arXiv Machine Learning

IatroBench: Pre-Registered Evidence of Iatrogenic Harm from AI Safety Measures

arXiv:2604. 07709v4 Announce Type: replace-cross Abstract: A heavily safety-trained model will hand a physician the full, patient-followable benzodiazepine taper and refuse it to the patient who needs it, over identical clinical facts; the knowledge is present either way.

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
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
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 Machine Learning
Sep 4

Counterfactual Fairness Audits of Multi-Step Clinical LLM Agents Require a Measured Per-Action Instability Floor

The paper reports that counterfactual fairness audits of clinical language‑model agents are unreliable without accounting for a per‑action instability floor. By repeatedly running identical vignettes, the authors found that actions changed 8.7% of the time, with instability varying eightfold across actions. A second model confirmed a pooled floor of 6.7%, showing that any reported fairness estimate lacking this floor cannot be interpreted as evidence of disparity.

By Rohith Reddy Bellibaltu, Manpreet Singh, Deepak Parashar, Rahul Joshi
arXiv AI
Aug 17

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.

By Syeda Anshrah Gillani, Mirza Samad Ahmed Baig