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---
license: mit
datasets:
- disi-unibo-nlp/medqa-5-opt-MedGENIE
language:
- en
metrics:
- accuracy
tags:
- medical
pipeline_tag: question-answering
widget:
- text: >-
A junior orthopaedic surgery resident is completing a carpal tunnel repair
with the department chairman as the attending physician. During the case,
the resident inadvertently cuts a flexor tendon. The tendon is repaired
without complication. The attending tells the resident that the patient will
do fine, and there is no need to report this minor complication that will
not harm the patient, as he does not want to make the patient worry
unnecessarily. He tells the resident to leave this complication out of the
operative report. Which of the following is the correct next action for the
resident to take?
A. Disclose the error to the patient and put it in the operative report
B. Tell the attending that he cannot fail to disclose this mistake
C. Report the physician to the ethics committee
D. Refuse to dictate the operative reporty.
context: >-
Inadvertent Cutting of Tendon is a complication, it should be in the
Operative Reports
The resident must put this complication in the operative report and
disscuss it with the patient. If there was no harm to the patent and
correction was done then theres nothing major for worry. But disclosing
this as per ethical guidelines, is mandatory
example_title: Example 1
---
# Model Card for MedGENIE-fid-flan-t5-base-medqa
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 domain. Specifically, MedGENIE-fid-flan-t5-base-medqa is a fusion-in-decoder model based on flan-t5-base architecture, trained on the [MedQA-USMLE](https://huggingface.co/datasets/disi-unibo-nlp/medqa-5-opt-MedGENIE) dataset augmented with artificially generated contexts from PMC-LLaMA-13B. This model achieves a new state-of-the-art performance over the corresponding test set.
## Model description
- **Language(s) (NLP):** English
- **License:** MIT
- **Finetuned from model:** [google/flan-t5-base](https://huggingface.co/google/flan-t5-base)
- **Repository:** https://github.com/disi-unibo-nlp/medgenie
## Performance
At the time of release, MedGENIE-fid-flan-t5-base-medqa is a new lightweight SOTA model on MedQA-USMLS benchmark:
| Model | Ground (Source) | Learning | Params | Accuracy (↓) |
|----------------------------------|--------------------|---------------------------|-----------------|-------------------------------|
| **MedGENIE-FID-Flan-T5** | G (PMC-LLaMA) | Fine-tuned | 250M | **53.1** |
| Codex <small>(Liévin et al. 2022)</small> | ∅ | 0-zhot | 175B | 52.5 |
| Codex <small>(Liévin et al. 2022)</small> | R (Wikipedia) | 0-shot | 175B | 52.5 |
| GPT-3.5-Turbo <small>(Yang et al.)</small> | R (Wikipedia) | k-shot | -- | 52.3 |
| MEDITRON <small>(Chen et al.)</small> | ∅ | Fine-tuned | 7B | 52.0 |
| Zephyr-β | R (MedWiki) | 2-shot | 7B | 50.4 |
| BioMedGPT <small>(Luo et al.)</small> | ∅ | k-shot | 10B | 50.4 |
| BioMedLM <small>(Singhal et al.)</small> | ∅ | Fine-tuned | 2.7B | 50.3 |
| PMC-LLaMA (AWQ) | ∅ | Fine-tuned | 13B | 50.2 |
| LLaMA-2 <small>(Chen et al.)</small> | ∅ | Fine-tuned | 7B | 49.6 |
| Zephyr-β | ∅ | 2-shot | 7B | 49.6 |
| Zephyr-β <small>(Chen et al.)</small> | ∅ | 3-shot | 7B | 49.2 |
| PMC-LLaMA <small>(Chen et al.)</small> | ∅ | Fine-tuned | 7B | 49.2 |
| DRAGON <small>(Yasunaga et al.)</small> | R (UMLS) | Fine-tuned | 360M | 47.5 |
| InstructGPT <small>(Liévin et al.)</small> | R (Wikipedia) | 0-shot | 175B | 47.3 |
| Flan-PaLM <small>(Singhal et al.)</small> | ∅ | 5-shot | 62B | 46.1 |
| InstructGPT <small>(Liévin et al.)</small> | ∅ | 0-shot | 175B | 46.0 |
| VOD <small>(Liévin et al. 2023)</small> | R (MedWiki) | Fine-tuned | 220M | 45.8 |
| Vicuna 1.3 <small>(Liévin et al.)</small> | ∅ | 0-shot | 33B | 45.2 |
| BioLinkBERT <small>(Singhal et al.)</small> | ∅ | Fine-tuned | 340M | 45.1 |
| Mistral-Instruct | R (MedWiki) | 2-shot | 7B | 45.1 |
| Galactica | ∅ | 0-shot | 120B | 44.4 |
| LLaMA-2 <small>(Liévin et al.)</small> | ∅ | 0-shot | 70B | 43.4 |
| BioReader <small>(Frison et al.)</small> | R (PubMed-RCT) | Fine-tuned | 230M | 43.0 |
| Guanaco <small>(Liévin et al.)</small> | ∅ | 0-shot | 33B | 42.9 |
| LLaMA-2-chat <small>(Liévin et al.)</small> | ∅ | 0-shot | 70B | 42.3 |
| Vicuna 1.5 <small>(Liévin et al.)</small> | ∅ | 0-shot | 65B | 41.6 |
| Mistral-Instruct <small>(Chen et al.)</small> | ∅ | 3-shot | 7B | 41.1 |
| PaLM <small>(Singhal et al.)</small> | ∅ | 5-shot | 62B | 40.9 |
| Guanaco <small>(Liévin et al.)</small> | ∅ | 0-shot | 65B | 40.8 |
| Falcon-Instruct <small>(Liévin et al.)</small> | ∅ | 0-shot | 40B | 39.0 |
| Vicuna 1.3 <small>(Liévin et al.)</small> | ∅ | 0-shot | 13B | 38.7 |
| GreaseLM <small>(Zhang et al.)</small> | R (UMLS) | Fine-tuned | 359M | 38.5 |
| PubMedBERT <small>(Singhal et al.)</small> | ∅ | Fine-tuned | 110M | 38.1 |
| QA-GNN <small>(Yasunaga et al.)</small> | R (UMLS) | Fine-tuned | 360M | 38.0 |
| LLaMA-2 <small>(Yang et al.)</small> | R (Wikipedia) | k-shot | 13B | 37.6 |
| LLaMA-2-chat | R (MedWiki) | 2-shot | 7B | 37.2 |
| LLaMA-2-chat | ∅ | 2-shot | 7B | 37.2 |
| BioBERT <small>(Lee et al.)</small> | ∅ | Fine-tuned | 110M | 36.7 |
| MTP-Instruct <small>(Liévin et al.)</small> | ∅ | 0-shot | 30B | 35.1 |
| GPT-Neo <small>(Singhal et al.)</small> | ∅ | Fine-tuned | 2.5B | 33.3 |
| LLaMa-2-chat <small>(Liévin et al.)</small> | ∅ | 0-shot | 13B | 32.2 |
| LLaMa-2 <small>(Liévin et al.)</small> | ∅ | 0-shot | 13B | 31.1 |
| GPT-NeoX <small>(Liévin et al.) </small> | ∅ | 0-shot | 20B | 26.9 |
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