Enhancing Medical Readiness with LLMs: A Low-Resource OTC Support Bot for Deployed Units
Bibliographic record
Abstract
In military and expeditionary (maritime) health care environments where isolation, safety, limited personnel, and resource constraints can threaten the delivery of frontline health care, access to timely and knowledgeable medical assistance can be extremely valuable. The purpose of this paper is to investigate the use of large language models (LLMs) in military and maritime health care environments by creating an AI-powered, Over-the-Counter (OTC) Medication Assistance Bot using the Mistral-7B model. The bot is intended to be deployed within tactical, or even shipboard systems, and it would empower autonomous, in-the-moment recommendations of medications for specific symptoms, while mitigating the risks associated with deploying personnel self-medicating through potential non-fundamental use errors. For this work, we employed Low-Rank Adaptation (LoRA) to fine-tune the system, and the bot was trained on a specific dataset derived from material on pharmacological sources, contextualized for medical practices in the Philippines. Based on evaluation the model achieved an average F1-score of 0.7296, which is above the 0.60-0.70 expected levels of performance for medical dialogue systems. The research shows promise for the model as it enhances combat and maritime healthcare readiness by providing consistent, low-bandwidth, and local medical assistance when connected medical supervision may not be immediately available.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".