Vipin Chaudhary

Current approaches to LLM safety fundamentally rely on a brittle cat-and-mouse game of identifying and blocking known threats via guardrails. We argue for a fresh approach: robust safety comes not from enumerating what is harmful, but from deeply understanding what is safe. We introduce Trust The Typical (T3), a framework that operationalizes this principle by treating safety as an out-of-distribution (OOD) detection problem. T3 learns the distribution of acceptable prompts in a semantic space and flags any significant deviation as a potential threat. Unlike prior methods, it requires no training on harmful examples, yet achieves state-of-the-art performance across 18 benchmarks spanning toxicity, hate speech, jailbreaking, multilingual harms, and over-refusal, reducing false positive rates by up to 40x relative to specialized safety models. A single model trained only on safe English text transfers effectively to diverse domains and over 14 languages without retraining. Finally, we demonstrate production readiness by integrating a GPU-optimized version into vLLM, enabling continuous guardrailing during token generation with less than 6% overhead even under dense evaluation intervals on large-scale workloads.

As large language models (LLMs) become progressively more embedded in clinical decision-support, documentation, and patient-information systems, ensuring their privacy and trustworthiness has emerged as an imperative challenge for the healthcare sector. Fine-tuning LLMs on sensitive electronic health record (EHR) data improves domain alignment but also raises the risk of exposing patient information through model behaviors. In this work-in-progress, we present an exploratory empirical study on membership inference vulnerabilities in clinical LLMs, focusing on whether adversaries can infer if specific patient records were used during model training. Using a state-of-the-art clinical question-answering model, Llemr, we evaluate both canonical loss-based attacks and a domain-motivated paraphrasing-based perturbation strategy that more realistically reflects clinical adversarial conditions. Our preliminary findings reveal limited but measurable membership leakage, suggesting that current clinical LLMs provide partial resistance yet remain susceptible to subtle privacy risks that could undermine trust in clinical AI adoption. These results motivate continued development of context-aware, domain-specific privacy evaluations and defenses such as differential privacy fine-tuning and paraphrase-aware training, to strengthen the security and trustworthiness of healthcare AI systems.