Papers › AlpaCare:Instruction-tuned Large Language Models for Medical Application

AlpaCare:Instruction-tuned Large Language Models for Medical Application

23 Oct 2023arXiv:2310.14558archive 2025-07-28

Xinlu Zhang, Chenxin Tian, Xianjun Yang, Lichang Chen, Zekun Li, Linda Ruth Petzold

Instruction-finetuning (IFT) has become crucial in aligning Large Language Models (LLMs) with diverse human needs and has shown great potential in medical applications. However, previous studies mainly fine-tune LLMs on biomedical datasets with limited diversity, which often rely on benchmarks or narrow task scopes, and hence significantly limit the effectiveness on their medical instruction-following ability and generalizability. To bridge this gap, we propose creating a diverse, machine-generated medical IFT dataset, MedInstruct-52k, using GPT-4 and ChatGPT with a high-quality expert-curated seed set. We then fine-tune LLaMA-series models on the dataset to develop AlpaCare. Despite using a smaller domain-specific dataset than previous medical LLMs, AlpaCare not only demonstrates superior performance on medical applications, with up to 38.1% absolute gain over best baselines in medical free-form instruction evaluations, but also achieves 6.7% absolute gains averaged over multiple general domain benchmarks. Human evaluation further shows that AlpaCare consistently outperforms best baselines in terms of both correctness and helpfulness. We offer public access to our data, model, and codebase in https://github.com/XZhang97666/AlpaCare.

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