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Mar 21

Improving the Model Consistency of Decentralized Federated Learning

To mitigate the privacy leakages and communication burdens of Federated Learning (FL), decentralized FL (DFL) discards the central server and each client only communicates with its neighbors in a decentralized communication network. However, existing DFL suffers from high inconsistency among local clients, which results in severe distribution shift and inferior performance compared with centralized FL (CFL), especially on heterogeneous data or sparse communication topology. To alleviate this issue, we propose two DFL algorithms named DFedSAM and DFedSAM-MGS to improve the performance of DFL. Specifically, DFedSAM leverages gradient perturbation to generate local flat models via Sharpness Aware Minimization (SAM), which searches for models with uniformly low loss values. DFedSAM-MGS further boosts DFedSAM by adopting Multiple Gossip Steps (MGS) for better model consistency, which accelerates the aggregation of local flat models and better balances communication complexity and generalization. Theoretically, we present improved convergence rates small Obig(1{KT}+1{T}+1{K^{1/2}T^{3/2}(1-lambda)^2}big) and small Obig(1{KT}+1{T}+lambda^Q+1{K^{1/2}T^{3/2}(1-lambda^Q)^2}big) in non-convex setting for DFedSAM and DFedSAM-MGS, respectively, where 1-lambda is the spectral gap of gossip matrix and Q is the number of MGS. Empirically, our methods can achieve competitive performance compared with CFL methods and outperform existing DFL methods.

Towards Robust and Efficient Cloud-Edge Elastic Model Adaptation via Selective Entropy Distillation

The conventional deep learning paradigm often involves training a deep model on a server and then deploying the model or its distilled ones to resource-limited edge devices. Usually, the models shall remain fixed once deployed (at least for some period) due to the potential high cost of model adaptation for both the server and edge sides. However, in many real-world scenarios, the test environments may change dynamically (known as distribution shifts), which often results in degraded performance. Thus, one has to adapt the edge models promptly to attain promising performance. Moreover, with the increasing data collected at the edge, this paradigm also fails to further adapt the cloud model for better performance. To address these, we encounter two primary challenges: 1) the edge model has limited computation power and may only support forward propagation; 2) the data transmission budget between cloud and edge devices is limited in latency-sensitive scenarios. In this paper, we establish a Cloud-Edge Elastic Model Adaptation (CEMA) paradigm in which the edge models only need to perform forward propagation and the edge models can be adapted online. In our CEMA, to reduce the communication burden, we devise two criteria to exclude unnecessary samples from uploading to the cloud, i.e., dynamic unreliable and low-informative sample exclusion. Based on the uploaded samples, we update and distribute the affine parameters of normalization layers by distilling from the stronger foundation model to the edge model with a sample replay strategy. Extensive experimental results on ImageNet-C and ImageNet-R verify the effectiveness of our CEMA.

Exploring Parameter-Efficient Fine-Tuning to Enable Foundation Models in Federated Learning

Federated learning (FL) has emerged as a promising paradigm for enabling the collaborative training of models without centralized access to the raw data on local devices. In the typical FL paradigm (e.g., FedAvg), model weights are sent to and from the server each round to participating clients. Recently, the use of small pre-trained models has been shown to be effective in federated learning optimization and improving convergence. However, recent state-of-the-art pre-trained models are getting more capable but also have more parameters, known as the "Foundation Models." In conventional FL, sharing the enormous model weights can quickly put a massive communication burden on the system, especially if more capable models are employed. Can we find a solution to enable those strong and readily available pre-trained models in FL to achieve excellent performance while simultaneously reducing the communication burden? To this end, we investigate the use of parameter-efficient fine-tuning in federated learning and thus introduce a new framework: FedPEFT. Specifically, we systemically evaluate the performance of FedPEFT across a variety of client stability, data distribution, and differential privacy settings. By only locally tuning and globally sharing a small portion of the model weights, significant reductions in the total communication overhead can be achieved while maintaining competitive or even better performance in a wide range of federated learning scenarios, providing insight into a new paradigm for practical and effective federated systems.

The impact of using an AI chatbot to respond to patient messages

Documentation burden is a major contributor to clinician burnout, which is rising nationally and is an urgent threat to our ability to care for patients. Artificial intelligence (AI) chatbots, such as ChatGPT, could reduce clinician burden by assisting with documentation. Although many hospitals are actively integrating such systems into electronic medical record systems, AI chatbots utility and impact on clinical decision-making have not been studied for this intended use. We are the first to examine the utility of large language models in assisting clinicians draft responses to patient questions. In our two-stage cross-sectional study, 6 oncologists responded to 100 realistic synthetic cancer patient scenarios and portal messages developed to reflect common medical situations, first manually, then with AI assistance. We find AI-assisted responses were longer, less readable, but provided acceptable drafts without edits 58% of time. AI assistance improved efficiency 77% of time, with low harm risk (82% safe). However, 7.7% unedited AI responses could severely harm. In 31% cases, physicians thought AI drafts were human-written. AI assistance led to more patient education recommendations, fewer clinical actions than manual responses. Results show promise for AI to improve clinician efficiency and patient care through assisting documentation, if used judiciously. Monitoring model outputs and human-AI interaction remains crucial for safe implementation.

Synthetic Patients: Simulating Difficult Conversations with Multimodal Generative AI for Medical Education

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

Large Content And Behavior Models To Understand, Simulate, And Optimize Content And Behavior

Shannon, in his seminal paper introducing information theory, divided the communication into three levels: technical, semantic, and effectivenss. While the technical level is concerned with accurate reconstruction of transmitted symbols, the semantic and effectiveness levels deal with the inferred meaning and its effect on the receiver. Thanks to telecommunications, the first level problem has produced great advances like the internet. Large Language Models (LLMs) make some progress towards the second goal, but the third level still remains largely untouched. The third problem deals with predicting and optimizing communication for desired receiver behavior. LLMs, while showing wide generalization capabilities across a wide range of tasks, are unable to solve for this. One reason for the underperformance could be a lack of "behavior tokens" in LLMs' training corpora. Behavior tokens define receiver behavior over a communication, such as shares, likes, clicks, purchases, retweets, etc. While preprocessing data for LLM training, behavior tokens are often removed from the corpora as noise. Therefore, in this paper, we make some initial progress towards reintroducing behavior tokens in LLM training. The trained models, other than showing similar performance to LLMs on content understanding tasks, show generalization capabilities on behavior simulation, content simulation, behavior understanding, and behavior domain adaptation. Using a wide range of tasks on two corpora, we show results on all these capabilities. We call these models Large Content and Behavior Models (LCBMs). Further, to spur more research on LCBMs, we release our new Content Behavior Corpus (CBC), a repository containing communicator, message, and corresponding receiver behavior.