This study presents a comprehensive analysis and comparison of two predominant fine-tuning methodologies - full-parameter fine-tuning and parameter-efficient tuning - within the context of medical Large Language Models (LLMs). We developed and refined a series of LLMs, based on the Llama-2 architecture, specifically designed to enhance medical knowledge retrieval, reasoning, and question-answering capabilities. Our experiments systematically evaluate the effectiveness of these tuning strategies across various well-known medical benchmarks. Notably, our medical LLM Med42 showed an accuracy level of 72% on the US Medical Licensing Examination (USMLE) datasets, setting a new standard in performance for openly available medical LLMs. Through this comparative analysis, we aim to identify the most effective and efficient method for fine-tuning LLMs in the medical domain, thereby contributing significantly to the advancement of AI-driven healthcare applications.

Active learning (AL) is a promising ML paradigm that has the potential to parse through large unlabeled data and help reduce annotation cost in domains where labeling entire data can be prohibitive. Recently proposed neural network based AL methods use different heuristics to accomplish this goal. In this study, we show that recent AL methods offer a gain over random baseline under a brittle combination of experimental conditions. We demonstrate that such marginal gains vanish when experimental factors are changed, leading to reproducibility issues and suggesting that AL methods lack robustness. We also observe that with a properly tuned model, which employs recently proposed regularization techniques, the performance significantly improves for all AL methods including the random sampling baseline, and performance differences among the AL methods become negligible. Based on these observations, we suggest a set of experiments that are critical to assess the true effectiveness of an AL method. To facilitate these experiments we also present an open source toolkit. We believe our findings and recommendations will help advance reproducible research in robust AL using neural networks.

Recently generative models have focused on combining the advantages of variational autoencoders (VAE) and generative adversarial networks (GAN) for good reconstruction and generative abilities. In this work we introduce a novel hybrid architecture, Implicit Discriminator in V aria-tional Autoencoder (IDVAE), that combines a VAE and a GAN, which does not need an explicit discriminator network. The fundamental premise of the IDVAE architecture is that the encoder of a VAE and the discriminator of a GAN utilize common features and therefore can be trained as a shared network, while the decoder of the VAE and the generator of the GAN can be combined to learn a single network. This results in a simple two-tier architecture that has the properties of both a VAE and a GAN. The qualitative and quantitative experiments on real-world benchmark datasets demonstrates that IDVAE perform better than the state of the art hybrid approaches. W e experimentally validate that IDVAE can be easily extended to work in a conditional setting and demonstrate its performance on complex datasets.