assist practitioners in method selection and performance evaluation, we summarize widely adopted open-source datasets and evaluation metrics, providing a unified perspective on the measurement of triage effectiveness. Finally, we outline potential future directions and emerging opportunities to foster a closer integration between academic innovation and industrial application. All reviewed papers and projects are available at https://github.com/AIOps-Lab-NKU/TriageSurvey.

  • 8 authors
·
Nov 4, 2025

Medical Triage as Pairwise Ranking: A Benchmark for Urgency in Patient Portal Messages

Medical triage is the task of allocating medical resources and prioritizing patients based on medical need. This paper introduces the first large-scale public dataset for studying medical triage in the context of asynchronous outpatient portal messages. Our novel task formulation views patient message triage as a pairwise inference problem, where we train LLMs to choose `"which message is more medically urgent" in a head-to-head tournament-style re-sort of a physician's inbox. Our novel benchmark PMR-Bench contains 1569 unique messages and 2,000+ high-quality test pairs for pairwise medical urgency assessment alongside a scalable training data generation pipeline. PMR-Bench includes samples that contain both unstructured patient-written messages alongside real electronic health record (EHR) data, emulating a real-world medical triage scenario. We develop a novel automated data annotation strategy to provide LLMs with in-domain guidance on this task. The resulting data is used to train two model classes, UrgentReward and UrgentSFT, leveraging Bradley-Terry and next token prediction objective, respectively to perform pairwise urgency classification. We find that UrgentSFT achieves top performance on PMR-Bench, with UrgentReward showing distinct advantages in low-resource settings. For example, UrgentSFT-8B and UrgentReward-8B provide a 15- and 16-point boost, respectively, on inbox sorting metrics over off-the-shelf 8B models. Paper resources can be found at https://tinyurl.com/Patient-Message-Triage

  • 7 authors
·
Jan 19