Generalist vs Specialist Time Series Foundation Models: Investigating Potential Emergent Behaviors in Assessing Human Health Using PPG Signals

Foundation models are large-scale machine learning models that are pre-trained on massive amounts of data and can be adapted for various downstream tasks. They have been extensively applied to tasks in Natural Language Processing and Computer Vision with models such as GPT, BERT, and CLIP. They are now also increasingly gaining attention in time-series analysis, particularly for physiological sensing. However, most time series foundation models are specialist models - with data in pre-training and testing of the same type, such as Electrocardiogram, Electroencephalogram, and Photoplethysmogram (PPG). Recent works, such as MOMENT, train a generalist time series foundation model with data from multiple domains, such as weather, traffic, and electricity. This paper aims to conduct a comprehensive benchmarking study to compare the performance of generalist and specialist models, with a focus on PPG signals. Through an extensive suite of total 51 tasks covering cardiac state assessment, laboratory value estimation, and cross-modal inference, we comprehensively evaluate both models across seven dimensions, including win score, average performance, feature quality, tuning gain, performance variance, transferability, and scalability. These metrics jointly capture not only the models' capability but also their adaptability, robustness, and efficiency under different fine-tuning strategies, providing a holistic understanding of their strengths and limitations for diverse downstream scenarios. In a full-tuning scenario, we demonstrate that the specialist model achieves a 27% higher win score. Finally, we provide further analysis on generalization, fairness, attention visualizations, and the importance of training data choice.

RAG-BioQA Retrieval-Augmented Generation for Long-Form Biomedical Question Answering

The exponential growth of biomedical literature creates significant challenges for accessing precise medical information. Current biomedical question-answering systems primarily focus on short-form answers, failing to provide the comprehensive explanations necessary for clinical decision-making. We present RAG-BioQA, a novel framework combining retrieval-augmented generation with domain-specific fine-tuning to produce evidence-based, long-form biomedical answers. Our approach integrates BioBERT embeddings with FAISS indexing and compares various re-ranking strategies (BM25, ColBERT, MonoT5) to optimize context selection before synthesizing evidence through a fine-tuned T5 model. Experimental results on the PubMedQA dataset show significant improvements over baselines, with our best model achieving substantial gains across BLEU, ROUGE, and METEOR metrics, advancing the state of accessible, evidence-based biomedical knowledge retrieval.