Alberto Mario Ceballos Arroyo

Alberto Mario Ceballos Arroyo, Monica Munnangi, Jiuding Sun et al. · amazon-science, salesforce

Instruction-tuned Large Language Models (LLMs) can perform a wide range of tasks given natural language instructions to do so, but they are sensitive to how such instructions are phrased. This issue is especially concerning in healthcare, as clinicians are unlikely to be experienced prompt engineers and the potential consequences of inaccurate outputs are heightened in this domain. This raises a practical question: How robust are instruction-tuned LLMs to natural variations in the instructions provided for clinical NLP tasks? We collect prompts from medical doctors across a range of tasks and quantify the sensitivity of seven LLMs -- some general, others specialized -- to natural (i.e., non-adversarial) instruction phrasings. We find that performance varies substantially across all models, and that -- perhaps surprisingly -- domain-specific models explicitly trained on clinical data are especially brittle, compared to their general domain counterparts. Further, arbitrary phrasing differences can affect fairness, e.g., valid but distinct instructions for mortality prediction yield a range both in overall performance, and in terms of differences between demographic groups.

Millicent Li, Alberto Mario Ceballos Arroyo, Giordano Rogers et al.

Recent interpretability methods have proposed to translate LLM internal representations into natural language descriptions using a second verbalizer LLM. This is intended to illuminate how the target model represents and operates on inputs. But do such activation verbalization approaches actually provide privileged knowledge about the internal workings of the target model, or do they merely convey information about its inputs? We critically evaluate popular verbalization methods across datasets used in prior work and find that they can succeed at benchmarks without any access to target model internals, suggesting that these datasets may not be ideal for evaluating verbalization methods. We then run controlled experiments which reveal that verbalizations often reflect the parametric knowledge of the verbalizer LLM which generated them, rather than the knowledge of the target LLM whose activations are decoded. Taken together, our results indicate a need for targeted benchmarks and experimental controls to rigorously assess whether verbalization methods provide meaningful insights into the operations of LLMs.