arXiv AI

Whose doctor does the AI recommend? An algorithm audit of reputation and demographic signals in large language model-assisted physician choice

arXiv:2608. 14399v1 Announce Type: cross Abstract: Patients increasingly ask large language model (LLM) assistants which doctor to see, making these systems AI infomediaries: algorithms that intermediate one person's choice among other people and thereby decide, silently and at scale, which physicians become visible.

arXiv AI
Sep 25

IatroBench: A Pre-Registered Benchmark of Clinical Omission in Language Models

IatroBench is a pre‑registered benchmark that evaluates language models on clinical omission and commission harms across 60 scenarios and six models. Using a physician‑written rubric scored by Claude Opus 4.6, the study finds that models tend to withhold more information from patients than from doctors—a phenomenon termed framing‑contingent withholding—while also revealing varied patterns of omission across different models. The benchmark highlights how framing influences the amount of medical information shared by AI systems.

By David Gringras
arXiv AI
2d ago

Counterfactual Auditing of Bias in Open-Source Large Language Models for Clinical Triage

The study evaluates counterfactual bias in ten open‑source large language models (LLMs) for pediatric Emergency Severity Index (ESI) prediction. By creating paired clinical vignettes that differ only in demographic or socioeconomic variables, the authors measure shifts in acuity assignment, finding that counterfactual sensitivity varies widely across model families and sizes. A fine‑tuned Qwen2.5‑7B model exhibited the lowest sensitivity, while larger or medical‑domain models sometimes showed greater shifts, highlighting the need for fairness assessment before clinical deployment.

By Manar Aljohani, Brandon Ho, Kenneth McKinley, Dennis Ren, Xuan Wang
arXiv Machine Learning
Aug 11

Auditing Medical Vision-Language Models on Chest Radiographs: Estimating Reference Agreement Across Institutions

arXiv:2608. 07550v1 Announce Type: cross Abstract: Vision-language models return structured chest-radiograph findings through interfaces exposing no confidence score, so a receiving institution cannot read off how far to trust an individual judgment.

By Pengyang Yu, Yiou Wang, Zhongping Dong, Sahraoui Dhelim, Chun-Mei Feng, M. Tahar Kechadi
arXiv AI
Jun 15

Can LLMs Accurately Score Medical Diagnoses and Clinical Reasoning?

arXiv:2604. 14892v3 Announce Type: replace-cross Abstract: Evaluating medical AI systems using expert clinician panels is costly and slow, motivating the use of large language models (LLMs) as alternative adjudicators.

By Amy Rouillard, Sitwala Mundia, Linda Camara, Ziyaad Dangor, Michael Cameron Gramanie, Ismail Kalla, Shabir A. Madhi, Kajal Morar, Marlvin T. Ncube, Haroon Saloojee, Bruce A. Bassett
arXiv AI
Sep 10

The Audit Decides the Verdict: Instrument Effects Rival Demographic Bias in LLM Decision Audits

The study examines how the design of audit questions influences perceived bias in large language models (LLMs). Using 40,726 requests across five models and three domains—hiring, lending, and medical triage—the authors find that demographic bias effects are not replicated when the audit is standardized. Instead, the audit’s construction, such as question phrasing and ordering, has a stronger impact on model responses than applicant demographics.

By Siddharth Vohra, Manikandan Ravikiran