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The study compared the performance of the AI system Doctorina, eight physicians, and four frontier language models on 150 synthetic Polish primary‑care consultations. Doctorina achieved 82.0% top‑1 concordance, outperforming physicians (57.0%) by 25 percentage points, and also led in diagnostic workup and treatment scores. A second run confirmed these advantages across all measured outcomes.
The paper introduces MEGA-CDP, a benchmark designed to evaluate medical large language models (LLMs) on their ability to generate clinical decision pathways (CDPs) that adhere to clinical practice guidelines. MEGA-CDP is built from 2,274 English and Chinese guidelines, producing 42,353 clinical cases with explicit reference CDPs, and supports both single-turn and multi-turn interactions. Experiments on 16 LLMs reveal that reliable guideline adherence remains difficult, underscoring the need for CDP-focused evaluation and the potential of MEGA-CDP to advance medical LLM performance.
arXiv:2510. 21084v3 Announce Type: replace-cross Abstract: Large language models (LLMs) have shown strong potential for clinical decision support through their advanced language understanding and reasoning capabilities.
arXiv:2512. 01241v3 Announce Type: replace-cross Abstract: Large language models (LLMs) are routinely used by physicians and patients for medical advice, yet their clinical safety profiles remain poorly characterized.
arXiv:2609.14819v1 Announce Type: cross Abstract: Large language models (LLMs) have a growing range of applications in medicine, and their evaluation is critical for ensuring they provide benefit and...
The paper introduces a four‑stage framework—SFT, PG‑CoT, Dynamic, and K‑RL—to improve large language models for Traditional Chinese Medicine prescription generation. It addresses three key gaps: lack of auditable reasoning (SR Gap), failure to adjust prescriptions over time (LA Gap), and non‑enforcement of absolute contraindication rules (SC Gap). Experiments on 12 fine‑tuned models and 6 zero‑shot baselines show that the framework, particularly a 7B Mistral model, outperforms zero‑shot GPT‑5 on all three TCM evaluation metrics.