RGAR: Recurrence Generation-augmented Retrieval for Factual-aware Medical Question Answering
Sichu Liang, Linhai Zhang, Hongyu Zhu, Wenwen Wang, Yulan He, Deyu Zhou
Abstract
Medical question answering fundamentally relies on accurate clinical knowledge. The dominant paradigm, Retrieval-Augmented Generation (RAG), acquires expertise conceptual knowledge from large-scale medical corpus to guide general-purpose large language models (LLMs) in generating trustworthy answers. However, existing retrieval approaches often overlook the patient-specific factual knowledge embedded in Electronic Health Records (EHRs), which limits the contextual relevance of retrieved conceptual knowledge and hinders its effectiveness in vital clinical decision-making. This paper introduces RGAR, a recurrence generation-augmented retrieval framework that synergistically retrieves both factual and conceptual knowledge from dual sources (i.e., EHRs and the corpus), allowing mutual refinement through iterative interaction. Across three factual-aware medical QA benchmarks, RGAR establishes new state-of-the-art performance among medical RAG systems. Notably, RGAR enables the Llama-3.1-8B-Instruct model to surpass the considerably larger GPT-3.5 augmented with traditional RAG. Our findings demonstrate the benefit of explicitly mining patient-specific factual knowledge during retrieval, consistently improving generation quality and clinical relevance.- Anthology ID:
- 2025.findings-emnlp.214
- Volume:
- Findings of the Association for Computational Linguistics: EMNLP 2025
- Month:
- November
- Year:
- 2025
- Address:
- Suzhou, China
- Editors:
- Christos Christodoulopoulos, Tanmoy Chakraborty, Carolyn Rose, Violet Peng
- Venue:
- Findings
- SIG:
- Publisher:
- Association for Computational Linguistics
- Note:
- Pages:
- 4006–4033
- Language:
- URL:
- https://preview.aclanthology.org/author-page-yu-wang-polytechnic/2025.findings-emnlp.214/
- DOI:
- 10.18653/v1/2025.findings-emnlp.214
- Cite (ACL):
- Sichu Liang, Linhai Zhang, Hongyu Zhu, Wenwen Wang, Yulan He, and Deyu Zhou. 2025. RGAR: Recurrence Generation-augmented Retrieval for Factual-aware Medical Question Answering. In Findings of the Association for Computational Linguistics: EMNLP 2025, pages 4006–4033, Suzhou, China. Association for Computational Linguistics.
- Cite (Informal):
- RGAR: Recurrence Generation-augmented Retrieval for Factual-aware Medical Question Answering (Liang et al., Findings 2025)
- PDF:
- https://preview.aclanthology.org/author-page-yu-wang-polytechnic/2025.findings-emnlp.214.pdf