Training Data And Objective
ClinSeek-35B-A3B validates ClinSeekAgent as a training-time pipeline. Claude
Opus 4.6 is used as the teacher model to generate ClinSeekAgent trajectories
from the training split of the text-based benchmark. The student model is then
fine-tuned with supervised learning on the resulting trajectories.
The trajectories are rendered in native tool-call format with
<tool_call> / <tool_response> turns, teaching the model how to search the
EHR rather than only imitate final answers.
Training configuration:
Table with columns: Component, Configuration| Component | Configuration |
|---|
| Base model | Qwen3.5-35B-A3B |
| Training objective | SFT on ClinSeekAgent trajectories |
| Training / validation size | 7,204 / 147 examples |
| Maximum sequence length | 52,000 tokens |
| Training epochs | 3 |
| Global batch size | 32 |
| Micro batch size | 1 per GPU |
| Optimizer | Megatron optimizer with CPU offload |
| Learning rate |
This release contains the model weights and tokenizer files. It does not
redistribute protected clinical source data, patient-level databases, private
trajectories, experiment logs, or raw MIMIC-derived records.
Evaluation
We evaluate ClinSeek-35B-A3B on the five-task AgentEHR-Bench setting. The model
improves the Qwen3.5-35B-A3B base model from 22.1 to 34.0 average F1, a +11.9
point gain, and achieves the strongest open-source performance among the
evaluated models.
Table with columns: Model, Diagnoses, Labs, Microbiology, Procedures, Transfers, Avg.| Model | Diagnoses | Labs | Microbiology | Procedures | Transfers | Avg. |
|---|
| Qwen3.5-35B-A3B (base) | 36.6 | 17.7 | 16.2 | 21.9 | 18.1 | 22.1 |
| ClinSeek-35B-A3B | 55.4 | 38.5 | 27.6 | 31.7 | 16.7 | 34.0 |
Our analysis shows that the distilled model learns a different tool-use policy,
not just a different final-answer prior. On the same 500 AgentEHR-Bench
questions, its free-form SQL use increases from 649 calls in the base model to
3,932 calls after SFT, suggesting that ClinSeekAgent trajectories teach the
student to treat the EHR as a programmable database.
For full evaluation scripts and benchmark reconstruction instructions, see:
https://github.com/UCSC-VLAA/ClinSeekAgent.
Usage
Use the checkpoint with a recent transformers release that supports
Qwen3.5-MoE models. For the evaluation setting used in this work, serve the
model with an OpenAI-compatible backend such as vLLM and run the ClinSeekAgent
evaluation drivers.
Basic loading example:
import torch
from transformers import AutoModelForCausalLM, AutoTokenizer
model_id = "UCSC-VLAA/ClinSeek-35B-A3B"
tokenizer = AutoTokenizer.from_pretrained(model_id, trust_remote_code=True)
model = AutoModelForCausalLM.from_pretrained(
model_id,
torch_dtype=torch.bfloat16,
device_map="auto",
trust_remote_code=True,
)
messages = [
{
"role": "system",
"content": "You are a clinical evidence-seeking assistant.",
},
{
"role": "user",
"content": "Answer the clinical question using the available evidence.",
},
]
text = tokenizer.apply_chat_template(
messages,
tokenize=False,
add_generation_prompt=True,
)
inputs = tokenizer(text, return_tensors="pt").to(model.device)
with torch.no_grad():
output_ids = model.generate(**inputs, max_new_tokens=512)
print(tokenizer.decode(output_ids[0], skip_special_tokens=True))
For tool-using evaluation, use the ClinSeekAgent repository rather than a
single-turn text generation script. The repository provides the EHR MCP server,
tool schemas, prompts, and scoring code expected by this model.
Citation
Please cite our ClinSeekAgent technical report if you use this model:
@article{clinseekagent2026,
title = {ClinSeekAgent: Automating Multimodal Evidence Seeking for Agentic Clinical Reasoning},
year = {2026},
url = {https://arxiv.org/abs/2605.20176}
}
Also cite the upstream datasets, benchmarks, and base models used in your
experiments, including MIMIC, AgentEHR-Bench, and Qwen3.5-35B-A3B where
applicable.