# Enhancing Reasoning Skills in Small Persian Medical Language Models Can Outperform Large-Scale Data Training

arXiv: https://arxiv.org/abs/2510.20059 · HTML: https://mlsanity.com/paper/2510.20059/

## 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.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)
- LLM alignment / RLHF / preference optimisation / [Medical LLM alignment](https://mlsanity.com/alignment/medical-llm-alignment/)

## Builds on (most cited first, 23 of 23)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [Direct Preference Optimization: Your Language Model is Secretly a Reward Model](https://mlsanity.com/paper/2305.18290/) (2023)
- [DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learning](https://mlsanity.com/paper/2501.12948/) (2025)
- [Large Language Monkeys: Scaling Inference Compute with Repeated Sampling](https://mlsanity.com/paper/2407.21787/) (2024)
- [DeepSeek LLM: Scaling Open-Source Language Models with Longtermism](https://mlsanity.com/paper/2401.02954/) (2024)
- [RLAIF vs. RLHF: Scaling Reinforcement Learning from Human Feedback with AI Feedback](https://mlsanity.com/paper/2309.00267/) (2023)
- [MedMCQA : A Large-scale Multi-Subject Multi-Choice Dataset for Medical domain Question Answering](https://mlsanity.com/paper/2203.14371/) (2022)
- [Quantifying the Carbon Emissions of Machine Learning](https://mlsanity.com/paper/1910.09700/) (2019)
- [Large Language Models Are Reasoning Teachers](https://mlsanity.com/paper/2212.10071/) (2022)
- [The Illusion of Thinking: Understanding the Strengths and Limitations of Reasoning Models via the Lens of Problem Complexity](https://mlsanity.com/paper/2506.06941/) (2025)
- [HuatuoGPT-o1, Towards Medical Complex Reasoning with LLMs](https://mlsanity.com/paper/2412.18925/) (2024)
- [Automatically Correcting Large Language Models: Surveying the landscape of diverse self-correction strategies](https://mlsanity.com/paper/2308.03188/) (2023)
- [Aya Expanse: Combining Research Breakthroughs for a New Multilingual Frontier](https://mlsanity.com/paper/2412.04261/) (2024)
- [MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs](https://mlsanity.com/paper/2504.00993/) (2025)
- [Calibrating the Confidence of Large Language Models by Eliciting Fidelity](https://mlsanity.com/paper/2404.02655/) (2024)
- [Thinking LLMs: General Instruction Following with Thought Generation](https://mlsanity.com/paper/2410.10630/) (2024)
- [MedS3: Towards Medical Slow Thinking with Self-Evolved Soft Dual-sided Process Supervision](https://mlsanity.com/paper/2501.12051/) (2025)
- [Leveraging Online Data to Enhance Medical Knowledge in a Small Persian Language Model](https://mlsanity.com/paper/2505.16000/) (2025)
- [PersianMedQA: Evaluating Large Language Models on a Persian-English Bilingual Medical Question Answering Benchmark](https://mlsanity.com/paper/2506.00250/) (2025)

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

- [Gaokerena: A Small Persian Medical Language Model Family](https://mlsanity.com/paper/2608.00932/) (2026)
- [Single-Pass Uncertainty Heads for Claim-Level Hallucination Detection in Persian Medical Language Models](https://mlsanity.com/paper/2610.03482/) (2026)

## 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.