arXiv AI October 19, 2026 By Yexiao He, Yucheng Tang, Pengfei Guo, Yufan He, Andriy Myronenko, Can Zhao, Ang Li, Daguang Xu, Dong Yang

Frozen Models, Evolving Expertise: Model-Agnostic Learning from Deployment Experience for Multimodal Medical AI

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The paper introduces a model‑agnostic framework that lets frozen large language models (LLMs) and vision‑language models (VLMs) learn from deployment experience without retraining. It does so by adding three external expertise components—a Skill for guiding reasoning and tool use, a Knowledge Memory for storing reliable facts, and a Multimodal Knowledge Base for visual examples—and by using a validation strategy that updates only when new cases improve performance without harming past performance. Experiments on six benchmarks with both open‑weight and closed‑source models show up to a 34.2% performance gain on medical tasks, generalization to unseen cases, and transferability to other models and non‑medical domains.

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