小模型也能懂医学：用知识迁移让轻量模型媲美大模型

Large domain-specific language models such as BioBERT and ClinicalBERT achieve strong performance on biomedical NLP tasks, but their computational demands make them impractical for many real-world deployments. General-purpose, parameter-efficient models such as DistilBERT are lightweight yet lack the domain knowledge required for specialized tasks such as PICO (Population, Intervention, Comparison, Outcome) classification. We introduce Distilled Rapid Embedding Transfer (DRET), a knowledge-transfer paradigm that injects biomedical domain knowledge from large specialized models into a smaller general-purpose model without retraining on the original specialized corpora. DRET is developed as an iterative family of strategies: a unified tokenizer-merge strategy (DRET 1.x), hybrid embedding averaging (DRET 2.0), and a priority-based embedding-transfer mechanism (DRET 3.x) that hierarchically selects embeddings from the most authoritative source models, further combined with embedding-layer freezing, differential learning rates, label propagation, and imbalance-aware loss functions (DRET 4.x). We evaluate DRET on token-level PICO classification using the EBM-NLP corpus under severe class imbalance, across a twelve-metric battery. DRET-enhanced DistilBERT (66M parameters) attains balanced accuracy, recall, and ROC-AUC competitive with, and on several class-wise metrics exceeding, models an order of magnitude larger, while retaining DistilBERT's efficiency. We further show that transfer occurs at the embedding level through cosine-similarity, semantic-shift, and t-SNE analyses. DRET offers a scalable, resource-efficient route to near-domain-expert performance for biomedical text mining, with direct application to automated systematic literature reviews and clinical decision support.