mlsanityData to 7 Oct 2026

Thinking about GPT-3 In-Context Learning for Biomedical IE? Think Again

arXiv 2203.08410 ↗First posted 16 Mar 2022cs.CL cs.IRcited by 83

On the map: LLM reasoning → Clinical and biomedical applications

Abstract (arXiv)

The strong few-shot in-context learning capability of large pre-trained language models (PLMs) such as GPT-3 is highly appealing for application domains such as biomedicine, which feature high and diverse demands of language technologies but also high data annotation costs. In this paper, we present the first systematic and comprehensive study to compare the few-shot performance of GPT-3 in-context learning with fine-tuning smaller (i.e., BERT-sized) PLMs on two highly representative biomedical information extraction tasks, named entity recognition and relation extraction. We follow the true few-shot setting to avoid overestimating models' few-shot performance by model selection over a large validation set. We also optimize GPT-3's performance with known techniques such as contextual calibration and dynamic in-context example retrieval. However, our results show that GPT-3 still significantly underperforms compared to simply fine-tuning a smaller PLM. In addition, GPT-3 in-context learning also yields smaller gains in accuracy when more training data becomes available. Our in-depth analyses further reveal issues of the in-context learning setting that may be detrimental to information extraction tasks in general. Given the high cost of experimenting with GPT-3, we hope our study provides guidance for biomedical researchers and practitioners towards more promising directions such as fine-tuning small PLMs.

Key facts. Cited by 83 papers in the map (data through 7 Oct 2026). Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning. Builds on 29 of its 48 references that are in the map. First posted on arXiv 16 Mar 2022.

Builds on

29 of 48 references.

References · 29

  1. 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,204
  2. 2020Language Models are Few-Shot Learnerscited by 32,199
  3. 2019Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformercited by 14,491
  4. 2019RoBERTa: A Robustly Optimized BERT Pretraining Approachcited by 13,266
  5. 2019Sentence-BERT: Sentence Embeddings using Siamese BERT-Networkscited by 9,049
  6. 2016"Why Should I Trust You?": Explaining the Predictions of Any Classifiercited by 5,040
  7. 2021Switch Transformers: Scaling to Trillion Parameter Models with Simple and Efficient Sparsitycited by 3,014
  8. 2019BioBERT: a pre-trained biomedical language representation model for biomedical text miningcited by 1,935
  9. 2019SciBERT: A Pretrained Language Model for Scientific Textcited by 1,404
  10. 2021Calibrate Before Use: Improving Few-Shot Performance of Language Modelscited by 1,371
  11. 2020Making Pre-trained Language Models Better Few-shot Learnerscited by 1,255
  12. 2021Scaling Language Models: Methods, Analysis & Insights from Training Gophercited by 1,199
17 more
  1. 2021What Makes Good In-Context Examples for GPT-3?cited by 1,184
  2. 2021Fantastically Ordered Prompts and Where to Find Them: Overcoming Few-Shot Prompt Order Sensitivitycited by 1,122
  3. 2020Domain-Specific Language Model Pretraining for Biomedical Natural Language Processingcited by 996
  4. 2019Publicly Available Clinical BERT Embeddingscited by 995
  5. 2020It's Not Just Size That Matters: Small Language Models Are Also Few-Shot Learnerscited by 668
  6. 2021Learning To Retrieve Prompts for In-Context Learningcited by 641
  7. 2022Using DeepSpeed and Megatron to Train Megatron-Turing NLG 530B, A Large-Scale Generative Language Modelcited by 557
  8. 2021True Few-Shot Learning with Language Modelscited by 343
  9. 2019Transfer Learning in Biomedical Natural Language Processing: An Evaluation of BERT and ELMo on Ten Benchmarking Datasetscited by 298
  10. 2021Constrained Language Models Yield Few-Shot Semantic Parserscited by 162
  11. 2021Cutting Down on Prompts and Parameters: Simple Few-Shot Learning with Language Modelscited by 139
  12. 2021SciFive: a text-to-text transformer model for biomedical literaturecited by 99
  13. 2020Automatically Identifying Words That Can Serve as Labels for Few-Shot Text Classificationcited by 98
  14. 2021Coherence boosting: When your pretrained language model is not paying enough attentioncited by 38
  15. 2021True Few-Shot Learning with Prompts -- A Real-World Perspectivecited by 38
  16. 2021GPT-3 Models are Poor Few-Shot Learners in the Biomedical Domaincited by 36
  17. 2021Exploring a Unified Sequence-To-Sequence Transformer for Medical Product Safety Monitoring in Social Mediacited by 9

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Cited by year (2026 to 7 Oct)

Citing papers per year: 2022: 4; 2023: 41; 2024: 24; 2025: 9; 2026: 5.

83 papers.

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  1. 2022BioGPT: Generative Pre-trained Transformer for Biomedical Text Generation and Miningcited by 531
  2. 2022LLM-Planner: Few-Shot Grounded Planning for Embodied Agents with Large Language Modelscited by 459
  3. 2022Large Language Models are Few-Shot Clinical Information Extractorscited by 206
  4. 2023Grammar-Constrained Decoding for Structured NLP Tasks without Finetuningcited by 186
  5. 2023Large Language Models for Generative Information Extraction: A Surveycited by 183
  6. 2023SciMON: Scientific Inspiration Machines Optimized for Noveltycited by 174
  7. 2023Sources of Hallucination by Large Language Models on Inference Taskscited by 168
  8. 2023A Survey of Large Language Models in Medicine: Progress, Application, and Challengecited by 123
  9. 2023Large Language Model Is Not a Good Few-shot Information Extractor, but a Good Reranker for Hard Samples!cited by 119
  10. 2023Opportunities and Challenges for ChatGPT and Large Language Models in Biomedicine and Healthcited by 118
  11. 2023Guiding Large Language Models via Directional Stimulus Promptingcited by 94
  12. 2023Conversational Health Agents: A Personalized LLM-Powered Agent Frameworkcited by 91
38 more
  1. 2023A Survey of GPT-3 Family Large Language Models Including ChatGPT and GPT-4cited by 81
  2. 2023Benchmarking large language models for biomedical natural language processing applications and recommendationscited by 78
  3. 2023Can large language models build causal graphs?cited by 72
  4. 2023Can GPT-3 Perform Statutory Reasoning?cited by 71
  5. 2023CodeIE: Large Code Generation Models are Better Few-Shot Information Extractorscited by 67
  6. 2023GPT-RE: In-context Learning for Relation Extraction using Large Language Modelscited by 62
  7. 2023Self-Verification Improves Few-Shot Clinical Information Extractioncited by 52
  8. 2023A Practical Survey on Zero-shot Prompt Design for In-context Learningcited by 49
  9. 2023Aligning Instruction Tasks Unlocks Large Language Models as Zero-Shot Relation Extractorscited by 44
  10. 2023Language Models are Few-shot Learners for Prognostic Predictioncited by 37
  11. 2023When does In-context Learning Fall Short and Why? A Study on Specification-Heavy Taskscited by 37
  12. 2023Revisiting Large Language Models as Zero-shot Relation Extractorscited by 29
  13. 2024Open (Clinical) LLMs are Sensitive to Instruction Phrasingscited by 23
  14. 2024C-ICL: Contrastive In-context Learning for Information Extractioncited by 22
  15. 2023A Comprehensive Survey on Relation Extraction: Recent Advances and New Frontierscited by 21
  16. 2024Closing the gap between open-source and commercial large language models for medical evidence summarizationcited by 21
  17. 2024SciER: An Entity and Relation Extraction Dataset for Datasets, Methods, and Tasks in Scientific Documentscited by 20
  18. 2023Identifying and Extracting Rare Disease Phenotypes with Large Language Modelscited by 18
  19. 2023Large Language Models for Biomedical Knowledge Graph Construction: Information extraction from EMR notescited by 17
  20. 2022Multi-label Few-shot ICD Coding as Autoregressive Generation with Promptcited by 16
  21. 2023PubMed and Beyond: Biomedical Literature Search in the Age of Artificial Intelligencecited by 16
  22. 2024Few-shot clinical entity recognition in English, French and Spanish: masked language models outperform generative model promptingcited by 12
  23. 2024LLMs in Biomedicine: A study on clinical Named Entity Recognitioncited by 12
  24. 2023Measuring the Robustness of NLP Models to Domain Shiftscited by 11
  25. 2023Distilling Large Language Models for Biomedical Knowledge Extraction: A Case Study on Adverse Drug Eventscited by 11
  26. 2024Rethinking Skill Extraction in the Job Market Domain using Large Language Modelscited by 10
  27. 2023VicunaNER: Zero/Few-shot Named Entity Recognition using Vicunacited by 9
  28. 2023Semi-automatic Data Enhancement for Document-Level Relation Extraction with Distant Supervision from Large Language Modelscited by 9
  29. 2024Are Small Language Models Ready to Compete with Large Language Models for Practical Applications?cited by 9
  30. 2024LLM with Relation Classifier for Document-Level Relation Extractioncited by 8
  31. 2023Learning In-context Learning for Named Entity Recognitioncited by 7
  32. 2024Leveraging Large Language Models for Knowledge-free Weak Supervision in Clinical Natural Language Processingcited by 7
  33. 2025Empowering Healthcare Practitioners with Language Models: Structuring Speech Transcripts in Two Real-World Clinical Applicationscited by 7
  34. 2023Multimodal Question Answering for Unified Information Extractioncited by 6
  35. 2023Surpassing GPT-4 Medical Coding with a Two-Stage Approachcited by 6
  36. 2024Recall, Retrieve and Reason: Towards Better In-Context Relation Extractioncited by 6
  37. 2024SciDMT: A Large-Scale Corpus for Detecting Scientific Mentionscited by 6
  38. 2023Utilizing ChatGPT to Enhance Clinical Trial Enrollmentcited by 4

50 most cited of 83 All 83 (JSON)

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  3. 2024Can GPT Redefine Medical Understanding? Evaluating GPT on Biomedical Machine Reading Comprehension
  4. 2023Evaluation of ChatGPT Family of Models for Biomedical Reasoning and Classification
  5. 2024Can Open-Source LLMs Compete with Commercial Models? Exploring the Few-Shot Performance of Current GPT Models in Biomedical Tasks
  6. 2023Improving accuracy of GPT-3/4 results on biomedical data using a retrieval-augmented language model
  7. 2024Biomedical Large Languages Models Seem not to be Superior to Generalist Models on Unseen Medical Data
  8. 2025An evaluation of DeepSeek Models in Biomedical Natural Language Processing