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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... |
π§Ή 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.
π 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 β including special tokens, system prompts, user queries, assistant responses, and <think> tags β remains identical to the original.
π 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 | HighβIQ teacher reasoning |
OpenMed/Medical-Reasoning-SFT-GPT-OSS-120B-V2 |
15,000 | GPTβOSS teacher reasoning |
OpenMed/Medical-Reasoning-SFT-Baichuan-M3-235B |
15,000 | Baichuan teacher reasoning |
Intelligent-Internet/II-Medical-Reasoning-SFT |
15,000 | Multiβturn reasoning |
FreedomIntelligence/medical-o1-reasoning-SFT |
20,000 | Explicit chainβofβthought |
teknium/OpenHermes-2.5 |
35,000 | General instruction data |
| Total | ~135,000 | ~74% medical / 26% general |
π§ 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. |
π― When to Use Which Version
| Use Case | Recommended Version |
|---|---|
| Fine-tuning for deployment (matching inference) | β 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 |
π₯ 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"]
π Contact
For questions or feedback, you can contact me.
π 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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