Real-world clinical text-to-SQL requires reasoning over heterogeneous EHR tables, temporal windows, and patient-similarity cohorts to produce executable queries. We introduce ClinSQL, a benchmark of 633 expert-annotated tasks on MIMIC-IV v3.1 that demands multi-table joins, clinically meaningful filters, and executable SQL. Solving ClinSQL entails navigating schema metadata and clinical coding systems, handling long contexts, and composing multi-step queries beyond traditional text-to-SQL. We evaluate 20 proprietary and open-source models under Chain-of-Thought self-refinement and use rubric-based SQL analysis with execution checks that prioritize critical clinical requirements. Despite recent advances, performance remains far from clinical reliability: on the test set, GPT-5-mini attains 74.7% execution score, DeepSeek-R1 leads open-source at 69.2% and Gemini-2.5-Pro drops from 85.5% on Easy to 67.2% on Hard. Progress on ClinSQL marks tangible advances toward clinically reliable text-to-SQL for real-world EHR analytics.

We introduce SciVer, the first benchmark specifically designed to evaluate the ability of foundation models to verify claims within a multimodal scientific context.SciVer consists of 3,000 expert-annotated examples over 1,113 scientific papers, covering four subsets, each representing a common reasoning type in multimodal scientific claim verification. To enable fine-grained evaluation, each example includes expert-annotated supporting evidence.We assess the performance of 21 state-of-the-art multimodal foundation models, including o4-mini, Gemini-2.5-Flash, Llama-3.2-Vision, and Qwen2.5-VL. Our experiment reveals a substantial performance gap between these models and human experts on SciVer.Through an in-depth analysis of retrieval-augmented generation (RAG), and human-conducted error evaluations, we identify critical limitations in current open-source models, offering key insights to advance models’ comprehension and reasoning in multimodal scientific literature tasks.

Efficient fine-tuning plays a fundamental role in modern large models, with low-rank adaptation emerging as a particularly promising approach. However, the existing variants of LoRA are hampered by limited expressiveness, a tendency to overfit, and sensitivity to hyperparameter settings. This paper presents LoRA Slow Cascade Learning (LoRASC), an innovative technique designed to enhance LoRA’s expressiveness and generalization capabilities while preserving its training efficiency. Our approach augments expressiveness through a cascaded learning strategy that enables a mixture-of-low-rank adaptation, thereby increasing the model’s ability to capture complex patterns. Additionally, we introduce a slow-fast update mechanism and cascading noisy tuning to bolster generalization. The extensive experiments on various language and vision datasets, as well as robustness benchmarks, demonstrate that the proposed method not only significantly outperforms existing baselines, but also mitigates overfitting, enhances model stability, and improves OOD robustness.