Junying Chen

Junying Chen, Chi Gui, Anningzhe Gao et al.

The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.

Ke Ji, Jiahao Xu, Tian Liang et al.

Improving the reasoning capabilities of large language models (LLMs) typically requires supervised fine-tuning with labeled data or computationally expensive sampling. We introduce Unsupervised Prefix Fine-Tuning (UPFT), which leverages the observation of Prefix Self-Consistency -- the shared initial reasoning steps across diverse solution trajectories -- to enhance LLM reasoning efficiency. By training exclusively on the initial prefix substrings (as few as 8 tokens), UPFT removes the need for labeled data or exhaustive sampling. Experiments on reasoning benchmarks show that UPFT matches the performance of supervised methods such as Rejection Sampling Fine-Tuning, while reducing training time by 75% and sampling cost by 99%. Further analysis reveals that errors tend to appear in later stages of the reasoning process and that prefix-based training preserves the model's structural knowledge. This work demonstrates how minimal unsupervised fine-tuning can unlock substantial reasoning gains in LLMs, offering a scalable and resource-efficient alternative to conventional approaches.