An Empirical Analysis of Continual Learning for Heterogeneous Medical Visual Question Answering

Deploying medical visual question answering (MedVQA) systems in real-world clinical settings requires models that adapt to new clinical tasks without forgetting previously acquired knowledge. Continual learning (CL) provides a practical framework for this setting. Despite rapid progress in medical vision-language models, the behavior of CL methods when training these models across heterogeneous MedVQA tasks remains underexplored. This work presents a systematic evaluation of CL for MedVQA across diverse clinical objectives, including classification, multi-label classification, detection, cell counting, and report generation. Specifically, we explore (1) the ability of existing CL methods to mitigate catastrophic forgetting; (2) their sensitivity to task ordering, analyzing how different task sequences influence performance retention and forgetting; and (3) the evolution of low-rank adaptation parameters as new tasks are learned, revealing patterns of weight drift under different CL methods. Our findings suggest that existing CL methods struggle to maintain stability-plasticity balance when tasks with different objectives and supervision formats are interleaved. Code and full experimental setup will be publicly available.

Evaluating the Impact of Task Granularity on Catastrophic Forgetting in Continual Learning

Catastrophic forgetting, the abrupt loss of previously acquired knowledge upon learning new information, remains the central challenge in Continual Learning. This project investigates whether the order in which a model learns information affects how well it retains knowledge. Specifically, we ask: does learning general categories first (like "animals" vs "vehicles") before learning specific classes (like "dog" vs "cat") reduce forgetting compared to learning all classes at once? We test three approaches on CIFAR-100: (1) Coarse-to-Fine: train on 2 super-classes, then expand to 10 specific sub-classes, (2) Fine-to-Coarse: train on 10 sub-classes, then group into 2 super-classes, and (3) Flat: train on all 10 classes from the start. We use Elastic Weight Consolidation (EWC) to prevent forgetting during transitions. Our hypothesis is that learning general patterns first creates a stable foundation that helps the model retain knowledge when learning more detailed distinctions. We evaluate using standard metrics (accuracy, precision, recall, F1) plus continual learning metrics like backward transfer and forgetting rates. This work could inform how we design learning sequences for real-world systems that need to learn incrementally.