Daily Papers

Recent advancements in large language model(LLM) performance on medical multiple choice question (MCQ) benchmarks have stimulated interest from healthcare providers and patients globally. Particularly in low-and middle-income countries (LMICs) facing acute physician shortages and lack of specialists, LLMs offer a potentially scalable pathway to enhance healthcare access and reduce costs. However, their effectiveness in the Global South, especially across the African continent, remains to be established. In this work, we introduce AfriMed-QA, the first large scale Pan-African English multi-specialty medical Question-Answering (QA) dataset, 15,000 questions (open and closed-ended) sourced from over 60 medical schools across 16 countries, covering 32 medical specialties. We further evaluate 30 LLMs across multiple axes including correctness and demographic bias. Our findings show significant performance variation across specialties and geographies, MCQ performance clearly lags USMLE (MedQA). We find that biomedical LLMs underperform general models and smaller edge-friendly LLMs struggle to achieve a passing score. Interestingly, human evaluations show a consistent consumer preference for LLM answers and explanations when compared with clinician answers.

Large language models (LLMs) have revolutionized language processing, delivering outstanding results across multiple applications. However, deploying LLMs on edge devices poses several challenges with respect to memory, energy, and compute costs, limiting their widespread use in devices such as mobile phones. A promising solution is to reduce the number of bits used to represent weights and activations. While existing works have found partial success at quantizing LLMs to lower bitwidths, e.g. 4-bit weights, quantizing activations beyond 16 bits often leads to large computational overheads due to poor on-device quantization support, or a considerable accuracy drop. Yet, 8-bit activations are very attractive for on-device deployment as they would enable LLMs to fully exploit mobile-friendly hardware, e.g. Neural Processing Units (NPUs). In this work, we make a first attempt to facilitate the on-device deployment of LLMs using integer-only quantization. We first investigate the limitations of existing quantization methods for on-device deployment, with a special focus on activation quantization. We then address these limitations by introducing a simple post-training quantization method, named MobileQuant, that extends previous weight equivalent transformation works by jointly optimizing the weight transformation and activation range parameters in an end-to-end manner. MobileQuant demonstrates superior capabilities over existing methods by 1) achieving near-lossless quantization on a wide range of LLM benchmarks, 2) reducing latency and energy consumption by 20\%-50\% compared to current on-device quantization strategies, 3) requiring limited compute budget, 4) being compatible with mobile-friendly compute units, e.g. NPU.