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This paper introduces ARBOR, a parameter-efficient method for adapting large language models to specific medical specialties by conditionally selecting rank-one components from a shared low-rank basis. Experimental results on Qwen3-8B demonstrate that this structured approach outperforms standard LoRA and MoELoRA techniques across multiple clinical benchmarks, particularly as the number of trained specialties increases. While the method shows promise for improving accuracy in specialized domains, the authors note that clinical safety and broader deployment remain untested.
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Conditional Rank Allocation for Taxonomy-Aware Medical Language Model Adaptation

arXiv2 min read

arXiv:2610.06765v1 Announce Type: new Abstract: Medical question answering spans specialties and clinical operations that may benefit from different adaptation directions. We propose ARBOR, a parameter-efficient method that selects rank-one components from a shared low-rank basis for each question. An additive gate combines question representations, specialty tags, operation tags, and their interaction; a learned coefficient scales the adapter residual. An illustrative separation under orthogonal, equiprobable subtasks shows how conditional selection can avoid an approximation floor faced by a fixed update with the same active rank. This result motivates the design without asserting a corresponding bound for medical corpora. On Qwen3-8B across CMB, CMExam, MedQA, and MedMCQA, five-seed experiments yield 69.69% mean accuracy across benchmarks, exceeding LoRA r16 and MoELoRA by 1.26 and 1.30 percentage points, respectively. The reported advantage over LoRA r16 increases from 0.08 to 1.94 points as training expands from one to seven specialties. Tag perturbations and atom masking support the usefulness of clinical routing, while atom clusters align with the supplied specialty labels (adjusted Rand index 0.62). Calibration, transfer, and measured costs further characterize the method. These findings support structured conditional adaptation for medical QA, while leaving clinical safety and broader deployment untested.

Abstract:Medical question answering spans specialties and clinical operations that may benefit from different adaptation directions. We propose ARBOR, a parameter-efficient method that selects rank-one components from a shared low-rank basis for each question. An additive gate combines question representations, specialty tags, operation tags, and their interaction; a learned coefficient scales the adapter residual. An illustrative separation under orthogonal, equiprobable subtasks shows how conditional selection can avoid an approximation floor faced by a fixed update with the same active rank. This result motivates the design without asserting a corresponding bound for medical corpora. On Qwen3-8B across CMB, CMExam, MedQA, and MedMCQA, five-seed experiments yield 69.69% mean accuracy across benchmarks, exceeding LoRA r16 and MoELoRA by 1.26 and 1.30 percentage points, respectively. The reported advantage over LoRA r16 increases from 0.08 to 1.94 points as training expands from one to seven specialties. Tag perturbations and atom masking support the usefulness of clinical routing, while atom clusters align with the supplied specialty labels (adjusted Rand index 0.62). Calibration, transfer, and measured costs further characterize the method. These findings support structured conditional adaptation for medical QA, while leaving clinical safety and broader deployment untested.

Artificial Intelligence (cs.AI)

arXiv:2610.06765 [cs.AI]

(or arXiv:2610.06765v1 [cs.AI] for this version)

https://doi.org/10.48550/arXiv.2610.06765 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 284 words

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