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The Limits of Generalization: Zero-Shot French Medical NER Using French, English and Multilingual GLiNER Models.
Jamil Zaghir1,2, Christophe Gaudet-Blavignac1,2, Lydie Bednarczyk1,2
1Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
This study shows that specialized OpenMed models excel at zero-shot Named Entity Recognition (NER) for French medical text, outperforming general models. However, performance varies, highlighting challenges in transfer learning and generalizability for medical NER systems.
Area of Science:
- Natural Language Processing (NLP)
- Computational Linguistics
- Medical Informatics
Background:
- Zero-shot Named Entity Recognition (NER) enables models to identify entities without specific training data.
- Evaluating NER models on diverse French medical datasets is crucial for clinical applications.
- GLiNER-based models offer a promising framework for adaptable NER tasks.
Purpose of the Study:
- To evaluate the performance of GLiNER-based models for zero-shot NER on French medical text.
- To assess the generalization capabilities of these models across various medical datasets (diseases, symptoms, drugs).
- To investigate the impact of prompt language (English, French, bilingual) on cross-lingual robustness.
Main Methods:
- Utilized eight open French medical datasets covering diseases, symptoms, and drugs.
- Employed GLiNER-based models, including general, domain-specialized, and OpenMed variants.
- Evaluated models using entity-level F1-scores with MUC-5 metrics.
- Assessed cross-lingual robustness by formulating prompts in English, French, and bilingual formats.
Main Results:
- OpenMed models, trained on specific medical entities, demonstrated superior performance compared to general and other domain-specialized GLiNER models.
- Model performance exhibited significant variation across different datasets and contexts.
- Cross-lingual prompt formulation showed an impact on robustness, though specific results varied.
Conclusions:
- Specialized models (OpenMed) are more effective for French medical zero-shot NER than general or less specialized variants.
- Challenges remain in achieving consistent generalizability and transfer learning across diverse medical text contexts.
- Future research should focus on developing zero-shot NER models that are more resilient to dataset biases and contextual variations in the medical domain.
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