MedAdapter: Efficient Test-Time Adaptation of Large Language Models towards Medical ReasoningWenqi Shi, Ran Xu, Yuchen Zhuang et al. · gatech
Despite their improved capabilities in generation and reasoning, adapting large language models (LLMs) to the biomedical domain remains challenging due to their immense size and corporate privacy. In this work, we propose MedAdapter, a unified post-hoc adapter for test-time adaptation of LLMs towards biomedical applications. Instead of fine-tuning the entire LLM, MedAdapter effectively adapts the original model by fine-tuning only a small BERT-sized adapter to rank candidate solutions generated by LLMs. Experiments demonstrate that MedAdapter effectively adapts both white-box and black-box LLMs in biomedical reasoning, achieving average performance improvements of 25.48% and 11.31%, respectively, without requiring extensive computational resources or sharing data with third parties. MedAdapter also yields superior performance when combined with train-time adaptation, highlighting a flexible and complementary solution to existing adaptation methods. Faced with the challenges of balancing model performance, computational resources, and data privacy, MedAdapter provides an efficient, privacy-preserving, cost-effective, and transparent solution for adapting LLMs to the biomedical domain.
4.1LGMay 12, 2025
SpecRouter: Adaptive Routing for Multi-Level Speculative Decoding in Large Language ModelsHang Wu, Jianian Zhu, Yinghui Li et al.
Large Language Models (LLMs) present a critical trade-off between inference quality and computational cost: larger models offer superior capabilities but incur significant latency, while smaller models are faster but less powerful. Existing serving strategies often employ fixed model scales or static two-stage speculative decoding, failing to dynamically adapt to the varying complexities of user requests or fluctuations in system performance. This paper introduces \systemname{}, a novel framework that reimagines LLM inference as an adaptive routing problem solved through multi-level speculative decoding. \systemname{} dynamically constructs and optimizes inference "paths" (chains of models) based on real-time feedback, addressing the limitations of static approaches. Our contributions are threefold: (1) An \textbf{adaptive model chain scheduling} mechanism that leverages performance profiling (execution times) and predictive similarity metrics (derived from token distribution divergence) to continuously select the optimal sequence of draft and verifier models, minimizing predicted latency per generated token. (2) A \textbf{multi-level collaborative verification} framework where intermediate models within the selected chain can validate speculative tokens, reducing the verification burden on the final, most powerful target model. (3) A \textbf{synchronized state management} system providing efficient, consistent KV cache handling across heterogeneous models in the chain, including precise, low-overhead rollbacks tailored for asynchronous batch processing inherent in multi-level speculation. Preliminary experiments demonstrate the validity of our method.