arXiv AI By Simon A. Lee, Jiahang Sha, Moonseong Jeong, Yunbei Pan, Jeffrey N. Chiang

MedJev: Evaluating Zero-Shot System-One Decision Making in Medicine

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MedJev is an open System One model that answers medical questions in a single forward pass without generating text, enabling fast, local clinical decision support. Across ten medical benchmarks, MedJev achieves competitive accuracies—72.5 % on MedQA, 75.4 % on USMLE, and 80.1 % on NEJM—while maintaining well‑calibrated confidence estimates. On patient‑level tasks, it attains an AUROC of 0.926 for in‑hospital mortality, surpassing XGBoost, and introduces a lightweight two‑parameter recalibration method that reduces miscalibration from 0.286 to 0.007 using only 50–200 labeled examples.

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