quant · medical
An 8B medical-reasoning model with a visible think-chain, quantized for offline clinical Q&A
Intelligent-Internet's II-Medical-8B is a Qwen3-8B base carrying an SFT + DAPO reasoning recipe — it walks a differential inside a think block before it answers, which is what a clinical-Q&A console wants and what a 15.3 GB checkpoint can't do on a small consumer GPU. This release ships five GGUF variants (Q4_K_M at 4.68 GB and 43.6 tok/s up to F16) so the reasoning loop runs offline, each with a four-axis Spark-measured card: wikitext-2 perplexity, sustained tok/s, thermal-envelope minutes, and a MedMCQA score. Orionfold's contribution is the distribution + measurement layer; Intelligent-Internet did the reasoning fine-tune.
- A local clinical-Q&A console behind your own retrieval layer, fully offline
- Medical-reasoning experiments where the visible think-chain is the point
- Picking a quant variant by workload shape, not just RAM budget
Audience — Local-LLM power users and clinical-informatics builders who want an offline medical-reasoning model on a consumer GPU with the reasoning trace visible — not a hosted API and not a medical device.
| Variant | Perplexity | tok/s | MedMCQA (n=50, mcq_letter) |
|---|---|---|---|
| Q4_K_M | 16.550 | 43.6 | 0.42 |
| Q5_K_M sweet spot | 16.242 | 36.4 | 0.52 |
| Q6_K | 16.014 | 32.8 | 0.46 |
| Q8_0 | 16.296 | 28.4 | 0.48 |
| F16 | 16.268 | 15.9 | 0.48 |
Perplexity lower = better; tok/s measured on the DGX Spark (GB10, 128 GB unified).
- Reasoning models need a generous n_predict (≥1024) A clinical-MCQ reasoning trace runs 400–800 tokens before the closing think tag, and the answer is 1 token after it. At n_predict=256 the budget runs out mid-differential and the answer never lands — set n_predict to 1024 or more. A measurement gotcha, not a model defect.
- MedMCQA accuracy ceiling (8B, n=50 mini-eval) MedMCQA (n=50, mcq_letter) lands 42–52% across the five variants, peaking at Q5_K_M (26/50) — an 8B reasoning ceiling on a 50-question mini-eval, not a quantization failure. Indicative, not a clinical validation.
- Not medical advice An 8B reasoning model inherited from the upstream base — for study, retrieval-grounded drafting, and triage UX, not diagnosis or treatment decisions. No clinical-grade validation is claimed.