arXiv AI

How sensitive do we want AI to be? Socio-communicative competencies of large language models in healthcare

arXiv:2608. 07511v1 Announce Type: cross Abstract: Background.

arXiv AI
Jun 17

AIPatient Arena: EHR-grounded evaluation of large language models in end-to-end clinical consultation workflows

arXiv:2606. 17474v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly considered for use in clinical consultation tasks, yet most medical evaluations remain static, single-turn, or narrowly outcome-based, limiting their ability to reflect the sequential, uncertain, and interactive nature of real-world care.

By Jiahui Niu, Huizi Yu, Wenkong Wang, Guangxin Dai, Jingxian He, Xiang Li, Zhiying Liang, Xinxin Lin, Kent CY So, Bryan YP Yan, Yun Kwok Wing, Yanqiu Xing, Xin Ma, Lizhou Fan
arXiv Computation and Language
Sep 10

A Patient Simulation Framework for Risk Assessment of Conversational Healthcare AI: Evaluation of an Antidepressant Decision Aid

arXiv:2602.11391v5 Announce Type: replace Abstract: Objective: This study develops and validates a patient simulation framework that aligns with the National Institute of Standards and Technology AI...

By Md Tanvir Rouf Shawon, Mohammad Sabik Irbaz, Hadeel R. A. Elyazori, Keerti Reddy Resapu, Yili Lin, Vladimir Franzuela Cardenas, K. Pierre Eklou, Farrokh Alemi, Kevin Lybarger
arXiv AI
Jun 6

Evaluating the Utility of Personal Health Records in Personalized Health AI

arXiv:2605. 18937v2 Announce Type: replace Abstract: Patient-managed Personal Health Records (PHRs) promises to empower patients to better understand their health; but information in the record is complex, potentially hindering insights.

By Rory Sayres, Kejia Chen, Ayush Jain, Matthew Thompson, Jonathan Richina, Xiang Yin, Jimmy Hu, Fan Zhang, Bob Lou, Mike Sanchez, Ines Mezerreg, Meredith Schreier, Hamsa Subramaniam, I-Ching Lee, Yugang Jia, Daniel Mcduff, Yossi Matias, Avinatan Hassidim, Dale Webster, Yun Liu, Jackie Barr, Quang Duong
arXiv Computation and Language
Sep 1

MedConceal: A Benchmark for Clinical Hidden-Concern Reasoning Under Partial Observability

MedConceal is a new benchmark for evaluating medical dialogue systems on hidden‑concern reasoning under partial observability. It features 300 curated cases and 600 clinician‑LLM interactions, using an interactive patient simulator that hides latent concerns and tracks their revelation and resolution through theory‑grounded communication signals. The benchmark assesses both confirmation (surfacing hidden concerns) and intervention (addressing the primary concern), revealing that current models excel on different metrics while human clinicians still outperform them on intervention success.

By Yikun Han, Joey Chan, Jingyuan Chen, Mengting Ai, Simo Du, Yue Guo
arXiv AI
Sep 12

Evaluating Scaffolding-Oriented Multi-Agent Large Language Model System for Clinical Interview Training

The study introduces a scaffolding-oriented multi-agent Large Language Model (LLM) AI Standardized Patient (AI-SP) platform designed to train medical students in patient interviews. In a randomized controlled trial with 100 students, the multi-agent system—comprising a patient agent, a Socratic tutor agent, and a turn-level evaluator—did not improve diagnostic accuracy but significantly enhanced overall OSCE scores, especially in communication, empathy, and history-taking. The authors also release a richly annotated dataset to support further research in AI-supported clinical reasoning training.

By Luming Yang, Haoxian Liu, Siqing Li, Rong Jia, Yue Xiao, Guanhua Chen, Li Lu
arXiv AI
Sep 1

From GenAI Virtual Patient Dialogue Logs to Teacher-Interpretable Process Evidence: A Learning Analytics Study in Higher Education

The study investigates whether coded dialogue logs from generative AI-powered virtual patients can provide teacher-interpretable evidence of clinical reasoning. Analyzing 1,030 dialogues from 210 second-year medical learners, the researchers applied behavioural prevalence, Epistemic Network Analysis, and Transition Network Analysis to identify process patterns linked to high-rated history-taking performance. Findings show that high-rated consultations involve more integrated information gathering, communication, and synthesis, rather than merely increased volume of activity.

By Xinyu Li, Zijian Li, Mengyu Xia, Luzhen Tang, Naping Chen, Changmin Lin, Danijela Gasevic, Dragan Gasevic, Yizhou Fan
arXiv AI
Jul 28

OpenAIs HealthBench in Action: Evaluating an LLM-Based Medical Assistant on Realistic Clinical Queries

arXiv:2509. 02594v3 Announce Type: replace-cross Abstract: Evaluating large language models (LLMs) on their ability to generate high-quality, accurate, situationally aware answers to clinical questions requires going beyond conventional benchmarks to assess how these systems behave in complex, high-stakes clinical scenarios.

By Sandhanakrishnan Ravichandran, Shivesh Kumar, Rogerio Corga Da Silva, Miguel Romano, Reinhard Berkels, Michiel van der Heijden, Olivier Fail, Valentine Emmanuel Gnanapragasam
arXiv AI
Jul 9

SycoEval-EM: Sycophancy Evaluation of Large Language Models in Simulated Clinical Encounters for Emergency Care

arXiv:2601. 16529v4 Announce Type: replace Abstract: Large language models (LLMs) deployed in clinical decision support may acquiesce to patient requests for care that conflicts with evidence-based guidelines.

By Dongshen Peng, Yi Wang, Austin Schoeffler, Sun-ha Hong, Brian Suffoletto, David Kim, Carl Preiksaitis, Christian Rose