Continuous Training and Fine-tuning for Domain-Specific Language Models in Medical Question Answering
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Abstract (arXiv)
Large language models exhibit promising general capabilities but often lack specialized knowledge for domain-specific tasks. Developing domain experts from a base model enables a range of applications without prohibitive training costs. This work demonstrates a method using continuous training and instruction fine-tuning to rapidly adapt Llama 2 base models to the Chinese medical domain. We first conduct continuous training on 1B tokens from Chinese medical references to teach relevant vocabulary and knowledge. The models are then fine-tuned on 54K examples sourced from the Chinese National Medical Licensing Examination. Experiments on Chinese medical data confirm the effectiveness of this approach, producing a model comparable to GPT-3.5-turbo while using way less computational resource. The resulting domain-specific model could be useful for various Chinese medical applications. More broadly, this provides a template for domain-specific training of large language models in areas where pre-trained models lack the required expertise, such as law, science, and engineering.
Key facts. Cited by 4 papers in the map (data through 14 Oct 2026). Builds on 24 of its 34 references that are in the map. First posted on arXiv 1 Nov 2023.
Builds on
24 of 34 references.
References · 24
- 2020Language Models are Few-Shot Learnerscited by 32,419
- 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,380
- 2023LLaMA: Open and Efficient Foundation Language Modelscited by 14,132
- 2020Measuring Massive Multitask Language Understandingcited by 7,963
- 2020Scaling Laws for Neural Language Modelscited by 6,586
- 2016Overcoming catastrophic forgetting in neural networkscited by 4,787
- 2021Prefix-Tuning: Optimizing Continuous Prompts for Generationcited by 3,915
- 2022Training Compute-Optimal Large Language Modelscited by 3,019
- 2023A Survey of Large Language Modelscited by 2,576
- 2020Don't Stop Pretraining: Adapt Language Models to Domains and Taskscited by 1,565
- 2020What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Examscited by 1,356
- 2020Domain-Specific Language Model Pretraining for Biomedical Natural Language Processingcited by 1,009
12 more
- 2018Adafactor: Adaptive Learning Rates with Sublinear Memory Costcited by 905
- 2016Training Deep Nets with Sublinear Memory Costcited by 848
- 2022MedMCQA : A Large-scale Multi-Subject Multi-Choice Dataset for Medical domain Question Answeringcited by 543
- 2022BioGPT: Generative Pre-trained Transformer for Biomedical Text Generation and Miningcited by 538
- 2023ChatDoctor: A Medical Chat Model Fine-Tuned on a Large Language Model Meta-AI (LLaMA) Using Medical Domain Knowledgecited by 325
- 2023Continual Pre-Training of Large Language Models: How to (re)warm your model?cited by 137
- 2023Benchmarking Large Language Models on CMExam -- A Comprehensive Chinese Medical Exam Datasetcited by 91
- 2023A Brief Report on LawGPT 1.0: A Virtual Legal Assistant Based on GPT-3cited by 46
- 2023Huatuo-26M, a Large-scale Chinese Medical QA Datasetcited by 46
- 2022CSL: A Large-scale Chinese Scientific Literature Datasetcited by 45
- 2022Continual Training of Language Models for Few-Shot Learningcited by 33
- 2022GreenPLM: Cross-Lingual Transfer of Monolingual Pre-Trained Language Models at Almost No Costcited by 24
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