# From Generalist to Specialist: Improving Large Language Models for Medical Physics Using ARCoT

arXiv: https://arxiv.org/abs/2405.11040 · HTML: https://mlsanity.com/paper/2405.11040/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 22 of its 33 references that are in the map.
- First posted on arXiv 17 May 2024.

## Builds on (most cited first, 22 of 22)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Lost in the Middle: How Language Models Use Long Contexts](https://mlsanity.com/paper/2307.03172/) (2023)
- [Fine-Tuning Language Models from Human Preferences](https://mlsanity.com/paper/1909.08593/) (2019)
- [A Multitask, Multilingual, Multimodal Evaluation of ChatGPT on Reasoning, Hallucination, and Interactivity](https://mlsanity.com/paper/2302.04023/) (2023)
- [Multimodal Chain-of-Thought Reasoning in Language Models](https://mlsanity.com/paper/2302.00923/) (2023)
- [An Empirical Investigation of Catastrophic Forgetting in Gradient-Based Neural Networks](https://mlsanity.com/paper/1312.6211/) (2013)
- [An Empirical Study of Catastrophic Forgetting in Large Language Models During Continual Fine-tuning](https://mlsanity.com/paper/2308.08747/) (2023)
- [Fine-Tuning Pretrained Language Models: Weight Initializations, Data Orders, and Early Stopping](https://mlsanity.com/paper/2002.06305/) (2020)
- [A Survey of Hallucination in Large Foundation Models](https://mlsanity.com/paper/2309.05922/) (2023)
- [RAGTruth: A Hallucination Corpus for Developing Trustworthy Retrieval-Augmented Language Models](https://mlsanity.com/paper/2401.00396/) (2023)
- [A Comprehensive Survey of Hallucination Mitigation Techniques in Large Language Models](https://mlsanity.com/paper/2401.01313/) (2024)
- [LongLoRA: Efficient Fine-tuning of Long-Context Large Language Models](https://mlsanity.com/paper/2309.12307/) (2023)
- [A Study of Generative Large Language Model for Medical Research and Healthcare](https://mlsanity.com/paper/2305.13523/) (2023)
- [Take a Step Back: Evoking Reasoning via Abstraction in Large Language Models](https://mlsanity.com/paper/2310.06117/) (2023)
- [Blended RAG: Improving RAG (Retriever-Augmented Generation) Accuracy with Semantic Search and Hybrid Query-Based Retrievers](https://mlsanity.com/paper/2404.07220/) (2024)
- [Cue-CoT: Chain-of-thought Prompting for Responding to In-depth Dialogue Questions with LLMs](https://mlsanity.com/paper/2305.11792/) (2023)
- [Evaluating Large Language Models on a Highly-specialized Topic, Radiation Oncology Physics](https://mlsanity.com/paper/2304.01938/) (2023)
- [Fine-tuning Large Language Models for Domain-specific Machine Translation](https://mlsanity.com/paper/2402.15061/) (2024)
- [How fine can fine-tuning be? Learning efficient language models](https://mlsanity.com/paper/2004.14129/) (2020)
- [Semantic Compression With Large Language Models](https://mlsanity.com/paper/2304.12512/) (2023)

## Built on by (most cited first, 1 of 1)

- [Multi-OphthaLingua: A Multilingual Benchmark for Assessing and Debiasing LLM Ophthalmological QA in LMICs](https://mlsanity.com/paper/2412.14304/) (2024)

## Abstract (arXiv)

Large Language Models (LLMs) have achieved remarkable progress, yet their application in specialized fields, such as medical physics, remains challenging due to the need for domain-specific knowledge. This study introduces ARCoT (Adaptable Retrieval-based Chain of Thought), a framework designed to enhance the domain-specific accuracy of LLMs without requiring fine-tuning or extensive retraining. ARCoT integrates a retrieval mechanism to access relevant domain-specific information and employs step-back and chain-of-thought prompting techniques to guide the LLM's reasoning process, ensuring more accurate and context-aware responses. Benchmarking on a medical physics multiple-choice exam, our model outperformed standard LLMs and reported average human performance, demonstrating improvements of up to 68% and achieving a high score of 90%. This method reduces hallucinations and increases domain-specific performance. The versatility and model-agnostic nature of ARCoT make it easily adaptable to various domains, showcasing its significant potential for enhancing the accuracy and reliability of LLMs in specialized fields.