The paper introduces a tool‑augmented large language model framework that improves the reliability of medical calculations derived from free‑form patient notes. It separates clinical language understanding from rule execution by retrieving calculator specifications, generating executable tools, and using a constrained extractor to map notes to calculator inputs. On the MedCalc‑Bench dataset, the method achieves 86.73% final‑answer accuracy, outperforming one‑shot prompting and fine‑tuned baselines by 24.0 and 17.27 percentage points.
arXiv:2607. 02879v1 Announce Type: new Abstract: Current benchmarks for evaluating large language models (LLMs) in medical calculation are largely based on simplified settings, where each patient case corresponds to a single calculator and the required tool is explicitly specified in the query.
arXiv:2605. 30295v2 Announce Type: replace-cross Abstract: Large language models (LLMs) show promise for clinical reasoning and decision support, but evaluation in realistic, electronic health record-congruent settings remains limited.
arXiv:2601. 23049v2 Announce Type: replace Abstract: Medical calculators are fundamental to quantitative, evidence-based clinical practice.
The paper introduces a retrieval‑augmented multi‑agent framework that automatically generates instance‑specific evaluation rubrics for medical language models. By retrieving authoritative medical evidence, decomposing it into atomic facts, and combining these with user interaction constraints, the system produces fine‑grained criteria that outperform GPT‑4o on HealthBench and LLMEval‑Med. The generated rubrics also guide response refinement, improving medical LLM output quality by 9.2%.
arXiv:2608. 16643v1 Announce Type: cross Abstract: Automated detection of errors in clinical documentation is a promising application of large language models (LLMs), yet decisions to deploy such models rest on benchmarks that evaluate each clinical note in isolation.
The paper explores a new approach to improve arithmetic reliability in clinical language models by having the model generate case‑specific Python code that a local executor runs deterministically, rather than performing arithmetic directly. Experiments on the MedCalc‑Bench Verified dataset show that this Program‑Solve interface yields modest gains for larger models (Qwen2.5‑32B) but not for smaller ones (Qwen2.5‑7B), and it does not replace the need for verified formulas or accurate variable extraction. The study highlights that adding an executor can help some open‑weight models but is not a universal solution.
The paper introduces BRIE, a continuously maintainable benchmark for evaluating large language models (LLMs) in electronic health record (EHR) information retrieval. It presents a scalable framework that automatically generates question–answer pairs from longitudinal EHR notes, validated by nineteen clinicians. The benchmark allows assessment of multiple inference strategies and highlights that state‑of‑the‑art LLMs often miss clinically important information, especially when synthesis across documents is required.
The paper introduces Tasks over Application Manuals (TAM), a benchmark designed to test long‑horizon procedural reasoning in large language models. TAM uses real‑world tasks from ICD‑10‑CM clinical coding and U.S. federal sentencing, requiring models to follow extensive, rule‑based manuals and perform interdependent steps to produce exact answers. Experiments with GPT‑5 and various prompting strategies show very low exact‑match accuracy—1% for coding and 15.5% for sentencing—highlighting a gap between current benchmarks and the ability to reliably follow complex procedures.
arXiv:2606. 12569v1 Announce Type: cross Abstract: We present EDEN (Emergency Department Electronic Notes), a new and unique large-scale corpus of clinical notes produced in Emergency Departments of Italian hospitals.
Automated detection of errors in clinical documentation is a promising application of large language models (LLMs), yet decisions to deploy such models rest on benchmarks that evaluate each clinical note in isolation. Error-detection benchmarks are typically constructed by injecting errors into notes, such that each erroneous note has a natural counterpart.
arXiv:2508. 16674v2 Announce Type: replace-cross Abstract: Medical report understanding from real-world document images is essential for generating patient-facing explanations and enabling structured information exchange in clinical systems.
arXiv:2606. 26879v1 Announce Type: new Abstract: Synthetic data is increasingly used to enable the development and evaluation of AI systems in domains where access to real-world data is restricted.