Models are updated repeatedly, and an update that looks better on validation data but not on new data is a false improvement that can misguide clinical decisions. The naive rule accepts every positive...
The paper introduces a benchmark of 400 synthetic healthcare workflow episodes to evaluate large language model (LLM) agents’ reliability in escalating care when evidence is missing or conflicting. It finds that while clean decision accuracy is high (0.97), models miss a large proportion of necessary escalations (32–97%) under uncertainty, and even the largest 9.7B model’s performance drops to 0.78 in conflict scenarios. A workflow-aware controller improves utility and reduces missed escalations, but its effectiveness is limited by lexical generalization failures.
By Zihao Zheng (Washington University in St. Louis), Junyi Yao (Washington University in St. Louis), Baichuan Li (Southern Methodist University), Jiayu Long (Washington University in St. Louis)
arXiv:2608. 14551v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly used for title-abstract screening in systematic reviews, but their decisions lack calibrated uncertainty.
By Arya Rahgozar, Pouria Mortezaagha
The study evaluates whether reward‑trained language models can learn to keep evidence‑sufficiency boundaries without a formal correctness signal. Using a controlled knock‑in design, a boundary‑keeping recipe (SFT followed by GRPO) dramatically increased spontaneous correct refusals from 25 % to 100 %, while a scrambled‑pairing placebo collapsed performance. The results show that final boundary‑keeping is trainable without an inference‑time verifier, though active numeric checking remains negligible.
By YaJie Yin
arXiv:2607. 18828v1 Announce Type: new Abstract: Readiness stress-testing of medical AI has focused on closed-ended and multimodal benchmarks.
By Koyar Afrasyab
The paper investigates how to evaluate bounded model updates for ICU prediction models using the MIMIC‑IV database. After auditing the data for recording artifacts and cleaning it, the authors compare a bounded update that retrains only treatment‑context and fusion parameters with full fine‑tuning across two model families and two targets, finding that bounded updates are non‑inferior or superior in most cases but depend on target, model family, and learning‑rate tuning. The study also shows that audits should precede update evaluation and that the update boundary should be chosen per target.
By Fatema Ferdous Tamanna, K. M. Merajul Arefin, Md. Abdul Masud