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About this paper

Chuan Li, Chengyu Wang, Cen Chen, Ye Lyu, Mingyuan Fan, Ming Gao

SAGE uses MeSH to help a local model generate clinical question-and-answer training data from a small seed set. It alternates single-concept questions with scenarios linking multiple concepts, then maps questions back to MeSH; self-consistency filters answers but does not verify truth. On five QA benchmarks, models averaged 68.12% versus 63.71% for CoT-Self-Instruct under the tested setup, not clinical validation.

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