arXiv AI

Safe to Stop? Risk-Constrained Stopping for Sequential Clinical Diagnosis Agents

The paper introduces Cros, a risk‑constrained stopping layer for sequential clinical diagnosis agents that determines when to stop testing and make a diagnosis. Cros combines state‑wise error ranking, policy design on disjoint development splits, and exact tests of selective diagnostic error to provide finite‑sample guarantees. On a MIMIC‑derived abdominal‑pain benchmark, Cros achieves higher state‑error AUROC and lower selective error rates compared to baseline stopping methods, though its performance varies across development resplits.

arXiv AI
Aug 3

Reasoning in Real World Clinical Care: Why Large Language Models Are Not Yet Safe for Autonomous Clinical Decision Support

arXiv:2607. 28677v1 Announce Type: new Abstract: LLM now pass medical licensing examinations and, in curated cases, can rival physicians at diagnostic reasoning.

By Shayndhan Sivanathan, Shravan Nageswaran, Mehdi Zadem, Ryaan Sultan, Nicolas von Mallinckrodt, Max Solovyev, Alexey Matyushkin, Sumon Sadhu, Gabriele C DeLuca, Sanjeeva Jeyaretna, James Hillis, Manoj Ramachandran, Prakash Jayakumar
arXiv AI
Aug 26

When May an Agent Stop? Evidence-Carrying Termination for Tool-Using LLMs

The paper introduces Evidence-Carrying Termination (ECT), a method that allows tool‑using large language model agents to declare a task complete only when a typed certificate links every required answer claim to valid, in‑scope trace evidence and a deterministic replay confirms the claimed value. In controlled experiments across 48 synthetic tasks and 576 trajectories, ECT eliminated unsafe completions and premature unsupported terminations, outperforming existing termination critics and controllers while maintaining comparable supported completion rates.

By Jason Liu
arXiv AI
4d ago

Same Patient, Different Order: Action-Level Reliability of Clinical LLM Agents Under Repeated Runs

The paper introduces a new evaluation method called "same-input rerun" to assess the consistency of clinical language‑model agents across repeated runs. By replaying 1,000 MedAgentBench tasks with identical inputs, the authors find that action‑level outputs—such as test orders, medication requests, and referrals—vary significantly, even when benchmark scores remain unchanged. The study demonstrates that current benchmarks, which typically evaluate only a single run per task, can miss substantial behavioral divergence.

By Rohith Reddy Bellibatlu, Manpreet Singh, Zhoutian Han, Wenbin Zhang
arXiv Machine Learning
Sep 10

Conditional Validity for Adaptive Modality Acquisition: When the Policy Chooses Its Own Calibration Group

The paper introduces RouteCert, a method for ensuring risk control in multimodal systems that acquire inputs adaptively. It shows that conditional calibration can remain valid even when the acquisition policy determines the calibration group, and provides two finite‑sample constructions: threshold‑free routing with terminal‑pattern calibration and simultaneous validation of policy‑pattern pairs. Experiments on a clinical ECG task and masked multimodal benchmarks demonstrate that RouteCert achieves low disagreement rates and competitive answered fractions while validating each acquisition stage separately.

By Melika Baghi