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Mar 12

Medical mT5: An Open-Source Multilingual Text-to-Text LLM for The Medical Domain

Research on language technology for the development of medical applications is currently a hot topic in Natural Language Understanding and Generation. Thus, a number of large language models (LLMs) have recently been adapted to the medical domain, so that they can be used as a tool for mediating in human-AI interaction. While these LLMs display competitive performance on automated medical texts benchmarks, they have been pre-trained and evaluated with a focus on a single language (English mostly). This is particularly true of text-to-text models, which typically require large amounts of domain-specific pre-training data, often not easily accessible for many languages. In this paper, we address these shortcomings by compiling, to the best of our knowledge, the largest multilingual corpus for the medical domain in four languages, namely English, French, Italian and Spanish. This new corpus has been used to train Medical mT5, the first open-source text-to-text multilingual model for the medical domain. Additionally, we present two new evaluation benchmarks for all four languages with the aim of facilitating multilingual research in this domain. A comprehensive evaluation shows that Medical mT5 outperforms both encoders and similarly sized text-to-text models for the Spanish, French, and Italian benchmarks, while being competitive with current state-of-the-art LLMs in English.

Preserving In-Context Learning ability in Large Language Model Fine-tuning

Pretrained large language models (LLMs) are strong in-context learners that are able to perform few-shot learning without changing model parameters. However, as we show, fine-tuning an LLM on any specific task generally destroys its in-context ability. We discover an important cause of this loss, format specialization, where the model overfits to the format of the fine-tuned task and is unable to output anything beyond this format. We further show that format specialization happens at the beginning of fine-tuning. To solve this problem, we propose Prompt Tuning with MOdel Tuning (ProMoT), a simple yet effective two-stage fine-tuning framework that preserves in-context abilities of the pretrained model. ProMoT first trains a soft prompt for the fine-tuning target task, and then fine-tunes the model itself with this soft prompt attached. ProMoT offloads task-specific formats into the soft prompt that can be removed when doing other in-context tasks. We fine-tune mT5 XXL with ProMoT on natural language inference (NLI) and English-French translation and evaluate the in-context abilities of the resulting models on 8 different NLP tasks. ProMoT achieves similar performance on the fine-tuned tasks compared with vanilla fine-tuning, but with much less reduction of in-context learning performances across the board. More importantly, ProMoT shows remarkable generalization ability on tasks that have different formats, e.g. fine-tuning on a NLI binary classification task improves the model's in-context ability to do summarization (+0.53 Rouge-2 score compared to the pretrained model), making ProMoT a promising method to build general purpose capabilities such as grounding and reasoning into LLMs with small but high quality datasets. When extended to sequential or multi-task training, ProMoT can achieve even better out-of-domain generalization performance.