gemma-4-31B-it-Guardpoint

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Guardpoint: Qwen3-14B, gpt-oss-20b, Qwen3.5-27B, gemma-4-31B-it, Qwen3-32B, gpt-oss-120b

Guardpoint is a medical reasoning specialist built on Gemma 4.

• Finetuned on our high-difficulty medical reasoning data generated with Deepseek V3.2 Speciale!
• Structured medical reasoning: organized, informative responses for medical diagnosis, management, knowledge, and understanding!
• Cut token costs: organized, concise responses use less tokens for faster inference!
• Trained on a wide variety of medical disciplines, patient profiles, and question types!

Prompting Guide

Guardpoint delivers structured medical responses using the gemma-4-31B-it prompt format.

Guardpoint is a reasoning finetune; we recommend enable_thinking=True for all chats.

Example inference script to get started:

from transformers import AutoProcessor, AutoModelForCausalLM

MODEL_ID = "ValiantLabs/gemma-4-31B-it-Guardpoint"

# Load model
processor = AutoProcessor.from_pretrained(MODEL_ID)
model = AutoModelForCausalLM.from_pretrained(
    MODEL_ID,
    dtype="auto",
    device_map="auto"
)


# Prepare the model input
prompt = "A 60-year-old undergoes a Total Knee Arthroplasty (TKA). Post-operatively, they complain of a clunking sensation and instability when descending stairs. On exam, they have excessive posterior translation of the tibia at 90 degrees of flexion. The TKA used a Cruciate Retaining (CR) implant. Diagnosis is PCL incompetence or rupture. Explain why a CR implant relies on a functional PCL for femoral rollback and how converting to a Posterior Stabilized (PS) implant resolves this biomechanical failure."
#prompt = "I have that tube in my chest for dialysis while my arm heals. The dressing came off in the shower and the tube got tugged a bit. It didn't come out, but now there's this red cuff thing showing that used to be inside the skin. It’s sticking out about an inch. Can I just push it back in and tape it?"
#prompt = "In the workup of a tumor of unknown primary, a biopsy shows a poorly differentiated carcinoma. The IHC profile is: CK7+, CK20+, CDX2+, TTF-1 negative, PAX8 negative. Based on this cytokeratin and transcription factor profile, where is the most likely primary site of the malignancy?"
#prompt = "I have bad arthritis in my lower back and hips. I saw a chiropractor who said my 'pelvis is twisted' and wants to do high-velocity adjustments. My rheumatologist said absolutely not because of my 'osteophytes'. Who is right? I just want to walk without stiffness."
messages = [
    {"role": "user", "content": prompt},
]

# Process input
text = processor.apply_chat_template(
    messages, 
    tokenize=False, 
    add_generation_prompt=True, 
    enable_thinking=True
)
inputs = processor(text=text, return_tensors="pt").to(model.device)
input_len = inputs["input_ids"].shape[-1]

# Generate output
outputs = model.generate(**inputs, max_new_tokens=5000)
response = processor.decode(outputs[0][input_len:], skip_special_tokens=False)

# Parse output
processor.parse_response(response)
print(response)

DISCLAIMER: Guardpoint is a medical reasoning finetune that is subject to the strengths and weaknesses of LLMs. A conversation with an LLM is not a substitute for a professional medical examination. Utilize Guardpoint responsibly.

Guardpoint is created by Valiant Labs.

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