# TACL: Threshold-Adaptive Curriculum Learning Strategy for Enhancing Medical Text Understanding

arXiv: https://arxiv.org/abs/2510.15269 · HTML: https://mlsanity.com/paper/2510.15269/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 16 of its 26 references that are in the map.
- First posted on arXiv 17 Oct 2025.

## Builds on (most cited first, 16 of 16)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [Publicly Available Clinical BERT Embeddings](https://mlsanity.com/paper/1904.03323/) (2019)
- [ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission](https://mlsanity.com/paper/1904.05342/) (2019)
- [CurricularFace: Adaptive Curriculum Learning Loss for Deep Face Recognition](https://mlsanity.com/paper/2004.00288/) (2020)
- [Explainable Prediction of Medical Codes from Clinical Text](https://mlsanity.com/paper/1802.05695/) (2018)
- [Competence-based Curriculum Learning for Neural Machine Translation](https://mlsanity.com/paper/1903.09848/) (2019)
- [ICD Coding from Clinical Text Using Multi-Filter Residual Convolutional Neural Network](https://mlsanity.com/paper/1912.00862/) (2019)
- [PLM-ICD: Automatic ICD Coding with Pretrained Language Models](https://mlsanity.com/paper/2207.05289/) (2022)
- [Automated Medical Coding on MIMIC-III and MIMIC-IV: A Critical Review and Replicability Study](https://mlsanity.com/paper/2304.10909/) (2023)
- [A Label Attention Model for ICD Coding from Clinical Text](https://mlsanity.com/paper/2007.06351/) (2020)
- [Accurate and Well-Calibrated ICD Code Assignment Through Attention Over Diverse Label Embeddings](https://mlsanity.com/paper/2402.03172/) (2024)
- [Curriculum-Based Augmented Fourier Domain Adaptation for Robust Medical Image Segmentation](https://mlsanity.com/paper/2306.03511/) (2023)
- [TCM-SD: A Benchmark for Probing Syndrome Differentiation via Natural Language Processing](https://mlsanity.com/paper/2203.10839/) (2022)
- [HiCu: Leveraging Hierarchy for Curriculum Learning in Automated ICD Coding](https://mlsanity.com/paper/2208.02301/) (2022)
- [Towards Semi-Structured Automatic ICD Coding via Tree-based Contrastive Learning](https://mlsanity.com/paper/2310.09672/) (2023)

## Built on by (most cited first, 2 of 2)

- [A Severity-Based Curriculum Learning Strategy for Arabic Medical Text Generation](https://mlsanity.com/paper/2604.06365/) (2026)
- [Severity-Aware Curriculum Learning with Multi-Model Response Selection for Medical Text Generation](https://mlsanity.com/paper/2606.05510/) (2026)

## Abstract (arXiv)

Medical texts, particularly electronic medical records (EMRs), are a cornerstone of modern healthcare, capturing critical information about patient care, diagnoses, and treatments. These texts hold immense potential for advancing clinical decision-making and healthcare analytics. However, their unstructured nature, domain-specific language, and variability across contexts make automated understanding an intricate challenge. Despite the advancements in natural language processing, existing methods often treat all data as equally challenging, ignoring the inherent differences in complexity across clinical records. This oversight limits the ability of models to effectively generalize and perform well on rare or complex cases. In this paper, we present TACL (Threshold-Adaptive Curriculum Learning), a novel framework designed to address these challenges by rethinking how models interact with medical texts during training. Inspired by the principle of progressive learning, TACL dynamically adjusts the training process based on the complexity of individual samples. By categorizing data into difficulty levels and prioritizing simpler cases early in training, the model builds a strong foundation before tackling more complex records. By applying TACL to multilingual medical data, including English and Chinese clinical records, we observe significant improvements across diverse clinical tasks, including automatic ICD coding, readmission prediction and TCM syndrome differentiation. TACL not only enhances the performance of automated systems but also demonstrates the potential to unify approaches across disparate medical domains, paving the way for more accurate, scalable, and globally applicable medical text understanding solutions.