[HN Gopher] Finetuning Large Language Models
       ___________________________________________________________________
        
       Finetuning Large Language Models
        
       Author : headalgorithm
       Score  : 181 points
       Date   : 2023-04-22 13:01 UTC (10 hours ago)
        
 (HTM) web link (magazine.sebastianraschka.com)
 (TXT) w3m dump (magazine.sebastianraschka.com)
        
       | bob1029 wrote:
       | We tried this for a while and stopped because it seemed like a
       | dead end.
       | 
       | Our use case was/is a text-to-sql bot that would provide domain-
       | specific output. Our domain is _very_ complex so any sort of off-
       | the-shelf AI SQL helper is a joke to us at best. My thinking goes
       | something like  "If your schema is so simple that you don't need
       | to think about FTing the model, why do you need its help writing
       | SQL in the first place? Your answers are probably on google
       | somewhere."
       | 
       | The perspective we have now is that the LLM is a probabilistic
       | text transformation engine that must _always_ be contextualized
       | by some external means. Clearly, if we could just include all of
       | our context  & it fits & it's cheap, we should just do this. But,
       | the reason anyone is thinking about FT in the first place is
       | because you can't fit the whole damn business in the prompt (or
       | because it's too expensive to do it at scale).
       | 
       | The approach we are looking into now is a classification front
       | end that attempts to discover the relevant business context being
       | referred to by the user's initial prompt. Once we detect our
       | classes, we look up the boilerplate text and incorporate it into
       | the final prompt.
       | 
       | So, instead of trying to align the Jupiter-scale model to your
       | business needs, leave it alone and build a smaller adapter layer
       | that can work with _any_ unmodified LLM.
        
         | vharuck wrote:
         | Are you documenting or sharing your progress anywhere? This
         | exactly describes something I've been asked to investigate.
        
           | bob1029 wrote:
           | I can't share anything much more specific than what I already
           | have, unfortunately.
           | 
           | All I can really add - Binary classification is like a super
           | power once you understand the statistics around it. If you
           | can find clever ways to combine _multiple_ binary
           | classifiers, you can quickly narrow down relevant context.
           | You can also use the statistics to do things like determine
           | if a query is too vague to be serviced by an LLM backend. You
           | can also answer questions like  "Why didn't we consider a
           | table or join when writing the user's query?".
        
         | gavi wrote:
         | I am currently taking a similar approach where we use an
         | embedding and vector query to create the context relevant to
         | the question the user posed and then throw it to the LLM. It's
         | a hit or miss, esp for look ups of relevant code literals.
        
         | leobg wrote:
         | Been working on the same thing. In my case, I generated
         | synthetic data based on the API's schema and trained a T5 on
         | that. Basically treated it as a translation problem from human
         | language to API.
        
       | epups wrote:
       | Interesting, but doesn't go into specific applications. Has
       | anyone heard about someone finetuning ChatGPT/GPT4 on sentiment
       | analysis, for example? I feel some benchmarks would be useful
       | when determining whether this is a worthwhile investment.
        
       | m3kw9 wrote:
       | In the article it says to translate German to English we should
       | use "Incontext learning prompt" like this:
       | 
       | Translate the following German sentences into English: Example 1:
       | German: "Ich liebe Eis." English: "I love ice cream." Example 2:
       | German: "Draussen ist es sturmisch und regnerisch" English: "It's
       | stormy and rainy outside Translate this sentence: German: "Wo ist
       | die naechste Supermarkt?"
       | 
       | Why is this needed when saying "Translate this to German: Hello
       | how are you" just works out of the box?
        
         | williamcotton wrote:
         | You're correct that GPT-3 and later can accomplish such tasks
         | with what is known as a zero-shot approach.
         | 
         | In-context learning with few-shot exemplars are needed for
         | things like encouraging responses that adhere to a certain JSON
         | data type.
        
         | [deleted]
        
         | potatoman22 wrote:
         | Few-shot learning typically works slightly better than zero-
         | shot learning. Look at tables 3 & 4 in this paper:
         | https://arxiv.org/pdf/2302.09210.pdf
        
       | JPKab wrote:
       | One of the topics he briefly touches on is indexing for vector
       | similarity based retrieval (essentially search).
       | 
       | Has anyone on HN tried replacing systems like Elasticsearch with
       | an LLM based index? Curious.
       | 
       | One of the systems at my startup is an elasticsearch based search
       | of a large corpus of structured data that contains larger text
       | fields.
        
         | ordersofmag wrote:
         | Yes, there's lots of folks doing this and currently it looks
         | like combining results from an LLM based index and a standard
         | text retrieval indexes (e.g. using BM25) may beat either alone.
         | Note that you can add and search LLM derived vectors from
         | within Elasticsearch: look up 'dense vector search' in the
         | docs. Check out the Haystack conference next week for lots of
         | discussion of current practices: https://haystackconf.com/2023/
        
           | JPKab wrote:
           | Thanks!
           | 
           | I've looked at haystack a little bit and was wondering how
           | involved it would be to set up for a research spike.
        
         | williamcotton wrote:
         | The LLM embedding approach has given me much better search
         | results than Elasticsearch.
         | 
         | Cost is definitely an issue.
        
       | cloudking wrote:
       | Has anyone solved a real business problem with LLMs that they
       | couldn't solve as efficiently before?
        
       | simonw wrote:
       | I still don't have a really good answer to this question:
       | 
       | If you want to be able to do Q&A against an existing corpus of
       | documentation, can fine-tuning an LLM on that documentation get
       | good results, or is that a waste of time compared to the trick
       | where you search for relevant content and paste that into a
       | prompt along with your question?
       | 
       | I see many people get excited about fine-tuning because they want
       | to solve this problem.
       | 
       | The best answer I've seen so far is in
       | https://github.com/openai/openai-cookbook/blob/main/examples...
       | 
       | > Although fine-tuning can feel like the more natural option--
       | training on data is how GPT learned all of its other knowledge,
       | after all--we generally do not recommend it as a way to teach the
       | model knowledge. Fine-tuning is better suited to teaching
       | specialized tasks or styles, and is less reliable for factual
       | recall. [...] In contrast, message inputs are like short-term
       | memory. When you insert knowledge into a message, it's like
       | taking an exam with open notes. With notes in hand, the model is
       | more likely to arrive at correct answers.
        
         | [deleted]
        
         | spenczar5 wrote:
         | I have similar questions for code assistance.
         | 
         | Github Copilot seems to be the most effective code assistant
         | currently. It seems to use many heuristics for figuring out
         | relevant snippets to include in prompts, like computing Jaccard
         | similarity of windows of the last 20 opened files. It also
         | tries some tree-sitter cleverness for some languages, but when
         | I snoop on the HTTP traffic it seems to almost always just give
         | up and only include the rest of a file as context.
         | 
         | I have wondered whether a model fine-tuned on my own code would
         | do much better, and be simpler. But perhaps building embeddings
         | and searching them (like in the article you linked) would be
         | superior.
         | 
         | Code assistants need to be super low latency though which maybe
         | complicates things too.
        
           | beebmam wrote:
           | What are you using to decrypt the TLS layer in your snooping?
        
             | spenczar5 wrote:
             | You can disable TLS cert verification when going through a
             | proxy in VSCode. There is an option to disable "strict
             | SSL". Then I run a man-in-the-middle HTTP proxy and capture
             | the traffic.
             | 
             | Also possible when using the Vim copilot plugin (or its
             | emacs port) which is pretty informative - you can see a lot
             | of the extra tricks the VSCode implementation uses.
        
             | tomduncalf wrote:
             | Proxyman is a fantastic piece of software for this on Max,
             | there's a free version which can snoop on up to 6 apps at a
             | time (it installs a root certificate)
        
           | thejosh wrote:
           | This is why Tabnine got e super excited, until I ran across
           | the issue where they think their results are better than what
           | the IDE gives you, which is incredibly annoying.
           | https://github.com/codota/tabnine-intellij/issues/18 . I
           | would be happy to pay, but it seems they are convinced their
           | way is best.
           | 
           | I honestly think that if you could have all your private code
           | indexed and accessible, this would be a game changer as it
           | has way better context.
        
             | spenczar5 wrote:
             | I think so too. I'm thinking about writing a little server
             | you would run as a sidecar process. It would tokenize your
             | code and build a local index in a vector DB. Client plugins
             | in IDEs would ask that server for similar code snippets,
             | with a short deadline for response, perhaps 1ms. Then the
             | plugins could assemble a prompt to send to a configurable
             | LLM backend, and do editor-specific code insertion or
             | suggestion or whatever. I use emacs, so I know how I want
             | that to work for me, but it must be different for others.
             | 
             | My open questions though are:
             | 
             | - does the tokenizer for the index need to be the same as
             | the one used by the LLM?
             | 
             | - is running a local LLM feasible, or should I just assume
             | prompts must sent over the network? This would affect
             | latency and privacy a lot.
             | 
             | - is fine tuning helpful? Or necessary, even, to ensure the
             | LLM only provides source code, and only in the target
             | language?
        
           | hebrox wrote:
           | I would really like to have something local, without running
           | into ChatGPT limits or costs. I looked at some text
           | generation models, but I couldn't find any where you can ask
           | a question and it generates the correct code.
           | 
           | Does anybody know if this is already available on Hugging
           | Face or somewhere else?
           | 
           | I'm using TypeScript, so my idea would be to finetune on all
           | used packages, maybe even all of the documentation as well.
           | 
           | I've created a small app where I create a prompt for an
           | eslint error and let ChatGPT come up with a git diff. I
           | manually feed that back to my application, it eslints and
           | compiles and if there are any errors, a new prompt is
           | generated. This works quite well.
           | 
           | GPT-4 is not available for me in the OpenAI API, so it's
           | quite cumbersome.
        
             | MacsHeadroom wrote:
             | The best option right now is SuperCOT 30B, a LoRA for LLaMA
             | trained on Chain-of-Thought coding questions and answers.
             | You will need at least 24GB of VRAM to load the 4bit GPTQ
             | quantized LoRA merged model* locally. https://huggingface.c
             | o/tsumeone/llama-30b-supercot-4bit-128g...
             | 
             | *The merged model contains the LoRA. Applying the LoRA over
             | a "raw" llama model uses more VRAM and does not allow for
             | full context in 24GB of VRAM.
        
         | thejosh wrote:
         | Langchain wrote about LLMs and SQL, and although it's about
         | SQL, it's still a great read, especially the references.
         | https://blog.langchain.dev/llms-and-sql/
         | 
         | I'm also super keen for the 32k API limit for OpenAI, that's
         | going to be great.
        
         | lumost wrote:
         | With search, you don't know if the model/search engine will
         | retrieve the right context. With fine tuning you don't know if
         | it will forget important info, or learn incorrect things.
        
           | kordlessagain wrote:
           | With search, you can "tune" the query by using related
           | references to the documents.
           | 
           | Ideally, we include documents that are relevant to the topics
           | at hand and eliminate documents that aren't. Using prompt
           | chaining, or an iterative process of labeling and extracting
           | features, we may be able to increase the efficiency of the
           | final prompt.
           | 
           | Obviously this increases costs, but so does repeated fine-
           | tuning.
        
         | furyofantares wrote:
         | As long as the search part of search + prompt is good, the
         | prompt part will emit accurate results or will say it couldn't
         | find the answer. You can also cite the sources this way.
         | 
         | It seems pretty expensive because you may be pasting a lot of
         | context into each query. If you allow the user to have follow
         | up queries and you want to retain context of the conversation
         | that seems expensive too. But it does seem like it should give
         | the best results for Q&A as long as question is directly
         | answered in your data somewhere.
        
         | amluto wrote:
         | An answer from OpenAI will be very biased. OpenAI will happily
         | take your money to query their models with long prompts. They
         | will also happily take your money to compute embeddings and
         | thus help you search (and lock you in!).
         | 
         | But, as far as I know, OpenAI will not help you fine-tune, they
         | will not run a fine-tuned model for you, and they would
         | probably prefer that you use their models over open models that
         | can be fine tuned.
         | 
         | (None of this is to say that fine tuning is better. I'm just
         | saying that OpenAI has a strong commercial bias.)
        
           | spenczar5 wrote:
           | What about their fine tuning API?
           | https://platform.openai.com/docs/guides/fine-tuning
        
             | sysstemlord wrote:
             | I saw a video tutorial about it and if i understood
             | correctly, the API will automatically include whatever you
             | "tuned" in the prompt, making it just as costly i guess.
             | But i could be wrong as it was late and i was getting
             | sleepy.
        
             | amluto wrote:
             | Interesting. But not supported for their chat models.
             | 
             | I like how the fine-tuning page talks about how fine tuning
             | is supposedly better, though.
        
         | dragonwriter wrote:
         | > If you want to be able to do Q&A against an existing corpus
         | of documentation, can fine-tuning an LLM on that documentation
         | get good results, or is that a waste of time compared to the
         | trick where you search for relevant content and paste that into
         | a prompt along with your question?
         | 
         | If you want exact detailed recall, then using a framework that
         | provides search and recall (by embeddings or otherwise) is
         | probably always going to beat fine tuning, but also remember,
         | it doesn't have to be either-or.
         | 
         | I mean, if you want a person to handle Q&A on a corpus, is it
         | better for them to have studied it, or have direct access to
         | the corpus with an appropriate index? The answer is clearly
         | that its better if they've trained _and_ have access to the
         | corpus, and while LLMs _aren't_ the same as people, I think the
         | answer for them is the same here.
        
         | lukev wrote:
         | The search+prompt approach has another benefit, which is that
         | allows a chat interface to "cite it's source", something you
         | really can't do with just parameters (fine-tuned or not.)
         | 
         | Although a lot of people are working on hallucination
         | reduction, I think we're a long way off from that in the
         | general case. So having the ability to point to a real piece of
         | data, outside the model, is important for applications where
         | accuracy matters.
        
           | vharuck wrote:
           | I've done that with the rough Q&A tool I made. I include
           | links to websites or documents not so much for verification,
           | but because I work with government info and the devil's in
           | the details. The Q&A is more like a smart search engine, with
           | the summarized answer being a nice bonus.
        
         | kaycebasques wrote:
         | > the trick where you search for relevant content and paste
         | that into a prompt
         | 
         | Supabase Clippy was the first docs site to ship this experience
         | to production as far as I can tell:
         | https://supabase.com/blog/chatgpt-supabase-docs
         | 
         | I believe they called it "context injection" and I have been
         | following suit in my own writing on the topic.
         | 
         | I am prototyping experiences like Supabase Clippy and am also
         | very interested in fine-tuning for docs Q&A. But my main
         | question is: what exactly would the fine-tuning inputs and
         | outputs look like for docs Q&A?
         | 
         | Edit: For Q&A the question is the input and the answer is the
         | desired output? Is that right?
         | 
         | A more general comment about fine-tuning for docs from my blog:
         | 
         | > AI is all about prediction. Given this temperature, this
         | wind, this day of the year, what is the chance of rain?
         | Temperature, wind, and date are your inputs. Chance of rain is
         | your desired output. Now, try to apply this same type of
         | thinking towards documentation. What are your inputs? What's
         | your output? The page title and code block could be your
         | inputs. Whether or not the code builds could be your output. Or
         | maybe the code block should be the output? This is why I keep
         | saying that applying fine-tuning to docs is tricky. What are
         | the inputs and outputs?
         | 
         | https://technicalwriting.tools/posts/ten-principles-response...
         | 
         | (I am an AI n00b and have not looked deeply into how fine-
         | tuning works but it's high on my list to experiment with
         | OpenAI's fine-tuning API. Please LMK if I am getting any
         | fundamentals wrong.)
        
           | RockyMcNuts wrote:
           | Which OpenAI fine-tuning API? I don't think fine-tuning is
           | currently available for GPT-4
           | 
           | https://help.openai.com/en/articles/7127982-can-i-fine-
           | tune-...
        
             | [deleted]
        
         | crosen99 wrote:
         | It's amazing how much misinformation and vague information
         | there is on this topic. I tried getting to the bottom of this
         | in the following post in the OpenAI forum:
         | 
         | https://community.openai.com/t/fine-tuning-myths-openai-docu...
         | 
         | Bottom line is that fine-tuning does not seem to be a feasible
         | option for adding new knowledge to a model for question
         | answering.
        
           | saurik wrote:
           | I liked this video:
           | 
           | https://youtu.be/9qq6HTr7Ocw
           | 
           | "OpenAI Q&A: Finetuning GPT-3 vs. Semantic Search - which to
           | use, when, and why?"
        
           | bitL wrote:
           | My research shows otherwise. Tuning via transformer adapters
           | pretty much added new knowledge to QA models or could be used
           | for adversarial QA training. You can throw away learned
           | adapters anytime and retrain from scratch with new
           | information if your adapters become stale. Fine-tuning is
           | cheap and small (e.g. 60kB data in an adapter). You can
           | customize it in production for each individual customer as
           | well by swapping adapters at the time of inference.
           | Embeddings for very short-term facts and adapters for medium-
           | long-term info seems like the best combination.
        
             | pumanoir wrote:
             | You mean like what's described in this blog post, correct?
             | 
             | https://adapterhub.ml/blog/2022/03/adapter-
             | transformers-v3-u...
        
               | bitL wrote:
               | Yes, those adapters. There are many types now, most
               | recently LLaMA adapter:
               | 
               | https://arxiv.org/abs/2303.16199
        
             | crosen99 wrote:
             | Could you link to your research and/or describe the models,
             | libraries, data and tests you used for this?
        
       | mountainriver wrote:
       | Nice overview, the parameter efficient fine tuning space is
       | heating up. It's been interesting to watch fine tuning go from a
       | binary choice to a spectrum. With the context window also
       | continuing to grow LLMs are entering a whole new era.
       | 
       | I imagine down the road we may learn what to tune into models
       | dynamically and how deep it needs to go. Or maybe the context
       | window becomes a sort of rapidly trained thin NN layer on top
       | like we've seen in diffusion models
        
       | binarymax wrote:
       | Spoiler alert: this covers fine tuning encoder-only models (BERT)
       | and not GPT models - which will be done in a later post. The
       | former has been covered by many examples and articles over the
       | past several years, and I was hoping for some insights on LoRA
       | and fine tuning of GPT. Looking forward to reading the next
       | article!
        
       | npsomaratna wrote:
       | I've paid attention to the evolution of LLMs for a while now. I
       | wonder if the need to fine-tune LLMs will become a thing of the
       | past for many (if not most) use-cases.
       | 
       | Take GPT-4, for example. GPT-4's zero-shot prompt performance is
       | excellent. It capably handles tons of tasks--even in specialized
       | domains such as medicine and law. (Note: I'm a doctor and lawyer
       | both.) I can see future LLMs being even more capable.
       | 
       | In fact, I see LLMs as platforms rather than products. Take
       | smartphones: you have just two dominant platforms, iOS and
       | Android. An entire ecosystem of apps runs on them. A software-
       | only example might be web browsers: Chrome (and chromium
       | browsers) and Firefox. These are the platforms on which millions
       | of web applications run. I see LLMs ending up this way: a few
       | platform providers, and a much vaster ecosystem of "apps" built
       | on them.
       | 
       | This also implies something else: the "fine-tuning data" moat you
       | thought your organization might have had might not be a moat at
       | all. "Foundation" LLMs will become so good that everyone else
       | will be able to do what you're doing. You'll have to compete the
       | old-fashioned way: by building a better product, and crushing
       | sales and marketing.
        
         | auggierose wrote:
         | If you have many prompt-completion pairs, then fine-tuning
         | seems to be the better approach, because of the limited context
         | size of prompting. I am experimenting with LLMs as well, and
         | for small examples few-shot prompting works miraculously well
         | for my purposes, even with gpt-3.5-turbo. But I am hitting the
         | 4k context size quickly, and even 32k is not enough for a
         | serious application. That's why I will also look at fine-
         | tuning, mainly to escape the context size limitation.
         | 
         | Edit: This affects every use case where each prompt-completion
         | pair provides new and essential information that the model
         | needs to take into account.
        
           | npsomaratna wrote:
           | Depends: can you give an example where 32k would be
           | necessary? In my experience, GPT-4 often outputs what you
           | expect, even without any prompt:completion examples. (Unlike
           | GPT-3.5-turbo--which in my opinion is even less capable than
           | text-davinci-003 / 002). If you have complex requirements,
           | you could just chain together multiple calls to GPT-4?
           | 
           | Now, the _cost_ of GPT-4 is an issue. I hope that open-source
           | models such those released by Stability AI reach the same
           | level of quality as (at least) GPT-3.5-turbo soon. That would
           | be a game changer.
        
             | MacsHeadroom wrote:
             | >GPT-3.5-turbo--which in my opinion is even less capable
             | than text-davinci-003 / 002
             | 
             | Not just opinion, GPT-3.5 Turbo is demonstrably worse at
             | just about everything except providing so called "safe" and
             | "aligned" replies to questions.
        
             | auggierose wrote:
             | For my use case, GPT-3.5 quality seems enough, as it
             | already delivers nearly 100% optimal output, and GPT-4
             | wouldn't be much of an improvement. On the other hand, an
             | upper bound of 8k or even 32k context is just not
             | acceptable for my use case.
             | 
             | I tried out da-vinci, which also works fine, but models
             | below da-vinci don't work well for my use case.
        
               | aix1 wrote:
               | Would you be willing to say a few words about the nature
               | of your use cases?
        
             | pilotneko wrote:
             | Here is a very real example where 32k tokens is not enough:
             | predicting discharge disposition for a long stay inpatient.
             | A 30-day hospital stay can produce over 1,000 clinical
             | notes.
        
               | avereveard wrote:
               | Is this a joke? Medical data should stay the hell away
               | from gpt servers
        
               | pilotneko wrote:
               | OpenAI will sign a business agreement and run an instance
               | with isolated servers, for HIPAA compliance. That being
               | said, you can run LLMs on-prem.
        
               | avereveard wrote:
               | citation needed. specifically regarding gpt4 and not the
               | other models, since that was your claim.
               | 
               | > That being said, you can run LLMs on-prem.
               | 
               | how is this relevant at all? it's just dodging the
               | question, since the claim was about gpt4 32k tokens and
               | not the crop of generic models that we have now availabe
               | on prem (and which don't support 32k token anyway)
        
               | og_kalu wrote:
               | https://arstechnica.com/information-
               | technology/2023/04/gpt-4...
        
               | avereveard wrote:
               | from that source we find descriptions of two features
               | 
               | "enhancements to automatically draft message responses"
               | 
               | "Another solution will bring natural language queries to
               | SlicerDicer"
               | 
               | neither of which needs 32k token nor to see the patient
               | records
               | 
               | also, foot note 1
               | 
               | "users of Azure and Azure OpenAI Service are responsible
               | for ensuring the regulatory compliance of their use"
               | 
               | there is zero claim of actual compliances of these
               | services for handling sensitive or regulated data.
               | 
               | now I understand the enthusiasm, but at least don't waste
               | people time with sources that are, at best, tangential,
               | and don't provide any substance to the discussion
        
               | og_kalu wrote:
               | Did you read the thing or what ?
               | 
               | "The second use will bring natural language queries and
               | "data analysis" to SlicerDicer, which is Epic's data-
               | exploration tool that allows searches across large
               | numbers of patients to identify trends that could be
               | useful for making new discoveries or for financial
               | reasons. According to Microsoft, that will help "clinical
               | leaders explore data in a conversational and intuitive
               | way.""
               | 
               | Do you not understand what natural language queries on
               | external data by access of/enabled by GPT-4 means/entails
               | ?
               | 
               | The only thing worse than being condescending is being
               | condescending and wrong.
        
               | avereveard wrote:
               | yes, it seems you haven't been understanding what's
               | written
               | 
               | that means natural language will understand user request
               | and write queries for SlicerDicer data backend, not that
               | data is sent to the llm for analysis.
               | 
               | it writes queries, don't receive data.
        
               | jerrygenser wrote:
               | When you say prediction my discharge disposition do you
               | mean extracting from the document a statement of what the
               | discharge disposition was? Or do you mean based on m
               | extracted clinical characteristics, predicting what it
               | should be?
               | 
               | For extracting what it was if it's in the document, you
               | can use the indexing approach described in the article.
               | For predicting what it should be, you'd probably be
               | better off using llm as an extraction mechanism and then
               | using structured data models to classify discharge
               | disposition
        
               | pilotneko wrote:
               | The latter, not the former. The former is extraction, not
               | prediction.
               | 
               | A lot of factors go into predicting the post-acute care
               | route that results in the best outcome. You are correct
               | that it would be possible to create features using an
               | LLM, but that is a very difficult problem compared to
               | simply treating the problem as a sequence classification.
        
               | jerrygenser wrote:
               | Agreed that there are better approaches than LLm to solve
               | this problem There are deep learning and sequence models
               | that are focused on this task using extracted structured
               | info. Wouldn't you be better off using llm or any
               | extraction + linking model to identify medical concepts
               | and then a model that only understands medical concepts
               | in order to do predict the next medical concepts.
        
               | lmeyerov wrote:
               | You can do layered retrieval and summarization/embeddings
               | to fit within the context bounds. Conceptually it's not
               | far from what a clinician would do anyway. By switching
               | from a naive one shot prompt with big context to
               | interactive (multiple calls) and summaries, no need to
               | retrain
               | 
               | But yeah my money is on context windows getting bigger
               | and frameworks smoothing out how to do the above
               | automatically, So it feels like a point in time
               | optimization right now That will be tech debt by the end
               | of the year
        
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