Excellence in a wide variety of medical applications poses considerable challenges for AI, requiring advanced reasoning, access to up-to-date medical knowledge and understanding of complex multimodal data. Gemini models, with strong general capabilities in multimodal and long-context reasoning, offer exciting possibilities in medicine. Building on these core strengths of Gemini, we introduce Med-Gemini, a family of highly capable multimodal models that are specialized in medicine with the ability to seamlessly use web search, and that can be efficiently tailored to novel modalities using custom encoders. We evaluate Med-Gemini on 14 medical benchmarks, establishing new state-of-the-art (SoTA) performance on 10 of them, and surpass the GPT-4 model family on every benchmark where a direct comparison is viable, often by a wide margin. On the popular MedQA (USMLE) benchmark, our best-performing Med-Gemini model achieves SoTA performance of 91.1% accuracy, using a novel uncertainty-guided search strategy. On 7 multimodal benchmarks including NEJM Image Challenges and MMMU (health & medicine), Med-Gemini improves over GPT-4V by an average relative margin of 44.5%. We demonstrate the effectiveness of Med-Gemini's long-context capabilities through SoTA performance on a needle-in-a-haystack retrieval task from long de-identified health records and medical video question answering, surpassing prior bespoke methods using only in-context learning. Finally, Med-Gemini's performance suggests real-world utility by surpassing human experts on tasks such as medical text summarization, alongside demonstrations of promising potential for multimodal medical dialogue, medical research and education. Taken together, our results offer compelling evidence for Med-Gemini's potential, although further rigorous evaluation will be crucial before real-world deployment in this safety-critical domain.

We present a bag of tricks framework for few-shot class-incremental learning (FSCIL), which is a challenging form of continual learning that involves continuous adaptation to new tasks with limited samples. FSCIL requires both stability and adaptability, i.e., preserving proficiency in previously learned tasks while learning new ones. Our proposed bag of tricks brings together eight key and highly influential techniques that improve stability, adaptability, and overall performance under a unified framework for FSCIL. We organize these tricks into three categories: stability tricks, adaptability tricks, and training tricks. Stability tricks aim to mitigate the forgetting of previously learned classes by enhancing the separation between the embeddings of learned classes and minimizing interference when learning new ones. On the other hand, adaptability tricks focus on the effective learning of new classes. Finally, training tricks improve the overall performance without compromising stability or adaptability. We perform extensive experiments on three benchmark datasets, CIFAR-100, CUB-200, and miniIMageNet, to evaluate the impact of our proposed framework. Our detailed analysis shows that our approach substantially improves both stability and adaptability, establishing a new state-of-the-art by outperforming prior works in the area. We believe our method provides a go-to solution and establishes a robust baseline for future research in this area.