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Yuting Song

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2 papers

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AAAI Conference 2026 Conference Paper

Note2Chat: Improving LLMs for Multi-Turn Clinical History Taking Using Medical Notes

Yang Zhou
Zhenting Sheng
Mingrui Tan
Yuting Song
Jun Zhou
Yu Heng Kwan
Lian Leng Low
Yang Bai

Effective clinical history taking is a foundational yet underexplored component of clinical reasoning. While large language models (LLMs) have shown promise on static benchmarks, they often fall short in dynamic, multi-turn diagnostic settings that require iterative questioning and hypothesis refinement. To address this gap, we propose Note2Chat, a note-driven framework that trains LLMs to conduct structured history taking and diagnosis by learning from widely available medical notes. Instead of relying on scarce and sensitive dialogue data, we convert real-world medical notes into high-quality doctor-patient dialogues using a decision tree-guided generation and refinement pipeline. We then propose a three-stage fine-tuning strategy combining supervised learning, simulated data augmentation, and preference learning. Furthermore, we propose a novel single-turn reasoning paradigm that reframes history taking as a sequence of single-turn reasoning problems. This design enhances interpretability and enables local supervision, dynamic adaptation, and greater sample efficiency. Experimental results show that our method substantially improves clinical reasoning, achieving gains of +16.9 F1 and +21.0 Top-1 diagnostic accuracy over GPT-4o.

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AAAI Conference 2026 Conference Paper

R-Tuning: Wavelet-Decomposed Replay and Semantic Alignment for Continual Adaptation of Pretrained Time-Series Models

Tianyi Yin
Jingwei Wang
Chenze Wang
Han Wang
Jiexuan Cai
Min Liu
Yunlong Ma
Kun Gao

Pre-trained models have demonstrated exceptional generalization capabilities in time-series forecasting; however, adapting them to evolving data distributions remains a significant challenge. A key hurdle lies in accessing the original training data, as fine-tuning solely on new data often leads to catastrophic forgetting. To address this issue, we propose Replay Tuning (R-Tuning), a novel framework designed for the continual adaptation of pre-trained time-series models. R-Tuning constructs a unified latent space that captures both prior and current task knowledge through a frequency-aware replay strategy. Specifically, it augments model-generated samples via wavelet-based decomposition across multiple frequency bands, generating trend-preserving and fusion-enhanced variants to improve representation diversity and replay efficiency. To further reduce reliance on synthetic samples, R-Tuning introduces a latent consistency constraint that aligns new representations with the prior task space. This constraint guides joint optimization within a compact and semantically coherent latent space, ensuring robust knowledge retention and adaptation. Extensive experimental results demonstrate the superiority of R-Tuning, which reduces MAE and MSE by up to 46.9% and 46.8%, respectively, on new tasks, while preserving prior knowledge with gains of up to 5.7% and 6.0% on old tasks. Notably, under few-shot settings, R-Tuning outperforms all state-of-the-art baselines even when synthetic proxy samples account for only 5% of the new task dataset.

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