arXiv:2610.15239v1 Announce Type: new
Abstract: Most benchmarks for large language models in medicine are built from licensing examinations and theoretical questions. The few that draw on real clinic...
By Anurag Sharma, Aditya Sharma, Sapna Baalwan
arXiv:2607. 02175v1 Announce Type: new Abstract: Multiple-choice medical benchmarks are increasingly saturated, and recent rubric-based evaluations such as HealthBench have shown that open-ended clinical performance is far from solved - its "Hard" subset top score remains 32%.
By Samiha A. Ismail, Fan X. Chen, Ali Merali
The study evaluates whether the chain-of-thought (CoT) rationales produced by medical language models truly influence their answers. Using a 30‑operator perturbation audit that modifies both the question and the CoT (e.g., severity reversal, negation flip, demographic swap, evidence ablation), the authors found that 72.9% of edits did not change the model’s answer—a high Chain‑Decoupling Rate (CDR). Across 14 large language models and four medical QA benchmarks, the CoT text had little impact on accuracy, and removing CoT prompting did not reduce performance.
"whyItMatters":"The findings suggest that current medical CoT outputs may be more documentation than genuine reasoning, highlighting the need for better faithfulness checks in clinical AI systems."
By Mengzhu Xu, Jifan Gao, Xia Jiang, Yaoxin Wu, Xi Long
Small language models can grade open‑ended exam answers as reliably as much larger models when they use an explicit rubric. In experiments with six cost‑efficient model configurations, the rubric decouples grading from judge intelligence, with answer identity explaining 95.6% of score variance and judge identity only 0.2%. Removing rubric criteria or the official answer collapses reliability and inflates scores, showing the rubric’s essential role.
By Jhen-Ke Lin
arXiv:2509. 02594v3 Announce Type: replace-cross Abstract: Evaluating large language models (LLMs) on their ability to generate high-quality, accurate, situationally aware answers to clinical questions requires going beyond conventional benchmarks to assess how these systems behave in complex, high-stakes clinical scenarios.
By Sandhanakrishnan Ravichandran, Shivesh Kumar, Rogerio Corga Da Silva, Miguel Romano, Reinhard Berkels, Michiel van der Heijden, Olivier Fail, Valentine Emmanuel Gnanapragasam
arXiv:2607. 18828v1 Announce Type: new Abstract: Readiness stress-testing of medical AI has focused on closed-ended and multimodal benchmarks.
By Koyar Afrasyab