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metadata
license: mit
datasets:
  - disi-unibo-nlp/medmcqa-MedGENIE
language:
  - en
metrics:
  - accuracy
pipeline_tag: question-answering
tags:
  - medical
widget:
  - text: >-
      Which of the following is not true for myelinated nerve fibers: A. Impulse
      through myelinated fibers is slower than non-myelinated fibers B. Membrane
      currents are generated at nodes of Ranvier C. Saltatory conduction of
      impulses is seen D. Local anesthesia is effective only when the nerve is
      not covered by myelin sheath
    context: >-
      The myelin sheath of myelinated nerve fibers is a covering that acts as
      insulation and increases the rate of conduction. Therefore, impulse
      through myelinated fibers is faster than non-myelinated fibers.
      Understanding these differences in structure and function between these
      two types of nerve cells helps us appreciate how local anesthetics work,
      as well as why they are more effective on small diameter axons (which are
      not heavily myelinated).

Model Card for MedGENIE-fid-flan-t5-base-medmcqa

MedGENIE comprises a collection of language models designed to utilize generated contexts, rather than retrieved ones, for addressing multiple-choice open-domain questions in the medical field. Specifically, MedGENIE-fid-flan-t5-base-medmcqa is a fusion-in-decoder (FID) model based on flan-t5-base, trained on the MedMCQA dataset and grounded on artificial contexts generated by PMC-LLaMA-13B. This model achieves performance levels comparable to state-of-the-art (SOTA) larger models on both MedMCQA and MMLU-Medical benchmarks.

Model description

Performance

At the time of release (February 2024), MedGENIE-fid-flan-t5-base-medmcqa outcompetes many fine-tuned and few-shot versions of 7B models on MedMCQA. Moreover, it emerges as the leading model on MMLU-Medical, a compilation of 9 medical subsets from MMLU, following Zephyr-β (7B) augmented with MedWiki.

Model Ground (Source) Learning Params MedMCQA MMLU-medical AVG (↓)
MEDITRON (Chen et al.) Fine-tuned 7B 59.2 55.6 57.4
VOD (Liévin et al. 2023) R (MedWiki) Fine-tuned 220M 58.3 56.8 57.6
Zephyr-β R (MedWiki) 2-shot 7B 47.0 66.7 56.9
MedGENIE-FID-Flan-T5 G (PMC-LLaMA) Fine-tuned 250M 52.1 59.9 56.0
PMC-LLaMA (Chen et al.) Fine-tuned 7B 51.4 59.7 55.6
LLaMA-2 (Chen et al.) Fine-tuned 7B 54.4 56.3 55.4
Zephyr-β (Chen et al.) 2-shot 7B 43.4 60.7 52.1
Mistral-Instruct R (MedWiki) 2-shot 7B 44.3 58.5 51.4
Mistral-Instruct (Chen et al.) 3-shot 7B 40.2 55.8 48.0
LLaMA-2-chat 2-shot 7B 35.0 49.3 42.2
LLaMA-2-chat R (MedWiki) 2-shot 7B 37.2 52.0 44.6

Training hyperparameters

The following hyperparameters were used during training:

  • learning_rate: 5e-05
  • n_context: 5
  • per_gpu_batch_size: 2
  • accumulation_steps: 2
  • total_steps: 182,816
  • eval_freq: 22,852
  • optimizer: AdamW
  • scheduler: linear
  • weight_decay: 0.01
  • warmup_ratio: 0.1
  • text_maxlength: 600

Bias, Risk and Limitation

Our model is trained on artificially generated contextual documents, which might inadvertently magnify inherent biases and depart from clinical and societal norms. This could lead to the spread of convincing medical misinformation. To mitigate this risk, we recommend a cautious approach: domain experts should manually review any output before real-world use. This ethical safeguard is crucial to prevent the dissemination of potentially erroneous or misleading information, particularly within clinical and scientific circles.

Citation

If you find MedGENIE-fid-flan-t5-base-medmcqa is useful in your work, please cite it with:

@misc{frisoni2024generate,
      title={To Generate or to Retrieve? On the Effectiveness of Artificial Contexts for Medical Open-Domain Question Answering}, 
      author={Giacomo Frisoni and Alessio Cocchieri and Alex Presepi and Gianluca Moro and Zaiqiao Meng},
      year={2024},
      eprint={2403.01924},
      archivePrefix={arXiv},
      primaryClass={cs.CL}
}