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.

NLU on Data Diets: Dynamic Data Subset Selection for NLP Classification Tasks

Finetuning large language models inflates the costs of NLU applications and remains the bottleneck of development cycles. Recent works in computer vision use data pruning to reduce training time. Pruned data selection with static methods is based on a score calculated for each training example prior to finetuning, which involves important computational overhead. Moreover, the score may not necessarily be representative of sample importance throughout the entire training duration. We propose to address these issues with a refined version of dynamic data pruning, a curriculum which periodically scores and discards unimportant examples during finetuning. Our method leverages an EL2N metric that we extend to the joint intent and slot classification task, and an initial finetuning phase on the full train set. Our results on the GLUE benchmark and four joint NLU datasets show a better time-accuracy trade-off compared to static methods. Our method preserves full accuracy while training on 50% of the data points and reduces computational times by up to 41%. If we tolerate instead a minor drop of accuracy of 1%, we can prune 80% of the training examples for a reduction in finetuning time reaching 66%.