Less Finetuning, Better Retrieval: Rethinking LLM Adaptation for Biomedical Retrievers via Synthetic Data and Model Merging

Retrieval-augmented generation (RAG) has become the backbone of grounding Large Language Models (LLMs), improving knowledge updates and reducing hallucinations. Recently, LLM-based retriever models have shown state-of-the-art performance for RAG applications. However, several technical aspects remain underexplored on how to adapt general-purpose LLMs into effective domain-specific retrievers, especially in specialized domains such as biomedicine. We present Synthesize-Train-Merge (STM), a modular framework that enhances decoder-only LLMs with synthetic hard negatives, retrieval prompt optimization, and model merging. Experiments on a subset of 12 medical and general tasks from the MTEB benchmark show STM boosts task-specific experts by up to 23.5\% (average 7.5\%) and produces merged models that outperform both single experts and strong baselines without extensive pretraining. Our results demonstrate a scalable, efficient path for turning general LLMs into high-performing, domain-specialized retrievers, preserving general-domain capabilities while excelling on specialized tasks.

A Modular Approach for Clinical SLMs Driven by Synthetic Data with Pre-Instruction Tuning, Model Merging, and Clinical-Tasks Alignment

High computation costs and latency of large language models such as GPT-4 have limited their deployment in clinical settings. Small language models (SLMs) offer a cost-effective alternative, but their limited capacity requires biomedical domain adaptation, which remains challenging. An additional bottleneck is the unavailability and high sensitivity of clinical data. To address these challenges, we propose a novel framework for adapting SLMs into high-performing clinical models. We introduce the MediPhi collection of 3.8B-parameter SLMs developed with our novel framework: pre-instruction tuning of experts on relevant medical and clinical corpora (PMC, Medical Guideline, MedWiki, etc.), model merging, and clinical-tasks alignment. To cover most clinical tasks, we extended the CLUE benchmark to CLUE+, doubling its size. Our expert models deliver relative improvements on this benchmark over the base model without any task-specific fine-tuning: 64.3% on medical entities, 49.5% on radiology reports, and 44% on ICD-10 coding (outperforming GPT-4-0125 by 14%). We unify the expert models into MediPhi via model merging, preserving gains across benchmarks. Furthermore, we built the MediFlow collection, a synthetic dataset of 2.5 million high-quality instructions on 14 medical NLP tasks, 98 fine-grained document types, and JSON format support. Alignment of MediPhi using supervised fine-tuning and direct preference optimization achieves further gains of 18.9% on average.