Towards Evaluating and Building Versatile Large Language Models for Medicine
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Abstract (arXiv)
In this study, we present MedS-Bench, a comprehensive benchmark designed to evaluate the performance of large language models (LLMs) in clinical contexts. Unlike existing benchmarks that focus on multiple-choice question answering, MedS-Bench spans 11 high-level clinical tasks, including clinical report summarization, treatment recommendations, diagnosis, named entity recognition, and medical concept explanation, among others. We evaluated six leading LLMs, e.g., MEDITRON, Mistral, InternLM 2, Llama 3, GPT-4, and Claude-3.5 using few-shot prompting, and found that even the most sophisticated models struggle with these complex tasks. To address these limitations, we developed MedS-Ins, a large-scale instruction tuning dataset for medicine. MedS-Ins comprises 58 medically oriented language corpora, totaling 13.5 million samples across 122 tasks. To demonstrate the dataset's utility, we conducted a proof-of-concept experiment by performing instruction tuning on a lightweight, open-source medical language model. The resulting model, MMedIns-Llama 3, significantly outperformed existing models across nearly all clinical tasks. To promote further advancements in the application of LLMs to clinical challenges, we have made the MedS-Ins dataset fully accessible and invite the research community to contribute to its expansion.Additionally, we have launched a dynamic leaderboard for MedS-Bench, which we plan to regularly update the test set to track progress and enhance the adaptation of general LLMs to the medical domain. Leaderboard: https://henrychur.github.io/MedS-Bench/. Github: https://github.com/MAGIC-AI4Med/MedS-Ins.
Key facts. Cited by 38 papers in the map (data through 7 Oct 2026). Builds on 33 of its 53 references that are in the map. First posted on arXiv 22 Aug 2024.
Builds on
33 of 53 references.
References · 33
- 2023LLaMA: Open and Efficient Foundation Language Modelscited by 13,958
- 2023Mistral 7Bcited by 3,065
- 2022Self-Instruct: Aligning Language Models with Self-Generated Instructionscited by 2,674
- 2022Large Language Models Encode Clinical Knowledgecited by 1,807
- 2020What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Examscited by 1,324
- 2019PubMedQA: A Dataset for Biomedical Research Question Answeringcited by 1,271
- 2022Super-NaturalInstructions: Generalization via Declarative Instructions on 1600+ NLP Taskscited by 858
- 2016Training Deep Nets with Sublinear Memory Costcited by 825
- 2023The Flan Collection: Designing Data and Methods for Effective Instruction Tuningcited by 734
- 2022MedMCQA : A Large-scale Multi-Subject Multi-Choice Dataset for Medical domain Question Answeringcited by 525
- 2024InternLM2 Technical Reportcited by 391
- 2023Towards Expert-Level Medical Question Answering with Large Language Modelscited by 382
21 more
- 2024BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domainscited by 299
- 2023MEGA: Multilingual Evaluation of Generative AIcited by 291
- 2023MEDITRON-70B: Scaling Medical Pretraining for Large Language Modelscited by 272
- 2023Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarizationcited by 244
- 2020Explainable Automated Fact-Checking for Public Health Claimscited by 209
- 2023Okapi: Instruction-tuned Large Language Models in Multiple Languages with Reinforcement Learning from Human Feedbackcited by 189
- 2023Compressing Context to Enhance Inference Efficiency of Large Language Modelscited by 185
- 2018Lessons from Natural Language Inference in the Clinical Domaincited by 149
- 2023#InsTag: Instruction Tagging for Analyzing Supervised Fine-tuning of Large Language Modelscited by 108
- 2019HEAD-QA: A Healthcare Dataset for Complex Reasoningcited by 100
- 2024Towards Building Multilingual Language Model for Medicinecited by 91
- 2022DDXPlus: A New Dataset For Automatic Medical Diagnosiscited by 87
- 2018A Corpus with Multi-Level Annotations of Patients, Interventions and Outcomes to Support Language Processing for Medical Literaturecited by 79
- 2023LMFlow: An Extensible Toolkit for Finetuning and Inference of Large Foundation Modelscited by 58
- 2018Learning to Summarize Radiology Findingscited by 54
- 2023MedAlign: A Clinician-Generated Dataset for Instruction Following with Electronic Medical Recordscited by 54
- 2020Generating (Factual?) Narrative Summaries of RCTs: Experiments with Neural Multi-Document Summarizationcited by 52
- 2024LLaMAX: Scaling Linguistic Horizons of LLM by Enhancing Translation Capabilities Beyond 100 Languagescited by 47
- 2023FrenchMedMCQA: A French Multiple-Choice Question Answering Dataset for Medical domaincited by 25
- 2022BioLORD: Learning Ontological Representations from Definitions (for Biomedical Concepts and their Textual Descriptions)cited by 20
- 2023The Cost of Down-Scaling Language Models: Fact Recall Deteriorates before In-Context Learningcited by 6
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Citing papers per year: 2024: 5; 2025: 17; 2026: 16.
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- 2025EHR-R1: A Reasoning-Enhanced Foundational Language Model for Electronic Health Record Analysis29 Oct 2025
- 2025RAD: Towards Trustworthy Retrieval-Augmented Multi-modal Clinical Diagnosis24 Sep 2025
- 2025DentalBench: Benchmarking and Advancing LLMs Capability for Bilingual Dentistry Understanding28 Aug 2025
- 2025Beyond Benchmarks: LLM Evaluation with an Anthropomorphic and Lifecycle-oriented Roadmap26 Aug 2025
- 2025End-to-End Agentic RAG System Training for Traceable Diagnostic Reasoning21 Aug 2025
- 2025QuarkMed Medical Foundation Model Technical Report16 Aug 2025
- 2025MedVAL: Toward Expert-Level Medical Text Validation with Language Models3 Jul 2025
- 2025Complexity-aware fine-tuning26 Jun 2025
- 2025An Agentic System for Rare Disease Diagnosis with Traceable Reasoning25 Jun 2025
- 2025MedSentry: Understanding and Mitigating Safety Risks in Medical LLM Multi-Agent Systems27 May 2025
- 2025Real-World Doctor Agent with Proactive Consultation through Multi-Agent Reinforcement Learning26 May 2025
- 2025Keeping Yourself is Important in Downstream Tuning Multimodal Large Language Model6 Mar 2025
- 2025RGAR: Recurrence Generation-augmented Retrieval for Factual-aware Medical Question Answering19 Feb 2025
- 2025MedS3: Towards Medical Slow Thinking with Self-Evolved Soft Dual-sided Process Supervision21 Jan 2025
- 2025Towards Omni-RAG: Comprehensive Retrieval-Augmented Generation for Large Language Models in Medical Applications5 Jan 2025
- 2024ChatNVD: Advancing Cybersecurity Vulnerability Assessment with Large Language Models6 Dec 2024
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- 2024Beyond Multiple-Choice Accuracy: Real-World Challenges of Implementing Large Language Models in Healthcare24 Oct 2024
- 2024Simulated patient systems powered by large language model-based AI agents offer potential for transforming medical education27 Sep 2024
- 2024A Preliminary Study of o1 in Medicine: Are We Closer to an AI Doctor?23 Sep 2024
- 2025An Agentic System for Rare Disease Diagnosis with Traceable Reasoningcited by 50
- 2025MedS3: Towards Medical Slow Thinking with Self-Evolved Soft Dual-sided Process Supervisioncited by 23
- 2025EHR-R1: A Reasoning-Enhanced Foundational Language Model for Electronic Health Record Analysiscited by 17
- 2025Keeping Yourself is Important in Downstream Tuning Multimodal Large Language Modelcited by 15
- 2025End-to-End Agentic RAG System Training for Traceable Diagnostic Reasoningcited by 10
- 2026CodeClinic: Evaluating Automation of Coding Skills for Clinical Reasoning Agentscited by 2
- 2026GlobalDentBench: A Multinational Benchmark for Evaluating LLM Clinical Reasoning in Dentistry with Expert Calibrationcited by 0
- 2026GlobalDentBench: A Multinational Benchmark for Evaluating LLM Clinical Reasoning in Dentistry with Expert Calibration23 May 2026
- 2026CodeClinic: Evaluating Automation of Coding Skills for Clinical Reasoning Agents10 May 2026
- 2025EHR-R1: A Reasoning-Enhanced Foundational Language Model for Electronic Health Record Analysis29 Oct 2025
- 2025End-to-End Agentic RAG System Training for Traceable Diagnostic Reasoning21 Aug 2025
- 2025An Agentic System for Rare Disease Diagnosis with Traceable Reasoning25 Jun 2025
- 2025Keeping Yourself is Important in Downstream Tuning Multimodal Large Language Model6 Mar 2025
- 2025MedS3: Towards Medical Slow Thinking with Self-Evolved Soft Dual-sided Process Supervision21 Jan 2025
- 2025Real-World Doctor Agent with Proactive Consultation through Multi-Agent Reinforcement Learningcited by 26
- 2024Medchain: Bridging the Gap Between LLM Agents and Clinical Practice with Interactive Sequencecited by 15
- 2024Simulated patient systems powered by large language model-based AI agents offer potential for transforming medical educationcited by 13
- 2025MedSentry: Understanding and Mitigating Safety Risks in Medical LLM Multi-Agent Systemscited by 8
- 2026DeepER-Med: Advancing Deep Evidence-Based Research in Medicine Through Agentic AIcited by 1
- 2026DeepER-Med: Advancing Deep Evidence-Based Research in Medicine Through Agentic AI16 Apr 2026
- 2025MedSentry: Understanding and Mitigating Safety Risks in Medical LLM Multi-Agent Systems27 May 2025
- 2025Real-World Doctor Agent with Proactive Consultation through Multi-Agent Reinforcement Learning26 May 2025
- 2024Medchain: Bridging the Gap Between LLM Agents and Clinical Practice with Interactive Sequence2 Dec 2024
- 2024Simulated patient systems powered by large language model-based AI agents offer potential for transforming medical education27 Sep 2024
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- 2025RAD: Towards Trustworthy Retrieval-Augmented Multi-modal Clinical Diagnosiscited by 1
- 2025RAD: Towards Trustworthy Retrieval-Augmented Multi-modal Clinical Diagnosis24 Sep 2025
- 2025RGAR: Recurrence Generation-augmented Retrieval for Factual-aware Medical Question Answering19 Feb 2025
- 2025Towards Omni-RAG: Comprehensive Retrieval-Augmented Generation for Large Language Models in Medical Applications5 Jan 2025
- 2024A Preliminary Study of o1 in Medicine: Are We Closer to an AI Doctor?cited by 33
- 2024ChatNVD: Advancing Cybersecurity Vulnerability Assessment with Large Language Modelscited by 11
- 2026DRACO: a Cross-Domain Benchmark for Deep Research Accuracy, Completeness, and Objectivitycited by 11
- 2026ATPO: Adaptive Tree Policy Optimization for Multi-Turn Medical Dialoguecited by 8
- 2025QuarkMed Medical Foundation Model Technical Reportcited by 5
- 2024Beyond Multiple-Choice Accuracy: Real-World Challenges of Implementing Large Language Models in Healthcarecited by 4
- 2025MedVAL: Toward Expert-Level Medical Text Validation with Language Modelscited by 3
- 2025Complexity-aware fine-tuningcited by 2
- 2025DentalBench: Benchmarking and Advancing LLMs Capability for Bilingual Dentistry Understandingcited by 2
- 2026Large Language Models Lack Temporal Awareness of Medical Knowledgecited by 2
- 2026EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMscited by 2
- 2026Evaluating Large Language Models in Dynamic Clinical Decision-Making with Standardized Patient Casescited by 2
12 most cited of 23 All 23 (JSON)
- 2026COMED: The Missing Middle Between Routing and Collaboration in Multi-LLM Inference22 Sep 2026
- 2026Large language models in medical time series analysis7 Sep 2026
- 2026Instability Floors: Separating Bias from Noise in Fairness Audits of Clinical LLM Agents with FairMedAgent2 Sep 2026
- 2026PhysioBench: A Unified Benchmark for Physiological Signal Question Answering29 Jul 2026
- 2026Evaluating Large Language Models in Dynamic Clinical Decision-Making with Standardized Patient Cases3 Jun 2026
- 2026EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMs28 May 2026
- 2026Preferred, Not Safer: Pairwise Preference Is a Poor Proxy for Clinical Safety25 May 2026
- 2026Large Language Models Lack Temporal Awareness of Medical Knowledge13 May 2026
- 2026A Causal Language Modeling Detour Improves Encoder Continued Pretraining12 May 2026
- 2026Curation and Extraction of Drug-Related Entities from Reddit Platform8 Apr 2026
- 2026MedArena: Comparing LLMs for Medicine-in-the-Wild Clinician Preferences13 Mar 2026
- 2026DRACO: a Cross-Domain Benchmark for Deep Research Accuracy, Completeness, and Objectivity12 Feb 2026
12 newest of 23 All 23 (JSON)