Thinking about GPT-3 In-Context Learning for Biomedical IE? Think Again
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
- 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,204
- 2020Language Models are Few-Shot Learnerscited by 32,199
- 2019Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformercited by 14,491
- 2019RoBERTa: A Robustly Optimized BERT Pretraining Approachcited by 13,266
- 2019Sentence-BERT: Sentence Embeddings using Siamese BERT-Networkscited by 9,049
- 2016"Why Should I Trust You?": Explaining the Predictions of Any Classifiercited by 5,040
- 2021Switch Transformers: Scaling to Trillion Parameter Models with Simple and Efficient Sparsitycited by 3,014
- 2019BioBERT: a pre-trained biomedical language representation model for biomedical text miningcited by 1,935
- 2019SciBERT: A Pretrained Language Model for Scientific Textcited by 1,404
- 2021Calibrate Before Use: Improving Few-Shot Performance of Language Modelscited by 1,371
- 2020Making Pre-trained Language Models Better Few-shot Learnerscited by 1,255
- 2021Scaling Language Models: Methods, Analysis & Insights from Training Gophercited by 1,199
17 more
- 2021What Makes Good In-Context Examples for GPT-3?cited by 1,184
- 2021Fantastically Ordered Prompts and Where to Find Them: Overcoming Few-Shot Prompt Order Sensitivitycited by 1,122
- 2020Domain-Specific Language Model Pretraining for Biomedical Natural Language Processingcited by 996
- 2019Publicly Available Clinical BERT Embeddingscited by 995
- 2020It's Not Just Size That Matters: Small Language Models Are Also Few-Shot Learnerscited by 668
- 2021Learning To Retrieve Prompts for In-Context Learningcited by 641
- 2022Using DeepSpeed and Megatron to Train Megatron-Turing NLG 530B, A Large-Scale Generative Language Modelcited by 557
- 2021True Few-Shot Learning with Language Modelscited by 343
- 2019Transfer Learning in Biomedical Natural Language Processing: An Evaluation of BERT and ELMo on Ten Benchmarking Datasetscited by 298
- 2021Constrained Language Models Yield Few-Shot Semantic Parserscited by 162
- 2021Cutting Down on Prompts and Parameters: Simple Few-Shot Learning with Language Modelscited by 139
- 2021SciFive: a text-to-text transformer model for biomedical literaturecited by 99
- 2020Automatically Identifying Words That Can Serve as Labels for Few-Shot Text Classificationcited by 98
- 2021Coherence boosting: When your pretrained language model is not paying enough attentioncited by 38
- 2021True Few-Shot Learning with Prompts -- A Real-World Perspectivecited by 38
- 2021GPT-3 Models are Poor Few-Shot Learners in the Biomedical Domaincited by 36
- 2021Exploring a Unified Sequence-To-Sequence Transformer for Medical Product Safety Monitoring in Social Mediacited by 9
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Citing papers per year: 2022: 4; 2023: 41; 2024: 24; 2025: 9; 2026: 5.
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- 2026Relation Extraction Capabilities of LLMs on Clinical Text: A Bilingual Evaluation for English and Turkish14 Jan 2026
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- 2025Relation Extraction Across Entire Books to Reconstruct Community Networks: The AffilKG Datasets16 May 2025
- 2025Towards Scalable and Cross-Lingual Specialist Language Models for Oncology11 Mar 2025
- 2025Enhancing LLMs for Identifying and Prioritizing Important Medical Jargons from Electronic Health Record Notes Utilizing Data Augmentation: A Comparative Study22 Feb 2025
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