about
Shareable Clinical Large Language Model Built on Synthetic Clinical Notes (arxiv.org)
1 point by PaulHoule on Sep 11, 2023 | hide | past | pdf | 1 comment on HN

In plain words: Fake patient notes generated from public case reports let a clinical language model be trained and shared without privacy rules blocking real records. Tested on real notes and judged by doctors and a separate AI grader, it matched versions trained on actual patient notes.

Abstract · Publicly Shareable Clinical Large Language Model Built on Synthetic Clinical Notes

The development of large language models tailored for handling patients' clinical notes is often hindered by the limited accessibility and usability of these notes due to strict privacy regulations. To address these challenges, we first create synthetic large-scale clinical notes using publicly available case reports extracted from biomedical literature. We then use these synthetic notes to train our specialized clinical large language model, Asclepius. While Asclepius is trained on synthetic data, we assess its potential performance in real-world applications by evaluating it using real clinical notes. We benchmark Asclepius against several other large language models, including GPT-3.5-turbo and other open-source alternatives. To further validate our approach using synthetic notes, we also compare Asclepius with its variants trained on real clinical notes. Our findings convincingly demonstrate that synthetic clinical notes can serve as viable substitutes for real ones when constructing high-performing clinical language models. This conclusion is supported by detailed evaluations conducted by both GPT-4 and medical professionals. All resources including weights, codes, and data used in the development of Asclepius are made publicly accessible for future research. (https://github.com/starmpcc/Asclepius)

Sunjun Kweon, Junu Kim, Jiyoun Kim, Sujeong Im, Eunbyeol Cho, Seongsu Bae, Jungwoo Oh, Gyubok Lee, Jong Hak Moon, Seng Chan You, Seungjin Baek, Chang Hoon Han, et al.
arXiv:2309.00237 · cs.CL, cs.AI · submitted Sep 1, 2023 · updated Jul 29, 2024
abstract · pdf · html · ACL 2024 (Findings)

add comment on HN

… I remember working in a project that was trying to accomplish this with LSTM/GRU long before there were transformers. I dug up 80,000 abstracts of case reports from pubmed which were similar to clinical notes in some ways although very different in other ways (more literate, less weird abbreviations, more unusual conditions) We also had just three people working on it.