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Large Language Models Encode Clinical Knowledge

2025/1/30
logo of podcast Mr. Valley's Knowledge Sharing Podcasts

Mr. Valley's Knowledge Sharing Podcasts

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专注于电动车和能源领域的播客主持人和内容创作者。
嘉宾
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主持人:这篇论文主要探讨了大型语言模型在理解和回答医学问题上的能力,这是一个非常有意义的研究方向,尤其是在人工智能应用于医疗保健领域日益受到关注的背景下。我们讨论了名为MultiMed QA的新基准测试,它结合了多种医学问答数据集,用于评估模型对不同类型医学问题的理解能力。此外,我们还分析了模型FlonPalm和MedPalm在该基准测试上的表现,以及指令提示微调技术如何提高模型的安全性及医学建议的有效性。最后,我们也指出了将大型语言模型应用于临床环境前,仍需解决模型评估、偏差和公平性等问题。 嘉宾:大型语言模型在医疗领域的应用具有非常重要的意义,它可以帮助医生更高效地诊断和治疗疾病。MultiMed QA基准测试的提出,为评估这些模型提供了重要的工具。FlonPalm模型在多项选择题上的表现令人印象深刻,但其在开放式问题上的表现仍有提升空间。指令提示微调技术为提高模型的安全性及有效性提供了一种有效的方法,MedPalm模型的改进也证明了这一点。然而,在将这些模型应用于实际临床环境之前,我们还需要解决很多挑战,例如如何更好地评估模型的性能,如何避免模型产生偏差和不公平的结果,以及如何确保模型提供的信息是准确和有帮助的。 嘉宾:MultiMed QA作为一个综合性的基准测试,它结合了来自专业医学考试、研究论文以及网络搜索等多种来源的医学问答数据,能够更全面地评估模型的医学知识理解能力。FlonPalm模型在多选题上的表现确实令人惊喜,超过了之前的最佳模型,这说明大型语言模型在处理结构化医学信息方面已经取得了显著的进展。然而,医学领域的问题往往是开放式的、复杂的,需要模型具备更强的推理和理解能力。因此,FlonPalm在开放式问题上的表现不足也提醒我们,模型的改进还有很长的路要走。MedPalm通过指令提示微调技术,在一定程度上改善了模型的回答质量,使其更符合医生的专业判断,也降低了给出有害建议的风险。但这仅仅是一个开始,未来还需要更多的研究来完善模型,使其能够更好地服务于医疗实践。

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ready to break down some research. This paper, Large Language Models in Code Clinical Knowledge, explores how well large language models, LLMs, can understand and answer medical questions. It's a pretty relevant topic, especially with the growing interest in AI in health care. Oh, absolutely. It's like, can these

super smart language models like the ones that power chat bots and write articles actually be useful in a medical setting. That's a pretty big deal. Exactly. And the paper introduces this new benchmark called MultiMed QA to test these models. Could you tell us more about that? Right. MultiMed QA is this super

super cool benchmark that combines a bunch of different medical question answering data sets. Some are from professional medical exams, some are from research papers, and some are even questions that people search for online. It's like a big test to see how well these models understand different types of medical questions.

That's interesting. And I see they tested a model called FlonPalm on this benchmark. How did it do? FlonPalm did exceptionally well on the multiple choice questions, achieving state-of-the-art accuracy on all of them, even beating out some other really strong models. On MedQA, which is like a test for doctors in the U.S., it beat the previous best model by over 17%. Wow, that does sound impressive.

But I guess multiple choice questions are just one part of the picture. What about more open-ended questions, like the ones people might ask their doctor? The paper mentions that Flan Palm's performance on open-ended questions revealed some gaps that need to be addressed. That makes sense. Medicine is a complex field, and there is a high bar for safety. So how did the researchers try to address this issue? They came up with this clever technique called instruction prompt tuning.

Basically, it's a way to fine-tune the model with just a few examples of good medical answers. It's like giving the model a crash course in how to give safe and helpful medical advice. The model that came out of this tuning was called MedPalm. MedPalm, huh? And did that improve things? It did. MedPalm's answers were a lot better than FlanPalm's. They were more in line with what doctors would say and less likely to be harmful.

It's a really cool example of how we can make these models safer and more useful for medical applications. That's reassuring to hear, but I imagine there's still a lot of work to be done before we can trust these models in a real clinical setting, right? Oh yeah, for sure. This paper is just a first step.

We need to develop better ways to evaluate these models, especially when it comes to things like bias and fairness. And we need to keep fine tuning them to make sure they're giving accurate and helpful information to everyone. Definitely.

Sounds like there's a lot of exciting potential here, but also a lot of responsibility to get it right. No doubt about it. This paper really highlights both the promise and the challenges of using LLMs in medicine. It's a super cool field, and I'm stoked to see where it goes from here. Thank you for discussing this.