The model is trained to reason inside <think>...</think> and answer inside
<answer>...</answer>, under this system prompt:
You are a medical reasoning assistant. Work through the clinical problem step by step inside <think>...</think>, grounding every step in established medical knowledge, then give the final, complete answer inside <answer>...</answer>.
Evaluation
Table with columns: Benchmark, n, Accuracy| Benchmark | n | Accuracy |
|---|
| medbullets_op4 | 308 | 58.77 |
| medbullets_op5 | 308 | 56.82 |
| medmcqa_val | 4183 | 61.2 |
| medqa_4opt | 1273 | 72.11 |
| medxpertqa | 1449 | 18.08 |
| pubmedqa_test | 1000 | 77.1 |
Scored with the MedReason evaluation harness (greedy decoding, strict answer prompt,
max(head, tail) extraction) on the benchmark files shipped by the MedReason and
HuatuoGPT-o1 repositories - no benchmark was rebuilt or resampled.
Data integrity
Training rows: 44,351.
Rows overlapping the evaluation benchmarks were kept, matching the upstream setting under which the published comparison tables were produced. The overlap was measured and is declared below rather than removed; the evaluation therefore reports a clean-subset score alongside the raw one, and the clean figure is the unbiased estimate.
Table with columns: Benchmark, items, overlapping training rows| Benchmark | items | overlapping training rows |
|---|
| hle_med | 103 | 30 (29.13%) |
| medbullets_op4 | 308 | 35 (11.36%) |
| medbullets_op5 | 308 | 35 (11.36%) |
| medqa_4opt | 1273 | 1 (0.08%) |
| medqa_5opt | 1273 | 1 (0.08%) |
| medxpertqa | 1449 |
This overlap originates upstream: the MedReason corpus derives reasoning traces from MMLU-medical, MedXpertQA and Humanity's Last Exam, three sets it also evaluates on.
Answer-format alignment was applied to 17,083 rows (38.52%): a canonical The answer is X. was appended where the letter was unambiguously recoverable from options already present in the question. Questions and reasoning traces are byte-identical to the source.
Intended use
Research and decision support. Not a medical device; not for autonomous clinical use.
Citation
@misc{wu2025medreason,
title={MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs},
author={Wu, Juncheng and others}, year={2025}, eprint={2504.00993}, archivePrefix={arXiv}
}