Mastering medical knowledge is crucial for medical-specific LLMs. However, despite the existence of medical benchmarks like MedQA, a unified framework that fully leverages existing knowledge bases to evaluate LLMs' mastery of medical knowledge is still lacking. We propose PretexEval, a novel framework that dynamically generates reliable and diverse test samples to evaluate LLMs for any given medical knowledge base. We notice that test samples produced directly from knowledge bases by templates or LLMs may introduce factual errors and also lack diversity. To address these issues, our framework employs predicate equivalence transformations to produce a series of variants for any given medical knowledge point. Finally, these produced predicate variants are converted into textual language, resulting in a series of reliable and diverse test samples. Here, we use our proposed framework to systematically investigate the mastery of medical factual knowledge of 12 well-known LLMs, based on two knowledge bases that are crucial for clinical diagnosis and treatment. The evaluation results illustrate that current LLMs still exhibit significant deficiencies in fully mastering medical knowledge, despite achieving considerable success on some famous public benchmarks. These new findings provide valuable insights for developing medical-specific LLMs, highlighting that current LLMs urgently need to strengthen their comprehensive and in-depth mastery of medical knowledge before being applied to real-world medical scenarios.

Large language models (LLMs) have demonstrated remarkable performance on various medical benchmarks, but their capabilities across different cognitive levels remain underexplored. Inspired by Bloom's Taxonomy, we propose a multi-cognitive-level evaluation framework for assessing LLMs in the medical domain in this study. The framework integrates existing medical datasets and introduces tasks targeting three cognitive levels: preliminary knowledge grasp, comprehensive knowledge application, and scenario-based problem solving. Using this framework, we systematically evaluate state-of-the-art general and medical LLMs from six prominent families: Llama, Qwen, Gemma, Phi, GPT, and DeepSeek. Our findings reveal a significant performance decline as cognitive complexity increases across evaluated models, with model size playing a more critical role in performance at higher cognitive levels. Our study highlights the need to enhance LLMs' medical capabilities at higher cognitive levels and provides insights for developing LLMs suited to real-world medical applications.

Inconsistent hallucinations remain a major challenge for large language models (LLMs), undermining the accuracy and reliability of fact-based reasoning in real-world applications. Existing approaches often rely on task-specific training or adaptation, such as hand-crafted synthetic datasets for domain tasks or solutions mainly focused on numerical reasoning, thereby limiting generalizability to broader, unseen NLP tasks. Inspired by the structural rigor and logical consistency of programming languages, we observe that fact-based texts can be mapped to programming structures due to their inherent patterns. We further propose FACT, a novel Fact-driven Alternating Code-text Training framework that alternates between text-to-code and code-to-text prediction. FACT is the first task-agnostic paradigm that embeds code and natural language in a shared semantic space, thereby transferring the logical consistency of code to LLM outputs in NLP tasks. Experiments show that with only a small subset of Wiki-40B-en for training, FACT reduces inconsistent hallucinations by 2.7%–8.0% and improves overall performance by 2.5%–6.1% in three leading LLMs and four diverse datasets covering QA and summarization tasks. This framework offers a new perspective on addressing challenging hallucinations in LLMs, contributing to more reliable AI.

Large Language Models (LLMs) are expected to possess comprehensive medical knowledge to support real-world clinical applications. While domain-specific fine-tuning effectively injects medical knowledge into LLMs, it often causes catastrophic forgetting of previously acquired knowledge and instruction-following capabilities. In this paper, we investigate this issue and reveal a pattern of proximity-dependent forgetting: knowledge that is semantically or topically close to the injected content is more likely to be forgotten, while unrelated knowledge shows minimal degradation. Moreover, we observe that existing mitigation techniques fail to address this type of forgetting effectively. Motivated by this observation and inspired by human learning mechanisms, we proposeInternAL (\Internal Knowledge Augmentation Learning), a novel approach that leverages LLMs' own internal knowledge to mitigate forgetting. InternAL first probes internal knowledge closely related to the injection by prompting the model with questions derived from the injected knowledge. This knowledge is then used to augment the original injection dataset, guiding the model to retain related prior knowledge during training. Experimental results on multiple LLMs (LLaMA, Qwen) demonstrate that InternAL significantly mitigates proximity-related forgetting while maintaining strong knowledge injection performance. Our findings provide new insights into the nature of catastrophic forgetting in medical knowledge injection and highlight a promising direction for robust domain adaptation in LLMs. Code and datasets are available at https://github.com/THUMLP/InternAL.

Recent progress on remote sensing (RS) scene classification is substantial, benefiting mostly from the explosive development of convolutional neural networks (CNNs). However, different from the natural images in which the objects occupy most of the space, objects in RS images are usually small and separated. Therefore, there is still a large room for improvement of the vanilla CNNs that extract global image-level features for RS scene classification, ignoring local object-level features. In this article, we propose a novel RS scene classification method via enhanced feature pyramid network (EFPN) with deep semantic embedding (DSE). Our proposed framework extracts multiscale multilevel features using an EFPN. Then, to leverage the complementary advantages of the multilevel and multiscale features, we design a DSE module to generate discriminative features. Third, a feature fusion module, called two-branch deep feature fusion (TDFF), is introduced to aggregate the features at different levels in an effective way. Our method produces state-of-the-art results on two widely used RS scene classification benchmarks, with better effectiveness and accuracy than the existing algorithms. Beyond that, we conduct an exhaustive analysis on the role of each module in the proposed architecture, and the experimental results further verify the merits of the proposed method.

The daily precipitation datasets of the Qinghai-Tibetan plateau (QTP) are mainly assimilated from remote sensing products and in-situ observations. The accuracy of those datasets needs further improvement with environmental and meteorological factors. This paper selected the related environmental and meteorological factors as input; k-Nearest Neighbor (KNN), Multivariate Adaptive Regression Splines (MARS), Support Vector Machine (SVM), Multinomial Log-linear Models (MLM) and Artificial Neural Networks (ANN) as correction models; 112 upscaled daily precipitation observations from the standard meteorological stations as ground truth to correct the commonly used ITPCAS and CMORPH daily precipitation of the QTP. Results show that the KNN model has the highest correction accuracy. The distribution of the corrected ITPCAS precipitation is nearer to the spatial pattern of the precipitation over the QTP than the corrected CMORPH precipitation. The correction accuracy is influenced by the precipitation distribution pattern of the original dataset.