arXiv AI

Jev in Medicine: A Benchmark Evaluation

The study evaluates Jev 1.13, a non‑generative model that selects from predefined answer options, on four medical benchmarks: MetaMedQA, PubMedQA, DiagnosisArena‑MCQ, and the NEJM Case Challenges. Jev’s top‑1 accuracy matches GPT‑6 Sol with medium reasoning on PubMedQA but falls behind on MetaMedQA, DiagnosisArena‑MCQ, and NEJM cases. While Jev shows strong calibration on MetaMedQA and is fast and inexpensive, its performance on examination and complex diagnostic tasks is substantially lower, indicating the need for task‑specific validation before clinical deployment.

arXiv AI
Sep 15

Option-Aware Retrieval and Task-Specific VLM Adaptation for Medical VQA

The paper presents a system for the MedReason 2026 challenge that tackles both multiple‑choice and open‑ended medical visual question answering using offline, containerized inference. Key findings include that comparing answer semantics rather than labels boosts retrieval‑only accuracy from 20.0 % to 57.5 % on a 200‑case holdout, and that varying the number of in‑prompt retrieved examples has minimal impact on final accuracy (93.5 %–94.0 %). The final system achieves 94.0 % MCQ accuracy on the development set and 93.20 % on the official pre‑evaluation, far surpassing the off‑the‑shelf baseline. "whyItMatters":"The results demonstrate that semantic‑aware retrieval and careful adapter tuning can dramatically improve medical VQA performance, offering a practical approach for high‑accuracy, offline inference in clinical settings."

By Tristan Kirscher (ICube, Institut Strauss), Niklas C. Koser (CAU), Soren Pirk (CAU)
arXiv AI
Jun 16

Compositional Reasoning Depth Predicts Clinical AI Failure: Empirical Evidence Consistent with Transformer Compositionality Limits in Electronic Health Record Question Answering

arXiv:2606. 16890v1 Announce Type: cross Abstract: Aggregate accuracy benchmarks conceal a systematic structure in how large language models fail at electronic health record (EHR) question answering: questions requiring more inferential steps produce disproportionately more errors.

By Sanjay Basu
arXiv Computation and Language
Sep 24

What Changes When Fact-Verification Scores Improve? Evidence and Answer Accounting Across Trained Verifiers and LLMs

The paper introduces a joint fact‑verification score that evaluates both answers and the evidence submitted with them. On the FEVEROUS dataset, replacing the DCUF evidence with UnifEE evidence improves the strict score by about 9.6 percentage points, while answer accuracy rises only 1.96 points. The study also shows that increasing context length for large language models yields modest evidence‑gain improvements, and that detailed answer‑evidence analyses uncover patterns missed by aggregate metrics.

By Han Chen, Yingrui Li
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 Computation and Language
Sep 25

JEV vs. LLMs as Rubric Judges: Cheaper, Faster, and Wrong in the Same Places

The study investigates whether Jev, a typed classifier that outputs probabilities over allowed answers without generating text, can replace large language model (LLM) rubric judges. Across nine panels from seven benchmarks, Jev’s accuracy differed significantly from LLM judges in only 8 of 27 paired comparisons, performing best on binary criteria and worse only on graded ones, while most other comparisons were inconclusive. In terms of cost and speed, Jev was 29 to 325 times cheaper and 30 to 220 times faster than the flash‑tier LLM judges, and a cascade approach that defers uncertain Jev verdicts to an LLM yielded only modest gains. whyItMatters":"The findings suggest that a lightweight classifier like Jev can serve as an efficient first‑stage evaluator, potentially reducing the reliance on expensive and slow LLM judges in automated grading pipelines."

By Delip Rao, Chris Callison-Burch
arXiv Computation and Language
Aug 24

An ambiguity taxonomy for evaluating large language model performance on clinical registry abstraction: a multi-site prospective study

The study evaluates large language models (LLMs) on unprocessed electronic medical record data for clinical registry abstraction, focusing on the American College of Cardiology National Cardiovascular Data Registry. In a pilot at one academic center, the LLM identified candidate data sources for each registry question, which abstractors used to define question‑specific document sets. In a subsequent validation at a second center, the LLM answered 157 registry questions with an overall mean accuracy of 91.5%, but accuracy dropped from 96% for simple medication or event flag questions to 62% for event timing questions, reflecting increasing ambiguity and required clinical reasoning.

By James Matheson, Betsy Castillo, Andrew Y. Shin, David Scheinker