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Jan 20

How Much Would a Clinician Edit This Draft? Evaluating LLM Alignment for Patient Message Response Drafting

Large language models (LLMs) show promise in drafting responses to patient portal messages, yet their integration into clinical workflows raises various concerns, including whether they would actually save clinicians time and effort in their portal workload. We investigate LLM alignment with individual clinicians through a comprehensive evaluation of the patient message response drafting task. We develop a novel taxonomy of thematic elements in clinician responses and propose a novel evaluation framework for assessing clinician editing load of LLM-drafted responses at both content and theme levels. We release an expert-annotated dataset and conduct large-scale evaluations of local and commercial LLMs using various adaptation techniques including thematic prompting, retrieval-augmented generation, supervised fine-tuning, and direct preference optimization. Our results reveal substantial epistemic uncertainty in aligning LLM drafts with clinician responses. While LLMs demonstrate capability in drafting certain thematic elements, they struggle with clinician-aligned generation in other themes, particularly question asking to elicit further information from patients. Theme-driven adaptation strategies yield improvements across most themes. Our findings underscore the necessity of adapting LLMs to individual clinician preferences to enable reliable and responsible use in patient-clinician communication workflows.

  • 7 authors
·
Jan 16

Falcon: Faster and Parallel Inference of Large Language Models through Enhanced Semi-Autoregressive Drafting and Custom-Designed Decoding Tree

Striking an optimal balance between minimal drafting latency and high speculation accuracy to enhance the inference speed of Large Language Models remains a significant challenge in speculative decoding. In this paper, we introduce Falcon, an innovative semi-autoregressive speculative decoding framework fashioned to augment both the drafter's parallelism and output quality. Falcon incorporates the Coupled Sequential Glancing Distillation technique, which fortifies inter-token dependencies within the same block, leading to increased speculation accuracy. We offer a comprehensive theoretical analysis to illuminate the underlying mechanisms. Additionally, we introduce a Custom-Designed Decoding Tree, which permits the drafter to generate multiple tokens in a single forward pass and accommodates multiple forward passes as needed, thereby boosting the number of drafted tokens and significantly improving the overall acceptance rate. Comprehensive evaluations on benchmark datasets such as MT-Bench, HumanEval, and GSM8K demonstrate Falcon's superior acceleration capabilities. The framework achieves a lossless speedup ratio ranging from 2.91x to 3.51x when tested on the Vicuna and LLaMA2-Chat model series. These results outstrip existing speculative decoding methods for LLMs, including Eagle, Medusa, Lookahead, SPS, and PLD, while maintaining a compact drafter architecture equivalent to merely two Transformer layers.

  • 4 authors
·
Dec 17, 2024

LongSpec: Long-Context Lossless Speculative Decoding with Efficient Drafting and Verification

As Large Language Models (LLMs) can now process extremely long contexts, efficient inference over these extended inputs has become increasingly important, especially for emerging applications like LLM agents that highly depend on this capability. Speculative decoding (SD) offers a promising lossless acceleration technique compared to lossy alternatives such as quantization and model cascades. However, most state-of-the-art SD methods are trained on short texts (typically fewer than 4k tokens), making them unsuitable for long-context scenarios. Specifically, adapting these methods to long contexts presents three key challenges: (1) the excessive memory demands posed by draft models due to large Key-Value (KV) cache; (2) performance degradation resulting from the mismatch between short-context training and long-context inference; and (3) inefficiencies in tree attention mechanisms when managing long token sequences. This work introduces LongSpec, a framework that addresses these challenges through three core innovations: a memory-efficient draft model with a constant-sized KV cache; novel position indices that mitigate the training-inference mismatch; and an attention aggregation strategy that combines fast prefix computation with standard tree attention to enable efficient decoding. Experimental results confirm the effectiveness of LongSpec, achieving up to a 3.26x speedup over strong Flash Attention baselines across five long-context understanding datasets, as well as a 2.25x reduction in wall-clock time on the AIME24 long reasoning task with the QwQ model, demonstrating significant latency improvements for long-context applications. The code is available at https://github.com/sail-sg/LongSpec.

  • 7 authors
·
Feb 24, 2025