Preprint Open access
Large pretrained clinical models provide a practical way to reuse learned prior knowledge across hospitals by adapting models to them. In practice, a target hospital may only have a small labeled patient cohort, a setting commonly referred to as few-shot adaptation. This requires making multiple decisions, such as whic …
Preprint Open access
We investigate the scaling laws and compute-optimal training of physiological waveform foundation models (FMs). We train Aether, a family of over one hundred FMs ranging from 20M to 2.1B parameters, on up to 36.3M hours of physiological waveforms. We construct eight clinical prediction tasks from MIMIC-III and evaluate …
Preprint Open access
Clinical questions often depend on linking a patient's multimodal evidence to external biomedical knowledge, yet existing predictive systems rarely represent such links explicitly, so they can neither be traced to their evidence sources nor removed to measure their contributions. We present MM-KG (Multimodal Knowledge …
Preprint Open access
Time series captioning is a fundamental step in time series understanding and can also serve as the bridge between signal and natural language. Supervised fine-tuning (SFT) relies on a larger model's captions and cannot exceed their quality. Reinforcement learning (RL) can, but its rewards were designed for other modal …
Preprint Open access
A time series world model (TSWM) predicts a controlled system's state from its observed history and planned actions and exogenous inputs. Current approaches build forecasters with actions as covariates, trained and evaluated on prediction error under the executed plan. Yet world models compare unexecuted plans, but the …