In this work, we show a fundamental limitation in vocabulary adaptation approaches that use Byte-Pair Encoding (BPE) tokenization scheme for fine-tuning pretrained language models (PLMs) to expert domains. Current approaches trivially append the target domain-specific vocabulary at the end of the PLM vocabulary. This approach leads to a lower priority score and causes sub-optimal tokenization in BPE that iteratively uses merge rules to tokenize a given text. To mitigate this issue, we propose AdaptBPE where the BPE tokenization initialization phase is modified to first perform the longest string matching on the added (target) vocabulary before tokenizing at the character level. We perform an extensive evaluation of AdaptBPE versus the standard BPE over various classification and summarization tasks; AdaptBPE improves by 3.57% (in terms of accuracy) and 1.87% (in terms of Rouge-L), respectively. AdaptBPE for MEDVOC works particularly well when reference summaries have high OOV concentration or are longer in length. We also conduct a human evaluation, revealing that AdaptBPE generates more relevant and more faithful summaries as compared to MEDVOC. We make our codebase publicly available at https://github.com/gb-kgp/adaptbpe.

This work presents a dynamic vocabulary adaptation strategy, MEDVOC, for fine-tuning pre-trained language models (PLMs) like BertSumAbs, BART, and PEGASUS for improved medical text summarization. In contrast to existing domain adaptation approaches in summarization, MEDVOC treats vocabulary as an optimizable parameter and optimizes the PLM vocabulary based on fragment score conditioned only on the downstream task's reference summaries. Unlike previous works on vocabulary adaptation (limited only to classification tasks), optimizing vocabulary based on summarization tasks requires an extremely costly intermediate fine-tuning step on large summarization datasets. To that end, our novel fragment score-based hyperparameter search very significantly reduces this fine-tuning time -- from 450 days to less than 2 days on average. Furthermore, while previous works on vocabulary adaptation are often primarily tied to single PLMs, MEDVOC is designed to be deployable across multiple PLMs (with varying model vocabulary sizes, pre-training objectives, and model sizes) -- bridging the limited vocabulary overlap between the biomedical literature domain and PLMs. MEDVOC outperforms baselines by 15.74% in terms of Rouge-L in zero-shot setting and shows gains of 17.29% in high Out-Of-Vocabulary (OOV) concentrations. Our human evaluation shows MEDVOC generates more faithful medical summaries (88% compared to 59% in baselines). We make the codebase publicly available at https://github.com/gb-kgp/MEDVOC.

GPT-4 demonstrates high accuracy in medical QA tasks, leading with an accuracy of 86.70%, followed by Med-PaLM 2 at 86.50%. However, around 14% of errors remain. Additionally, current works use GPT-4 to only predict the correct option without providing any explanation and thus do not provide any insight into the thinking process and reasoning used by GPT-4 or other LLMs. Therefore, we introduce a new domain-specific error taxonomy derived from collaboration with medical students. Our GPT-4 USMLE Error (G4UE) dataset comprises 4153 GPT-4 correct responses and 919 incorrect responses to the United States Medical Licensing Examination (USMLE) respectively. These responses are quite long (258 words on average), containing detailed explanations from GPT-4 justifying the selected option. We then launch a large-scale annotation study using the Potato annotation platform and recruit 44 medical experts through Prolific, a well-known crowdsourcing platform. We annotated 300 out of these 919 incorrect data points at a granular level for different classes and created a multi-label span to identify the reasons behind the error. In our annotated dataset, a substantial portion of GPT-4's incorrect responses is categorized as a "Reasonable response by GPT-4," by annotators. This sheds light on the challenge of discerning explanations that may lead to incorrect options, even among trained medical professionals. We also provide medical concepts and medical semantic predications extracted using the SemRep tool for every data point. We believe that it will aid in evaluating the ability of LLMs to answer complex medical questions. We make the resources available at https://github.com/roysoumya/usmle-gpt4-error-taxonomy .

Large-scale language models such as DNABert and LOGO aim to learn optimal gene representations and are trained on the entire Human Reference Genome. However, standard tokenization schemes involve a simple sliding window of tokens like k-mers that do not leverage any gene-based semantics and thus may lead to (trivial) masking of easily predictable sequences and subsequently inefficient Masked Language Modeling (MLM) training. Therefore, we propose a novel masking algorithm, GeneMask, for MLM training of gene sequences, where we randomly identify positions in a gene sequence as mask centers and locally select the span around the mask center with the highest Normalized Pointwise Mutual Information (NPMI) to mask. We observe that in the absence of human-understandable semantics in the genomics domain (in contrast, semantic units like words and phrases are inherently available in NLP), GeneMask-based models substantially outperform the SOTA models (DNABert and LOGO) over four benchmark gene sequence classification datasets in five few-shot settings (10 to 1000-shot). More significantly, the GeneMask-based DNABert model is trained for less than one-tenth of the number of epochs of the original SOTA model. We also observe a strong correlation between top-ranked PMI tokens and conserved DNA sequence motifs, which may indicate the incorporation of latent genomic information. The codes (including trained models) and datasets are made publicly available at https://github.com/roysoumya/GeneMask.