arXiv subjects

Yixing Jiang

Publications and source records attributed to Yixing Jiang.

9 recordsLinked to original sources

arXiv2026

LLM-as-a-Verifier: A General-Purpose Verification Framework

Scaling pre-training, post-training, and test-time compute have become the central paradigms for improving the capabilities of LLMs. In this work, we identify verification, the ability to determine the correctness of a solution, as a new scaling axis. To unlock this and demonstrate its effectiveness, we introduce LLM-as-a-Verifier, a general-purpose verification framework that provides fine-grained feedback for agentic tasks without requiring additional training. Unlike standard LM judges that prompt LLMs to produce discrete scores for candidate solutions, LLM-as-a-Verifier computes the expectation over the distribution of scoring token logits to generate continuous scores. This probabilistic formulation enables verification to scale along multiple dimensions: (1) score granularity, (2) repeated evaluation, and (3) criteria decomposition. In particular, we show that scaling the scoring granularity leads to better separation between positive and negative solutions, resulting in more calibrated comparisons. Moreover, scaling repeated evaluation and criteria decomposition consistently lead to additional gains in verification accuracy through variance and complexity reduction. We further introduce a cost-efficient ranking algorithm for selecting the best solution among candidates using the verifier's continuous scores. LLM-as-a-Verifier achieves state-of-the-art performance on Terminal-Bench V2 (86.5%), SWE-Bench Verified (78.2%), RoboRewardBench (87.4%), and MedAgentBench (73.3%). Beyond verification, the fine-grained signals from LLM-as-a-Verifier can also serve as a proxy for estimating task progress. We build an extension for Claude Code, enabling developers to monitor and improve their own agentic systems. Finally, we show that LLM-as-a-Verifier can provide dense feedback for RL, improving the sample efficiency of SAC and GRPO on robotics and mathematical reasoning benchmarks.

cs.AI↗

arXiv2026

Clinical Note Bloat Reduction for Efficient LLM Use

Health systems are rapidly deploying large language models (LLMs) that use clinical notes for clinical decision support applications. However, modern documentation practices rely heavily on templates, copy--paste shortcuts, and auto-populated fields, producing extensive duplicated text (``note bloat'') that dilutes clinically meaningful signal and substantially increases the computational cost of LLM use. We introduce TRACE, a scalable preprocessing pipeline that removes note bloat by leveraging EHR attribution metadata to identify templated and copied content and applying frequency-based deduplication when metadata are unavailable. We evaluated TRACE across four real--world clinical cohorts spanning liver transplantation, obstetrics, and inpatient care (5.3 million notes) using blinded physician review and downstream modeling tasks. TRACE removed 47.3% of chart text while preserving performance for information extraction and clinical outcome prediction. At a large academic medical center, this reduction corresponds to an estimated $9.5 million annual decrease in LLM inference costs assuming one query per encounter. These findings show how underutilized EHR metadata can enable more scalable and cost-efficient deployment of LLM-based clinical systems.

cs.CY↗

arXiv2025

SmartAlert: Implementing Machine Learning-Driven Clinical Decision Support for Inpatient Lab Utilization Reduction

Repetitive laboratory testing unlikely to yield clinically useful information is a common practice that burdens patients and increases healthcare costs. Education and feedback interventions have limited success, while general test ordering restrictions and electronic alerts impede appropriate clinical care. We introduce and evaluate SmartAlert, a machine learning (ML)-driven clinical decision support (CDS) system integrated into the electronic health record that predicts stable laboratory results to reduce unnecessary repeat testing. This case study describes the implementation process, challenges, and lessons learned from deploying SmartAlert targeting complete blood count (CBC) utilization in a randomized controlled pilot across 9270 admissions in eight acute care units across two hospitals between August 15, 2024, and March 15, 2025. Results show significant decrease in number of CBC results within 52 hours of SmartAlert display (1.54 vs 1.82, p <0.01) without adverse effect on secondary safety outcomes, representing a 15% relative reduction in repetitive testing. Implementation lessons learned include interpretation of probabilistic model predictions in clinical contexts, stakeholder engagement to define acceptable model behavior, governance processes for deploying a complex model in a clinical environment, user interface design considerations, alignment with clinical operational priorities, and the value of qualitative feedback from end users. In conclusion, a machine learning-driven CDS system backed by a deliberate implementation and governance process can provide precision guidance on inpatient laboratory testing to safely reduce unnecessary repetitive testing.

cs.LG↗

arXiv2025

Quantifying and minimizing dissipation in a non-equilibrium phase transition

In a finite-time continuous phase transition, topological defects emerge as the system undergoes spontaneous symmetry breaking. The Kibble-Zurek mechanism predicts how the defect density scales with the quench rate. During such processes, dissipation also arises as the system fails to adiabatically follow the control protocol near the critical point. Quantifying and minimizing this dissipation is fundamentally relevant to nonequilibrium thermodynamics and practically important for energy-efficient computing and devices. However, there are no prior experimental measurements of dissipation, or the optimization of control protocols to reduce it in many-body systems. In addition, it is an open question to what extent dissipation is correlated with the formation of defects. Here, we directly measure the dissipation generated during the voltage-driven Freedericksz transition of a liquid crystal with a sensitivity equivalent to a ~10 nanokelvin temperature rise. We observe Kibble-Zurek scaling of dissipation and its breakdown, both in quantitative agreement with existing theoretical works. We further implement a fully automated in-situ optimization approach that discovers more optimal driving protocols, reducing dissipation by a factor of three relative to a simple linear protocol.

cond-mat.stat-mech↗

arXiv2025

Reflections from Research Roundtables at the Conference on Health, Inference, and Learning (CHIL) 2025

The 6th Annual Conference on Health, Inference, and Learning (CHIL 2025), hosted by the Association for Health Learning and Inference (AHLI), was held in person on June 25-27, 2025, at the University of California, Berkeley, in Berkeley, California, USA. As part of this year's program, we hosted Research Roundtables to catalyze collaborative, small-group dialogue around critical, timely topics at the intersection of machine learning and healthcare. Each roundtable was moderated by a team of senior and junior chairs who fostered open exchange, intellectual curiosity, and inclusive engagement. The sessions emphasized rigorous discussion of key challenges, exploration of emerging opportunities, and collective ideation toward actionable directions in the field. In total, eight roundtables were held by 19 roundtable chairs on topics of "Explainability, Interpretability, and Transparency," "Uncertainty, Bias, and Fairness," "Causality," "Domain Adaptation," "Foundation Models," "Learning from Small Medical Data," "Multimodal Methods," and "Scalable, Translational Healthcare Solutions."

cs.LG↗

arXiv2025

BRIDGE: Benchmarking Large Language Models for Understanding Real-world Clinical Practice Text

Large language models (LLMs) hold great promise for medical applications and are evolving rapidly, with new models being released at an accelerated pace. However, benchmarking on large-scale real-world data such as electronic health records (EHRs) is critical, as clinical decisions are directly informed by these sources, yet current evaluations remain limited. Most existing benchmarks rely on medical exam-style questions or PubMed-derived text, failing to capture the complexity of real-world clinical data. Others focus narrowly on specific application scenarios, limiting their generalizability across broader clinical use. To address this gap, we present BRIDGE, a comprehensive multilingual benchmark comprising 87 tasks sourced from real-world clinical data sources across nine languages. It covers eight major task types spanning the entire continuum of patient care across six clinical stages and 20 representative applications, including triage and referral, consultation, information extraction, diagnosis, prognosis, and billing coding, and involves 14 clinical specialties. We systematically evaluated 95 LLMs (including DeepSeek-R1, GPT-4o, Gemini series, and Qwen3 series) under various inference strategies. Our results reveal substantial performance variation across model sizes, languages, natural language processing tasks, and clinical specialties. Notably, we demonstrate that open-source LLMs can achieve performance comparable to proprietary models, while medically fine-tuned LLMs based on older architectures often underperform versus updated general-purpose models. The BRIDGE and its corresponding leaderboard serve as a foundational resource and a unique reference for the development and evaluation of new LLMs in real-world clinical text understanding. The BRIDGE leaderboard: https://huggingface.co/spaces/YLab-Open/BRIDGE-Medical-Leaderboard

cs.CL↗

arXiv2025

BiasICL: In-Context Learning and Demographic Biases of Vision Language Models

Vision language models (VLMs) show promise in medical diagnosis, but their performance across demographic subgroups when using in-context learning (ICL) remains poorly understood. We examine how the demographic composition of demonstration examples affects VLM performance in two medical imaging tasks: skin lesion malignancy prediction and pneumothorax detection from chest radiographs. Our analysis reveals that ICL influences model predictions through multiple mechanisms: (1) ICL allows VLMs to learn subgroup-specific disease base rates from prompts and (2) ICL leads VLMs to make predictions that perform differently across demographic groups, even after controlling for subgroup-specific disease base rates. Our empirical results inform best-practices for prompting current VLMs (specifically examining demographic subgroup performance, and matching base rates of labels to target distribution at a bulk level and within subgroups), while also suggesting next steps for improving our theoretical understanding of these models.

cs.CV↗

arXiv2025

MedAgentBench: A Realistic Virtual EHR Environment to Benchmark Medical LLM Agents

Recent large language models (LLMs) have demonstrated significant advancements, particularly in their ability to serve as agents thereby surpassing their traditional role as chatbots. These agents can leverage their planning and tool utilization capabilities to address tasks specified at a high level. However, a standardized dataset to benchmark the agent capabilities of LLMs in medical applications is currently lacking, making the evaluation of LLMs on complex tasks in interactive healthcare environments challenging. To address this gap, we introduce MedAgentBench, a broad evaluation suite designed to assess the agent capabilities of large language models within medical records contexts. MedAgentBench encompasses 300 patient-specific clinically-derived tasks from 10 categories written by human physicians, realistic profiles of 100 patients with over 700,000 data elements, a FHIR-compliant interactive environment, and an accompanying codebase. The environment uses the standard APIs and communication infrastructure used in modern EMR systems, so it can be easily migrated into live EMR systems. MedAgentBench presents an unsaturated agent-oriented benchmark that current state-of-the-art LLMs exhibit some ability to succeed at. The best model (Claude 3.5 Sonnet v2) achieves a success rate of 69.67%. However, there is still substantial space for improvement which gives the community a next direction to optimize. Furthermore, there is significant variation in performance across task categories. MedAgentBench establishes this and is publicly available at https://github.com/stanfordmlgroup/MedAgentBench , offering a valuable framework for model developers to track progress and drive continuous improvements in the agent capabilities of large language models within the medical domain.

cs.LG↗

arXiv2024

Many-Shot In-Context Learning in Multimodal Foundation Models

Large language models are effective at few-shot in-context learning (ICL). Recent advancements in multimodal foundation models have enabled unprecedentedly long context windows, presenting an opportunity to explore their capability to perform ICL with many more demonstrating examples. In this work, we evaluate the performance of multimodal foundation models scaling from few-shot to many-shot ICL. We benchmark GPT-4o and Gemini 1.5 Pro across 14 datasets spanning multiple domains (natural imagery, medical imagery, remote sensing, and molecular imagery) and tasks (image classification, visual QA, and object localization). We observe that many-shot ICL, including up to almost 2,000 demonstrating examples, leads to substantial improvements compared to few-shot (<100 examples) ICL across all of the datasets. Further, Gemini 1.5 Pro performance continues to improve log-linearly up to the maximum number of tested examples on many datasets. We also find open-weights multimodal foundation models like Llama 3.2-Vision do not benefit from the demonstrating examples, highlighting an important gap between open and closed multimodal foundation models. Given the high inference costs required for many-shot ICL, we also explore the impact of batching multiple queries in a single API call. We show that batching up to 50 queries can lead to performance improvements under zero-shot and many-shot ICL, with substantial gains in the zero-shot setting on multiple datasets, while drastically reducing per-query cost and latency. Finally, while GPT-4o and Gemini 1.5 Pro achieve similar zero-shot performance across the datasets, Gemini 1.5 Pro learns more quickly than GPT-4o on most datasets. Our results suggest that many-shot ICL could enable users to efficiently adapt multimodal foundation models to new applications and domains. Our codebase is publicly available at https://github.com/stanfordmlgroup/ManyICL .

cs.LG↗