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Nov 25

Single Answer is Not Enough: On Generating Ranked Lists with Medical Reasoning Models

This paper presents a systematic study on enabling medical reasoning models (MRMs) to generate ranked lists of answers for open-ended questions. Clinical decision-making rarely relies on a single answer but instead considers multiple options, reducing the risks of narrow perspectives. Yet current MRMs are typically trained to produce only one answer, even in open-ended settings. We propose an alternative format: ranked lists and investigate two approaches: prompting and fine-tuning. While prompting is a cost-effective way to steer an MRM's response, not all MRMs generalize well across different answer formats: choice, short text, and list answers. Based on our prompting findings, we train and evaluate MRMs using supervised fine-tuning (SFT) and reinforcement fine-tuning (RFT). SFT teaches a model to imitate annotated responses, and RFT incentivizes exploration through the responses that maximize a reward. We propose new reward functions targeted at ranked-list answer formats, and conduct ablation studies for RFT. Our results show that while some SFT models generalize to certain answer formats, models trained with RFT are more robust across multiple formats. We also present a case study on a modified MedQA with multiple valid answers, finding that although MRMs might fail to select the benchmark's preferred ground truth, they can recognize valid answers. To the best of our knowledge, this is the first systematic investigation of approaches for enabling MRMs to generate answers as ranked lists. We hope this work provides a first step toward developing alternative answer formats that are beneficial beyond single answers in medical domains.

  • 6 authors
·
Sep 25

Train It and Forget It: Merge Lists are Unnecessary for BPE Inference in Language Models

Standard Byte-Pair Encoding (BPE) tokenization compresses text by pairing a learned token vocabulary with a detailed merge list. Recent work has shown that this merge list exposes a potential attack surface for extracting information about language model's training data. In this paper, we explore the downstream impact of BPE inference algorithms that do not rely on this merge list at all, and hence differ from the encoding process during BPE training. To address this question, we investigate two broad classes of BPE inference schemes that differ from BPE application during training: a) targeted deviation from merge-lists including random merge orders, and various corruptions of merge list involving deletion/truncation, and b) non-targeted BPE inference algorithms that do not depend on the merge list but focus on compressing the text either greedily or exactly. Extensive experiments across diverse language modeling tasks like accuracy-based QA benchmarks, machine translation, and open-ended generation reveal that while targeted deviation from the merge lists exhibits significant degradation in language model performance, the non-targeted merge-list-free inference algorithms result in minimal impact on downstream performance that is often much smaller than expected. These findings pave way for simpler and potentially more privacy-preserving tokenization schemes that do not catastrophically compromise model performance.

  • 2 authors
·
Aug 8