Hua Xu

Betina Idnay, Zihan Xu, William G. Adams et al.

This study reports a comprehensive environmental scan of the generative AI (GenAI) infrastructure in the national network for clinical and translational science across 36 institutions supported by the Clinical and Translational Science Award (CTSA) Program led by the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) at the United States. With the rapid advancement of GenAI technologies, including large language models (LLMs), healthcare institutions face unprecedented opportunities and challenges. This research explores the current status of GenAI integration, focusing on stakeholder roles, governance structures, and ethical considerations by administering a survey among leaders of health institutions (i.e., representing academic medical centers and health systems) to assess the institutional readiness and approach towards GenAI adoption. Key findings indicate a diverse range of institutional strategies, with most organizations in the experimental phase of GenAI deployment. The study highlights significant variations in governance models, with a strong preference for centralized decision-making but notable gaps in workforce training and ethical oversight. Moreover, the results underscore the need for a more coordinated approach to GenAI governance, emphasizing collaboration among senior leaders, clinicians, information technology staff, and researchers. Our analysis also reveals concerns regarding GenAI bias, data security, and stakeholder trust, which must be addressed to ensure the ethical and effective implementation of GenAI technologies. This study offers valuable insights into the challenges and opportunities of GenAI integration in healthcare, providing a roadmap for institutions aiming to leverage GenAI for improved quality of care and operational efficiency.

Haijun Zhang, Jinxiang Wang, Zhenhua Yu et al.

Large language models (LLMs) have made a profound impact across various fields due to their advanced capabilities. However, training these models at unprecedented scales requires extensive AI accelerator clusters and sophisticated parallelism strategies, which pose significant challenges in maintaining system reliability over prolonged training periods. A major concern is the substantial loss of training time caused by inevitable hardware and software failures. To address these challenges, we present FlashRecovery, a fast and low-cost failure recovery system comprising three core modules: (1) Active and real-time failure detection. This module performs continuous training state monitoring, enabling immediate identification of hardware and software failures within seconds, thus ensuring rapid incident response; (2) Scale-independent task restart. By employing different recovery strategies for normal and faulty nodes, combined with an optimized communication group reconstruction protocol, our approach ensures that the recovery time remains nearly constant, regardless of cluster scale; (3) Checkpoint-free recovery within one step. Our novel recovery mechanism enables single-step restoration, completely eliminating dependence on traditional checkpointing methods and their associated overhead. Collectively, these innovations enable FlashRecovery to achieve optimal Recovery Time Objective (RTO) and Recovery Point Objective (RPO), substantially improving the reliability and efficiency of long-duration LLM training. Experimental results demonstrate that FlashRecovery system can achieve training restoration on training cluster with 4, 800 devices in 150 seconds. We also verify that the time required for failure recovery is nearly consistent for different scales of training tasks.

Yang Yang, Hua XU, Zhangyi Hu et al.

Large Language Models (LLMs) can propose rules in natural language, sidestepping the need for a predefined predicate space in traditional rule learning. Yet many LLM-based approaches ignore interactions among rules, and the opportunity to couple LLMs with probabilistic rule learning for robust inference remains underexplored. We present RLIE, a unified framework that integrates LLMs with probabilistic modeling to learn a set of weighted rules. RLIE has four stages: (1) Rule generation, where an LLM proposes and filters candidates; (2) Logistic regression, which learns probabilistic weights for global selection and calibration; (3) Iterative refinement, which updates the rule set using prediction errors; and (4) Evaluation, which compares the weighted rule set as a direct classifier with methods that inject rules into an LLM. We evaluate multiple inference strategies on real-world datasets. Applying rules directly with their learned weights yields superior performance, whereas prompting LLMs with the rules, weights, and logistic-model outputs surprisingly degrades accuracy. This supports the view that LLMs excel at semantic generation and interpretation but are less reliable for precise probabilistic integration. RLIE clarifies the potential and limitations of LLMs for inductive reasoning and couples them with classic probabilistic rule combination methods to enable more reliable neuro-symbolic reasoning.