AMNESIA: A Large-Scale Medical Unlearning Benchmark Suite with Disease-Informed Analysis

Saeedeh Davoudi, Reihaneh Iranmanesh, Ophir Frieder, Nazli Goharian


Abstract
Medical knowledge is continuously evolving. This creates a need to update or selectively forget information encoded in already-trained medical LLMs. Machine unlearning aims to remove the influence of specific training data from a model without full retraining. Yet, existing unlearning benchmarks rely on synthetic or small-scale general data, leaving clinical unlearning understudied. We introduce AMNESIA, the first large-scale, open source benchmark for medical unlearning, with 70,560 question-answer pairs (QAs) from 8,820 patient notes across 11 disease categories. AMNESIA includes both factual questions testing direct recall and reasoning questions testing clinical inference. We use it to evaluate four widely used unlearning methods at both random patient and disease-level, and introduce a new metric for detecting leakage of medical terminology. We show that unlearning individual patients erodes knowledge of others with the same condition, calling for methods that can better separate patients from shared clinical knowledge.
Anthology ID:
2026.emnlp-main.2597
Volume:
Proceedings of the 2026 Conference on Empirical Methods in Natural Language Processing
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Hung-Yi Lee, Sunipa Dev, Jessy Li, Desmond Elliott
Venue:
EMNLP
SIG:
SIGDAT
Publisher:
Association for Computational Linguistics
Note:
Pages:
58968–58986
Language:
URL:
https://aclanthology.org/2026.emnlp-main.2597/
DOI:
Bibkey:
Cite (ACL):
Saeedeh Davoudi, Reihaneh Iranmanesh, Ophir Frieder, and Nazli Goharian. 2026. AMNESIA: A Large-Scale Medical Unlearning Benchmark Suite with Disease-Informed Analysis. In Proceedings of the 2026 Conference on Empirical Methods in Natural Language Processing, pages 58968–58986, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
AMNESIA: A Large-Scale Medical Unlearning Benchmark Suite with Disease-Informed Analysis (Davoudi et al., EMNLP 2026)
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PDF:
https://aclanthology.org/2026.emnlp-main.2597.pdf