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ACL Anthology · ACL 2026:acl:2026.acl-long.17 · 记录 #1

Can Continual Pretraining Bridge the Performance Gap between General-purpose and Specialized Language Models in the Medical Domain?

来源日期(仅到月份) 2026-07
来源记录日期 2026-07
雷达观测 2026-11-01 16:34
ACL Anthology · ACL 2026 ↗PDF ↗

摘要

This paper narrows the performance gap between small, specialized models and significantly larger general-purpose models through domain adaptation via continual pre-training and merging. We address the scarcity of specialized non-English data by constructing a high-quality German medical corpus (FineMed-de) from FineWeb2. This corpus is used to continually pre-train and merge three well-known LLMs (ranging from 7B to 24B parameters), creating the DeFineMed model family. A comprehensive evaluation confirms that specialization dramatically enhances 7B model performance on German medical benchmarks. Furthermore, the pairwise win-rate analysis of the Qwen2.5-based models demonstrates an approximately 3.5-fold increase in the win-rate against the much larger Mistral-Small-24B-Instruct through domain adaptation. This evidence positions specialized 7B models as a competitive, resource-efficient solution for complex medical instruction-following tasks. While model merging successfully restores instruction-following abilities, a subsequent failure mode analysis reveals inherent trade-offs, including the introduction of language mixing and increased verbosity, highlighting the need for more targeted fine-tuning in future work. This research provides a robust, compliant methodology for developing specialized LLMs, serving as the foundation for practical use in German-speaking healthcare contexts.

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记录 #1 · 2026-07 · 最新观测版本

Can Continual Pretraining Bridge the Performance Gap between General-purpose and Specialized Language Models in the Medical Domain?

This paper narrows the performance gap between small, specialized models and significantly larger general-purpose models through domain adaptation via continual pre-training and merging. We address the scarcity of specialized non-English data by constructing a high-quality German medical corpus (FineMed-de) from FineWeb2. This corpus is used to continually pre-train and merge three well-known LLMs (ranging from 7B to 24B parameters), creating the DeFineMed model family. A comprehensive evaluation confirms that specialization dramatically enhances 7B model performance on German medical benchmarks. Furthermore, the pairwise win-rate analysis of the Qwen2.5-based models demonstrates an approximately 3.5-fold increase in the win-rate against the much larger Mistral-Small-24B-Instruct through domain adaptation. This evidence positions specialized 7B models as a competitive, resource-efficient solution for complex medical instruction-following tasks. While model merging successfully restores instruction-following abilities, a subsequent failure mode analysis reveals inherent trade-offs, including the introduction of language mixing and increased verbosity, highlighting the need for more targeted fine-tuning in future work. This research provides a robust, compliant methodology for developing specialized LLMs, serving as the foundation for practical use in German-speaking healthcare contexts.

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