CLJan 16, 2025

FineMedLM-o1: Enhancing Medical Knowledge Reasoning Ability of LLM from Supervised Fine-Tuning to Test-Time Training

arXiv:2501.09213v310 citationsh-index: 8Has Code
Originality Incremental advance
AI Analysis

This addresses the need for more reliable medical reasoning in applications like diagnosis and treatment planning, though it appears incremental as it builds on existing fine-tuning and optimization techniques.

The authors tackled the problem of limited deep reasoning capabilities in medical LLMs by proposing FineMedLM-o1, which achieved a 23% average performance improvement over prior models on medical benchmarks, with an additional 14% boost from test-time training.

Recent advancements in large language models (LLMs) have shown promise in medical applications such as disease diagnosis and treatment planning. However, most existing medical LLMs struggle with the deep reasoning required for complex medical problems, such as differential diagnosis and medication recommendations. We propose FineMedLM-o1, which leverages high-quality medical synthetic data and long-form reasoning data for Supervised Fine-Tuning (SFT) and Direct Preference Optimization (DPO), enabling advanced dialogue and deep reasoning capabilities. Additionally, we introduce Test-Time Training (TTT) in the medical domain for the first time, facilitating domain adaptation and ensuring reliable, accurate reasoning. Experimental results demonstrate that FineMedLM-o1 achieves a 23% average performance improvement over prior models on key medical benchmarks. Furthermore, the introduction of TTT provides an additional 14% performance boost, highlighting its effectiveness in enhancing medical reasoning capabilities. To support this process, we also propose a novel method for synthesizing medical dialogue. Compared to other open-source datasets, our dataset stands out as superior in both quality and complexity. The project and data will be released on GitHub.

Code Implementations1 repo
Foundations

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