Searcharxiv⌕ Search

arXiv subjects

Yasha Wang

Publications and source records attributed to Yasha Wang.

At least 37 records · Page 2Linked to original sources
arXiv2026

Augmenting Clinical Decision-Making with an Interactive and Interpretable AI Copilot: A Real-World User Study with Clinicians in Nephrology and Obstetrics

Clinician skepticism toward opaque AI hinders adoption in high-stakes healthcare. We present AICare, an interactive and interpretable AI copilot for collaborative clinical decision-making. By analyzing longitudinal electronic health records, AICare grounds dynamic risk predictions in scrutable visualizations and LLM-driven diagnostic recommendations. Through a within-subjects counterbalanced study with 16 clinicians across nephrology and obstetrics, we comprehensively evaluated AICare using objective measures (task completion time and error rate), subjective assessments (NASA-TLX, SUS, and confidence ratings), and semi-structured interviews. Our findings indicate AICare's reduced cognitive workload. Beyond performance metrics, qualitative analysis reveals that trust is actively constructed through verification, with interaction strategies diverging by expertise: junior clinicians used the system as cognitive scaffolding to structure their analysis, while experts engaged in adversarial verification to challenge the AI's logic. This work offers design implications for creating AI systems that function as transparent partners, accommodating diverse reasoning styles to augment rather than replace clinical judgment.

cs.HC↗
arXiv2025

Bridging Global Intent with Local Details: A Hierarchical Representation Approach for Semantic Validation in Text-to-SQL

Text-to-SQL translates natural language questions into SQL statements grounded in a target database schema. Ensuring the reliability and executability of such systems requires validating generated SQL, but most existing approaches focus only on syntactic correctness, with few addressing semantic validation (detecting misalignments between questions and SQL). As a consequence, effective semantic validation still faces two key challenges: capturing both global user intent and SQL structural details, and constructing high-quality fine-grained sub-SQL annotations. To tackle these, we introduce HEROSQL, a hierarchical SQL representation approach that integrates global intent (via Logical Plans, LPs) and local details (via Abstract Syntax Trees, ASTs). To enable better information propagation, we employ a Nested Message Passing Neural Network (NMPNN) to capture inherent relational information in SQL and aggregate schema-guided semantics across LPs and ASTs. Additionally, to generate high-quality negative samples, we propose an AST-driven sub-SQL augmentation strategy, supporting robust optimization of fine-grained semantic inconsistencies. Extensive experiments conducted on Text-to-SQL validation benchmarks (both in-domain and out-of-domain settings) demonstrate that our approach outperforms existing state-of-the-art methods, achieving an average 9.40% improvement of AUPRC and 12.35% of AUROC in identifying semantic inconsistencies. It excels at detecting fine-grained semantic errors, provides large language models with more granular feedback, and ultimately enhances the reliability and interpretability of data querying platforms.

cs.LG↗
arXiv2025

TPO: Aligning Large Language Models with Multi-branch & Multi-step Preference Trees

In the domain of complex reasoning tasks, such as mathematical reasoning, recent advancements have proposed the use of Direct Preference Optimization (DPO) to suppress output of dispreferred responses, thereby enhancing the long-chain reasoning capabilities of large language models (LLMs). To this end, these studies employed LLMs to generate preference trees via Tree-of-thoughts (ToT) and sample the paired preference responses required by the DPO algorithm. However, the DPO algorithm based on binary preference optimization is unable to learn multiple responses with varying degrees of preference/dispreference that provided by the preference trees, resulting in incomplete preference learning. In this work, we introduce Tree Preference Optimization (TPO), that does not sample paired preference responses from the preference tree; instead, it directly learns from the entire preference tree during the fine-tuning. Specifically, TPO formulates the language model alignment as a Preference List Ranking problem, where the policy can potentially learn more effectively from a ranked preference list of responses given the prompt. In addition, to further assist LLMs in identifying discriminative steps within long-chain reasoning and increase the relative reward margin in the preference list, TPO utilizes Adaptive Step Reward to adjust the reward values of each step in trajectory for performing fine-grained preference optimization. We carry out extensive experiments on mathematical reasoning tasks to evaluate TPO. The experimental results indicate that TPO consistently outperforms DPO across five public large language models on four datasets. Our code is publicly available at https://github.com/MrBlankness/TPO.git.

cs.CL↗
arXiv2025

Magical: Medical Lay Language Generation via Semantic Invariance and Layperson-tailored Adaptation

Medical Lay Language Generation (MLLG) plays a vital role in improving the accessibility of complex scientific content for broader audiences. Recent literature to MLLG commonly employ parameter-efficient fine-tuning methods such as Low-Rank Adaptation (LoRA) to fine-tuning large language models (LLMs) using paired expert-lay language datasets. However, LoRA struggles with the challenges posed by multi-source heterogeneous MLLG datasets. Specifically, through a series of exploratory experiments, we reveal that standard LoRA fail to meet the requirement for semantic fidelity and diverse lay-style generation in MLLG task. To address these limitations, we propose Magical, an asymmetric LoRA architecture tailored for MLLG under heterogeneous data scenarios. Magical employs a shared matrix $A$ for abstractive summarization, along with multiple isolated matrices $B$ for diverse lay-style generation. To preserve semantic fidelity during the lay language generation process, Magical introduces a Semantic Invariance Constraint to mitigate semantic subspace shifts on matrix $A$. Furthermore, to better adapt to diverse lay-style generation, Magical incorporates the Recommendation-guided Switch, an externally interface to prompt the LLM to switch between different matrices $B$. Experimental results on three real-world lay language generation datasets demonstrate that Magical consistently outperforms prompt-based methods, vanilla LoRA, and its recent variants, while also reducing trainable parameters by 31.66%. Our code is publicly available at https://github.com/tianlwang/Magical.git.

cs.CL↗
arXiv2025

DFAMS: Dynamic-flow guided Federated Alignment based Multi-prototype Search

Federated Retrieval (FR) routes queries across multiple external knowledge sources, to mitigate hallucinations of LLMs, when necessary external knowledge is distributed. However, existing methods struggle to retrieve high-quality and relevant documents for ambiguous queries, especially in cross-domain scenarios, which significantly limits their effectiveness in supporting downstream generation tasks. Inspired by Dynamic Information Flow (DIF), we propose DFAMS, a novel framework that leverages DIF to identify latent query intents and construct semantically aligned knowledge partitions for accurate retrieval across heterogeneous sources. Specifically, DFAMS probes the DIF in LLMs by leveraging gradient signals from a few annotated queries and employing Shapley value-based attribution to trace neuron activation paths associated with intent recognition and subdomain boundary detection. Then, DFAMS leverages DIF to train an alignment module via multi-prototype contrastive learning, enabling fine-grained intra-source modeling and inter-source semantic alignment across knowledge bases. Experimental results across five benchmarks show that DFAMS outperforms advanced FR methods by up to 14.37\% in knowledge classification accuracy, 5.38\% in retrieval recall, and 6.45\% in downstream QA accuracy, demonstrating its effectiveness in complex FR scenarios. Our code are anonymous available at https://anonymous.4open.science/r/DFAMS/

cs.LG↗
arXiv2025

ADEPT: Continual Pretraining via Adaptive Expansion and Dynamic Decoupled Tuning

Conventional continual pretraining (CPT) for large language model (LLM) domain adaptation often suffers from catastrophic forgetting and limited domain capacity. Existing strategies adopt layer expansion, introducing additional trainable parameters to accommodate new knowledge. However, the uniform expansion and updates still entangle general and domain learning, undermining its effectiveness. Our pilot studies reveal that LLMs exhibit functional specialization, where layers and units differentially encode general-critical capabilities, suggesting that parameter expansion and optimization should be function-aware. We then propose ADEPT, Adaptive Expansion and Dynamic Decoupled Tuning for continual pretraining, a two-stage framework for domain-adaptive CPT. ADEPT first performs General-Competence Guided Selective Layer Expansion, duplicating layers least critical for the general domain to increase representational capacity while minimizing interference with general knowledge. It then applies Adaptive Unit-Wise Decoupled Tuning, disentangling parameter units within expanded layers according to their general-domain importance and assigning asymmetric learning rates to balance knowledge injection and retention. Experiments on mathematical and medical benchmarks show that ADEPT outperforms full-parameter CPT by up to 5.76% on the general domain and 5.58% on the target domain with only 15% of parameters tuned and less than 50% training time. Ablation studies, theoretical analysis, and extended investigations further demonstrate the necessity of targeted expansion and decoupled optimization, providing new principles for efficient and robust domain-adaptive CPT. Our code is open-sourced at https://github.com/PuppyKnightUniversity/ADEPT

cs.LG↗
arXiv2025

ClinicRealm: Re-evaluating Large Language Models with Conventional Machine Learning for Non-Generative Clinical Prediction Tasks

Large Language Models (LLMs) are increasingly deployed in medicine. However, their utility in non-generative clinical prediction, often presumed inferior to specialized models, remains under-evaluated, leading to ongoing debate within the field and potential for misuse, misunderstanding, or over-reliance due to a lack of systematic benchmarking. Our ClinicRealm study addresses this by benchmarking 15 GPT-style LLMs, 5 BERT-style models, and 11 traditional methods on unstructured clinical notes and structured Electronic Health Records (EHR), while also assessing their reasoning, reliability, and fairness. Key findings reveal a significant shift: for clinical note predictions, leading LLMs (e.g., DeepSeek-V3.1-Think, GPT-5) in zero-shot settings now decisively outperform finetuned BERT models. On structured EHRs, while specialized models excel with ample data, advanced LLMs (e.g., GPT-5, DeepSeek-V3.1-Think) show potent zero-shot capabilities, often surpassing conventional models in data-scarce settings. Notably, leading open-source LLMs can match or exceed proprietary counterparts. These results provide compelling evidence that modern LLMs are competitive tools for non-generative clinical prediction, particularly with unstructured text and offering data-efficient structured data options, thus necessitating a re-evaluation of model selection strategies. This research should serve as an important insight for medical informaticists, AI developers, and clinical researchers, potentially prompting a reassessment of current assumptions and inspiring new approaches to LLM application in predictive healthcare.

cs.CL↗
arXiv2025

AIMMerging: Adaptive Iterative Model Merging Using Training Trajectories for Language Model Continual Learning

Continual learning (CL) is essential for deploying large language models (LLMs) in dynamic real-world environments without the need for costly retraining. Recent model merging-based methods have attracted significant attention, but they still struggle to effectively manage the trade-off between learning new knowledge and preventing forgetting, a challenge largely stemming from suboptimal number of merges and merging frequency. In this paper, we introduce Adaptive Iterative Model Merging (AimMerging), a novel CL framework that utilizes learning and forgetting signals from the training trajectory to dynamically monitor the model's training status. Guided by dynamic monitoring, the training trajectory-guided merge controller adaptively determines the timing and frequency of iterative fusion, while the rehearsal-based knowledge fusion module computes the merging weights and executes the fusion. Comprehensive experiments on three CL benchmarks with various model sizes (from 770M to 13B) demonstrate that AimMerging achieves significant performance improvements over existing state-of-the-art methods, with an average relative improvement of 80% and 59% on FWT and BWT, respectively. The source code is provided for reproducibility.

cs.CL↗
arXiv2025

3DS: Medical Domain Adaptation of LLMs via Decomposed Difficulty-based Data Selection

Large Language Models(LLMs) excel in general tasks but struggle in specialized domains like healthcare due to limited domain-specific knowledge.Supervised Fine-Tuning(SFT) data construction for domain adaptation often relies on heuristic methods, such as GPT-4 annotation or manual data selection, with a data-centric focus on presumed diverse, high-quality datasets. However, these methods overlook the model's inherent knowledge distribution, introducing noise, redundancy, and irrelevant data, leading to a mismatch between the selected data and the model's learning task, resulting in suboptimal performance. To address this, we propose a two-stage model-centric data selection framework, Decomposed Difficulty Data Selection (3DS), which aligns data with the model's knowledge distribution for optimized adaptation. In Stage1, we apply Prompt-Driven Data Selection via Explicit Alignment, where the the model filters irrelevant or redundant data based on its internal knowledge. In Stage2, we perform Decomposed Difficulty Data Selection, where data selection is guided by our defined difficulty decomposition, using three metrics: Instruction Understanding, Response Confidence, and Response Correctness. Additionally, an attention-based importance weighting mechanism captures token importance for more accurate difficulty calibration. This two-stage approach ensures the selected data is not only aligned with the model's knowledge and preferences but also appropriately challenging for the model to learn, leading to more effective and targeted domain adaptation. In the case study of the medical domain, our extensive experiments on real-world healthcare datasets demonstrate the superiority of 3DS over exisiting methods in accuracy by over 5.29%. Our dataset and code has been open-sourced at https://github.com/PuppyKnightUniversity/3DS.

cs.LG↗
arXiv2025

Toward Better EHR Reasoning in LLMs: Reinforcement Learning with Expert Attention Guidance

Improving large language models (LLMs) for electronic health record (EHR) reasoning is essential for enabling accurate and generalizable clinical predictions. While LLMs excel at medical text understanding, they underperform on EHR-based prediction tasks due to challenges in modeling temporally structured, high-dimensional data. Existing approaches often rely on hybrid paradigms, where LLMs serve merely as frozen prior retrievers while downstream deep learning (DL) models handle prediction, failing to improve the LLM's intrinsic reasoning capacity and inheriting the generalization limitations of DL models. To this end, we propose EAG-RL, a novel two-stage training framework designed to intrinsically enhance LLMs' EHR reasoning ability through expert attention guidance, where expert EHR models refer to task-specific DL models trained on EHR data. Concretely, EAG-RL first constructs high-quality, stepwise reasoning trajectories using expert-guided Monte Carlo Tree Search to effectively initialize the LLM's policy. Then, EAG-RL further optimizes the policy via reinforcement learning by aligning the LLM's attention with clinically salient features identified by expert EHR models. Extensive experiments on two real-world EHR datasets show that EAG-RL improves the intrinsic EHR reasoning ability of LLMs by an average of 14.62%, while also enhancing robustness to feature perturbations and generalization to unseen clinical domains. These results demonstrate the practical potential of EAG-RL for real-world deployment in clinical prediction tasks. Our code have been available at https://github.com/devilran6/EAG-RL.

cs.AI↗
arXiv2025

ConfAgents: A Conformal-Guided Multi-Agent Framework for Cost-Efficient Medical Diagnosis

The efficacy of AI agents in healthcare research is hindered by their reliance on static, predefined strategies. This creates a critical limitation: agents can become better tool-users but cannot learn to become better strategic planners, a crucial skill for complex domains like healthcare. We introduce HealthFlow, a self-evolving AI agent that overcomes this limitation through a novel meta-level evolution mechanism. HealthFlow autonomously refines its own high-level problem-solving policies by distilling procedural successes and failures into a durable, strategic knowledge base. To anchor our research and facilitate reproducible evaluation, we introduce EHRFlowBench, a new benchmark featuring complex, realistic health data analysis tasks derived from peer-reviewed clinical research. Our comprehensive experiments demonstrate that HealthFlow's self-evolving approach significantly outperforms state-of-the-art agent frameworks. This work marks a necessary shift from building better tool-users to designing smarter, self-evolving task-managers, paving the way for more autonomous and effective AI for scientific discovery.

cs.AI↗
arXiv2025

Parenting: Optimizing Knowledge Selection of Retrieval-Augmented Language Models with Parameter Decoupling and Tailored Tuning

Retrieval-Augmented Generation (RAG) offers an effective solution to the issues faced by Large Language Models (LLMs) in hallucination generation and knowledge obsolescence by incorporating externally retrieved knowledge. However, existing methods lack effective control mechanisms for integrating internal and external knowledge. Inspired by human cognitive processes, we propose Parenting, a novel framework that decouples, identifies, and purposefully optimizes parameter subspaces related to adherence and robustness. Specifically, Parenting utilizes a key parameter mining method that combines forward and backward propagation signals to localize subspaces representing different capabilities. Then, Parenting employs a type-tailored tuning strategy, applying specific and appropriate optimizations to different subspaces, aiming to achieve a balanced enhancement of both adherence and robustness. Extensive experiments on various datasets and models validate the effectiveness and generalizability of our method.

cs.CL↗
arXiv2025

Recurrent Knowledge Identification and Fusion for Language Model Continual Learning

Continual learning (CL) is crucial for deploying large language models (LLMs) in dynamic real-world environments without costly retraining. While recent model ensemble and model merging methods guided by parameter importance have gained popularity, they often struggle to balance knowledge transfer and forgetting, mainly due to the reliance on static importance estimates during sequential training. In this paper, we present Recurrent-KIF, a novel CL framework for Recurrent Knowledge Identification and Fusion, which enables dynamic estimation of parameter importance distributions to enhance knowledge transfer. Inspired by human continual learning, Recurrent-KIF employs an inner loop that rapidly adapts to new tasks while identifying important parameters, coupled with an outer loop that globally manages the fusion of new and historical knowledge through redundant knowledge pruning and key knowledge merging. These inner-outer loops iteratively perform multiple rounds of fusion, allowing Recurrent-KIF to leverage intermediate training information and adaptively adjust fusion strategies based on evolving importance distributions. Extensive experiments on two CL benchmarks with various model sizes (from 770M to 13B) demonstrate that Recurrent-KIF effectively mitigates catastrophic forgetting and enhances knowledge transfer.

cs.LG↗
arXiv2025

GeoEdit: Geometric Knowledge Editing for Large Language Models

Regular updates are essential for maintaining up-to-date knowledge in large language models (LLMs). Consequently, various model editing methods have been developed to update specific knowledge within LLMs. However, training-based approaches often struggle to effectively incorporate new knowledge while preserving unrelated general knowledge. To address this challenge, we propose a novel framework called Geometric Knowledge Editing (GeoEdit). GeoEdit utilizes the geometric relationships of parameter updates from fine-tuning to differentiate between neurons associated with new knowledge updates and those related to general knowledge perturbations. By employing a direction-aware knowledge identification method, we avoid updating neurons with directions approximately orthogonal to existing knowledge, thus preserving the model's generalization ability. For the remaining neurons, we integrate both old and new knowledge for aligned directions and apply a "forget-then-learn" editing strategy for opposite directions. Additionally, we introduce an importance-guided task vector fusion technique that filters out redundant information and provides adaptive neuron-level weighting, further enhancing model editing performance. Extensive experiments on two publicly available datasets demonstrate the superiority of GeoEdit over existing state-of-the-art methods.

cs.CL↗
arXiv2025

Learnable Prompt as Pseudo-Imputation: Rethinking the Necessity of Traditional EHR Data Imputation in Downstream Clinical Prediction

Analyzing the health status of patients based on Electronic Health Records (EHR) is a fundamental research problem in medical informatics. The presence of extensive missing values in EHR makes it challenging for deep neural networks (DNNs) to directly model the patient's health status. Existing DNNs training protocols, including Impute-then-Regress Procedure and Jointly Optimizing of Impute-n-Regress Procedure, require the additional imputation models to reconstruction missing values. However, Impute-then-Regress Procedure introduces the risk of injecting imputed, non-real data into downstream clinical prediction tasks, resulting in power loss, biased estimation, and poorly performing models, while Jointly Optimizing of Impute-n-Regress Procedure is also difficult to generalize due to the complex optimization space and demanding data requirements. Inspired by the recent advanced literature of learnable prompt in the fields of NLP and CV, in this work, we rethought the necessity of the imputation model in downstream clinical tasks, and proposed Learnable Prompt as Pseudo-Imputation (PAI) as a new training protocol to assist EHR analysis. PAI no longer introduces any imputed data but constructs a learnable prompt to model the implicit preferences of the downstream model for missing values, resulting in a significant performance improvement for all state-of-the-arts EHR analysis models on four real-world datasets across two clinical prediction tasks. Further experimental analysis indicates that PAI exhibits higher robustness in situations of data insufficiency and high missing rates. More importantly, as a plug-and-play protocol, PAI can be easily integrated into any existing or even imperceptible future EHR analysis models.

cs.LG↗
arXiv2025

Adaptive Activation Steering: A Tuning-Free LLM Truthfulness Improvement Method for Diverse Hallucinations Categories

Recent studies have indicated that Large Language Models (LLMs) harbor an inherent understanding of truthfulness, yet often fail to consistently express it and generate false statements. This gap between "knowing" and "telling" poses a challenge for ensuring the truthfulness of generated content. Inspired by recent work on the practice of encoding human-interpretable concepts linearly within large language models, we treat truthfulness as a specially linearly encoded concept within LLMs, and introduce Adaptive Activation Steering (ACT), a tuning-free method that adaptively shifts LLM's activations in the "truthful" direction during inference. ACT addresses diverse categories of hallucinations by utilizing diverse truthfulness-related steering vectors and adjusting the steering intensity adaptively. Applied as an add-on across various models, ACT significantly improves truthfulness in LLaMA ($\uparrow$ 142%), LLaMA2 ($\uparrow$ 24%), Alpaca ($\uparrow$ 36%), Vicuna ($\uparrow$ 28%), LLaMA2-Chat ($\uparrow$ 19%), and LLaMA3($\uparrow$ 34%). Furthermore, we verify ACT's scalability across larger models (13B, 33B, 65B), underscoring the adaptability of ACT to large-scale language models. Our code is available at https://github.com/tianlwang/ACT.

cs.CL↗
arXiv2025

ColaCare: Enhancing Electronic Health Record Modeling through Large Language Model-Driven Multi-Agent Collaboration

We introduce ColaCare, a framework that enhances Electronic Health Record (EHR) modeling through multi-agent collaboration driven by Large Language Models (LLMs). Our approach seamlessly integrates domain-specific expert models with LLMs to bridge the gap between structured EHR data and text-based reasoning. Inspired by the Multidisciplinary Team (MDT) approach used in clinical settings, ColaCare employs two types of agents: DoctorAgents and a MetaAgent, which collaboratively analyze patient data. Expert models process and generate predictions from numerical EHR data, while LLM agents produce reasoning references and decision-making reports within the MDT-driven collaborative consultation framework. The MetaAgent orchestrates the discussion, facilitating consultations and evidence-based debates among DoctorAgents, simulating diverse expertise in clinical decision-making. We additionally incorporate the Merck Manual of Diagnosis and Therapy (MSD) medical guideline within a retrieval-augmented generation (RAG) module for medical evidence support, addressing the challenge of knowledge currency. Extensive experiments conducted on three EHR datasets demonstrate ColaCare's superior performance in clinical mortality outcome and readmission prediction tasks, underscoring its potential to revolutionize clinical decision support systems and advance personalized precision medicine. All code, case studies and a questionnaire are available at the project website: https://colacare.netlify.app.

cs.LG↗
arXiv2025

Domain-invariant Clinical Representation Learning by Bridging Data Distribution Shift across EMR Datasets

Emerging diseases present challenges in symptom recognition and timely clinical intervention due to limited available information. An effective prognostic model could assist physicians in making accurate diagnoses and designing personalized treatment plans to prevent adverse outcomes. However, in the early stages of disease emergence, several factors hamper model development: limited data collection, insufficient clinical experience, and privacy and ethical concerns restrict data availability and complicate accurate label assignment. Furthermore, Electronic Medical Record (EMR) data from different diseases or sources often exhibit significant cross-dataset feature misalignment, severely impacting the effectiveness of deep learning models. We present a domain-invariant representation learning method that constructs a transition model between source and target datasets. By constraining the distribution shift of features generated across different domains, we capture domain-invariant features specifically relevant to downstream tasks, developing a unified domain-invariant encoder that achieves better feature representation across various task domains. Experimental results across multiple target tasks demonstrate that our proposed model surpasses competing baseline methods and achieves faster training convergence, particularly when working with limited data. Extensive experiments validate our method's effectiveness in providing more accurate predictions for emerging pandemics and other diseases. Code is publicly available at https://github.com/wang1yuhang/domain_invariant_network.

cs.LG↗