arXiv AI

An Empirical Study of Development-Tuned Representation Sensitivity for Medical QA Data Selection

arXiv Computation and Language
Sep 30

TriageRA-CCF: Source-Side Clinical Confidence and Coverage Signals for Adaptive Rank Budgeting in Medical LLMs

The paper introduces TriageRA-CCF, a method for adaptively allocating low‑rank LoRA channels in medical large language models based on source‑side signals: answer confidence, clinical coverage, and a counterfactual close‑miss proxy. By supervising a budget router that selects among 2, 4, or 8 active ranks, the approach improves average accuracy over existing LoRA variants on Qwen3‑8B and Llama3.1‑8B, though gains vary across benchmarks. Ablation studies confirm that each signal contributes to better budget decisions, though their combined effect is not uniformly superior across all backbones.

By Shucan Ji, Yining Huang, Hongliang Guo
arXiv AI
Sep 4

MIRA: A Bilingual Benchmark for Medical Information Response Audit

MIRA is a bilingual benchmark that evaluates whether large language models (LLMs) provide consistent medical information across different user phrasings, languages, and health literacy levels. It contains 4,320 prompts derived from 60 medically reviewed low‑risk health questions and reveals that models tend to omit key information and offer fewer concrete next steps when responding to low health‑literacy signals, a phenomenon termed Differential Information Dilution (DID). A knowledge‑guided mitigation prompt can reduce this dilution for most models, notably improving Claude and Qwen.

By Mengyu Xu, Qiaoxin Yang, Qianqian Wang, Xiwei Dai, Weiyi Wu, Chongyang Gao
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
3d ago

LLMs as Judges and Examinees for Medical Item Difficulty Prediction

The paper investigates using open‑weight large language models (LLMs) as both judges and simulated examinees to predict medical exam item difficulty from text alone. LLMs provided absolute difficulty ratings, pairwise comparisons, and response‑based signals such as correctness and option probabilities, which were combined with baseline features to improve predictions. The best models achieved Spearman correlations of .447 on USMLE and .494 on PANCE, surpassing prior shared‑task systems and matching proprietary models, demonstrating that LLM signals capture difficulty information beyond traditional text representations.

By Xiaomeng Xiong, Marcus Walker, Yanlin Jiang
arXiv AI
Jun 16

EHRNote-ChatQA: A Benchmark for Evidence-Grounded Multi-Turn Clinical Question Answering over Longitudinal Discharge Summaries

arXiv:2606. 15735v1 Announce Type: cross Abstract: Discharge summaries are crucial clinical documents containing the context of a patient's overall hospital stay, and are routinely reviewed by medical experts for patient readmission, ongoing care, and diagnostic decision-making.

By Jiyoun Kim, Muhan Yeo, Eunhye Jang, Jeewon Yang, Hangyul Yoon, Su Ji Lee, Hee Jo Han, Hee-Jae Jung, Doyun Kwon, Jun young Lee, Jaehun Lee, Jung-Oh Lee, Sunjun Kweon, Jong Hak Moon, Daseul Kim, Minjae Cho, Edward Choi