Daily Papers

Recent work (e.g. LAMA (Petroni et al., 2019)) has found that the quality of the factual information extracted from Large Language Models (LLMs) depends on the prompts used to query them. This inconsistency is problematic because different users will query LLMs for the same information using different wording, but should receive the same, accurate responses regardless. In this work we aim to address this shortcoming by introducing P-Adapters: lightweight models that sit between the embedding layer and first attention layer of LLMs. They take LLM embeddings as input and output continuous prompts that are used to query the LLM. Additionally, we investigate Mixture of Experts (MoE) models that learn a set of continuous prompts ("experts") and select one to query the LLM. They require a separate classifier trained on human-annotated data to map natural language prompts to the continuous ones. P-Adapters perform comparably to the more complex MoE models in extracting factual information from BERT and RoBERTa while eliminating the need for additional annotations. P-Adapters show between 12-26% absolute improvement in precision and 36-50% absolute improvement in consistency over a baseline of only using natural language queries. Finally, we investigate what makes P-Adapters successful and conclude that a significant factor is access to the LLM's embeddings of the original natural language prompt, particularly the subject of the entity pair being queried.

Recent efforts to use natural language for interpretable driving focus mainly on planning, neglecting perception tasks. In this paper, we address this gap by introducing ROLISP (Risk Object Localization and Intention and Suggestion Prediction), which towards interpretable risk object detection and suggestion for ego car motions. Accurate ROLISP implementation requires extensive reasoning to identify critical traffic objects and infer their intentions, prompting us to explore the capabilities of multimodal large language models (MLLMs). However, the limited perception performance of CLIP-ViT vision encoders in existing MLLMs struggles with capturing essential visual perception information, e.g., high-resolution, multi-scale and visual-related inductive biases, which are important for autonomous driving. Addressing these challenges, we introduce HiLM-D, a resource-efficient framework that enhances visual information processing in MLLMs for ROLISP. Our method is motivated by the fact that the primary variations in autonomous driving scenarios are the motion trajectories rather than the semantic or appearance information (e.g., the shapes and colors) of objects. Hence, the visual process of HiLM-D is a two-stream framework: (i) a temporal reasoning stream, receiving low-resolution dynamic video content, to capture temporal semantics, and (ii) a spatial perception stream, receiving a single high-resolution frame, to capture holistic visual perception-related information. The spatial perception stream can be made very lightweight by a well-designed P-Adapter, which is lightweight, training-efficient, and easily integrated into existing MLLMs. Experiments on the DRAMA-ROLISP dataset show HiLM-D's significant improvements over current MLLMs, with a 3.7% in BLEU-4 for captioning and 8.7% in mIoU for detection.

Vision-Language models (VLMs) pre-trained on large corpora have demonstrated notable success across a range of downstream tasks. In light of the rapidly increasing size of pre-trained VLMs, parameter-efficient transfer learning (PETL) has garnered attention as a viable alternative to full fine-tuning. One such approach is the adapter, which introduces a few trainable parameters into the pre-trained models while preserving the original parameters during adaptation. In this paper, we present a novel modeling framework that recasts adapter tuning after attention as a graph message passing process on attention graphs, where the projected query and value features and attention matrix constitute the node features and the graph adjacency matrix, respectively. Within this framework, tuning adapters in VLMs necessitates handling heterophilic graphs, owing to the disparity between the projected query and value space. To address this challenge, we propose a new adapter architecture, p-adapter, which employs p-Laplacian message passing in Graph Neural Networks (GNNs). Specifically, the attention weights are re-normalized based on the features, and the features are then aggregated using the calibrated attention matrix, enabling the dynamic exploitation of information with varying frequencies in the heterophilic attention graphs. We conduct extensive experiments on different pre-trained VLMs and multi-modal tasks, including visual question answering, visual entailment, and image captioning. The experimental results validate our method's significant superiority over other PETL methods.

The full potential of large pretrained models remains largely untapped in control domains like robotics. This is mainly because of the scarcity of data and the computational challenges associated with training or fine-tuning these large models for such applications. Prior work mainly emphasizes effective pretraining of large models for decision-making, with little exploration into how to perform data-efficient continual adaptation of these models for new tasks. Recognizing these constraints, we introduce TAIL (Task-specific Adapters for Imitation Learning), a framework for efficient adaptation to new control tasks. Inspired by recent advancements in parameter-efficient fine-tuning in language domains, we explore efficient fine-tuning techniques -- e.g., Bottleneck Adapters, P-Tuning, and Low-Rank Adaptation (LoRA) -- in TAIL to adapt large pretrained models for new tasks with limited demonstration data. Our extensive experiments in large-scale language-conditioned manipulation tasks comparing prevalent parameter-efficient fine-tuning techniques and adaptation baselines suggest that TAIL with LoRA can achieve the best post-adaptation performance with only 1\% of the trainable parameters of full fine-tuning, while avoiding catastrophic forgetting and preserving adaptation plasticity in continual learning settings.

Human action recognition in long-term videos, characterized by complex backgrounds and subtle action differences, poses significant challenges for traditional deep learning models due to computational overhead, difficulty in capturing long-range temporal dependencies, and limited semantic understanding. While Large Language Models (LLMs) and Large Vision-Language Models (LVLMs) have shown remarkable capabilities in multi-modal understanding and reasoning, their direct application to continuous video streams for fine-grained action recognition remains an open problem. This paper introduces VT-LVLM-AR (Video-Temporal Large Vision-Language Model Adapter for Action Recognition), a novel framework designed to bridge this gap. VT-LVLM-AR comprises a Video-to-Event Mapper (VTEM) that efficiently transforms raw video into compact, semantically rich, and temporally coherent "visual event sequences" through lightweight spatio-temporal feature extraction, adaptive temporal pooling, and conceptual quantization with an event coherence bias. These visual event sequences are then fed into an LVLM-based Action Reasoning module, specifically a frozen LLaVA-1.5 model, adapted using parameter-efficient Prompt Tuning (P-Tuning v2) for action classification. Comprehensive evaluations on the NTU RGB+D and NTU RGB+D 120 datasets demonstrate that VT-LVLM-AR consistently achieves state-of-the-art performance, surpassing existing methods (e.g., 94.1% accuracy on NTU RGB+D X-Sub). Ablation studies confirm the critical contributions of VTEM's components and the efficacy of Prompt Tuning, while human evaluations underscore the interpretability of our visual event representations. This work highlights the immense potential of leveraging LVLMs for robust and interpretable video action understanding through effective video-to-language translation and efficient model adaptation.

Novel Instance Detection and Segmentation (NIDS) aims at detecting and segmenting novel object instances given a few examples of each instance. We propose a unified, simple, yet effective framework (NIDS-Net) comprising object proposal generation, embedding creation for both instance templates and proposal regions, and embedding matching for instance label assignment. Leveraging recent advancements in large vision methods, we utilize Grounding DINO and Segment Anything Model (SAM) to obtain object proposals with accurate bounding boxes and masks. Central to our approach is the generation of high-quality instance embeddings. We utilized foreground feature averages of patch embeddings from the DINOv2 ViT backbone, followed by refinement through a weight adapter mechanism that we introduce. We show experimentally that our weight adapter can adjust the embeddings locally within their feature space and effectively limit overfitting in the few-shot setting. Furthermore, the weight adapter optimizes weights to enhance the distinctiveness of instance embeddings during similarity computation. This methodology enables a straightforward matching strategy that results in significant performance gains. Our framework surpasses current state-of-the-art methods, demonstrating notable improvements in four detection datasets. In the segmentation tasks on seven core datasets of the BOP challenge, our method outperforms the leading published RGB methods and remains competitive with the best RGB-D method. We have also verified our method using real-world images from a Fetch robot and a RealSense camera. Project Page: https://irvlutd.github.io/NIDSNet/

This work studies the long-standing problems of model capacity and negative interference in multilingual neural machine translation MNMT. We use network pruning techniques and observe that pruning 50-70% of the parameters from a trained MNMT model results only in a 0.29-1.98 drop in the BLEU score. Suggesting that there exist large redundancies even in MNMT models. These observations motivate us to use the redundant parameters and counter the interference problem efficiently. We propose a novel adaptation strategy, where we iteratively prune and retrain the redundant parameters of an MNMT to improve bilingual representations while retaining the multilinguality. Negative interference severely affects high resource languages, and our method alleviates it without any additional adapter modules. Hence, we call it parameter-free adaptation strategy, paving way for the efficient adaptation of MNMT. We demonstrate the effectiveness of our method on a 9 language MNMT trained on TED talks, and report an average improvement of +1.36 BLEU on high resource pairs. Code will be released here.

The scaling laws and extraordinary performance of large foundation models motivate the development and utilization of such models in biomedicine. However, despite early promising results on some biomedical benchmarks, there are still major challenges that need to be addressed before these models can be used in real-world clinics. Frontier general-domain models such as GPT-4V still have significant performance gaps in multimodal biomedical applications. More importantly, less-acknowledged pragmatic issues, including accessibility, model cost, and tedious manual evaluation make it hard for clinicians to use state-of-the-art large models directly on private patient data. Here, we explore training open-source small multimodal models (SMMs) to bridge competency gaps for unmet clinical needs in radiology. To maximize data efficiency, we adopt a modular approach by incorporating state-of-the-art pre-trained models for image and text modalities, and focusing on training a lightweight adapter to ground each modality to the text embedding space, as exemplified by LLaVA-Med. For training, we assemble a large dataset of over 697 thousand radiology image-text pairs. For evaluation, we propose CheXprompt, a GPT-4-based metric for factuality evaluation, and demonstrate its parity with expert evaluation. For best practice, we conduct a systematic ablation study on various choices in data engineering and multimodal training. The resulting LlaVA-Rad (7B) model attains state-of-the-art results on standard radiology tasks such as report generation and cross-modal retrieval, even outperforming much larger models such as GPT-4V and Med-PaLM M (84B). The inference of LlaVA-Rad is fast and can be performed on a single V100 GPU in private settings, offering a promising state-of-the-art tool for real-world clinical applications.

Sensory systems across all modalities and species exhibit adaptation to continuously changing input statistics. Individual neurons have been shown to modulate their response gains so as to maximize information transmission in different stimulus contexts. Experimental measurements have revealed additional, nuanced sensory adaptation effects including changes in response maxima and minima, tuning curve repulsion from the adapter stimulus, and stimulus-driven response decorrelation. Existing explanations of these phenomena rely on changes in inter-neuronal synaptic efficacy, which, while more flexible, are unlikely to operate as rapidly or reversibly as single neuron gain modulations. Using published V1 population adaptation data, we show that propagation of single neuron gain changes in a recurrent network is sufficient to capture the entire set of observed adaptation effects. We propose a novel adaptive efficient coding objective with which single neuron gains are modulated, maximizing the fidelity of the stimulus representation while minimizing overall activity in the network. From this objective, we analytically derive a set of gains that optimize the trade-off between preserving information about the stimulus and conserving metabolic resources. Our model generalizes well-established concepts of single neuron adaptive gain control to recurrent populations, and parsimoniously explains experimental adaptation data.

Image segmentation remains a challenging task in computer vision, demanding robust mask generation and precise classification. Recent mask-based approaches yield high-quality masks by capturing global context. However, accurately classifying these masks, especially in the presence of ambiguous boundaries and imbalanced class distributions, remains an open challenge. In this work, we introduce ViT-P, a novel two-stage segmentation framework that decouples mask generation from classification. The first stage employs a proposal generator to produce class-agnostic mask proposals, while the second stage utilizes a point-based classification model built on the Vision Transformer (ViT) to refine predictions by focusing on mask central points. ViT-P serves as a pre-training-free adapter, allowing the integration of various pre-trained vision transformers without modifying their architecture, ensuring adaptability to dense prediction tasks. Furthermore, we demonstrate that coarse and bounding box annotations can effectively enhance classification without requiring additional training on fine annotation datasets, reducing annotation costs while maintaining strong performance. Extensive experiments across COCO, ADE20K, and Cityscapes datasets validate the effectiveness of ViT-P, achieving state-of-the-art results with 54.0 PQ on ADE20K panoptic segmentation, 87.4 mIoU on Cityscapes semantic segmentation, and 63.6 mIoU on ADE20K semantic segmentation. The code and pretrained models are available at: https://github.com/sajjad-sh33/ViT-P}{https://github.com/sajjad-sh33/ViT-P.

The rapid advancement in large language models (LLMs) comes with a significant increase in their parameter size, presenting challenges for adaptation and fine-tuning. Parameter-efficient fine-tuning (PEFT) methods are widely used to adapt LLMs for downstream tasks efficiently. In this paper, we propose Singular Values and Orthonormal Regularized Singular Vectors Adaptation, or SORSA, a novel PEFT method. We introduce a method to analyze the variation of the parameters by performing singular value decomposition (SVD) and discuss and analyze SORSA's superiority in minimizing the alteration in the SVD aspect. Each SORSA adapter consists of two main parts: trainable principal singular weights W_p = U_p Sigma_p V^top_p, and frozen residual weights W_r = U_r Sigma_r V^top_r. These parts are initialized by performing SVD on pre-trained weights. Moreover, we implement and analyze an orthonormal regularizer, which could effectively transfer the scaling information into Sigma_p and ultimately allows the training process to be more efficient. SORSA adapters could be merged during inference, thus eliminating any inference latency. After all, SORSA shows a faster convergence than PiSSA and LoRA in our experiments. On the MATH benchmark, Llama 2 7B adapted using SORSA achieved 10.36% accuracy, outperforming LoRA (5.50%), Full FT (7.22%), and PiSSA (7.44%). On the GSM-8K benchmark, SORSA achieved 56.03% accuracy, surpassing LoRA (42.30%), Full FT (49.05%), and PiSSA (53.07%). We conclude that SORSA offers a new perspective on parameter-efficient fine-tuning, demonstrating remarkable performance. The code is available at https://github.com/Gunale0926/SORSA.

ChipNeMo aims to explore the applications of large language models (LLMs) for industrial chip design. Instead of directly deploying off-the-shelf commercial or open-source LLMs, we instead adopt the following domain adaptation techniques: custom tokenizers, domain-adaptive continued pretraining, supervised fine-tuning (SFT) with domain-specific instructions, and domain-adapted retrieval models. We evaluate these methods on three selected LLM applications for chip design: an engineering assistant chatbot, EDA script generation, and bug summarization and analysis. Our results show that these domain adaptation techniques enable significant LLM performance improvements over general-purpose base models across the three evaluated applications, enabling up to 5x model size reduction with similar or better performance on a range of design tasks. Our findings also indicate that there's still room for improvement between our current results and ideal outcomes. We believe that further investigation of domain-adapted LLM approaches will help close this gap in the future.

Prompt tuning, which only tunes continuous prompts with a frozen language model, substantially reduces per-task storage and memory usage at training. However, in the context of NLU, prior work reveals that prompt tuning does not perform well for normal-sized pretrained models. We also find that existing methods of prompt tuning cannot handle hard sequence labeling tasks, indicating a lack of universality. We present a novel empirical finding that properly optimized prompt tuning can be universally effective across a wide range of model scales and NLU tasks. It matches the performance of finetuning while having only 0.1%-3% tuned parameters. Our method P-Tuning v2 is an implementation of Deep Prompt Tuning li2021prefix,qin2021learning optimized and adapted for NLU. Given the universality and simplicity of P-Tuning v2, we believe it can serve as an alternative to finetuning and a strong baseline for future research.Our code and data are released at https://github.com/THUDM/P-tuning-v2.

Traditional numerical global climate models simulate the full Earth system by exchanging boundary conditions between separate simulators of the atmosphere, ocean, sea ice, land surface, and other geophysical processes. This paradigm allows for distributed development of individual components within a common framework, unified by a coupler that handles translation between realms via spatial or temporal alignment and flux exchange. Following a similar approach adapted for machine learning-based emulators, we present SamudrACE: a coupled global climate model emulator which produces centuries-long simulations at 1-degree horizontal, 6-hourly atmospheric, and 5-daily oceanic resolution, with 145 2D fields spanning 8 atmospheric and 19 oceanic vertical levels, plus sea ice, surface, and top-of-atmosphere variables. SamudrACE is highly stable and has low climate biases comparable to those of its components with prescribed boundary forcing, with realistic variability in coupled climate phenomena such as ENSO that is not possible to simulate in uncoupled mode.

Sifting through vast textual data and summarizing key information imposes a substantial burden on how clinicians allocate their time. Although large language models (LLMs) have shown immense promise in natural language processing (NLP) tasks, their efficacy across diverse clinical summarization tasks has not yet been rigorously examined. In this work, we employ domain adaptation methods on eight LLMs, spanning six datasets and four distinct summarization tasks: radiology reports, patient questions, progress notes, and doctor-patient dialogue. Our thorough quantitative assessment reveals trade-offs between models and adaptation methods in addition to instances where recent advances in LLMs may not lead to improved results. Further, in a clinical reader study with six physicians, we depict that summaries from the best adapted LLM are preferable to human summaries in terms of completeness and correctness. Our ensuing qualitative analysis delineates mutual challenges faced by both LLMs and human experts. Lastly, we correlate traditional quantitative NLP metrics with reader study scores to enhance our understanding of how these metrics align with physician preferences. Our research marks the first evidence of LLMs outperforming human experts in clinical text summarization across multiple tasks. This implies that integrating LLMs into clinical workflows could alleviate documentation burden, empowering clinicians to focus more on personalized patient care and other irreplaceable human aspects of medicine.

Effective training of today's large language models (LLMs) depends on large batches and long sequences for throughput and accuracy. To handle variable-length sequences on hardware accelerators, it is common practice to introduce padding tokens, so that all sequences in a batch have the same length. We show in this paper that the variation in sequence lengths in common NLP datasets is such that up to 50% of all tokens can be padding. In less common, but not extreme, cases (e.g. GLUE-cola with sequence length 128), the ratio is up to 89%. Existing methods to address the resulting inefficiency are complicated by the need to avoid cross-contamination in self-attention, by a reduction in accuracy when sequence ordering information is lost, or by customized kernel implementations only valid for specific accelerators. This paper introduces a new formalization of sequence packing in the context of the well-studied bin packing problem, and presents new algorithms based on this formulation which, for example, confer a 2x speedup for phase 2 pre-training in BERT. We show how existing models can be adapted to ensure mathematical equivalence between the original and packed models, meaning that packed models can be trained with existing pre-training and fine-tuning practices.

Over 85 million computed tomography (CT) scans are performed annually in the US, of which approximately one quarter focus on the abdomen. Given the current radiologist shortage, there is a large impetus to use artificial intelligence to alleviate the burden of interpreting these complex imaging studies. Prior state-of-the-art approaches for automated medical image interpretation leverage vision language models (VLMs). However, current medical VLMs are generally limited to 2D images and short reports, and do not leverage electronic health record (EHR) data for supervision. We introduce Merlin - a 3D VLM that we train using paired CT scans (6+ million images from 15,331 CTs), EHR diagnosis codes (1.8+ million codes), and radiology reports (6+ million tokens). We evaluate Merlin on 6 task types and 752 individual tasks. The non-adapted (off-the-shelf) tasks include zero-shot findings classification (31 findings), phenotype classification (692 phenotypes), and zero-shot cross-modal retrieval (image to findings and image to impressions), while model adapted tasks include 5-year disease prediction (6 diseases), radiology report generation, and 3D semantic segmentation (20 organs). We perform internal validation on a test set of 5,137 CTs, and external validation on 7,000 clinical CTs and on two public CT datasets (VerSe, TotalSegmentator). Beyond these clinically-relevant evaluations, we assess the efficacy of various network architectures and training strategies to depict that Merlin has favorable performance to existing task-specific baselines. We derive data scaling laws to empirically assess training data needs for requisite downstream task performance. Furthermore, unlike conventional VLMs that require hundreds of GPUs for training, we perform all training on a single GPU.

Multimodal models trained on large natural image-text pair datasets have exhibited astounding abilities in generating high-quality images. Medical imaging data is fundamentally different to natural images, and the language used to succinctly capture relevant details in medical data uses a different, narrow but semantically rich, domain-specific vocabulary. Not surprisingly, multi-modal models trained on natural image-text pairs do not tend to generalize well to the medical domain. Developing generative imaging models faithfully representing medical concepts while providing compositional diversity could mitigate the existing paucity of high-quality, annotated medical imaging datasets. In this work, we develop a strategy to overcome the large natural-medical distributional shift by adapting a pre-trained latent diffusion model on a corpus of publicly available chest x-rays (CXR) and their corresponding radiology (text) reports. We investigate the model's ability to generate high-fidelity, diverse synthetic CXR conditioned on text prompts. We assess the model outputs quantitatively using image quality metrics, and evaluate image quality and text-image alignment by human domain experts. We present evidence that the resulting model (RoentGen) is able to create visually convincing, diverse synthetic CXR images, and that the output can be controlled to a new extent by using free-form text prompts including radiology-specific language. Fine-tuning this model on a fixed training set and using it as a data augmentation method, we measure a 5% improvement of a classifier trained jointly on synthetic and real images, and a 3% improvement when trained on a larger but purely synthetic training set. Finally, we observe that this fine-tuning distills in-domain knowledge in the text-encoder and can improve its representation capabilities of certain diseases like pneumothorax by 25%.

Deep learning foundation models are revolutionizing many facets of science by leveraging vast amounts of data to learn general-purpose representations that can be adapted to tackle diverse downstream tasks. Foundation models hold the promise to also transform our ability to model our planet and its subsystems by exploiting the vast expanse of Earth system data. Here we introduce Aurora, a large-scale foundation model of the atmosphere trained on over a million hours of diverse weather and climate data. Aurora leverages the strengths of the foundation modelling approach to produce operational forecasts for a wide variety of atmospheric prediction problems, including those with limited training data, heterogeneous variables, and extreme events. In under a minute, Aurora produces 5-day global air pollution predictions and 10-day high-resolution weather forecasts that outperform state-of-the-art classical simulation tools and the best specialized deep learning models. Taken together, these results indicate that foundation models can transform environmental forecasting.

Deep neural networks (DNNs) trained for image denoising are able to generate high-quality samples with score-based reverse diffusion algorithms. These impressive capabilities seem to imply an escape from the curse of dimensionality, but recent reports of memorization of the training set raise the question of whether these networks are learning the "true" continuous density of the data. Here, we show that two DNNs trained on non-overlapping subsets of a dataset learn nearly the same score function, and thus the same density, when the number of training images is large enough. In this regime of strong generalization, diffusion-generated images are distinct from the training set, and are of high visual quality, suggesting that the inductive biases of the DNNs are well-aligned with the data density. We analyze the learned denoising functions and show that the inductive biases give rise to a shrinkage operation in a basis adapted to the underlying image. Examination of these bases reveals oscillating harmonic structures along contours and in homogeneous regions. We demonstrate that trained denoisers are inductively biased towards these geometry-adaptive harmonic bases since they arise not only when the network is trained on photographic images, but also when it is trained on image classes supported on low-dimensional manifolds for which the harmonic basis is suboptimal. Finally, we show that when trained on regular image classes for which the optimal basis is known to be geometry-adaptive and harmonic, the denoising performance of the networks is near-optimal.

Owing to the growing concerns about privacy and regulatory compliance, it is desirable to regulate the output of generative models. To that end, the objective of this work is to prevent the generation of outputs containing undesired features from a pre-trained Generative Adversarial Network (GAN) where the underlying training data set is inaccessible. Our approach is inspired by the observation that the parameter space of GANs exhibits meaningful directions that can be leveraged to suppress specific undesired features. However, such directions usually result in the degradation of the quality of generated samples. Our proposed two-stage method, known as 'Adapt-then-Unlearn,' excels at unlearning such undesirable features while also maintaining the quality of generated samples. In the initial stage, we adapt a pre-trained GAN on a set of negative samples (containing undesired features) provided by the user. Subsequently, we train the original pre-trained GAN using positive samples, along with a repulsion regularizer. This regularizer encourages the learned model parameters to move away from the parameters of the adapted model (first stage) while not degrading the generation quality. We provide theoretical insights into the proposed method. To the best of our knowledge, our approach stands as the first method addressing unlearning within the realm of high-fidelity GANs (such as StyleGAN). We validate the effectiveness of our method through comprehensive experiments, encompassing both class-level unlearning on the MNIST and AFHQ dataset and feature-level unlearning tasks on the CelebA-HQ dataset. Our code and implementation is available at: https://github.com/atriguha/Adapt_Unlearn.

Federated learning is a popular technology for training machine learning models on distributed data sources without sharing data. Vertical federated learning or feature-based federated learning applies to the cases that different data sources share the same sample ID space but differ in feature space. To ensure the data owners' long-term engagement, it is critical to objectively assess the contribution from each data source and recompense them accordingly. The Shapley value (SV) is a provably fair contribution valuation metric originated from cooperative game theory. However, computing the SV requires extensively retraining the model on each subset of data sources, which causes prohibitively high communication costs in federated learning. We propose a contribution valuation metric called vertical federated Shapley value (VerFedSV) based on SV. We show that VerFedSV not only satisfies many desirable properties for fairness but is also efficient to compute, and can be adapted to both synchronous and asynchronous vertical federated learning algorithms. Both theoretical analysis and extensive experimental results verify the fairness, efficiency, and adaptability of VerFedSV.

With the growing use of language models (LMs) in clinical environments, there is an immediate need to evaluate the accuracy and safety of LM-generated medical text. Currently, such evaluation relies solely on manual physician review. However, detecting errors in LM-generated text is challenging because 1) manual review is costly and 2) expert-composed reference outputs are often unavailable in real-world settings. While the "LM-as-judge" paradigm (a LM evaluating another LM) offers scalable evaluation, even frontier LMs can miss subtle but clinically significant errors. To address these challenges, we propose MedVAL, a self-supervised framework that leverages synthetic data to train evaluator LMs to assess whether LM-generated medical outputs are factually consistent with inputs, without requiring physician labels or reference outputs. To evaluate LM performance, we introduce MedVAL-Bench, a dataset containing 840 outputs annotated by physicians, following a physician-defined taxonomy of risk levels and error categories. Across 6 diverse medical tasks and 10 state-of-the-art LMs spanning open-source, proprietary, and medically adapted models, MedVAL fine-tuning significantly improves (p < 0.001) alignment with physicians on both seen and unseen tasks, increasing average F1 scores from 66% to 83%, with per-sample safety classification scores up to 86%. MedVAL improves the performance of even the best-performing proprietary LM (GPT-4o) by 8%. To support a scalable, risk-aware pathway towards clinical integration, we open-source the 1) codebase ( https://github.com/StanfordMIMI/MedVAL ), 2) MedVAL-Bench ( https://huggingface.co/datasets/stanfordmimi/MedVAL-Bench ), and 3) MedVAL-4B ( https://huggingface.co/stanfordmimi/MedVAL-4B ), the best-performing open-source LM. Our research provides the first evidence of LMs approaching expert-level validation ability for medical text.