Documentation burden is a major contributor to clinician burnout, which is rising nationally and is an urgent threat to our ability to care for patients. Artificial intelligence (AI) chatbots, such as ChatGPT, could reduce clinician burden by assisting with documentation. Although many hospitals are actively integrating such systems into electronic medical record systems, AI chatbots utility and impact on clinical decision-making have not been studied for this intended use. We are the first to examine the utility of large language models in assisting clinicians draft responses to patient questions. In our two-stage cross-sectional study, 6 oncologists responded to 100 realistic synthetic cancer patient scenarios and portal messages developed to reflect common medical situations, first manually, then with AI assistance. We find AI-assisted responses were longer, less readable, but provided acceptable drafts without edits 58% of time. AI assistance improved efficiency 77% of time, with low harm risk (82% safe). However, 7.7% unedited AI responses could severely harm. In 31% cases, physicians thought AI drafts were human-written. AI assistance led to more patient education recommendations, fewer clinical actions than manual responses. Results show promise for AI to improve clinician efficiency and patient care through assisting documentation, if used judiciously. Monitoring model outputs and human-AI interaction remains crucial for safe implementation.

This empirical study serves as a primer for interested service providers to determine if and how Large Language Models (LLMs) technology will be integrated for their practitioners and the broader community. We investigate the mutual learning journey of non-AI experts and AI through CoAGent, a service co-creation tool with LLM-based agents. Engaging in a three-stage participatory design processes, we work with with 23 domain experts from public libraries across the U.S., uncovering their fundamental challenges of integrating AI into human workflows. Our findings provide 23 actionable "heuristics for service co-creation with AI", highlighting the nuanced shared responsibilities between humans and AI. We further exemplar 9 foundational agency aspects for AI, emphasizing essentials like ownership, fair treatment, and freedom of expression. Our innovative approach enriches the participatory design model by incorporating AI as crucial stakeholders and utilizing AI-AI interaction to identify blind spots. Collectively, these insights pave the way for synergistic and ethical human-AI co-creation in service contexts, preparing for workforce ecosystems where AI coexists.

A Retrieval-Augmented Language Model (RALM) augments a generative language model by retrieving context-specific knowledge from an external database. This strategy facilitates impressive text generation quality even with smaller models, thus reducing orders of magnitude of computational demands. However, RALMs introduce unique system design challenges due to (a) the diverse workload characteristics between LM inference and retrieval and (b) the various system requirements and bottlenecks for different RALM configurations such as model sizes, database sizes, and retrieval frequencies. We propose Chameleon, a heterogeneous accelerator system that integrates both LM and retrieval accelerators in a disaggregated architecture. The heterogeneity ensures efficient acceleration of both LM inference and retrieval, while the accelerator disaggregation enables the system to independently scale both types of accelerators to fulfill diverse RALM requirements. Our Chameleon prototype implements retrieval accelerators on FPGAs and assigns LM inference to GPUs, with a CPU server orchestrating these accelerators over the network. Compared to CPU-based and CPU-GPU vector search systems, Chameleon achieves up to 23.72x speedup and 26.2x energy efficiency. Evaluated on various RALMs, Chameleon exhibits up to 2.16x reduction in latency and 3.18x speedup in throughput compared to the hybrid CPU-GPU architecture. These promising results pave the way for bringing accelerator heterogeneity and disaggregation into future RALM systems.

The emergence of In-Context Learning (ICL) in LLMs remains a significant phenomenon with little understanding. To explain ICL, recent studies try to shed light on ICL by connecting it to Gradient Descent (GD). However, the question is, do these hold up in practice in actual pre-trained models? We highlight the limiting assumptions in prior works that make their context considerably different from the practical context in which language models are trained. For example, the theoretical hand-constructed weights used in these studies have properties that don't match those of real LLMs. Furthermore, their experimental verification uses \emph{ICL objective} (training models explicitly for ICL), which differs from the emergent ICL in the wild. We also look for evidence in real models. We observe that ICL and GD have different sensitivity to the order in which they observe demonstrations. Finally, we probe and compare the ICL vs. GD hypothesis in a natural setting. We conduct comprehensive empirical analyses on language models pre-trained on natural data (LLaMa-7B). Our comparisons of three performance metrics highlight the inconsistent behavior of ICL and GD as a function of various factors such as datasets, models, and the number of demonstrations. We observe that ICL and GD modify the output distribution of language models differently. These results indicate that the equivalence between ICL and GD remains an open hypothesis and calls for further studies.

Text-To-Image (TTI) models, such as DALL-E and StableDiffusion, have demonstrated remarkable prompt-based image generation capabilities. Multilingual encoders may have a substantial impact on the cultural agency of these models, as language is a conduit of culture. In this study, we explore the cultural perception embedded in TTI models by characterizing culture across three hierarchical tiers: cultural dimensions, cultural domains, and cultural concepts. Based on this ontology, we derive prompt templates to unlock the cultural knowledge in TTI models, and propose a comprehensive suite of evaluation techniques, including intrinsic evaluations using the CLIP space, extrinsic evaluations with a Visual-Question-Answer (VQA) model and human assessments, to evaluate the cultural content of TTI-generated images. To bolster our research, we introduce the CulText2I dataset, derived from four diverse TTI models and spanning ten languages. Our experiments provide insights regarding Do, What, Which and How research questions about the nature of cultural encoding in TTI models, paving the way for cross-cultural applications of these models.

Most of the existing multi-modal models, hindered by their incapacity to adeptly manage interleaved image-and-text inputs in multi-image, multi-round dialogues, face substantial constraints in resource allocation for training and data accessibility, impacting their adaptability and scalability across varied interaction realms. To address this, we present the DeepSpeed-VisualChat framework, designed to optimize Large Language Models (LLMs) by incorporating multi-modal capabilities, with a focus on enhancing the proficiency of Large Vision and Language Models in handling interleaved inputs. Our framework is notable for (1) its open-source support for multi-round and multi-image dialogues, (2) introducing an innovative multi-modal causal attention mechanism, and (3) utilizing data blending techniques on existing datasets to assure seamless interactions in multi-round, multi-image conversations. Compared to existing frameworks, DeepSpeed-VisualChat shows superior scalability up to 70B parameter language model size, representing a significant advancement in multi-modal language models and setting a solid foundation for future explorations.

Text-guided image editing is widely needed in daily life, ranging from personal use to professional applications such as Photoshop. However, existing methods are either zero-shot or trained on an automatically synthesized dataset, which contains a high volume of noise. Thus, they still require lots of manual tuning to produce desirable outcomes in practice. To address this issue, we introduce MagicBrush (https://osu-nlp-group.github.io/MagicBrush/), the first large-scale, manually annotated dataset for instruction-guided real image editing that covers diverse scenarios: single-turn, multi-turn, mask-provided, and mask-free editing. MagicBrush comprises over 10K manually annotated triplets (source image, instruction, target image), which supports trainining large-scale text-guided image editing models. We fine-tune InstructPix2Pix on MagicBrush and show that the new model can produce much better images according to human evaluation. We further conduct extensive experiments to evaluate current image editing baselines from multiple dimensions including quantitative, qualitative, and human evaluations. The results reveal the challenging nature of our dataset and the gap between current baselines and real-world editing needs.

With their increasing size, large language models (LLMs) are becoming increasingly good at language understanding tasks. But even with high performance on specific downstream task, LLMs fail at simple linguistic tests for negation or quantifier understanding. Previous work on quantifier understanding in LLMs show inverse scaling in understanding few-type quantifiers. In this paper, we question the claims of of previous work and show that it is a result of inappropriate testing methodology. We also present alternate methods to measure quantifier comprehension in LLMs and show that LLMs are able to better understand the difference between the meaning of few-type and most-type quantifiers as their size increases, although they are not particularly good at it. We also observe inverse scaling for most-type quantifier understanding, which is contrary to human psycho-linguistic experiments and previous work, where the model's understanding of most-type quantifier gets worse as the model size increases. We do this evaluation on models ranging from 125M-175B parameters, which suggests that LLMs do not do as well as expected with quantifiers. We also discuss the possible reasons for this and the relevance of quantifier understanding in evaluating language understanding in LLMs.

Temperature sampling is a conventional approach to diversify large language model predictions. As temperature increases, the prediction becomes diverse but also vulnerable to hallucinations -- generating tokens that are sensible but not factual. One common approach to mitigate hallucinations is to provide source/grounding documents and the model is trained to produce predictions that bind to and are attributable to the provided source. It appears that there is a trade-off between diversity and attribution. To mitigate any such trade-off, we propose to relax the constraint of having a fixed temperature over decoding steps, and a mechanism to guide the dynamic temperature according to its relevance to the source through KL-divergence. Our experiments justifies the trade-off, and shows that our sampling algorithm outperforms the conventional top-k and top-p algorithms in conversational question-answering and summarization tasks.

Recent studies have shown promising results on utilizing large pre-trained image-language models for video question answering. While these image-language models can efficiently bootstrap the representation learning of video-language models, they typically concatenate uniformly sampled video frames as visual inputs without explicit language-aware, temporal modeling. When only a portion of a video input is relevant to the language query, such uniform frame sampling can often lead to missing important visual cues. Although humans often find a video moment to focus on and rewind the moment to answer questions, training a query-aware video moment localizer often requires expensive annotations and high computational costs. To address this issue, we propose Self-Chained Video Localization-Answering (SeViLA), a novel framework that leverages a single image-language model (BLIP-2) to tackle both temporal keyframe localization and QA on videos. SeViLA framework consists of two modules: Localizer and Answerer, where both are parameter-efficiently fine-tuned from BLIP-2. We propose two ways of chaining these modules for cascaded inference and self-refinement. First, in the forward chain, the Localizer finds multiple language-aware keyframes in a video, which the Answerer uses to predict the answer. Second, in the reverse chain, the Answerer generates keyframe pseudo-labels to refine the Localizer, alleviating the need for expensive video moment localization annotations. Our SeViLA framework outperforms several strong baselines on 5 challenging video QA and event prediction benchmarks, and achieves the state-of-the-art in both fine-tuning (NExT-QA, STAR) and zero-shot (NExT-QA, STAR, How2QA, VLEP) settings. We also analyze the impact of Localizer, comparisons of Localizer with other temporal localization models, pre-training/self-refinement of Localizer, and varying the number of keyframes.