Large Language Models (LLMs) have demonstrated remarkable capabilities across various domains, particularly in task generalization for both text and vision data. While fine-tuning these models can significantly enhance their performance on specific downstream tasks, it often requires high-quality data that cannot be shared due to privacy concerns. Federated Learning (FL) offers a promising solution for collaborative training without direct data sharing. However, many parameter-efficient fine-tuning strategies for LLMs in FL, particularly those based on Low-Rank Adaptation (LoRA), face limitations. In this paper, we critically analyze the convergence and performance guarantees of popular FL frameworks utilizing LoRA, highlighting its suboptimal nature due to constrained subspace learning of low-rank matrices. This limitation hinders effective fine-tuning of LLMs in federated settings. Through rigorous analytical and empirical evaluations, we demonstrate that direct weight averaging outperforms LoRA-based strategies, leading to superior performance for fine-tuned models. Our comprehensive comparison unmasks inefficiencies in LoRA approaches and underscores the advantages of direct weight aggregation. We extend our analysis to low-rank gradient-based optimizers, such as GaLore, used during local training steps. Our findings show that GaLore along with direct-weight aggregation is a more effective approach, outperforming federated LoRA methods like FlexLoRA and FFA-LoRA across both text and image modalities. While privacy remains paramount in FL discourse, our focus is on assessing performance outcomes of federated fine-tuned models and evaluating various FL frameworks from both theoretical and empirical perspectives. Our findings advocate reassessing the reliance on LoRA within FL contexts, paving the way for more efficient training methodologies.

Long-tailed problems in healthcare emerge from data imbalance due to variability in the prevalence and representation of different medical conditions, warranting the requirement of precise and dependable classification methods. Traditional loss functions such as cross-entropy and binary cross-entropy are often inadequate due to their inability to address the imbalances between the classes with high representation and the classes with low representation found in medical image datasets. We introduce a novel polynomial loss function based on Pade approximation, designed specifically to overcome the challenges associated with long-tailed classification. This approach incorporates asymmetric sampling techniques to better classify under-represented classes. We conducted extensive evaluations on three publicly available medical datasets and a proprietary medical dataset. Our implementation of the proposed loss function is open-sourced in the public repository:https://github.com/ipankhi/ALPA.

Large Language models (LLMs) have demonstrated significant potential in transforming healthcare by automating tasks such as clinical documentation, information retrieval, and decision support. In this aspect, carefully engineered prompts have emerged as a powerful tool for using LLMs for medical scenarios, e.g., patient clinical scenarios. In this paper, we propose a modified version of the MedQA-USMLE dataset, which is subjective, to mimic real-life clinical scenarios. We explore the Chain of Thought (CoT) reasoning based on subjective response generation for the modified MedQA-USMLE dataset with appropriate LM-driven forward reasoning for correct responses to the medical questions. Keeping in mind the importance of response verification in the medical setting, we utilize a reward training mechanism whereby the language model also provides an appropriate verified response for a particular response to a clinical question. In this regard, we also include human-in-the-loop for different evaluation aspects. We develop better in-contrast learning strategies by modifying the 5-shot-codex-CoT-prompt from arXiv:2207.08143 for the subjective MedQA dataset and developing our incremental-reasoning prompt. Our evaluations show that the incremental reasoning prompt performs better than the modified codex prompt in certain scenarios. We also show that greedy decoding with the incremental reasoning method performs better than other strategies, such as prompt chaining and eliminative reasoning.

Medical image segmentation is a critical process in the field of medical imaging, playing a pivotal role in diagnosis, treatment, and research. It involves partitioning of an image into multiple regions, representing distinct anatomical or pathological structures. Conventional methods often grapple with the challenge of balancing spatial precision and comprehensive feature representation due to their reliance on traditional loss functions. To overcome this, we propose Feature-Enhanced Spatial Segmentation Loss (FESS Loss), that integrates the benefits of contrastive learning (which extracts intricate features, particularly in the nuanced domain of medical imaging) with the spatial accuracy inherent in the Dice loss. The objective is to augment both spatial precision and feature-based representation in the segmentation of medical images. FESS Loss signifies a notable advancement, offering a more accurate and refined segmentation process, ultimately contributing to heightened precision in the analysis of medical images. Further, FESS loss demonstrates superior performance in limited annotated data availability scenarios often present in the medical domain.