Enhancing Reasoning Skills in Small Persian Medical Language Models Can Outperform Large-Scale Data Training
On the map: LLM reasoning → Clinical and biomedical applications
also in 1 more
Abstract (arXiv)
Enhancing reasoning capabilities in small language models is critical for specialized applications such as medical question answering, particularly in underrepresented languages like Persian. In this study, we employ Reinforcement Learning with AI Feedback (RLAIF) and Direct preference optimization (DPO) to improve the reasoning skills of a general-purpose Persian language model. To achieve this, we translated a multiple-choice medical question-answering dataset into Persian and used RLAIF to generate rejected-preferred answer pairs, which are essential for DPO training. By prompting both teacher and student models to produce Chain-of-Thought (CoT) reasoning responses, we compiled a dataset containing correct and incorrect reasoning trajectories. This dataset, comprising 2 million tokens in preferred answers and 2.5 million tokens in rejected ones, was used to train a baseline model, significantly enhancing its medical reasoning capabilities in Persian. Remarkably, the resulting model outperformed its predecessor, gaokerena-V, which was trained on approximately 57 million tokens, despite leveraging a much smaller dataset. These results highlight the efficiency and effectiveness of reasoning-focused training approaches in developing domain-specific language models with limited data availability.
Key facts. Cited by 2 papers in the map (data through 14 Oct 2026). Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning. Builds on 23 of its 33 references that are in the map. First posted on arXiv 22 Oct 2025.
Builds on
23 of 33 references.
Closest ancestors · 3
Same direction, newest first
- 2025MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs1 Apr
- 2025MedS3: Towards Medical Slow Thinking with Self-Evolved Soft Dual-sided Process Supervision21 Jan
- 2024HuatuoGPT-o1, Towards Medical Complex Reasoning with LLMs25 Dec
Other references · 20
- 2017Attention Is All You Needcited by 60,361
- 2023GPT-4 Technical Reportcited by 18,396
- 2024The Llama 3 Herd of Modelscited by 14,715
- 2022Chain-of-Thought Prompting Elicits Reasoning in Large Language Modelscited by 12,459
- 2024DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Modelscited by 9,379
- 2023Direct Preference Optimization: Your Language Model is Secretly a Reward Modelcited by 8,065
- 2025DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learningcited by 6,330
- 2024Large Language Monkeys: Scaling Inference Compute with Repeated Samplingcited by 991
- 2024DeepSeek LLM: Scaling Open-Source Language Models with Longtermismcited by 642
- 2023RLAIF vs. RLHF: Scaling Reinforcement Learning from Human Feedback with AI Feedbackcited by 625
- 2022MedMCQA : A Large-scale Multi-Subject Multi-Choice Dataset for Medical domain Question Answeringcited by 543
- 2019Quantifying the Carbon Emissions of Machine Learningcited by 521
8 more
- 2022Large Language Models Are Reasoning Teacherscited by 329
- 2025The Illusion of Thinking: Understanding the Strengths and Limitations of Reasoning Models via the Lens of Problem Complexitycited by 302
- 2023Automatically Correcting Large Language Models: Surveying the landscape of diverse self-correction strategiescited by 238
- 2024Aya Expanse: Combining Research Breakthroughs for a New Multilingual Frontiercited by 129
- 2024Calibrating the Confidence of Large Language Models by Eliciting Fidelitycited by 47
- 2024Thinking LLMs: General Instruction Following with Thought Generationcited by 45
- 2025Leveraging Online Data to Enhance Medical Knowledge in a Small Persian Language Modelcited by 4
- 2025PersianMedQA: Evaluating Large Language Models on a Persian-English Bilingual Medical Question Answering Benchmarkcited by 3
Built on by
Citing papers per year: 2026: 2.
2 papers.
Similar, not cited
Close in wording, no citation either way
- 2025Med-U1: Incentivizing Unified Medical Reasoning in LLMs via Large-scale Reinforcement Learning
- 2025Stabilizing Reasoning in Medical LLMs with Continued Pretraining and Reasoning Preference Optimization
- 2026CURE-Med: Curriculum-Informed Reinforcement Learning for Multilingual Medical Reasoning
- 2025RPRO: Ranked Preference Reinforcement Optimization for Enhancing Medical QA and Diagnostic Reasoning
- 2025Medical Reasoning in the Era of LLMs: A Systematic Review of Enhancement Techniques and Applications
- 2026Eliciting Medical Reasoning with Knowledge-enhanced Data Synthesis: A Semi-Supervised Reinforcement Learning Approach
- 2025Beyond Distillation: Pushing the Limits of Medical LLM Reasoning with Minimalist Rule-Based RL
- 2026Medmarks: A Comprehensive Open-Source LLM Benchmark Suite for Medical Tasks