Exploring Recurrent-Depth Language Models for Multitask Clinical Text Processing

Existing prompt-based fine-tuning methods typically learn task-specific prompts independently, imposing significant computing and storage overhead at scale when deploying multiple clinical natural language processing (NLP) systems. We present a multitask prompt distillation and decomposition framework that learns a single shared metaprompt from 21 diverse clinical source tasks and adapts it to unseen target tasks with fewer than 0.05% trainable parameters. Evaluated across five clinical NLP task types (named entity recognition, relation extraction, question answering, natural language inference, and summarization) on 10 held-out target datasets using three backbone models (LLaMA 3.1 8B, Meditron3 8B, gpt-oss 20B), our framework consistently outperforms LoRA by 1.51.7% despite using orders of magnitude fewer parameters, and exceeds single-task prompt tuning by 6.16.6%. The gpt-oss 20B model achieves the highest overall performance, particularly on clinical reasoning tasks. The strong zero- and few-shot performance demonstrates better transferability of the shared prompt representation.

A dense, pretrained language model can be retrofitted with recurrent depth and learn an iterative latent transition that persists after outcome-only annealing. Qwen2.5-0.5B-Instruct is split into a Prelude, a weight-tied Recurrent Block, and a Coda, with an identity-preserving one-loop path and a re-entry bridge on later loops. At loop 1 the retrofit remains non-inferior to its base on a preregistered ARC battery. Three findings. First, the mechanism is a reusable procedure rather than terminal-answer lookup, and installs at two budgets: 6M trained parameters over frozen base weights and 180M full-block. With intermediate-step supervision, the model computes one task step per loop and persists when only final answers are graded. The adapter matched the full block overall (83.8% versus 84.0%), led through depth 11, and trailed beyond. Verbal fine-tuning reached 79-86% on controlled verbal renderings (zero-shot transfer was minimal), and adapter verbal training begun from the installed mechanism outpaced matched fresh training by 18.6 points, including on a held-out test set. Second, the operation extrapolates to roughly 1.5 times its supervised depth, holding 70% accuracy through depth 18. Third, a same-size scratchpad-trained model matched the recurrent model within its learned horizon but collapsed beyond it. The recurrent model won overall, 84% versus 72%, retained 53% versus 2.5% beyond depth 10, and answered 7.6 times faster. An iterative transformer can therefore perform deeper reasoning in latent space faster than comparable or larger models fine-tuned on the same task, in a system-level comparison. A second task, running the rule in reverse, exposed the limits: the inverse was learnable in isolation, but no continuation acquired it while preserving the installed mechanism and general capability, a catastrophic-interference boundary. Learned depth selection remains open.

Looped language models increase effective depth by repeatedly applying a shared block of layers, but existing large-scale recipes require multi-stage training over trillions of tokens, while the benefits of recurrence remain difficult to separate from differences in data and training. In this work, we establish practical training recipes for looped language models, with three main results. (1) We develop a compute-efficient from-scratch pipeline that reduces the training budget from 7.7T tokens in Ouro to 310B tokens while retaining strong reasoning performance. Pretraining followed by high-quality mid-training, together with learning-rate warmup and stronger exit-gate regularization, enables stable recurrent training without prior multi-stage schedules. (2) Under controlled comparisons, our 1.4B LoopLM outperforms a parameter-matched dense model trained on the same data and token budget on all 12 evaluated benchmarks, including +14 points on GSM8K, +10 on MATH, and +22 on DROP. At matched inference compute, it approaches a 3.9B dense model on mathematical reasoning and reading comprehension while using only 36% as many parameters. (3) We introduce a minimal recipe for converting pretrained dense models into looped ones: a single learned input-mixing scalar and a smoothed exit loss, with no step-specific parameters. Applied to Qwen3-1.7B-Base, Looped Qwen improves over an identically continued dense baseline on every evaluated benchmark across two data regimes, with statistically clear gains on GSM8K, MATH, and MMLU-Pro on the curated mixture. Together, these results make looped language models substantially cheaper to train from scratch and practical to introduce into existing pretrained checkpoints, while isolating the gains due to recurrence itself.