Trilingual (French / English / Moroccan Darija) medical reasoning LoRA adapter on top of meta-llama/Llama-3.1-8B-Instruct, trained via the HELIX-FT v2 curriculum on a single RunPod L40S GPU.

Training pipeline

This adapter sits on top of TWO stacked components, both available on HF:

Base: meta-llama/Llama-3.1-8B-Instruct (gated)
Intermediate adapter: BrainHealthAI/MedQA-Llama3.1-8B-SFT-Big — merged into the base to produce a dense intermediate BrainMed-Base-v1
HELIX-v2 (this adapter) trained on the dense intermediate in 3 stages:
- Stage A — Continued SFT on BrainHealthAI/MedUnified (23K trilingual, decontaminated against MedQA-USMLE / MedMCQA / PubMedQA / MMLU-medical via MinHash LSH)
- Stage B — SASR (Step-wise Adaptive SFT+GRPO, 3K samples). Reward = `0.2·format
  - 0.8·SB_CS(answer, gold) − anti_hallucination_penalty`. The anti-hallucination term penalises drugs cited in the answer that appear neither in the gold nor in the Dorosz KG.
- Stage C — CoT polish on BrainHealthAI/BrainMedCoT (3K with structured <think>...</think>{answer} format)

QLoRA (r=64, α=128, dropout=0.1) on 7 attention/MLP target modules. paged_adamw_8bit, bf16, sequence packing, max_seq_len=2048.

Inference

python

from peft import PeftModel
from transformers import AutoModelForCausalLM, AutoTokenizer
import torch

BASE     = "meta-llama/Llama-3.1-8B-Instruct"
SFT_BIG  = "BrainHealthAI/MedQA-Llama3.1-8B-SFT-Big"
HELIX_V2 = "BrainHealthAI/MedQA-Llama3.1-8B-HELIX-v2"

# Step 1: load the base + merge the SFT-Big intermediate adapter
base = AutoModelForCausalLM.from_pretrained(BASE, torch_dtype=torch.bfloat16, device_map="auto")
m = PeftModel.from_pretrained(base, SFT_BIG)
m = m.merge_and_unload()

# Step 2: attach the HELIX-v2 adapter
model = PeftModel.from_pretrained(m, HELIX_V2)
tok = AutoTokenizer.from_pretrained(BASE)

# Generate (with the <think> structure trained in Stage C)
prompt = tok.apply_chat_template(
    [{"role": "system", "content": "You are a medical reasoning assistant."},
     {"role": "user",   "content": "Patient presents with..."}],
    tokenize=False, add_generation_prompt=True,
)
out = model.generate(**tok(prompt, return_tensors="pt").to(model.device),
                     max_new_tokens=1024, do_sample=False)
print(tok.decode(out[0], skip_special_tokens=True))

Evaluation

Benchmark	Accuracy	n
MedQA-USMLE	52.50%	200
MedMCQA	41.50%	200
PubMedQA	53.50%	200
MMLU-clinical_knowledge	61.00%	200
MMLU-medical_genetics	67.00%	100
MMLU-professional_medicine	54.00%	200
MMLU-college_medicine	57.23%	173
Darija-MCQ-500	55.00%	200

Language	SB_CS	ROUGE-L	n
EN	0.695	0.163	100
FR	0.630	0.123	100
DARIJA	0.581	0.031	100

See eval_v2.json in this repo for the full breakdown (raw scores + parser version).

Limitations

English MCQ benchmarks (MedQA-USMLE, MedMCQA): the model emits long chain-of-thought reasoning before the final answer, which may be truncated by conservative max_new_tokens settings. Use max_new_tokens ≥ 1024 for MCQ evaluation to give the model room to complete the reasoning AND state the final letter.
Darija: this is the model's distinctive strength (10K+ Darija training samples, rare for an 8B medical LLM). The Darija-MCQ-500 benchmark we built is the first public Darija medical MCQ benchmark; baselines from prior literature don't exist.
Not for clinical use. The adapter is a research artefact. Any clinical application requires review by a licensed medical professional and is not within the scope of CC BY-NC 4.0.

License

CC BY-NC 4.0 — research / non-commercial. The base model meta-llama/Llama-3.1-8B-Instruct has its own Meta Llama 3 Community License; users must comply with both.

Citation

bibtex

@misc{medqa_llama3_helix_v2_2026,
  author       = {BrainHealthAI},
  title        = {MedQA-Llama3.1-8B-HELIX-v2: Trilingual Medical Reasoning Adapter},
  year         = 2026,
  publisher    = {HuggingFace},
  howpublished = {\url{https://huggingface.co/BrainHealthAI/MedQA-Llama3.1-8B-HELIX-v2}},
}

Related artefacts: BrainHealthAI/MedUnified (training data), BrainHealthAI/BrainMedCoT (CoT corpus), BrainHealthAI/MedQA-Darija-MCQ-500 (Darija eval).