The paper introduces TriageRA-CCF, a method for adaptively allocating low‑rank LoRA channels in medical large language models based on source‑side signals: answer confidence, clinical coverage, and a counterfactual close‑miss proxy. By supervising a budget router that selects among 2, 4, or 8 active ranks, the approach improves average accuracy over existing LoRA variants on Qwen3‑8B and Llama3.1‑8B, though gains vary across benchmarks. Ablation studies confirm that each signal contributes to better budget decisions, though their combined effect is not uniformly superior across all backbones.
arXiv:2609.14825v1 Announce Type: cross Abstract: Large language models (LLMs) are often deemed unsafe for clinical question answering because of their tendency to hallucinate. Retrieval augmentation...
The study evaluates large language models (LLMs) on sequential emergency department triage, where acuity labels are predicted from progressively longer nurse‑patient conversations. Six LLMs were tested at five checkpoints on simulated and physician‑authored dialogues, showing a decline from moderate‑to‑substantial agreement on full records to only fair‑to‑moderate agreement at each checkpoint. The models consistently anchor on chief complaint exchanges and fail to integrate later evidence, yielding low agreement with clinicians (QWK 0.295 vs. 0.887‑0.929) and concentrating predictions on ESI‑2 and ESI‑3. whyItMatters":"The findings reveal that LLMs, despite strong offline performance, cannot reliably handle the sequential nature of real‑time triage, highlighting a critical gap for safe deployment in emergency settings."
arXiv:2607. 22251v1 Announce Type: new Abstract: Low-Rank Adaptation (LoRA) is a widely used parameter-efficient fine-tuning method for large language models, but its performance depends strongly on how a fixed rank budget is distributed across Transformer modules.
arXiv:2608. 10471v1 Announce Type: new Abstract: Prompt optimizers automate the search for prompts that improve language-model performance, but existing methods rely on a predefined optimization procedure: the algorithm determines which candidates to explore and how the search progresses, while the language model generates or refines prompt proposals.
arXiv:2609.26217v1 Announce Type: new Abstract: Compact language models are typically deployed by retaining a single post-training checkpoint and sampling it repeatedly. In this work, we challenge th...
arXiv:2609.27987v1 Announce Type: new Abstract: Large language models (LLMs) have made substantial progress on medical question-answering, yet effective medical dialogue also requires learning to ask...
arXiv:2606. 15735v1 Announce Type: cross Abstract: Discharge summaries are crucial clinical documents containing the context of a patient's overall hospital stay, and are routinely reviewed by medical experts for patient readmission, ongoing care, and diagnostic decision-making.
arXiv:2606.22419v3 Announce Type: replace Abstract: A recent Nature Medicine study reports that general-purpose frontier LLMs outperform specialized retrieval-augmented clinical tools on medical benc...
arXiv:2609.09684v1 Announce Type: new Abstract: Medical question-answering datasets often contain answer labels, whereas high-quality rationales remain scarce, noisy, or costly to validate. This chan...
arXiv:2606. 05174v1 Announce Type: cross Abstract: Large Language Models (LLMs) have shown strong promise in healthcare applications.
arXiv:2607. 20453v1 Announce Type: cross Abstract: Large language models show promise for clinical prediction, but zero-shot performance on specialized tasks is limited by incomplete domain knowledge, especially for smaller locally deployable models.
arXiv:2606. 29090v1 Announce Type: cross Abstract: Retrieval-Augmented Generation (RAG) has become the standard way to ground large language models in external knowledge, yet most systems retrieve a fixed number of passages for every question regardless of its difficulty.