Text Generation
PEFT
Safetensors
English
medical
healthcare
clinical
clinical-decision-support
question-answering
medical-qa
llama
llama-3.2
lora
qlora
parameter-efficient-fine-tuning
4-bit precision
conversational
Instructions to use MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned with libraries, inference providers, notebooks, and local apps. Follow these links to get started.
- Libraries
- PEFT
How to use MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned with PEFT:
Base model is not found.
- Notebooks
- Google Colab
- Kaggle
Update README.md
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README.md
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---
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base_model: meta-llama/Llama-3.2-3B-Instruct
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library_name:
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tags:
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---
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```python
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print(output["generated_text"])
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```
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## Training procedure
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##
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- Tokenizers: 0.21.4
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Cite TRL as:
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```bibtex
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@
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}
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```
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---
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license: llama3.2
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base_model: meta-llama/Llama-3.2-3B-Instruct
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library_name: peft
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pipeline_tag: text-generation
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language:
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- en
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tags:
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- medical
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- healthcare
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- clinical
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- clinical-decision-support
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- question-answering
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- medical-qa
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- llama
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- llama-3.2
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- lora
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- qlora
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- peft
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- parameter-efficient-fine-tuning
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- 4-bit
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datasets:
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- MohamedAhmedAE/Med_LLaMa3_fine-tuning_dataset
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- medalpaca/medical_meadow_medqa
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- medalpaca/medical_meadow_medical_flashcards
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- medalpaca/medical_meadow_wikidoc
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- medalpaca/medical_meadow_wikidoc_patient_information
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- medalpaca/medical_meadow_cord19
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- medalpaca/medical_meadow_pubmed_causal
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- openlifescienceai/medmcqa
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- bigbio/med_qa
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- qiaojin/PubMedQA
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- deepset/covid_qa_deepset
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---
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# Med-LLaMA3.2-3B — Medical QLoRA Adapter (LoRA weights only)
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> Parameter-efficient medical adaptation of **Llama-3.2-3B** using **QLoRA** (4-bit NF4 + LoRA).
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> This repository contains the **LoRA adapter only** — it must be applied on top of the base
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> model at load time. For a ready-to-use, standalone checkpoint, see the **merged** version
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> linked below.
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This is the **3B (balanced / mid-tier)** member of the **Med-LLaMA3** family introduced in the paper
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*“Med-LLaMA3: Advancing Medical Question-Answering Through Parameter-Efficient Fine-Tuning of Large
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Language Models”* (Applied Sciences, 2026). The family adapts the LLaMA-3 architecture to the medical
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domain by training only a small fraction of the base model’s parameters (**5.70% for this 3B variant**),
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achieving strong medical question-answering performance while reducing memory use by roughly **75%** via
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4-bit quantization — enabling development and inference on low-cost, consumer-grade hardware.
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The 3B variant offers a **balanced trade-off between computational efficiency and capacity** — a
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competitive mid-tier option with meaningfully better accuracy than the 1B and lower compute than the 8B.
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- 📄 **Paper:** [Med-LLaMA3 (Applied Sciences 2026, 16(12), 6158)](https://www.mdpi.com/2076-3417/16/12/6158) · DOI: [10.3390/app16126158](https://doi.org/10.3390/app16126158)
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- 💻 **Code:** [github.com/Mohamed-Ahmed-Abo-El-Enen/MasterPapers](https://github.com/Mohamed-Ahmed-Abo-El-Enen/MasterPapers)
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- 🧩 **Merged (standalone) version:** [`MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned-merged`](https://huggingface.co/MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned-merged)
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---
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## Model details
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|---|---|
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| **Base model** | [`meta-llama/Llama-3.2-3B-Instruct`](https://huggingface.co/meta-llama/Llama-3.2-3B-Instruct) |
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| **Adaptation method** | QLoRA — 4-bit **NF4** quantization (double quantization) + LoRA |
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| **LoRA rank (`r`)** | 128 |
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| **LoRA alpha (`α`)** | 256 (scaling `α/r = 2.0`) |
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| **LoRA target modules** | All linear layers — `q_proj`, `k_proj`, `v_proj`, `o_proj`, `gate_proj`, `up_proj`, `down_proj` |
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| **Trainable parameters** | 194.51 M LoRA parameters = **5.70%** of the 3.40 B total (base weights frozen) |
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| **Compute dtype** | bfloat16 (mixed precision) |
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| **Architecture** | 28 decoder layers · hidden size 3072 · intermediate size 8192 · GQA (24 query heads, 8 KV heads) |
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| **Context window** | 128K tokens (inherited from base) |
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| **Vocabulary** | 128,256 tokens |
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| **Language** | English |
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| **License** | [Llama 3.2 Community License](https://github.com/meta-llama/llama-models/blob/main/models/llama3_2/LICENSE) |
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> **ℹ️ Base checkpoint.** A LoRA adapter only loads correctly onto the *exact* base model it was trained
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> on. This adapter targets the **instruct** checkpoint `meta-llama/Llama-3.2-3B-Instruct` (consistent
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> with the released fine-tuned model). Use that same base in the code below.
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---
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## Intended uses
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**Primary use cases**
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- Medical **question answering** (multiple-choice and open-ended).
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- Clinical knowledge lookup and **clinical decision support** assistance.
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- A balanced mid-tier option when the 1B is too small and the 8B is too heavy.
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- A research baseline for parameter-efficient fine-tuning of small LLaMA models in healthcare.
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**Out of scope / not intended for**
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- Autonomous clinical decision-making or direct patient care without a qualified clinician in the loop.
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- Generating definitive diagnoses, prescriptions, or treatment plans.
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- Use as a substitute for professional medical advice, emergency services, or licensed care.
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See **[Limitations & responsible use](#limitations--responsible-use)** before any applied use.
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---
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## How to use
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This is a PEFT/LoRA adapter, so you load the **base model first** and then attach the adapter.
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```bash
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pip install -U transformers peft accelerate bitsandbytes torch
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```
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### Option A — 4-bit inference (lower GPU memory)
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```python
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import torch
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from transformers import AutoModelForCausalLM, AutoTokenizer, BitsAndBytesConfig
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from peft import PeftModel
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BASE_MODEL = "meta-llama/Llama-3.2-3B-Instruct"
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ADAPTER = "MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned" # <-- this adapter repo
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bnb_config = BitsAndBytesConfig(
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load_in_4bit=True,
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bnb_4bit_quant_type="nf4",
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bnb_4bit_use_double_quant=True,
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bnb_4bit_compute_dtype=torch.bfloat16,
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)
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tokenizer = AutoTokenizer.from_pretrained(BASE_MODEL)
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base = AutoModelForCausalLM.from_pretrained(
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BASE_MODEL,
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quantization_config=bnb_config,
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device_map="auto",
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)
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model = PeftModel.from_pretrained(base, ADAPTER)
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model.eval()
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messages = [
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{"role": "system", "content": "You are a knowledgeable medical assistant. Answer accurately and concisely."},
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{"role": "user", "content": "What is the first-line treatment for uncomplicated community-acquired pneumonia in a healthy adult?"},
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]
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inputs = tokenizer.apply_chat_template(messages, add_generation_prompt=True, return_tensors="pt").to(model.device)
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with torch.no_grad():
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out = model.generate(inputs, max_new_tokens=256, do_sample=False, temperature=0.0)
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print(tokenizer.decode(out[0][inputs.shape[-1]:], skip_special_tokens=True))
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```
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### Option B — full-precision inference
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```python
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import torch
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from transformers import AutoModelForCausalLM, AutoTokenizer
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from peft import PeftModel
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BASE_MODEL = "meta-llama/Llama-3.2-3B-Instruct"
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ADAPTER = "MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned"
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tokenizer = AutoTokenizer.from_pretrained(BASE_MODEL)
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base = AutoModelForCausalLM.from_pretrained(BASE_MODEL, torch_dtype=torch.bfloat16, device_map="auto")
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model = PeftModel.from_pretrained(base, ADAPTER)
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```
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### Optional — merge the adapter into the base
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If you want a single standalone model (no PEFT dependency at inference), merge the weights:
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```python
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merged = model.merge_and_unload()
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merged.save_pretrained("Med-LLaMA3.2-3B-Medical-merged")
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tokenizer.save_pretrained("Med-LLaMA3.2-3B-Medical-merged")
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```
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*(A pre-merged checkpoint is also published separately — see the link at the top of this card.)*
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---
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## Training data
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The Med-LLaMA3 family was fine-tuned on a curated **medical instruction dataset of over 1.5 million
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samples**, organized along a three-axis taxonomy: **source type** (examination QA, clinical dialogue,
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biomedical literature, encyclopedic reference) × **clinical granularity** (basic science, clinical
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reasoning, patient communication) × **task format** (multiple-choice, open-ended QA, generative
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dialogue). All sources were consolidated into a unified instruction–response schema
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(`system`, `context`, `question`, `answer`, `choices`).
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Sources include:
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- **MedAlpaca / Medical Meadow** collection — MEDIQA, Medical Flashcards, WikiDoc, WikiDoc Patient
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Information, MedQA, CORD-19, and PubMed Causal subsets
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- **MedMCQA** — Indian medical entrance exam (AIIMS & NEET PG) multiple-choice questions
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- **MedQA-USMLE** — USMLE-style 4-option multiple-choice questions (English)
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- **BigBIO MedQA** — standardized biomedical QA
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- **PubMedQA** — research questions over PubMed abstracts (yes/no/maybe)
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- **COVID-QA (deepset)** — COVID-19 / SARS-CoV-2 question answering
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- **MedQuAD** — consumer-health QA compiled from authoritative NIH sources
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| 194 |
+
- **HealthCareMagic** — real-world patient–doctor conversation transcripts
|
| 195 |
+
|
| 196 |
+
The data-cleaning and corpus-assembly scripts are released in the
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| 197 |
+
[code repository](https://github.com/Mohamed-Ahmed-Abo-El-Enen/MasterPapers), and the final compiled
|
| 198 |
+
fine-tuning dataset is available at
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| 199 |
+
[`MohamedAhmedAE/Med_LLaMa3_fine-tuning_dataset`](https://huggingface.co/datasets/MohamedAhmedAE/Med_LLaMa3_fine-tuning_dataset).
|
| 200 |
+
|
| 201 |
+
> **Evaluation integrity:** The eight **MMLU medical subsets** were used **only for held-out
|
| 202 |
+
> evaluation** and were **excluded** from the fine-tuning corpus. For benchmarks with official splits
|
| 203 |
+
> (MedMCQA, MedQA-USMLE, PubMedQA), only the official **training** partitions were used for fine-tuning.
|
| 204 |
+
|
| 205 |
+
---
|
| 206 |
+
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| 207 |
## Training procedure
|
| 208 |
|
| 209 |
+
LoRA and optimization settings are identical across the 1B, 3B, and 8B variants; sequence length, batch
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| 210 |
+
size, and gradient accumulation are scaled to each model’s memory footprint. The settings below are for
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| 211 |
+
the **3B** variant.
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|
| 213 |
+
| Setting | Value (3B) |
|
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+
|---|---|
|
| 215 |
+
| Method | QLoRA (4-bit NF4 base, LoRA adapters in higher precision) |
|
| 216 |
+
| LoRA `r` / `α` / dropout / bias | 128 / 256 / 0.05 / none |
|
| 217 |
+
| Target modules | All linear layers (q, k, v, o, gate, up, down) |
|
| 218 |
+
| Trainable params | 194.51 M (5.70% of 3.40 B) |
|
| 219 |
+
| Quantization | 4-bit NF4 with double quantization (bitsandbytes) |
|
| 220 |
+
| Optimizer | Paged AdamW 8-bit (β₁ = 0.9, β₂ = 0.999), weight decay 0.1 |
|
| 221 |
+
| Learning rate / schedule | 2.0 × 10⁻⁵ / cosine annealing, 5 warmup steps |
|
| 222 |
+
| Epochs | 5 |
|
| 223 |
+
| Max sequence length | 2048 |
|
| 224 |
+
| Batch size / grad accumulation | 4 per device / 16 steps |
|
| 225 |
+
| Max gradient norm | 1.0 |
|
| 226 |
+
| Precision & memory | bfloat16 · gradient checkpointing · DeepSpeed ZeRO-2 · FlashAttention-2 |
|
| 227 |
+
| Hardware | 2 × NVIDIA RTX 4050 (12 GB), ~30 days |
|
| 228 |
+
| Experiment tracking | Weights & Biases |
|
| 229 |
|
| 230 |
+
The QLoRA recipe keeps the base weights frozen and quantized, allocating optimizer state only for the
|
| 231 |
+
LoRA parameters — which is what makes fine-tuning feasible on consumer hardware.
|
| 232 |
+
|
| 233 |
+
---
|
| 234 |
|
| 235 |
+
## Evaluation
|
| 236 |
|
| 237 |
+
Evaluation in the paper uses the **EleutherAI LM Evaluation Harness** with **5-shot** prompting on the
|
| 238 |
+
eight MMLU medical subsets (Anatomy, Clinical Knowledge, College Biology, College Medicine, Medical
|
| 239 |
+
Genetics, Nutrition, Professional Medicine, Virology). Reported comparisons include **McNemar’s test**
|
| 240 |
+
p-values and **95% bootstrap confidence intervals**.
|
|
|
|
| 241 |
|
| 242 |
+
The table below reports the 3B model’s 5-shot accuracy (%) on each MMLU medical subset, with 95%
|
| 243 |
+
bootstrap confidence intervals (1000 resamples), as published in Table 7 of the paper. For context, the
|
| 244 |
+
family’s mean accuracy scales with model size: **1B = 48.64%**, **3B = 64.24%**, **8B = 75.71%**.
|
| 245 |
|
| 246 |
+
| MMLU medical subset (5-shot) | Med-LLaMA3.2-3B (acc. %) |
|
| 247 |
+
|---|---|
|
| 248 |
+
| Anatomy | 59.52 (±4.26) |
|
| 249 |
+
| Clinical Knowledge | 68.17 (±2.89) |
|
| 250 |
+
| College Biology | 71.53 (±3.77) |
|
| 251 |
+
| College Medicine | 57.65 (±3.78) |
|
| 252 |
+
| Medical Genetics | 75.00 (±4.35) |
|
| 253 |
+
| Nutrition | 68.32 (±2.69) |
|
| 254 |
+
| Professional Medicine | 70.59 (±2.77) |
|
| 255 |
+
| Virology | 43.17 (±3.84) |
|
| 256 |
+
| **Mean (8 subsets)** | **64.24** |
|
| 257 |
+
|
| 258 |
+
> The paper reports an untuned baseline only for the 8B model (vs. `Llama-3.1-8B-Instruct`); it does
|
| 259 |
+
> **not** include an untuned `Llama-3.2-3B` baseline on these subsets. See Table 7 of the paper for the
|
| 260 |
+
> full cross-model comparison (1B, 8B, and other ≤8B models) with statistical tests.
|
| 261 |
+
|
| 262 |
+
See the [paper](https://www.mdpi.com/2076-3417/16/12/6158) for full tables, statistical tests, and
|
| 263 |
+
confidence intervals.
|
| 264 |
+
|
| 265 |
+
---
|
| 266 |
|
| 267 |
+
## Limitations & responsible use
|
| 268 |
+
|
| 269 |
+
- **Not a medical device.** This model is a research artifact. It must **not** be used for autonomous
|
| 270 |
+
diagnosis, treatment, prescribing, or any decision affecting patient care without review by a
|
| 271 |
+
qualified healthcare professional.
|
| 272 |
+
- **Hallucination risk.** Like all LLMs, it can produce fluent but incorrect or fabricated medical
|
| 273 |
+
information. Always verify outputs against authoritative sources.
|
| 274 |
+
- **Mid-tier capacity.** The 3B is a balanced variant; for the highest accuracy on complex clinical
|
| 275 |
+
reasoning, prefer the 8B variant when resources allow. For the smallest footprint, the 1B is available.
|
| 276 |
+
- **Abbreviation ambiguity.** Medical abbreviations are a known error source. The paper’s safety pilot
|
| 277 |
+
shows that **context-disambiguation preprocessing** reduces the highest-severity abbreviation
|
| 278 |
+
errors (from 30% to 10% on a held-out set); consider applying similar preprocessing.
|
| 279 |
+
- **Data & bias.** Training data may under-represent certain populations, conditions, or regional
|
| 280 |
+
practices, and may encode biases present in the source corpora.
|
| 281 |
+
- **Privacy & compliance.** Do not input protected health information (PHI) unless your deployment is
|
| 282 |
+
appropriately secured and compliant with applicable regulations (e.g., HIPAA, GDPR).
|
| 283 |
+
- **English only.** Performance outside English is not evaluated.
|
| 284 |
+
|
| 285 |
+
---
|
| 286 |
+
|
| 287 |
+
## License
|
| 288 |
+
|
| 289 |
+
This adapter is released under the **[Llama 3.2 Community License](https://github.com/meta-llama/llama-models/blob/main/models/llama3_2/LICENSE)**,
|
| 290 |
+
inherited from the base model. By using it you agree to Meta’s Llama 3.2 license terms and
|
| 291 |
+
Acceptable Use Policy. Review the licenses of the individual training datasets for any additional
|
| 292 |
+
restrictions on derived use.
|
| 293 |
+
|
| 294 |
+
---
|
| 295 |
+
|
| 296 |
+
## Citation
|
| 297 |
+
|
| 298 |
+
If you use this model, please cite the paper:
|
| 299 |
|
|
|
|
|
|
|
| 300 |
```bibtex
|
| 301 |
+
@article{aboelenen2026medllama3,
|
| 302 |
+
title = {Med-LLaMA3: Advancing Medical Question-Answering Through Parameter-Efficient Fine-Tuning of Large Language Models},
|
| 303 |
+
author = {Abo El-Enen, Mohamed Ahmed and Ismail, Sally S. and Nazmy, Taymoor Mohamed},
|
| 304 |
+
journal = {Applied Sciences},
|
| 305 |
+
volume = {16},
|
| 306 |
+
number = {12},
|
| 307 |
+
pages = {6158},
|
| 308 |
+
year = {2026},
|
| 309 |
+
publisher = {MDPI},
|
| 310 |
+
doi = {10.3390/app16126158},
|
| 311 |
+
url = {https://www.mdpi.com/2076-3417/16/12/6158}
|
| 312 |
}
|
| 313 |
+
```
|
| 314 |
+
|
| 315 |
+
## Authors & contact
|
| 316 |
+
|
| 317 |
+
Mohamed Ahmed Abo El-Enen, Sally S. Ismail, and Taymoor Mohamed Nazmy
|
| 318 |
+
Faculty of Computer and Information Sciences, Ain Shams University, Cairo, Egypt.
|
| 319 |
+
|
| 320 |
+
---
|
| 321 |
+
|
| 322 |
+
## Model family
|
| 323 |
+
|
| 324 |
+
| Variant | Type | Repository |
|
| 325 |
+
|---|---|---|
|
| 326 |
+
| Med-LLaMA3.2-1B | Adapter | [`MohamedAhmedAE/Llama-3.2-1B-Instruct-Medical-Finetuned`](https://huggingface.co/MohamedAhmedAE/Llama-3.2-1B-Instruct-Medical-Finetuned) |
|
| 327 |
+
| Med-LLaMA3.2-1B | Merged | [`MohamedAhmedAE/Llama-3.2-1B-Instruct-Medical-Finetuned-merged`](https://huggingface.co/MohamedAhmedAE/Llama-3.2-1B-Instruct-Medical-Finetuned-merged) |
|
| 328 |
+
| **Med-LLaMA3.2-3B** | **Adapter** | **this repo** — [`MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned`](https://huggingface.co/MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned) |
|
| 329 |
+
| Med-LLaMA3.2-3B | Merged | [`MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned-merged`](https://huggingface.co/MohamedAhmedAE/Llama-3.2-3B-Instruct-Medical-Finetuned-merged) |
|
| 330 |
+
| Med-LLaMA3.1-8B | Adapter | [`MohamedAhmedAE/Llama-3.1-8B-Instruct-Medical-Finetuned`](https://huggingface.co/MohamedAhmedAE/Llama-3.1-8B-Instruct-Medical-Finetuned) |
|
| 331 |
+
| Med-LLaMA3.1-8B | Merged | [`MohamedAhmedAE/Llama-3.1-8B-Instruct-Medical-Finetuned-merged`](https://huggingface.co/MohamedAhmedAE/Llama-3.1-8B-Instruct-Medical-Finetuned-merged) |
|
| 332 |
+
|
| 333 |
+
**Fine-tuning dataset:** [`MohamedAhmedAE/Med_LLaMa3_fine-tuning_dataset`](https://huggingface.co/datasets/MohamedAhmedAE/Med_LLaMa3_fine-tuning_dataset)
|