# Is Biomedical Specialization Still Worth It? Insights from Domain-Adaptive Language Modelling with a New French Health Corpus

arXiv: https://arxiv.org/abs/2604.06903 · HTML: https://mlsanity.com/paper/2604.06903/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 19 of its 47 references that are in the map.
- First posted on arXiv 8 Apr 2026.

## Builds on (most cited first, 19 of 19)

- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [Measuring Massive Multitask Language Understanding](https://mlsanity.com/paper/2009.03300/) (2020)
- [On the Opportunities and Risks of Foundation Models](https://mlsanity.com/paper/2108.07258/) (2021)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [Don't Stop Pretraining: Adapt Language Models to Domains and Tasks](https://mlsanity.com/paper/2004.10964/) (2020)
- [TIES-Merging: Resolving Interference When Merging Models](https://mlsanity.com/paper/2306.01708/) (2023)
- [BioGPT: Generative Pre-trained Transformer for Biomedical Text Generation and Mining](https://mlsanity.com/paper/2210.10341/) (2022)
- [BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domains](https://mlsanity.com/paper/2402.10373/) (2024)
- [Arcee's MergeKit: A Toolkit for Merging Large Language Models](https://mlsanity.com/paper/2403.13257/) (2024)
- [FlauBERT: Unsupervised Language Model Pre-training for French](https://mlsanity.com/paper/1912.05372/) (2019)
- [BioMedLM: A 2.7B Parameter Language Model Trained On Biomedical Text](https://mlsanity.com/paper/2403.18421/) (2024)
- [MMLU-ProX: A Multilingual Benchmark for Advanced Large Language Model Evaluation](https://mlsanity.com/paper/2503.10497/) (2025)
- [Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?](https://mlsanity.com/paper/2411.04118/) (2024)
- [DrBERT: A Robust Pre-trained Model in French for Biomedical and Clinical domains](https://mlsanity.com/paper/2304.00958/) (2023)
- [FrenchMedMCQA: A French Multiple-Choice Question Answering Dataset for Medical domain](https://mlsanity.com/paper/2304.04280/) (2023)
- [Efficiently Democratizing Medical LLMs for 50 Languages via a Mixture of Language Family Experts](https://mlsanity.com/paper/2410.10626/) (2024)
- [Gaperon: A Peppered English-French Generative Language Model Suite](https://mlsanity.com/paper/2510.25771/) (2025)
- [FRASIMED: a Clinical French Annotated Resource Produced through Crosslingual BERT-Based Annotation Projection](https://mlsanity.com/paper/2309.10770/) (2023)

## Abstract (arXiv)

Large language models (LLMs) have demonstrated remarkable capabilities across diverse domains, yet their adaptation to specialized fields remains challenging, particularly for non-English languages. This study investigates domain-adaptive pre-training (DAPT) as a strategy for specializing small to mid-sized LLMs in the French biomedical domain through continued pre-training. We address two key research questions: the viability of specialized continued pre-training for domain adaptation and the relationship between domain-specific performance gains and general capability degradation. Our contributions include the release of a fully open-licensed French biomedical corpus suitable for commercial and open-source applications, the training and release of specialized French biomedical LLMs, and novel insights for DAPT implementation. Our methodology encompasses the collection and refinement of high-quality French biomedical texts, the exploration of causal language modeling approaches using DAPT, and conducting extensive comparative evaluations. Our results cast doubt on the efficacy of DAPT, in contrast to previous works, but we highlight its viability in smaller-scale, resource-constrained scenarios under the right conditions. Findings in this paper further suggest that model merging post-DAPT is essential to mitigate generalization trade-offs, and in some cases even improves performance on specialized tasks at which the DAPT was directed.