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SubscribeThe Limited Impact of Medical Adaptation of Large Language and Vision-Language Models
Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare ten public "medical" LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting and supervised fine-tuning regimes for medical question-answering (QA). For instance, across all tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 22.7% of cases, reach a (statistical) tie in 36.8% of cases, and are significantly worse than their base models in the remaining 40.5% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately in zero-/few-shot prompting; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Meanwhile, we find that after fine-tuning on specific QA tasks, medical LLMs can show performance improvements, but the benefits do not carry over to tasks based on clinical notes. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.
RetrievalQA: Assessing Adaptive Retrieval-Augmented Generation for Short-form Open-Domain Question Answering
Adaptive retrieval-augmented generation (ARAG) aims to dynamically determine the necessity of retrieval for queries instead of retrieving indiscriminately to enhance the efficiency and relevance of the sourced information. However, previous works largely overlook the evaluation of ARAG approaches, leading to their effectiveness being understudied. This work presents a benchmark, RetrievalQA, comprising 1,271 short-form questions covering new world and long-tail knowledge. The knowledge necessary to answer the questions is absent from LLMs; therefore, external information must be retrieved to answer correctly. This makes RetrievalQA a suitable testbed to evaluate existing ARAG methods. We observe that calibration-based methods heavily rely on threshold tuning, while vanilla prompting is inadequate for guiding LLMs to make reliable retrieval decisions. Based on our findings, we propose Time-Aware Adaptive Retrieval (TA-ARE), a simple yet effective method that helps LLMs assess the necessity of retrieval without calibration or additional training. The dataset and code will be available at https://github.com/hyintell/RetrievalQA
Prompt Recursive Search: A Living Framework with Adaptive Growth in LLM Auto-Prompting
Large Language Models (LLMs) exhibit remarkable proficiency in addressing a diverse array of tasks within the Natural Language Processing (NLP) domain, with various prompt design strategies significantly augmenting their capabilities. However, these prompts, while beneficial, each possess inherent limitations. The primary prompt design methodologies are twofold: The first, exemplified by the Chain of Thought (CoT), involves manually crafting prompts specific to individual datasets, hence termed Expert-Designed Prompts (EDPs). Once these prompts are established, they are unalterable, and their effectiveness is capped by the expertise of the human designers. When applied to LLMs, the static nature of EDPs results in a uniform approach to both simple and complex problems within the same dataset, leading to the inefficient use of tokens for straightforward issues. The second method involves prompts autonomously generated by the LLM, known as LLM-Derived Prompts (LDPs), which provide tailored solutions to specific problems, mitigating the limitations of EDPs. However, LDPs may encounter a decline in performance when tackling complex problems due to the potential for error accumulation during the solution planning process. To address these challenges, we have conceived a novel Prompt Recursive Search (PRS) framework that leverages the LLM to generate solutions specific to the problem, thereby conserving tokens. The framework incorporates an assessment of problem complexity and an adjustable structure, ensuring a reduction in the likelihood of errors. We have substantiated the efficacy of PRS framework through extensive experiments using LLMs with different numbers of parameters across a spectrum of datasets in various domains. Compared to the CoT method, the PRS method has increased the accuracy on the BBH dataset by 8% using Llama3-7B model, achieving a 22% improvement.
Small but Mighty: Enhancing Time Series Forecasting with Lightweight LLMs
While LLMs have demonstrated remarkable potential in time series forecasting, their practical deployment remains constrained by excessive computational demands and memory footprints. Existing LLM-based approaches typically suffer from three critical limitations: Inefficient parameter utilization in handling numerical time series patterns; Modality misalignment between continuous temporal signals and discrete text embeddings; and Inflexibility for real-time expert knowledge integration. We present SMETimes, the first systematic investigation of sub-3B parameter SLMs for efficient and accurate time series forecasting. Our approach centers on three key innovations: A statistically-enhanced prompting mechanism that bridges numerical time series with textual semantics through descriptive statistical features; A adaptive fusion embedding architecture that aligns temporal patterns with language model token spaces through learnable parameters; And a dynamic mixture-of-experts framework enabled by SLMs' computational efficiency, adaptively combining base predictions with domain-specific models. Extensive evaluations across seven benchmark datasets demonstrate that our 3B-parameter SLM achieves state-of-the-art performance on five primary datasets while maintaining 3.8x faster training and 5.2x lower memory consumption compared to 7B-parameter LLM baselines. Notably, the proposed model exhibits better learning capabilities, achieving 12.3% lower MSE than conventional LLM. Ablation studies validate that our statistical prompting and cross-modal fusion modules respectively contribute 15.7% and 18.2% error reduction in long-horizon forecasting tasks. By redefining the efficiency-accuracy trade-off landscape, this work establishes SLMs as viable alternatives to resource-intensive LLMs for practical time series forecasting. Code and models are available at https://github.com/xiyan1234567/SMETimes.
DAFormer: Improving Network Architectures and Training Strategies for Domain-Adaptive Semantic Segmentation
As acquiring pixel-wise annotations of real-world images for semantic segmentation is a costly process, a model can instead be trained with more accessible synthetic data and adapted to real images without requiring their annotations. This process is studied in unsupervised domain adaptation (UDA). Even though a large number of methods propose new adaptation strategies, they are mostly based on outdated network architectures. As the influence of recent network architectures has not been systematically studied, we first benchmark different network architectures for UDA and newly reveal the potential of Transformers for UDA semantic segmentation. Based on the findings, we propose a novel UDA method, DAFormer. The network architecture of DAFormer consists of a Transformer encoder and a multi-level context-aware feature fusion decoder. It is enabled by three simple but crucial training strategies to stabilize the training and to avoid overfitting to the source domain: While (1) Rare Class Sampling on the source domain improves the quality of the pseudo-labels by mitigating the confirmation bias of self-training toward common classes, (2) a Thing-Class ImageNet Feature Distance and (3) a learning rate warmup promote feature transfer from ImageNet pretraining. DAFormer represents a major advance in UDA. It improves the state of the art by 10.8 mIoU for GTA-to-Cityscapes and 5.4 mIoU for Synthia-to-Cityscapes and enables learning even difficult classes such as train, bus, and truck well. The implementation is available at https://github.com/lhoyer/DAFormer.
Domain-Adaptive Continued Pre-Training of Small Language Models
Continued pre-training of small language models offers a promising path for domain adaptation with limited computational resources. I've investigated this approach within educational domains, evaluating it as a resource-efficient alternative to training models from scratch. Using a 125M parameter model, I demonstrate significant performance improvements through incremental training on 400 million tokens, followed by further training to reach 1 billion tokens. My approach includes comprehensive data preprocessing, memory-optimized training configurations, and benchmark-based evaluation. Results show notable gains in knowledge-intensive tasks (MMLU +8.1%) and contextual understanding (HellaSwag +7.6%), while revealing educational domain specialization trade-offs. I analyze token efficiency, catastrophic forgetting mitigation strategies, and scaling patterns. My findings suggest that thoughtful preprocessing and training methodologies enable meaningful improvements in language model capabilities even with constrained computational resources, opening pathways for domain-specific adaptation of smaller language models.
Demystifying Domain-adaptive Post-training for Financial LLMs
Domain-adaptive post-training of large language models (LLMs) has emerged as a promising approach for specialized domains such as medicine and finance. However, significant challenges remain in identifying optimal adaptation criteria and training strategies across varying data and model configurations. To address these challenges, we introduce FINDAP, a systematic and fine-grained investigation into domain-adaptive post-training of LLMs for the finance domain. Our approach begins by identifying the core capabilities required for the target domain and designing a comprehensive evaluation suite aligned with these needs. We then analyze the effectiveness of key post-training stages, including continual pretraining, instruction tuning, and preference alignment. Building on these insights, we propose an effective training recipe centered on a novel preference data distillation method, which leverages process signals from a generative reward model. The resulting model, Llama-Fin, achieves state-of-the-art performance across a wide range of financial tasks. Our analysis also highlights how each post-training stage contributes to distinct capabilities, uncovering specific challenges and effective solutions, providing valuable insights for domain adaptation of LLMs. Project page: https://github.com/SalesforceAIResearch/FinDap
Enhancing Source-Free Domain Adaptive Object Detection with Low-confidence Pseudo Label Distillation
Source-Free domain adaptive Object Detection (SFOD) is a promising strategy for deploying trained detectors to new, unlabeled domains without accessing source data, addressing significant concerns around data privacy and efficiency. Most SFOD methods leverage a Mean-Teacher (MT) self-training paradigm relying heavily on High-confidence Pseudo Labels (HPL). However, these HPL often overlook small instances that undergo significant appearance changes with domain shifts. Additionally, HPL ignore instances with low confidence due to the scarcity of training samples, resulting in biased adaptation toward familiar instances from the source domain. To address this limitation, we introduce the Low-confidence Pseudo Label Distillation (LPLD) loss within the Mean-Teacher based SFOD framework. This novel approach is designed to leverage the proposals from Region Proposal Network (RPN), which potentially encompasses hard-to-detect objects in unfamiliar domains. Initially, we extract HPL using a standard pseudo-labeling technique and mine a set of Low-confidence Pseudo Labels (LPL) from proposals generated by RPN, leaving those that do not overlap significantly with HPL. These LPL are further refined by leveraging class-relation information and reducing the effect of inherent noise for the LPLD loss calculation. Furthermore, we use feature distance to adaptively weight the LPLD loss to focus on LPL containing a larger foreground area. Our method outperforms previous SFOD methods on four cross-domain object detection benchmarks. Extensive experiments demonstrate that our LPLD loss leads to effective adaptation by reducing false negatives and facilitating the use of domain-invariant knowledge from the source model. Code is available at https://github.com/junia3/LPLD.
Summarizing Patients Problems from Hospital Progress Notes Using Pre-trained Sequence-to-Sequence Models
Automatically summarizing patients' main problems from daily progress notes using natural language processing methods helps to battle against information and cognitive overload in hospital settings and potentially assists providers with computerized diagnostic decision support. Problem list summarization requires a model to understand, abstract, and generate clinical documentation. In this work, we propose a new NLP task that aims to generate a list of problems in a patient's daily care plan using input from the provider's progress notes during hospitalization. We investigate the performance of T5 and BART, two state-of-the-art seq2seq transformer architectures, in solving this problem. We provide a corpus built on top of progress notes from publicly available electronic health record progress notes in the Medical Information Mart for Intensive Care (MIMIC)-III. T5 and BART are trained on general domain text, and we experiment with a data augmentation method and a domain adaptation pre-training method to increase exposure to medical vocabulary and knowledge. Evaluation methods include ROUGE, BERTScore, cosine similarity on sentence embedding, and F-score on medical concepts. Results show that T5 with domain adaptive pre-training achieves significant performance gains compared to a rule-based system and general domain pre-trained language models, indicating a promising direction for tackling the problem summarization task.
Taxonomy Adaptive Cross-Domain Adaptation in Medical Imaging via Optimization Trajectory Distillation
The success of automated medical image analysis depends on large-scale and expert-annotated training sets. Unsupervised domain adaptation (UDA) has been raised as a promising approach to alleviate the burden of labeled data collection. However, they generally operate under the closed-set adaptation setting assuming an identical label set between the source and target domains, which is over-restrictive in clinical practice where new classes commonly exist across datasets due to taxonomic inconsistency. While several methods have been presented to tackle both domain shifts and incoherent label sets, none of them take into account the common characteristics of the two issues and consider the learning dynamics along network training. In this work, we propose optimization trajectory distillation, a unified approach to address the two technical challenges from a new perspective. It exploits the low-rank nature of gradient space and devises a dual-stream distillation algorithm to regularize the learning dynamics of insufficiently annotated domain and classes with the external guidance obtained from reliable sources. Our approach resolves the issue of inadequate navigation along network optimization, which is the major obstacle in the taxonomy adaptive cross-domain adaptation scenario. We evaluate the proposed method extensively on several tasks towards various endpoints with clinical and open-world significance. The results demonstrate its effectiveness and improvements over previous methods.
AdaptDHM: Adaptive Distribution Hierarchical Model for Multi-Domain CTR Prediction
Large-scale commercial platforms usually involve numerous business domains for diverse business strategies and expect their recommendation systems to provide click-through rate (CTR) predictions for multiple domains simultaneously. Existing promising and widely-used multi-domain models discover domain relationships by explicitly constructing domain-specific networks, but the computation and memory boost significantly with the increase of domains. To reduce computational complexity, manually grouping domains with particular business strategies is common in industrial applications. However, this pre-defined data partitioning way heavily relies on prior knowledge, and it may neglect the underlying data distribution of each domain, hence limiting the model's representation capability. Regarding the above issues, we propose an elegant and flexible multi-distribution modeling paradigm, named Adaptive Distribution Hierarchical Model (AdaptDHM), which is an end-to-end optimization hierarchical structure consisting of a clustering process and classification process. Specifically, we design a distribution adaptation module with a customized dynamic routing mechanism. Instead of introducing prior knowledge for pre-defined data allocation, this routing algorithm adaptively provides a distribution coefficient for each sample to determine which cluster it belongs to. Each cluster corresponds to a particular distribution so that the model can sufficiently capture the commonalities and distinctions between these distinct clusters. Extensive experiments on both public and large-scale Alibaba industrial datasets verify the effectiveness and efficiency of AdaptDHM: Our model achieves impressive prediction accuracy and its time cost during the training stage is more than 50% less than that of other models.
