Knowledge of the medical decision process, which can be modeled as medical decision trees (MDTs), is critical to building clinical decision support systems. However, current MDT construction methods rely heavily on time-consuming and laborious manual annotation. To address this challenge, we propose PI-LoRA (Path-Integrated LoRA), a novel low-rank adaptation method for automatically extracting MDTs from clinical guidelines and textbooks. We integrate gradient path information to capture synergistic effects between different modules, enabling more effective and reliable rank allocation. This framework ensures that the most critical modules receive appropriate rank allocations while less important ones are pruned, resulting in a more efficient and accurate model for extracting medical decision trees from clinical texts. Extensive experiments on medical guideline datasets demonstrate that our PI-LoRA method significantly outperforms existing parameter-efficient fine-tuning approaches for the Text2MDT task, achieving better accuracy with substantially reduced model complexity. The proposed method achieves state-of-the-art results while maintaining a lightweight architecture, making it particularly suitable for clinical decision support systems where computational resources may be limited.

Although large language models (LLMs) have revolutionized natural language processing capabilities, their practical implementation as autonomous multi-agent systems (MAS) for industrial problem-solving encounters persistent barriers. Conventional MAS architectures are fundamentally restricted by inflexible, hand-crafted graph topologies that lack contextual responsiveness, resulting in diminished efficacy across varied academic and commercial workloads. To surmount these constraints, we introduce AMAS, a paradigm-shifting framework that redefines LLM-based MAS through a novel dynamic graph selector. This component autonomously identifies task-specific optimal graph configurations via lightweight LLM adaptation, eliminating the reliance on monolithic, universally applied structural templates. Instead, AMAS exploits the intrinsic properties of individual inputs to intelligently direct query trajectories through task-optimized agent pathways. Rigorous validation across question answering, mathematical deduction, and code generation benchmarks confirms that AMAS systematically exceeds state-of-the-art single-agent and multi-agent approaches across diverse LLM architectures. Our investigation establishes that context-sensitive structural adaptability constitutes a foundational requirement for high-performance LLM MAS deployments.

Pretrained Language Models (PLMs), though popular, have been diagnosed to encode bias against protected groups in the representations they learn, which may harm the prediction fairness of downstream models. Given that such bias is believed to be related to the amount of demographic information carried in the learned representations, this study aimed to quantify the awareness that a PLM (i.e., BERT) has regarding people’s protected attributes and augment BERT to improve prediction fairness of downstream models by inhibiting this awareness. Specifically, we developed a method to dynamically sample data to continue the pretraining of BERT and enable it to generate representations carrying minimal demographic information, which can be directly used as input to downstream models for fairer predictions. By experimenting on the task of classifying educational forum posts and measuring fairness between students of different gender or first-language backgrounds, we showed that, compared to a baseline without any additional pretraining, our method improved not only fairness (with a maximum improvement of 52.33%) but also accuracy (with a maximum improvement of 2.53%). Our method can be generalized to any PLM and demographic attributes. All the codes used in this study can be accessed via https://github.com/lsha49/FairBERT_deploy.