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Google Med-PaLM 2

Med-PaLM 2 is Google Research's medical-specialist large language model, a follow-up to Med-PaLM. It was the first LLM to exceed 85% on MedQA (US Medical Licensing Exam-style questions), and it is now offered to selected healthcare customers through Vertex AI's MedLM family as a reference model for clinical-grade domain LLMs.

Model specs

Vendor
Google
Family
MedLM
Released
2023-07
Context window
8,000 tokens
Modalities
text

Strengths

  • First LLM to exceed 85% on MedQA — a USMLE-style benchmark
  • Tuned against clinician-rated safety and helpfulness metrics
  • Available to selected healthcare customers on Vertex AI MedLM
  • Extensive human-evaluation reported by Google Research

Limitations

  • Not approved as a medical device — cannot be used for clinical decision-making
  • Restricted access — not generally available
  • Knowledge cutoff and 2023-era architecture lag frontier 2025/2026 models
  • Requires rigorous clinical oversight in any deployment

Use cases

  • Clinical QA and USMLE-style study tools
  • Medical summarisation of research articles
  • Drafting clinician-facing patient summaries
  • Research benchmarks for medical reasoning

Benchmarks

BenchmarkScoreAs of
MedQA (USMLE-style)≈86.5%2023
MedMCQA≈72%2023

Frequently asked questions

What is Med-PaLM 2?

Med-PaLM 2 is a medical-specialist large language model from Google Research. It is a follow-up to Med-PaLM and was the first LLM to exceed 85% on the MedQA benchmark, a dataset of USMLE-style multiple-choice questions.

Can I use Med-PaLM 2 today?

Med-PaLM 2 is not generally available. It is offered to selected healthcare customers through Vertex AI's MedLM family under specific terms, and is not approved as a medical device for clinical decision-making.

How does Med-PaLM 2 compare to generalist LLMs?

Frontier generalist models like GPT-5 and Claude Opus 4.7 now score very high on MedQA too, but Med-PaLM 2 was evaluated with careful clinician-rated rubrics for helpfulness, bias, and harm — a template many healthcare LLM projects still follow.

Is it safe to use for patient care?

No — Med-PaLM 2 is not regulatorily approved as a medical device. Any clinical use requires rigorous physician oversight, and Google's own product guidance treats it as a research tool or an assistive technology, not an autonomous decision-maker.

Sources

  1. Google Research — Med-PaLM 2 — accessed 2026-04-20
  2. Nature paper — Med-PaLM — accessed 2026-04-20