Jiayu Zhou

Jiajun Wu, Swaleh Zaidi, Braden Teitge et al.

Electronic health records (EHRs) contain extensive unstructured clinical data that can overwhelm emergency physicians trying to identify critical information. We present a two-stage summarization system that runs entirely on embedded devices, enabling offline clinical summarization while preserving patient privacy. In our approach, a dual-device architecture first retrieves relevant patient record sections using the Jetson Nano-R (Retrieve), then generates a structured summary on another Jetson Nano-S (Summarize), communicating via a lightweight socket link. The summarization output is two-fold: (1) a fixed-format list of critical findings, and (2) a context-specific narrative focused on the clinician's query. The retrieval stage uses locally stored EHRs, splits long notes into semantically coherent sections, and searches for the most relevant sections per query. The generation stage uses a locally hosted small language model (SLM) to produce the summary from the retrieved text, operating within the constraints of two NVIDIA Jetson devices. We first benchmarked six open-source SLMs under 7B parameters to identify viable models. We incorporated an LLM-as-Judge evaluation mechanism to assess summary quality in terms of factual accuracy, completeness, and clarity. Preliminary results on MIMIC-IV and de-identified real EHRs demonstrate that our fully offline system can effectively produce useful summaries in under 30 seconds.

Siqi Liang, Sumyeong Ahn, Jiayu Zhou

Advancements in large language models (LLMs) have shown their effectiveness in multiple complicated natural language reasoning tasks. A key challenge remains in adapting these models efficiently to new or unfamiliar tasks. In-context learning (ICL) provides a promising solution for few-shot adaptation by retrieving a set of data points relevant to a query, called in-context examples (ICE), from a training dataset and providing them during the inference as context. Most existing studies utilize a centralized training dataset, yet many real-world datasets may be distributed among multiple clients, and remote data retrieval can be associated with costs. Especially when the client data are non-identical independent distributions (non-IID), retrieving from clients a proper set of ICEs needed for a test query presents critical challenges. In this paper, we first show that in this challenging setting, test queries will have different preferences among clients because of non-IIDness, and equal contribution often leads to suboptimal performance. We then introduce a novel approach to tackle the distributed non-IID ICL problem when a data usage budget is present. The principle is that each client's proper contribution (budget) should be designed according to the preference of each query for that client. Our approach uses a data-driven manner to allocate a budget for each client, tailored to each test query. Through extensive empirical studies on diverse datasets, our framework demonstrates superior performance relative to competing baselines.