The study compared the performance of the AI system Doctorina, eight physicians, and four frontier language models on 150 synthetic Polish primary‑care consultations. Doctorina achieved 82.0% top‑1 concordance, outperforming physicians (57.0%) by 25 percentage points, and also led in diagnostic workup and treatment scores. A second run confirmed these advantages across all measured outcomes.
By Andy Nkansah, Hanna Plotnitskaya, Stanislau Salavei, Anna Kozlova, Piotr Gibas, Julian Milek, Viktar Harbachou, Aleksey Ropan, Pavel Satalkin
The paper introduces MEGA-CDP, a benchmark designed to evaluate medical large language models (LLMs) on their ability to generate clinical decision pathways (CDPs) that adhere to clinical practice guidelines. MEGA-CDP is built from 2,274 English and Chinese guidelines, producing 42,353 clinical cases with explicit reference CDPs, and supports both single-turn and multi-turn interactions. Experiments on 16 LLMs reveal that reliable guideline adherence remains difficult, underscoring the need for CDP-focused evaluation and the potential of MEGA-CDP to advance medical LLM performance.
By Nuo Chen, Xinyang Jiang, Zilong Wang, Zhifei Zhang, Xiaoye Qu, Jiajun Deng, Yulan Guo, Cairong Zhao
arXiv:2510. 21084v3 Announce Type: replace-cross Abstract: Large language models (LLMs) have shown strong potential for clinical decision support through their advanced language understanding and reasoning capabilities.
By Juntao Li, Haobin Yuan, Ling Luo, Yuanyuan Sun, Jian Wang, Hongfei Lin
arXiv:2512. 01241v3 Announce Type: replace-cross Abstract: Large language models (LLMs) are routinely used by physicians and patients for medical advice, yet their clinical safety profiles remain poorly characterized.
By David Wu, Fateme Nateghi Haredasht, Saloni Kumar Maharaj, Priyank Jain, Jessica Tran, Matthew Gwiazdon, Arjun Rustagi, Jenelle Jindal, Jacob M. Koshy, Vinay Kadiyala, Anup Agarwal, Bassman Tappuni, Brianna French, Sirus Jesudasen, Christopher V. Cosgriff, Rebanta Chakraborty, Jillian Caldwell, Susan Ziolkowski, David J. Iberri, Robert Diep, Rahul S. Dalal, Kira L. Newman, Kristin Galetta, J. Carl Pallais, Nancy Wei, Kathleen M. Buchheit, David I. Hong, Vartan Pahalyants, Ernest Y. Lee, Allen Shih, Tamara B. Kaplan, Vishnu Ravi, Sarita Khemani, Thomas A. Buckley, April S. Liang, Daniel Shirvani, Advait Patil, Nicholas Marshall, Kanav Chopra, Joel Koh, Adi Badhwar, Anastasia Perez, Austin J. Schoeffler, Mahbuba Tusty, Chase M. Walton, Liam G. McCoy, David J. H. Wu, Yingjie Weng, Sumant Ranji, Kevin Schulman, Nigam H. Shah, Jason Hom, Arnold Milstein, Arjun K. Manrai, Adam Rodman, Jonathan H. Chen, Ethan Goh
arXiv:2609.14819v1 Announce Type: cross
Abstract: Large language models (LLMs) have a growing range of applications in medicine, and their evaluation is critical for ensuring they provide benefit and...
By Suzannah E McKinney, Phuc Vu, Samuel A Justice, Christopher Humphries, Alyssa Pradhan, Timothy J Keyes, Bernardo C Bizzo, Keith J Dreyer, Sarah F Mercaldo, James M Hillis
The paper introduces a four‑stage framework—SFT, PG‑CoT, Dynamic, and K‑RL—to improve large language models for Traditional Chinese Medicine prescription generation. It addresses three key gaps: lack of auditable reasoning (SR Gap), failure to adjust prescriptions over time (LA Gap), and non‑enforcement of absolute contraindication rules (SC Gap). Experiments on 12 fine‑tuned models and 6 zero‑shot baselines show that the framework, particularly a 7B Mistral model, outperforms zero‑shot GPT‑5 on all three TCM evaluation metrics.
By Zheng Chen, ZhiCheng Du, Haoxuan Li, Peiwu Qin
arXiv:2606. 03157v1 Announce Type: new Abstract: Large language models (LLMs) have been widely adopted in healthcare, yet they still encounter significant challenges in complex clinical decision-making scenarios.
By Ruihui Hou, Siyi Zhu, Ziyue Huai, Guangya Yu, Yongqi Fan, Chunming Wang, Tong Ruan
arXiv:2609.34780v2 Announce Type: replace
Abstract: The use and applicability of artificial intelligence (AI) in medical research and clinical practice has received increasing attention in the litera...
By Erik Aerts
arXiv:2503. 10647v2 Announce Type: replace-cross Abstract: This study evaluated the diagnostic reliability of two Large Language Models (LLMs), Google Gemini 2.
By Krishna Subedi
The paper introduces a benchmark of over 6,000 clinical triage scenarios, 7,000 physician annotations, and 225,000 large language model (LLM) responses to assess how LLMs perform under realistic variations in clinical text. The study finds that LLMs tend to recommend unnecessary care more often than physicians, especially when the input text is perturbed, and that LLM recommendations are more sensitive to gender and tone changes than human recommendations. These findings underscore the importance of deployment‑oriented evaluations that reflect expert physician behavior.
By Abinitha Gourabathina, Haoran Zhang, Yuexing Hao, Walter Gerych, Marzyeh Ghassemi
arXiv:2607. 13036v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly used for decision support in healthcare, but clinical evidence is often incomplete or evolving.
By Oriana Presacan, Andreea Grama, Larisa Irimin\u{a}, Alireza Nik, Jaya Ojha, Vajira Thambawita, Ciprian I. B\u{a}cil\u{a}, Bogdan Ionescu, Michael A. Riegler
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