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ValiantLabs/
gpt-oss-20b-Guardpoint

Name: gpt-oss-20b-Guardpoint
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Guardpoint: gemma-4-12B, Qwen3-14B, gpt-oss-20b, Qwen3.5-27B, Qwen3-32B, gpt-oss-120b

Guardpoint is a medical reasoning specialist built on gpt-oss.

Finetuned on our high-difficulty medical reasoning data generated with Deepseek V3.2 Speciale!
Structured medical reasoning: organized, informative responses for medical diagnosis, management, knowledge, and understanding!
Cut token costs: organized, concise responses use less tokens for faster inference!
Trained on a wide variety of medical disciplines, patient profiles, and question types!

Prompting Guide

Guardpoint uses the gpt-oss-20b prompt format.

Guardpoint is a reasoning finetune; reasoning level high is generally recommended.

Example inference script provided by gpt-oss-20b to get started:

python

from transformers import pipeline
import torch

model_id = "ValiantLabs/gpt-oss-20b-Guardpoint"

pipe = pipeline(
    "text-generation",
    model=model_id,
    torch_dtype="auto",
    device_map="auto",
)

prompt = "A 60-year-old undergoes a Total Knee Arthroplasty (TKA). Post-operatively, they complain of a clunking sensation and instability when descending stairs. On exam, they have excessive posterior translation of the tibia at 90 degrees of flexion. The TKA used a Cruciate Retaining (CR) implant. Diagnosis is PCL incompetence or rupture. Explain why a CR implant relies on a functional PCL for femoral rollback and how converting to a Posterior Stabilized (PS) implant resolves this biomechanical failure."
#prompt = "I have that tube in my chest for dialysis while my arm heals. The dressing came off in the shower and the tube got tugged a bit. It didn't come out, but now there's this red cuff thing showing that used to be inside the skin. It’s sticking out about an inch. Can I just push it back in and tape it?"
#prompt = "In the workup of a tumor of unknown primary, a biopsy shows a poorly differentiated carcinoma. The IHC profile is: CK7+, CK20+, CDX2+, TTF-1 negative, PAX8 negative. Based on this cytokeratin and transcription factor profile, where is the most likely primary site of the malignancy?"
#prompt = "I have bad arthritis in my lower back and hips. I saw a chiropractor who said my 'pelvis is twisted' and wants to do high-velocity adjustments. My rheumatologist said absolutely not because of my 'osteophytes'. Who is right? I just want to walk without stiffness."

messages = [
    {"role": "user", "content": prompt},
]

outputs = pipe(
    messages,
    max_new_tokens=8000,
)
print(outputs[0]["generated_text"][-1])

DISCLAIMER: Guardpoint is a medical reasoning finetune that is subject to the strengths and weaknesses of LLMs. A conversation with an LLM is not a substitute for a professional medical examination. Utilize Guardpoint responsibly.

Guardpoint is created by Valiant Labs.

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