Inpatient pathways demand complex clinical decision-making based on comprehensive patient information, posing critical challenges for clinicians. Despite advancements in large language models (LLMs) in medical applications, limited research focused on artificial intelligence (AI) inpatient pathways systems, due to the lack of large-scale inpatient datasets. Moreover, existing medical benchmarks typically concentrated on medical question-answering and examinations, ignoring the multifaceted nature of clinical decision-making in inpatient settings. To address these gaps, we first developed the Inpatient Pathway Decision Support (IPDS) benchmark from the MIMIC-IV database, encompassing 51,274 cases across nine triage departments and 17 major disease categories alongside 16 standardized treatment options. Then, we proposed the Multi-Agent Inpatient Pathways (MAP) framework to accomplish inpatient pathways with three clinical agents, including a triage agent managing the patient admission, a diagnosis agent serving as the primary decision maker at the department, and a treatment agent providing treatment plans. Additionally, our MAP framework includes a chief agent overseeing the inpatient pathways to guide and promote these three clinician agents. Extensive experiments showed our MAP improved the diagnosis accuracy by 25.10% compared to the state-of-the-art LLM HuatuoGPT2-13B. It is worth noting that our MAP demonstrated significant clinical compliance, outperforming three board-certified clinicians by 10%-12%, establishing a foundation for inpatient pathways systems.

Large Language Models (LLMs) often generate hallucinations, producing outputs that are contextually inaccurate or factually incorrect. We introduce HICD, a novel method designed to induce hallucinations for contrastive decoding to mitigate hallucinations. Unlike existing contrastive decoding methods, HICD selects attention heads crucial to the model's prediction as inducing heads, then induces hallucinations by dispersing attention of these inducing heads and compares the hallucinated outputs with the original outputs to obtain the final result. Our approach significantly improves performance on tasks requiring contextual faithfulness, such as context completion, reading comprehension, and question answering. It also improves factuality in tasks requiring accurate knowledge recall. We demonstrate that our inducing heads selection and attention dispersion method leads to more "contrast-effective" hallucinations for contrastive decoding, outperforming other hallucination-inducing methods. Our findings provide a promising strategy for reducing hallucinations by inducing hallucinations in a controlled manner, enhancing the performance of LLMs in a wide range of tasks.

Despite growing enthusiasm for Multi-Agent Systems (MAS), where multiple LLM agents collaborate to accomplish tasks, their performance gains across popular benchmarks remain minimal compared to single-agent frameworks. This gap highlights the need to analyze the challenges hindering MAS effectiveness. In this paper, we present the first comprehensive study of MAS challenges. We analyze five popular MAS frameworks across over 150 tasks, involving six expert human annotators. We identify 14 unique failure modes and propose a comprehensive taxonomy applicable to various MAS frameworks. This taxonomy emerges iteratively from agreements among three expert annotators per study, achieving a Cohen's Kappa score of 0.88. These fine-grained failure modes are organized into 3 categories, (i) specification and system design failures, (ii) inter-agent misalignment, and (iii) task verification and termination. To support scalable evaluation, we integrate MASFT with LLM-as-a-Judge. We also explore if identified failures could be easily prevented by proposing two interventions: improved specification of agent roles and enhanced orchestration strategies. Our findings reveal that identified failures require more complex solutions, highlighting a clear roadmap for future research. We open-source our dataset and LLM annotator.

The assumption across nearly all language model (LM) tokenization schemes is that tokens should be subwords, i.e., contained within word boundaries. While providing a seemingly reasonable inductive bias, is this common practice limiting the potential of modern LMs? Whitespace is not a reliable delimiter of meaning, as evidenced by multi-word expressions (e.g., "by the way"), crosslingual variation in the number of words needed to express a concept (e.g., "spacesuit helmet" in German is "raumanzughelm"), and languages that do not use whitespace at all (e.g., Chinese). To explore the potential of tokenization beyond subwords, we introduce a "superword" tokenizer, SuperBPE, which incorporates a simple pretokenization curriculum into the byte-pair encoding (BPE) algorithm to first learn subwords, then superwords that bridge whitespace. This brings dramatic improvements in encoding efficiency: when fixing the vocabulary size to 200k, SuperBPE encodes a fixed piece of text with up to 33% fewer tokens than BPE on average. In experiments, we pretrain 8B transformer LMs from scratch while fixing the model size, vocabulary size, and train compute, varying *only* the algorithm for learning the vocabulary. Our model trained with SuperBPE achieves an average +4.0% absolute improvement over the BPE baseline across 30 downstream tasks (including +8.2% on MMLU), while simultaneously requiring 27% less compute at inference time. In analysis, we find that SuperBPE results in segmentations of text that are more uniform in per-token difficulty. Qualitatively, this may be because SuperBPE tokens often capture common multi-word expressions that function semantically as a single unit. SuperBPE is a straightforward, local modification to tokenization that improves both encoding efficiency and downstream performance, yielding better language models overall.

Recent advances in large language models (LLMs) have introduced the novel paradigm of using LLMs as judges, where an LLM evaluates and scores the outputs of another LLM, which often correlates highly with human preferences. However, the use of LLM-as-a-judge has been primarily studied in English. In this paper, we evaluate this framework in Russian by introducing the Russian Error tyPes Annotation dataset (REPA), a dataset of 1k user queries and 2k LLM-generated responses. Human annotators labeled each response pair expressing their preferences across ten specific error types, as well as selecting an overall preference. We rank six generative LLMs across the error types using three rating systems based on human preferences. We also evaluate responses using eight LLM judges in zero-shot and few-shot settings. We describe the results of analyzing the judges and position and length biases. Our findings reveal a notable gap between LLM judge performance in Russian and English. However, rankings based on human and LLM preferences show partial alignment, suggesting that while current LLM judges struggle with fine-grained evaluation in Russian, there is potential for improvement.

Multimodal large language models (MLLMs) excel at 2D visual understanding but remain limited in their ability to reason about 3D space. In this work, we leverage large-scale high-quality 3D scene data with open-set annotations to introduce 1) a novel supervised fine-tuning dataset and 2) a new evaluation benchmark, focused on indoor scenes. Our Cubify Anything VQA (CA-VQA) data covers diverse spatial tasks including spatial relationship prediction, metric size and distance estimation, and 3D grounding. We show that CA-VQA enables us to train MM-Spatial, a strong generalist MLLM that also achieves state-of-the-art performance on 3D spatial understanding benchmarks, including our own. We show how incorporating metric depth and multi-view inputs (provided in CA-VQA) can further improve 3D understanding, and demonstrate that data alone allows our model to achieve depth perception capabilities comparable to dedicated monocular depth estimation models. We will publish our SFT dataset and benchmark.

Modern artificial intelligence systems, such as large language models, are increasingly powerful but also increasingly hard to understand. Recognizing this problem as analogous to the historical difficulties in understanding the human mind, we argue that methods developed in cognitive science can be useful for understanding large language models. We propose a framework for applying these methods based on Marr's three levels of analysis. By revisiting established cognitive science techniques relevant to each level and illustrating their potential to yield insights into the behavior and internal organization of large language models, we aim to provide a toolkit for making sense of these new kinds of minds.

As large language models (LLMs) demonstrate powerful capabilities, deploying them on edge devices has become increasingly crucial, offering advantages in privacy and real-time interaction. QLoRA has emerged as the standard approach for on-device LLMs, leveraging quantized models to reduce memory and computational costs while utilizing LoRA for task-specific adaptability. In this work, we propose ROMA, a QLoRA accelerator with a hybrid storage architecture that uses ROM for quantized base models and SRAM for LoRA weights and KV cache. Our insight is that the quantized base model is stable and converged, making it well-suited for ROM storage. Meanwhile, LoRA modules offer the flexibility to adapt to new data without requiring updates to the base model. To further reduce the area cost of ROM, we introduce a novel B-ROM design and integrate it with the compute unit to form a fused cell for efficient use of chip resources. ROMA can effectively store both a 4-bit 3B and a 2-bit 8B LLaMA model entirely on-chip, achieving a notable generation speed exceeding 20,000 tokens/s without requiring external memory.

However, deliberative forums such as citizens' assemblies have shown promise in bypassing party polarization and fostering productive discussions on contentious political issues [3]. Unfortunately, most deliberations do not take place in carefully structured settings with nationally representative participants. Instead, they often occur within homogeneous groups [17]. When this happens, deliberation can lead to group polarization, where individuals become more extreme in their initial positions rather than engaging with opposing viewpoints [22]. This can be problematic if the goal of deliberation is to build common ground and consensus within a pluralistic electorate. Given that large language models (LLMs) have demonstrated some fidelity in accurately responding to opinion surveys [1, 20] and adopting different personas [12], we explore whether an LLM-powered tool can help introduce missing perspectives in group deliberation.

Adam is the go-to optimizer for training modern machine learning models, but it requires additional memory to maintain the moving averages of the gradients and their squares. While various low-memory optimizers have been proposed that sometimes match the performance of Adam, their lack of reliability has left Adam as the default choice. In this work, we apply a simple layer-wise Signal-to-Noise Ratio (SNR) analysis to quantify when second-moment tensors can be effectively replaced by their means across different dimensions. Our SNR analysis reveals how architecture, training hyperparameters, and dataset properties impact compressibility along Adam's trajectory, naturally leading to $\textit{SlimAdam}$, a memory-efficient Adam variant. $\textit{SlimAdam}$ compresses the second moments along dimensions with high SNR when feasible, and leaves when compression would be detrimental. Through experiments across a diverse set of architectures and training scenarios, we show that $\textit{SlimAdam}$ matches Adam's performance and stability while saving up to $98\%$ of total second moments. Code for $\textit{SlimAdam}$ is available at https://github.com/dayal-kalra/low-memory-adam.