Shashir Reddy

Gemma Team, Aishwarya Kamath, Johan Ferret et al. · deepmind, mit

We introduce Gemma 3, a multimodal addition to the Gemma family of lightweight open models, ranging in scale from 1 to 27 billion parameters. This version introduces vision understanding abilities, a wider coverage of languages and longer context - at least 128K tokens. We also change the architecture of the model to reduce the KV-cache memory that tends to explode with long context. This is achieved by increasing the ratio of local to global attention layers, and keeping the span on local attention short. The Gemma 3 models are trained with distillation and achieve superior performance to Gemma 2 for both pre-trained and instruction finetuned versions. In particular, our novel post-training recipe significantly improves the math, chat, instruction-following and multilingual abilities, making Gemma3-4B-IT competitive with Gemma2-27B-IT and Gemma3-27B-IT comparable to Gemini-1.5-Pro across benchmarks. We release all our models to the community.

Akshay Goel, Almog Gueta, Omry Gilon et al.

The unstructured nature of clinical notes within electronic health records often conceals vital patient-related information, making it challenging to access or interpret. To uncover this hidden information, specialized Natural Language Processing (NLP) models are required. However, training these models necessitates large amounts of labeled data, a process that is both time-consuming and costly when relying solely on human experts for annotation. In this paper, we propose an approach that combines Large Language Models (LLMs) with human expertise to create an efficient method for generating ground truth labels for medical text annotation. By utilizing LLMs in conjunction with human annotators, we significantly reduce the human annotation burden, enabling the rapid creation of labeled datasets. We rigorously evaluate our method on a medical information extraction task, demonstrating that our approach not only substantially cuts down on human intervention but also maintains high accuracy. The results highlight the potential of using LLMs to improve the utilization of unstructured clinical data, allowing for the swift deployment of tailored NLP solutions in healthcare.

Andrew Sellergren, Sahar Kazemzadeh, Tiam Jaroensri et al.

Artificial intelligence (AI) has significant potential in healthcare applications, but its training and deployment faces challenges due to healthcare's diverse data, complex tasks, and the need to preserve privacy. Foundation models that perform well on medical tasks and require less task-specific tuning data are critical to accelerate the development of healthcare AI applications. We introduce MedGemma, a collection of medical vision-language foundation models based on Gemma 3 4B and 27B. MedGemma demonstrates advanced medical understanding and reasoning on images and text, significantly exceeding the performance of similar-sized generative models and approaching the performance of task-specific models, while maintaining the general capabilities of the Gemma 3 base models. For out-of-distribution tasks, MedGemma achieves 2.6-10% improvement on medical multimodal question answering, 15.5-18.1% improvement on chest X-ray finding classification, and 10.8% improvement on agentic evaluations compared to the base models. Fine-tuning MedGemma further improves performance in subdomains, reducing errors in electronic health record information retrieval by 50% and reaching comparable performance to existing specialized state-of-the-art methods for pneumothorax classification and histopathology patch classification. We additionally introduce MedSigLIP, a medically-tuned vision encoder derived from SigLIP. MedSigLIP powers the visual understanding capabilities of MedGemma and as an encoder achieves comparable or better performance than specialized medical image encoders. Taken together, the MedGemma collection provides a strong foundation of medical image and text capabilities, with potential to significantly accelerate medical research and development of downstream applications. The MedGemma collection, including tutorials and model weights, can be found at https://goo.gle/medgemma.

Amir Taubenfeld, Zorik Gekhman, Lior Nezry et al.

As LLMs integrate into our daily lives, understanding their behavior becomes essential. In this work, we focus on behavioral dispositions$-$the underlying tendencies that shape responses in social contexts$-$and introduce a framework to study how closely the dispositions expressed by LLMs align with those of humans. Our approach is grounded in established psychological questionnaires but adapts them for LLMs by transforming human self-report statements into Situational Judgment Tests (SJTs). These SJTs assess behavior by eliciting natural recommendations in realistic user-assistant scenarios. We generate 2,500 SJTs, each validated by three human annotators, and collect preferred actions from 10 annotators per SJT, from a large pool of 550 participants. In a comprehensive study involving 25 LLMs, we find that models often do not reflect the distribution of human preferences: (1) in scenarios with low human consensus, LLMs consistently exhibit overconfidence in a single response; (2) when human consensus is high, smaller models deviate significantly, and even some frontier models do not reflect the consensus in 15-20% of cases; (3) traits can exhibit cross-LLM patterns, e.g., LLMs may encourage emotion expression in contexts where human consensus favors composure. Lastly, mapping psychometric statements directly to behavioral scenarios presents a unique opportunity to evaluate the predictive validity of self-reports, revealing considerable gaps between LLMs' stated values and their revealed behavior.

Elahe Vedadi, David Barrett, Natalie Harris et al.

Recent work has demonstrated the promise of conversational AI systems for diagnostic dialogue. However, real-world assurance of patient safety means that providing individual diagnoses and treatment plans is considered a regulated activity by licensed professionals. Furthermore, physicians commonly oversee other team members in such activities, including nurse practitioners (NPs) or physician assistants/associates (PAs). Inspired by this, we propose a framework for effective, asynchronous oversight of the Articulate Medical Intelligence Explorer (AMIE) AI system. We propose guardrailed-AMIE (g-AMIE), a multi-agent system that performs history taking within guardrails, abstaining from individualized medical advice. Afterwards, g-AMIE conveys assessments to an overseeing primary care physician (PCP) in a clinician cockpit interface. The PCP provides oversight and retains accountability of the clinical decision. This effectively decouples oversight from intake and can thus happen asynchronously. In a randomized, blinded virtual Objective Structured Clinical Examination (OSCE) of text consultations with asynchronous oversight, we compared g-AMIE to NPs/PAs or a group of PCPs under the same guardrails. Across 60 scenarios, g-AMIE outperformed both groups in performing high-quality intake, summarizing cases, and proposing diagnoses and management plans for the overseeing PCP to review. This resulted in higher quality composite decisions. PCP oversight of g-AMIE was also more time-efficient than standalone PCP consultations in prior work. While our study does not replicate existing clinical practices and likely underestimates clinicians' capabilities, our results demonstrate the promise of asynchronous oversight as a feasible paradigm for diagnostic AI systems to operate under expert human oversight for enhancing real-world care.