Aloe: A Family of Fine-tuned Open Healthcare LLMs
On the map: LLM safety and security → Safety alignment, refusal and guardrails
Abstract (arXiv)
As the capabilities of Large Language Models (LLMs) in healthcare and medicine continue to advance, there is a growing need for competitive open-source models that can safeguard public interest. With the increasing availability of highly competitive open base models, the impact of continued pre-training is increasingly uncertain. In this work, we explore the role of instruct tuning, model merging, alignment, red teaming and advanced inference schemes, as means to improve current open models. To that end, we introduce the Aloe family, a set of open medical LLMs highly competitive within its scale range. Aloe models are trained on the current best base models (Mistral, LLaMA 3), using a new custom dataset which combines public data sources improved with synthetic Chain of Thought (CoT). Aloe models undergo an alignment phase, becoming one of the first few policy-aligned open healthcare LLM using Direct Preference Optimization, setting a new standard for ethical performance in healthcare LLMs. Model evaluation expands to include various bias and toxicity datasets, a dedicated red teaming effort, and a much-needed risk assessment for healthcare LLMs. Finally, to explore the limits of current LLMs in inference, we study several advanced prompt engineering strategies to boost performance across benchmarks, yielding state-of-the-art results for open healthcare 7B LLMs, unprecedented at this scale.
Key facts. Cited by 20 papers in the map (data through 14 Oct 2026). Placed in Safety alignment, refusal and guardrails, one of 12 directions in LLM safety and security. Builds on 35 of its 52 references that are in the map. First posted on arXiv 3 May 2024.
Builds on
35 of 52 references.
References · 35
- 2021TruthfulQA: Measuring How Models Mimic Human Falsehoodscited by 2,975
- 2024Mixtral of Expertscited by 1,823
- 2022Model soups: averaging weights of multiple fine-tuned models improves accuracy without increasing inference timecited by 1,396
- 2023ChatGPT Outperforms Crowd-Workers for Text-Annotation Taskscited by 870
- 2023Enhancing Chat Language Models by Scaling High-quality Instructional Conversationscited by 839
- 2022Discovering Language Model Behaviors with Model-Written Evaluationscited by 836
- 2022Red Teaming Language Models to Reduce Harms: Methods, Scaling Behaviors, and Lessons Learnedcited by 729
- 2020Aligning AI With Shared Human Valuescited by 723
- 2020CrowS-Pairs: A Challenge Dataset for Measuring Social Biases in Masked Language Modelscited by 710
- 2023Language Models are Super Mario: Absorbing Abilities from Homologous Models as a Free Lunchcited by 694
- 2022ToxiGen: A Large-Scale Machine-Generated Dataset for Adversarial and Implicit Hate Speech Detectioncited by 422
- 2024InternLM2 Technical Reportcited by 397
23 more
- 2023What Makes Good Data for Alignment? A Comprehensive Study of Automatic Data Selection in Instruction Tuningcited by 364
- 2024BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domainscited by 301
- 2023MEDITRON-70B: Scaling Medical Pretraining for Large Language Modelscited by 274
- 2023How Abilities in Large Language Models are Affected by Supervised Fine-tuning Data Compositioncited by 223
- 2024Rainbow Teaming: Open-Ended Generation of Diverse Adversarial Promptscited by 205
- 2023Rethinking Benchmark and Contamination for Language Models with Rephrased Samplescited by 195
- 2024Arcee's MergeKit: A Toolkit for Merging Large Language Modelscited by 194
- 2023MedCPT: Contrastive Pre-trained Transformers with Large-scale PubMed Search Logs for Zero-shot Biomedical Information Retrievalcited by 185
- 2023A Study of Generative Large Language Model for Medical Research and Healthcarecited by 163
- 2023A Survey of Large Language Models for Healthcare: from Data, Technology, and Applications to Accountability and Ethicscited by 163
- 2023Med-HALT: Medical Domain Hallucination Test for Large Language Modelscited by 157
- 2023Does Synthetic Data Generation of LLMs Help Clinical Text Mining?cited by 154
- 2024OpenMathInstruct-1: A 1.8 Million Math Instruction Tuning Datasetcited by 143
- 2024Best Practices and Lessons Learned on Synthetic Datacited by 106
- 2023NEFTune: Noisy Embeddings Improve Instruction Finetuningcited by 100
- 2023AnglE-optimized Text Embeddingscited by 99
- 2024Towards Building Multilingual Language Model for Medicinecited by 92
- 2024On the Societal Impact of Open Foundation Modelscited by 65
- 2024A Toolbox for Surfacing Health Equity Harms and Biases in Large Language Modelscited by 45
- 2024Red Teaming GPT-4V: Are GPT-4V Safe Against Uni/Multi-Modal Jailbreak Attacks?cited by 34
- 2024Risks from Language Models for Automated Mental Healthcare: Ethics and Structure for Implementationcited by 27
- 2023Two Directions for Clinical Data Generation with Large Language Models: Data-to-Label and Label-to-Datacited by 26
- 2024OpenMedLM: Prompt engineering can out-perform fine-tuning in medical question-answering with open-source large language modelscited by 20
Built on by
Citing papers per year: 2024: 4; 2025: 11; 2026: 5.
20 papers.
Sort:
By area:
- 2025A Survey of Context Engineering for Large Language Modelscited by 126
- 2024Efficient Continual Pre-training by Mitigating the Stability Gapcited by 25
- 2025A Modular Approach for Clinical SLMs Driven by Synthetic Data with Pre-Instruction Tuning, Model Merging, and Clinical-Tasks Alignmentcited by 20
- 2025FineMedLM-o1: Enhancing Medical Knowledge Reasoning Ability of LLM from Supervised Fine-Tuning to Test-Time Trainingcited by 19
- 2025The Rise of Small Language Models in Healthcare: A Comprehensive Surveycited by 18
- 2024A Survey on Large Language Models from General Purpose to Medical Applications: Datasets, Methodologies, and Evaluationscited by 16
- 2025MedEthicsQA: A Comprehensive Question Answering Benchmark for Medical Ethics Evaluation of LLMscited by 8
- 2025Fine-grained List-wise Alignment for Generative Medication Recommendationcited by 5
- 2025AntiDote: Bi-level Adversarial Training for Tamper-Resistant LLMscited by 4
- 2025Understanding Post-Training Structural Changes in Large Language Modelscited by 3
- 2024NDP: Next Distribution Prediction as a More Broad Targetcited by 2
- 2024Pareto-Optimized Open-Source LLMs for Healthcare via Context Retrievalcited by 2
8 more
- 2025CBP-Tuning: Efficient Local Customization for Black-box Large Language Modelscited by 1
- 2026Aloe-Vision: Robust Vision-Language Models for Healthcarecited by 1
- 2025NurseLLM: The First Specialized Language Model for Nursingcited by 0
- 2025Evontree: Ontology Rule-Guided Self-Evolution of Large Language Modelscited by 0
- 2026How Much Would a Clinician Edit This Draft? Evaluating LLM Alignment for Patient Message Response Draftingcited by 0
- 2026NodeSynth: Socially Aligned Synthetic Data for AI Evaluationcited by 0
- 2026Do No Harm? Hallucination and Actor-Level Abuse in Web-Deployed Medical Large Language Modelscited by 0
- 2026Decentralized Aggregation of LLM Predictions via Wagering Mechanismscited by 0
- 2026Decentralized Aggregation of LLM Predictions via Wagering Mechanisms5 Jul 2026
- 2026Aloe-Vision: Robust Vision-Language Models for Healthcare25 Jun 2026
- 2026Do No Harm? Hallucination and Actor-Level Abuse in Web-Deployed Medical Large Language Models20 May 2026
- 2026NodeSynth: Socially Aligned Synthetic Data for AI Evaluation14 May 2026
- 2026How Much Would a Clinician Edit This Draft? Evaluating LLM Alignment for Patient Message Response Drafting16 Jan 2026
- 2025Evontree: Ontology Rule-Guided Self-Evolution of Large Language Models30 Oct 2025
- 2025NurseLLM: The First Specialized Language Model for Nursing8 Oct 2025
- 2025Understanding Post-Training Structural Changes in Large Language Models22 Sep 2025
- 2025CBP-Tuning: Efficient Local Customization for Black-box Large Language Models15 Sep 2025
- 2025AntiDote: Bi-level Adversarial Training for Tamper-Resistant LLMs6 Sep 2025
- 2025A Survey of Context Engineering for Large Language Models17 Jul 2025
- 2025MedEthicsQA: A Comprehensive Question Answering Benchmark for Medical Ethics Evaluation of LLMs28 Jun 2025
8 more
- 2025Fine-grained List-wise Alignment for Generative Medication Recommendation26 May 2025
- 2025A Modular Approach for Clinical SLMs Driven by Synthetic Data with Pre-Instruction Tuning, Model Merging, and Clinical-Tasks Alignment15 May 2025
- 2025The Rise of Small Language Models in Healthcare: A Comprehensive Survey23 Apr 2025
- 2025FineMedLM-o1: Enhancing Medical Knowledge Reasoning Ability of LLM from Supervised Fine-Tuning to Test-Time Training16 Jan 2025
- 2024Pareto-Optimized Open-Source LLMs for Healthcare via Context Retrieval23 Sep 2024
- 2024NDP: Next Distribution Prediction as a More Broad Target30 Aug 2024
- 2024Efficient Continual Pre-training by Mitigating the Stability Gap21 Jun 2024
- 2024A Survey on Large Language Models from General Purpose to Medical Applications: Datasets, Methodologies, and Evaluations14 Jun 2024
- 2026Aloe-Vision: Robust Vision-Language Models for Healthcare25 Jun 2026
- 2026NodeSynth: Socially Aligned Synthetic Data for AI Evaluation14 May 2026
- 2025A Survey of Context Engineering for Large Language Modelscited by 126
- 2024Efficient Continual Pre-training by Mitigating the Stability Gapcited by 25
- 2025The Rise of Small Language Models in Healthcare: A Comprehensive Surveycited by 18
- 2024A Survey on Large Language Models from General Purpose to Medical Applications: Datasets, Methodologies, and Evaluationscited by 16
- 2025MedEthicsQA: A Comprehensive Question Answering Benchmark for Medical Ethics Evaluation of LLMscited by 8
- 2025Fine-grained List-wise Alignment for Generative Medication Recommendationcited by 5
- 2025Understanding Post-Training Structural Changes in Large Language Modelscited by 3
- 2024NDP: Next Distribution Prediction as a More Broad Targetcited by 2
- 2024Pareto-Optimized Open-Source LLMs for Healthcare via Context Retrievalcited by 2
- 2025CBP-Tuning: Efficient Local Customization for Black-box Large Language Modelscited by 1
- 2025NurseLLM: The First Specialized Language Model for Nursingcited by 0
- 2025Evontree: Ontology Rule-Guided Self-Evolution of Large Language Modelscited by 0
12 most cited of 14 All 14 (JSON)
- 2026Decentralized Aggregation of LLM Predictions via Wagering Mechanisms5 Jul 2026
- 2026Do No Harm? Hallucination and Actor-Level Abuse in Web-Deployed Medical Large Language Models20 May 2026
- 2025Evontree: Ontology Rule-Guided Self-Evolution of Large Language Models30 Oct 2025
- 2025NurseLLM: The First Specialized Language Model for Nursing8 Oct 2025
- 2025Understanding Post-Training Structural Changes in Large Language Models22 Sep 2025
- 2025CBP-Tuning: Efficient Local Customization for Black-box Large Language Models15 Sep 2025
- 2025A Survey of Context Engineering for Large Language Models17 Jul 2025
- 2025MedEthicsQA: A Comprehensive Question Answering Benchmark for Medical Ethics Evaluation of LLMs28 Jun 2025
- 2025Fine-grained List-wise Alignment for Generative Medication Recommendation26 May 2025
- 2025The Rise of Small Language Models in Healthcare: A Comprehensive Survey23 Apr 2025
- 2024Pareto-Optimized Open-Source LLMs for Healthcare via Context Retrieval23 Sep 2024
- 2024NDP: Next Distribution Prediction as a More Broad Target30 Aug 2024
12 newest of 14 All 14 (JSON)
Similar, not cited
Close in wording, no citation either way
- 2025The Aloe Family Recipe for Open and Specialized Healthcare LLMs
- 2024Hippocrates: An Open-Source Framework for Advancing Large Language Models in Healthcare
- 2025Open Foundation Models in Healthcare: Challenges, Paradoxes, and Opportunities with GenAI Driven Personalized Prescription
- 2024Aqulia-Med LLM: Pioneering Full-Process Open-Source Medical Language Models
- 2025Addressing Benchmarking Gaps in Large Language Models for Health and Medicine with Dynamic Red-Teaming
- 2024Aligning (Medical) LLMs for (Counterfactual) Fairness
- 2026A Multi-Domain Red Teaming Framework for Safety, Robustness, and Fairness Evaluation of Medical Large Language Models
- 2026A primer on evaluation methods for large language models in healthcare