Smaller models are typically dumber. Sure you could fine-tune a smaller model on say the medical domain and they might even perform better on some benchmarks but they won't reason or generalize as well. domain finetuned large models >>> domain finetuned small models.
And because competence in one area bleeds over to other areas, you often need much less domain specific data to finetune on compared to the smaller models.
You can see instances of this with Minerva, where the finetuned 540b version beats the finetuned 62b version despite being finetuned on only a quarter of the data the 62b version was finetuned on.