LLMs process text as sequences of tokens that roughly correspond to words, where less common words are represented by multiple tokens. However, individual tokens are often semantically unrelated to the meanings of the words/concepts they comprise. For example, Llama-2-7b's tokenizer splits the word "northeastern" into the tokens ['_n', 'ort', 'he', 'astern'], none of which correspond to semantically meaningful units like "north" or "east." Similarly, the overall meanings of named entities like "Neil Young" and multi-word expressions like "break a leg" cannot be directly inferred from their constituent tokens. Mechanistically, how do LLMs convert such arbitrary groups of tokens into useful higher-level representations? In this work, we find that last token representations of named entities and multi-token words exhibit a pronounced "erasure" effect, where information about previous and current tokens is rapidly forgotten in early layers. Using this observation, we propose a method to "read out" the implicit vocabulary of an autoregressive LLM by examining differences in token representations across layers, and present results of this method for Llama-2-7b and Llama-3-8B. To our knowledge, this is the first attempt to probe the implicit vocabulary of an LLM.

Objective: Question answering (QA) systems have the potential to improve the quality of clinical care by providing health professionals with the latest and most relevant evidence. However, QA systems have not been widely adopted. This systematic review aims to characterize current medical QA systems, assess their suitability for healthcare, and identify areas of improvement. Materials and methods: We searched PubMed, IEEE Xplore, ACM Digital Library, ACL Anthology and forward and backward citations on 7th February 2023. We included peer-reviewed journal and conference papers describing the design and evaluation of biomedical QA systems. Two reviewers screened titles, abstracts, and full-text articles. We conducted a narrative synthesis and risk of bias assessment for each study. We assessed the utility of biomedical QA systems. Results: We included 79 studies and identified themes, including question realism, answer reliability, answer utility, clinical specialism, systems, usability, and evaluation methods. Clinicians' questions used to train and evaluate QA systems were restricted to certain sources, types and complexity levels. No system communicated confidence levels in the answers or sources. Many studies suffered from high risks of bias and applicability concerns. Only 8 studies completely satisfied any criterion for clinical utility, and only 7 reported user evaluations. Most systems were built with limited input from clinicians. Discussion: While machine learning methods have led to increased accuracy, most studies imperfectly reflected real-world healthcare information needs. Key research priorities include developing more realistic healthcare QA datasets and considering the reliability of answer sources, rather than merely focusing on accuracy.

We present Reddit Health Online Talk (RedHOT), a corpus of 22,000 richly annotated social media posts from Reddit spanning 24 health conditions. Annotations include demarcations of spans corresponding to medical claims, personal experiences, and questions. We collect additional granular annotations on identified claims. Specifically, we mark snippets that describe patient Populations, Interventions, and Outcomes (PIO elements) within these. Using this corpus, we introduce the task of retrieving trustworthy evidence relevant to a given claim made on social media. We propose a new method to automatically derive (noisy) supervision for this task which we use to train a dense retrieval model; this outperforms baseline models. Manual evaluation of retrieval results performed by medical doctors indicate that while our system performance is promising, there is considerable room for improvement. Collected annotations (and scripts to assemble the dataset), are available at https://github.com/sominw/redhot.

Assessing the veracity of claims made on the Internet is an important, challenging, and timely problem. While automated fact-checking models have potential to help people better assess what they read, we argue such models must be explainable, accurate, and fast to be useful in practice; while prediction accuracy is clearly important, model transparency is critical in order for users to trust the system and integrate their own knowledge with model predictions. To achieve this, we propose a novel probabilistic graphical model (PGM) which combines machine learning with crowd annotations. Nodes in our model correspond to claim veracity, article stance regarding claims, reputation of news sources, and annotator reliabilities. We introduce a fast variational method for parameter estimation. Evaluation across two real-world datasets and three scenarios shows that: (1) joint modeling of sources, claims and crowd annotators in a PGM improves the predictive performance and interpretability for predicting claim veracity; and (2) our variational inference method achieves scalably fast parameter estimation, with only modest degradation in performance compared to Gibbs sampling. Regarding model transparency, we designed and deployed a prototype fact-checker Web tool, including a visual interface for explaining model predictions. Results of a small user study indicate that model explanations improve user satisfaction and trust in model predictions. We share our web demo, model source code, and the 13K crowd labels we collected.

Originally designed to model text, topic modeling has become a powerful tool for uncovering latent structure in domains including medicine, finance, and vision. The goals for the model vary depending on the application: in some cases, the discovered topics may be used for prediction or some other downstream task. In other cases, the content of the topic itself may be of intrinsic scientific interest. Unfortunately, even using modern sparse techniques, the discovered topics are often difficult to interpret due to the high dimensionality of the underlying space. To improve topic interpretability, we introduce Graph-Sparse LDA, a hierarchical topic model that leverages knowledge of relationships between words (e.g., as encoded by an ontology). In our model, topics are summarized by a few latent concept-words from the underlying graph that explain the observed words. Graph-Sparse LDA recovers sparse, interpretable summaries on two real-world biomedical datasets while matching state-of-the-art prediction performance.

Machine learning research is often conducted in vitro, divorced from motivating practical applications. In terms of advancing machine learning as an academic discipline, this approach has thus far proven quite fruitful. However, it is our view that the most interesting open problems in machine learning are those that arise during its application to real-world problems. We illustrate this point by reviewing two of our interdisciplinary collaborations, both of which have posed unique machine learning problems, providing fertile ground for novel research.

Machine learning research is often conducted in vitro, divorced from motivating practical applications. A researcher might develop a new method for the general task of classification, then assess its utility by comparing its performance (such as accuracy or AUC) to that of existing classification models on publicly available datasets. In terms of advancing machine learning as an academic discipline, this approach has thus far proven quite fruitful. However, it is our view that the most interesting open problems in machine learning are those that arise during its application to real-world problems. We illustrate this point by reviewing two of our interdisciplinary collaborations, both of which have posed unique machine learning problems, providing fertile ground for novel research.