A Survey of Large Language Models in Medicine: Progress, Application, and ChallengeHongjian Zhou, Fenglin Liu, Boyang Gu et al.
Large language models (LLMs), such as ChatGPT, have received substantial attention due to their capabilities for understanding and generating human language. While there has been a burgeoning trend in research focusing on the employment of LLMs in supporting different medical tasks (e.g., enhancing clinical diagnostics and providing medical education), a review of these efforts, particularly their development, practical applications, and outcomes in medicine, remains scarce. Therefore, this review aims to provide a detailed overview of the development and deployment of LLMs in medicine, including the challenges and opportunities they face. In terms of development, we provide a detailed introduction to the principles of existing medical LLMs, including their basic model structures, number of parameters, and sources and scales of data used for model development. It serves as a guide for practitioners in developing medical LLMs tailored to their specific needs. In terms of deployment, we offer a comparison of the performance of different LLMs across various medical tasks, and further compare them with state-of-the-art lightweight models, aiming to provide an understanding of the advantages and limitations of LLMs in medicine. Overall, in this review, we address the following questions: 1) What are the practices for developing medical LLMs 2) How to measure the medical task performance of LLMs in a medical setting? 3) How have medical LLMs been employed in real-world practice? 4) What challenges arise from the use of medical LLMs? and 5) How to more effectively develop and deploy medical LLMs? By answering these questions, this review aims to provide insights into the opportunities for LLMs in medicine and serve as a practical resource. We also maintain a regularly updated list of practical guides on medical LLMs at https://github.com/AI-in-Health/MedLLMsPracticalGuide
13.9CLJun 4, 2025Code
Aligning Large Language Models with Implicit Preferences from User-Generated ContentZhaoxuan Tan, Zheng Li, Tianyi Liu et al.
Learning from preference feedback is essential for aligning large language models (LLMs) with human values and improving the quality of generated responses. However, existing preference learning methods rely heavily on curated data from humans or advanced LLMs, which is costly and difficult to scale. In this work, we present PUGC, a novel framework that leverages implicit human Preferences in unlabeled User-Generated Content (UGC) to generate preference data. Although UGC is not explicitly created to guide LLMs in generating human-preferred responses, it often reflects valuable insights and implicit preferences from its creators that has the potential to address readers' questions. PUGC transforms UGC into user queries and generates responses from the policy model. The UGC is then leveraged as a reference text for response scoring, aligning the model with these implicit preferences. This approach improves the quality of preference data while enabling scalable, domain-specific alignment. Experimental results on Alpaca Eval 2 show that models trained with DPO and PUGC achieve a 9.37% performance improvement over traditional methods, setting a 35.93% state-of-the-art length-controlled win rate using Mistral-7B-Instruct. Further studies highlight gains in reward quality, domain-specific alignment effectiveness, robustness against UGC quality, and theory of mind capabilities. Our code and dataset are available at https://zhaoxuan.info/PUGC.github.io/
5.8AIMar 5, 2024
WikiTableEdit: A Benchmark for Table Editing by Natural Language InstructionZheng Li, Xiang Chen, Xiaojun Wan · pku
Tabular data, as a crucial form of data representation, exists in diverse formats on the Web. When confronted with complex and irregular tables, manual modification becomes a laborious task. This paper investigates the performance of Large Language Models (LLMs) in the context of table editing tasks. Existing research mainly focuses on regular-shaped tables, wherein instructions are used to generate code in SQL, Python, or Excel Office-script for manipulating the tables. Nevertheless, editing tables with irregular structures, particularly those containing merged cells spanning multiple rows, poses a challenge when using code. To address this, we introduce the WikiTableEdit dataset. Leveraging 26,531 tables from the WikiSQL dataset, we automatically generate natural language instructions for six distinct basic operations and the corresponding outcomes, resulting in over 200,000 instances. Subsequently, we evaluate several representative large language models on the WikiTableEdit dataset to demonstrate the challenge of this task. The dataset will be released to the community to promote related researches.
13.9CLOct 18, 2025
Instant Personalized Large Language Model Adaptation via HypernetworkZhaoxuan Tan, Zixuan Zhang, Haoyang Wen et al.
Personalized large language models (LLMs) tailor content to individual preferences using user profiles or histories. However, existing parameter-efficient fine-tuning (PEFT) methods, such as the ``One-PEFT-Per-User'' (OPPU) paradigm, require training a separate adapter for each user, making them computationally expensive and impractical for real-time updates. We introduce Profile-to-PEFT, a scalable framework that employs a hypernetwork, trained end-to-end, to map a user's encoded profile directly to a full set of adapter parameters (e.g., LoRA), eliminating per-user training at deployment. This design enables instant adaptation, generalization to unseen users, and privacy-preserving local deployment. Experimental results demonstrate that our method outperforms both prompt-based personalization and OPPU while using substantially fewer computational resources at deployment. The framework exhibits strong generalization to out-of-distribution users and maintains robustness across varying user activity levels and different embedding backbones. The proposed Profile-to-PEFT framework enables efficient, scalable, and adaptive LLM personalization suitable for large-scale applications.
Enhancing User Intent Capture in Session-Based Recommendation with Attribute PatternsXin Liu, Zheng Li, Yifan Gao et al.
The goal of session-based recommendation in E-commerce is to predict the next item that an anonymous user will purchase based on the browsing and purchase history. However, constructing global or local transition graphs to supplement session data can lead to noisy correlations and user intent vanishing. In this work, we propose the Frequent Attribute Pattern Augmented Transformer (FAPAT) that characterizes user intents by building attribute transition graphs and matching attribute patterns. Specifically, the frequent and compact attribute patterns are served as memory to augment session representations, followed by a gate and a transformer block to fuse the whole session information. Through extensive experiments on two public benchmarks and 100 million industrial data in three domains, we demonstrate that FAPAT consistently outperforms state-of-the-art methods by an average of 4.5% across various evaluation metrics (Hits, NDCG, MRR). Besides evaluating the next-item prediction, we estimate the models' capabilities to capture user intents via predicting items' attributes and period-item recommendations.