LoRA adapter fine-tuned on meta-llama/Llama-3.2-3B-Instruct for evaluating predicted clinical discharge diagnoses against ground-truth diagnoses. Given a predicted diagnosis list (JSON) and a ground-truth list, the model returns a structured JSON evaluation including primary/top-5 correctness, missed diagnoses, and improvement suggestions.

This checkpoint (checkpoint-50) was selected because it reached the lowest eval loss before the model began overfitting.

Model Details

Base model: meta-llama/Llama-3.2-3B-Instruct
Fine-tuning method: LoRA (rank 8, all linear modules)
Trainable parameters: 12.16M / 3.22B (0.377%)
Adapter size: ~47 MB
Precision: bfloat16
Developed by: JinR

Intended Use

Task: evaluate predicted discharge diagnoses vs. ground truth with semantic matching, returning structured JSON.

Input format (user message): a prompt containing PREDICTED OUTPUT (JSON), GROUND TRUTH DIAGNOSES, and the requested output schema.

Output format:

json

{
  "diagnosis_evaluation": {
    "primary_correct": true/false,
    "any_top5_correct": true/false,
    "missed_diagnoses": ["..."],
    "why_missed": "..."
  },
  "improvement_suggestions": "..."
}

Out of scope: direct clinical decision-making, patient-facing advice, or use without clinician review.

How to Use

python

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

base = AutoModelForCausalLM.from_pretrained(
    "meta-llama/Llama-3.2-3B-Instruct",
    torch_dtype=torch.bfloat16,
    device_map="auto",
)
tok = AutoTokenizer.from_pretrained("meta-llama/Llama-3.2-3B-Instruct")
model = PeftModel.from_pretrained(base, "JinR/sft_llama3.2_3b")

messages = [{"role": "user", "content": "<your evaluation prompt here>"}]
inputs = tok.apply_chat_template(messages, return_tensors="pt", add_generation_prompt=True).to(model.device)
out = model.generate(inputs, max_new_tokens=512, do_sample=False)
print(tok.decode(out[0][inputs.shape[-1]:], skip_special_tokens=True))

Training Data

Size: 490 examples
Format: ShareGPT / messages (role + content)
Split: 441 train / 49 validation (auto-split, val_size=0.1)
Content: single-turn prompts asking the model to compare predicted vs. ground-truth discharge diagnoses and output a structured JSON evaluation

Training Procedure

Hyperparameters

Setting	Value
LoRA rank	8
LoRA target	all linear modules
cutoff_len	2048
packing	false
learning rate	3e-4
lr scheduler	cosine
warmup ratio	0.1
epochs	5
per-device batch size	4
gradient accumulation	2
effective batch size	24 (4 × 2 × 3 GPUs)
precision	bf16
optimizer	AdamW
gradient checkpointing	yes
attention	torch SDPA

Infrastructure

Hardware: 3× NVIDIA A100 (TACC Lonestar-6, node c301-002)
Framework: LLaMA-Factory + transformers 5.2.0 + PEFT 0.18.1
Runtime: 1 minute 46 seconds

Results

Step	Epoch	train_loss	eval_loss
10	0.54	1.186	—
25	1.32	—	0.6742
50	2.65	0.5099	0.6034 (best)
75	3.97	—	0.6171
95	5.00	0.3155	0.6187

Training loss drops from 2.017 → 0.3155; eval loss bottoms at step 50, confirming checkpoint-50 as the best-generalization checkpoint.

Limitations

Trained on only 490 examples — expect moderate generalization to out-of-distribution prompts.
Mild overfitting observed after epoch ~2.6 (train/eval loss diverge).
Not validated for real clinical use; outputs should be reviewed by a clinician.
Inherits biases and limitations of the base Llama-3.2-3B-Instruct model.

Full Training Log

See TRAINING_LOG_sft_llama3.2_3b.md in this repo for full reproducibility details (environment, data statistics, exact commands, file sizes, caveats).

Framework versions

PEFT 0.18.1