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<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful AI assistant.<|eot_id|><|start_header_id|>user<|end_header_id|> You are an AI assistant. User will you give you a task. Your goal is to complete the task as faithfully as you can. While performing the task think step-by-step and justify your...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> All of the following therapies may be required in a 1-hour-old infant with severe bih asphyxia, EXCEPT: a. Glucose b. Dexamethasone c. Cal...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> Are asymptomatic carriers a potential source for transmission of epidemic and nonepidemic Clostridium difficile strains among long-term ca...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What type of antibody is produced rapidly and in high amounts during the secondary immune response?<|eot_id|><|start_header_id|>assistant<...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is the primary outcome of the SWIFT Cast?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> The user asks: "What is the...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> Does imbalance of peroxisome proliferator-activated receptor gamma and adiponectin predispose Kawasaki disease patients to developing athe...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is missing?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> Okay, the user asked "What is missing?" That's pretty vag...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> Biphasic action potential of mixed nerve except? A. Two or more positive peaks B. All or none phenomenon C. Refractory period D. Recorded ...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> Which life-threatening adverse effect is not commonly associated with the thioamide group of anti-thyroid drugs?<|eot_id|><|start_header_i...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> Question: Does activation of the hip adductor muscles vary during a simulated weight-bearing task? Context: To investigate the pattern of...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> 28 year old G3 P2 at 16 weeks gestation reports extreme fatigue and her hemoglobin concentration is 7.5g / dL MCV is markedly elevated and...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful AI assistant.<|eot_id|><|start_header_id|>user<|end_header_id|> Compile a comprehensive table detailing a minimum of 15 distinct and lesser-known regional dialects spoken in Japan, including at least three examples of their distinctive gramm...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> A 10 years old female patient diagnosed as a case of down's syndrome having mosaicism variety. Often IQ of such patients lie in the range...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> Histologic sections of the thymus that reveal reactive follicles with germinal centers are diagnostic of a. Acute inflammation b. Chronic ...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful AI assistant.<|eot_id|><|start_header_id|>user<|end_header_id|> I am currently attempting to translate some Python code into Scala code, but I'm quite new to Python. I've noticed that some classes in Python have 'object' as a parameter but i...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is the venoarterial extracorporeal membrane oxygenation?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> Okay, the us...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What are some common channelopathies that can lead to the risk of sudden death?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <t...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> I've been experiencing paralysis in my left upper extremity. What could be the cause of this?<|eot_id|><|start_header_id|>assistant<|end_h...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is portal hypertension and how is it defined?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> Okay, the user is askin...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is the result of a pilot study?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> Okay, the user is asking about the re...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What could be the cause of my symptoms? I woke up confused and then had a severe headache with blurry vision.<|eot_id|><|start_header_id|>...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What was the overall uptake of FCT in 2009?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> Okay, the user is asking about...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is the name of the antigen TSO45-4B antigen?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> The user asks: "What is ...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is the average follow-up time for ADT?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> The user asks: "What is the av...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is the name of the SSc disease?<|eot_id|><|start_header_id|>assistant<|end_header_id|> <think> The user asks: "What is the name of t...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> Peribulbar injection is given in: September 2009 a. Anterior chamber b. Subtenon space c. Periorbital space d. Subperiorbital space Pleas...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful AI assistant.<|eot_id|><|start_header_id|>user<|end_header_id|> Suppose $a<c$ and $b<0$. Which of the following must be true? $ab < ac$ $a+b<c+b$ $a-b < c-b$ $c/a > 1$ Enter your answer as a list of those options that are always true. For ...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What are the advantages of using ECG-gated kilohertz visualization (EKV) in assessing left ventricular function compared to M-mode imaging...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> A 54-year-old woman has experienced the cessation of her menstrual periods for the last 5 months, but does not exhibit other menopausal sy...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful AI assistant.<|eot_id|><|start_header_id|>user<|end_header_id|> I encountered an error when trying to run my Go application using Docker. The image build was successful, but I received the following error when running with "docker run": ```...
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|><|start_header_id|>user<|end_header_id|> What is the preferred intravenous fluid for administering quinine infusion in a patient diagnosed with chloroquine-resistant falciparum ma...
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🧹 Medical-Reasoning-CoT-MegaMix-Clean

This is a cleaned version of the Medical-Reasoning-CoT-MegaMix dataset. The only modification is the removal of the static system metadata line that was automatically added by the Llama 3.1 tokenizer's apply_chat_template function.

πŸ”„ What Was Removed?

From every example, we removed the exact prefix:

<|begin_of_text|><|start_header_id|>system<|end_header_id|> Cutting Knowledge Date: December 2023 Today Date: 26 Jul 2024

This metadata is static and identical across all examples. It provides no task-relevant information and was removed to create a cleaner, more minimal training format.

Before Cleaning:

<|begin_of_text|><|start_header_id|>system<|end_header_id|> Cutting Knowledge Date: December 2023 Today Date: 26 Jul 2024 You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|>...

After Cleaning:

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are Avicenna, an expert medical AI. Analyze the case step-by-step.<|eot_id|>...

All other structure – including special tokens, system prompts, user queries, assistant responses, and <think> tags – remains identical to the original.

πŸ“Š Dataset Composition (Unchanged from Original)

Source Target Samples Reasoning Type
OpenMed/Medical-Reasoning-SFT-Mega 20,000 Mixed teacher reasoning
OpenMed/Medical-Reasoning-SFT-Qwen3-Next-80B 15,000 High‑IQ teacher reasoning
OpenMed/Medical-Reasoning-SFT-GPT-OSS-120B-V2 15,000 GPT‑OSS teacher reasoning
OpenMed/Medical-Reasoning-SFT-Baichuan-M3-235B 15,000 Baichuan teacher reasoning
Intelligent-Internet/II-Medical-Reasoning-SFT 15,000 Multi‑turn reasoning
FreedomIntelligence/medical-o1-reasoning-SFT 20,000 Explicit chain‑of‑thought
teknium/OpenHermes-2.5 35,000 General instruction data
Total ~135,000 ~74% medical / 26% general

🧠 Why Use This Cleaned Version?

Reason Explanation
Matches inference format When you deploy your model, you likely won't include the static date metadata. Training without it better aligns with inference.
Cleaner input Removes irrelevant tokens that the model doesn't need to process.
Slightly more efficient ~100 fewer tokens per example saves minimal but non-zero compute.
No performance loss The removed metadata is static and provides no task-relevant information.

🎯 When to Use Which Version

Use Case Recommended Version
Fine-tuning for deployment (matching inference) βœ… Clean version (this one)
Maximum compatibility with Llama 3.1 defaults Original version
Research on prompt formatting effects Both (for comparison)
Teaching the model to ignore metadata Clean version

πŸ“₯ How to Load

from datasets import load_dataset
dataset = load_dataset("salihfurkaan/Medical-Reasoning-CoT-MegaMix-Clean")
train_data = dataset["train"]
val_data = dataset["validation"]

πŸ™‹ Contact

For questions or feedback, you can contact me.

πŸ“œ License and Attribution

This dataset is a derivative of the same sources as the original. Users must comply with all original licenses:

Source License (as stated on HF)
OpenMed/* Apache 2.0
Intelligent-Internet/II-Medical-Reasoning-SFT Unknown
FreedomIntelligence/medical-o1-reasoning-SFT Apache 2.0
teknium/OpenHermes-2.5 MIT

If you use this dataset, please cite the original sources and this cleaned version:

@misc{medical-reasoning-cot-megamix-clean,
  author = {Salih Furkaan},
  title = {Medical-Reasoning-CoT-MegaMix-Clean},
  year = {2026},
  publisher = {Hugging Face},
  howpublished = {\url{https://huggingface.co/datasets/salihfurkaan/Medical-Reasoning-CoT-MegaMix-Clean}}
}
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