Large language models (LLMs) can potentially democratize access to medical knowledge. While many efforts have been made to harness and improve LLMs' medical knowledge and reasoning capacities, the resulting models are either closed-source (e.g., PaLM, GPT-4) or limited in scale (<= 13B parameters), which restricts their abilities. In this work, we improve access to large-scale medical LLMs by releasing MEDITRON: a suite of open-source LLMs with 7B and 70B parameters adapted to the medical domain. MEDITRON builds on Llama-2 (through our adaptation of Nvidia's Megatron-LM distributed trainer), and extends pretraining on a comprehensively curated medical corpus, including selected PubMed articles, abstracts, and internationally-recognized medical guidelines. Evaluations using four major medical benchmarks show significant performance gains over several state-of-the-art baselines before and after task-specific finetuning. Overall, MEDITRON achieves a 6% absolute performance gain over the best public baseline in its parameter class and 3% over the strongest baseline we finetuned from Llama-2. Compared to closed-source LLMs, MEDITRON-70B outperforms GPT-3.5 and Med-PaLM and is within 5% of GPT-4 and 10% of Med-PaLM-2. We release our code for curating the medical pretraining corpus and the MEDITRON model weights to drive open-source development of more capable medical LLMs.

Aligning large language models (LLMs) with human preferences has proven to drastically improve usability and has driven rapid adoption as demonstrated by ChatGPT. Alignment techniques such as supervised fine-tuning (SFT) and reinforcement learning from human feedback (RLHF) greatly reduce the required skill and domain knowledge to effectively harness the capabilities of LLMs, increasing their accessibility and utility across various domains. However, state-of-the-art alignment techniques like RLHF rely on high-quality human feedback data, which is expensive to create and often remains proprietary. In an effort to democratize research on large-scale alignment, we release OpenAssistant Conversations, a human-generated, human-annotated assistant-style conversation corpus consisting of 161,443 messages in 35 different languages, annotated with 461,292 quality ratings, resulting in over 10,000 complete and fully annotated conversation trees. The corpus is a product of a worldwide crowd-sourcing effort involving over 13,500 volunteers. Models trained on OpenAssistant Conversations show consistent improvements on standard benchmarks over respective base models. We release our code and data under a fully permissive licence.