arXiv Computation and Language By Yikun Han, Joey Chan, Jingyuan Chen, Mengting Ai, Simo Du, Yue Guo

MedConceal: A Benchmark for Clinical Hidden-Concern Reasoning Under Partial Observability

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MedConceal is a new benchmark for evaluating medical dialogue systems on hidden‑concern reasoning under partial observability. It features 300 curated cases and 600 clinician‑LLM interactions, using an interactive patient simulator that hides latent concerns and tracks their revelation and resolution through theory‑grounded communication signals. The benchmark assesses both confirmation (surfacing hidden concerns) and intervention (addressing the primary concern), revealing that current models excel on different metrics while human clinicians still outperform them on intervention success.

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