The paper introduces the first benchmark for evaluating confidence estimation in large language models during multi‑turn medical consultations, combining three types of medical data and an information sufficiency gradient to capture how confidence and correctness evolve as evidence accumulates. Experiments with 27 methods reveal that token‑level and consistency‑level confidence approaches are limited by medical data, and that medical reasoning must be judged on both diagnostic accuracy and information completeness. Building on these findings, the authors propose MedConf, a retrieval‑augmented, linguistically grounded self‑assessment framework that aligns patient information with supporting, missing, and contradictory relations, producing interpretable confidence estimates that outperform existing methods across multiple datasets and LLMs.
By Zhiyao Ren, Yibing Zhan, Siyuan Liang, Guozheng Ma, Baosheng Yu, Dacheng Tao
MedFabric is a new benchmark for detecting word‑level medical fabrications, comprising 646 fabricated statements each paired with a ground‑truth passage that shares the same LLM authorship and nearly identical wording. The study shows that current detectors perform poorly—expert clinicians achieve only 53.3% macro‑F1 and no detector family surpasses 60% without gold evidence—highlighting that detection hinges on evidence correctness rather than subtlety of fabrication. The authors demonstrate that a retrieval‑confidence gate can substantially improve performance, raising macro‑F1 from 61% to 74%.
By Tung Sum Thomas Kwok, Qian Qian, Xiaofeng Lin, Dongxu Zhang, Jun Han, Zhichao Yang, Davin Hill, Tamer Soliman, Sanjit Singh Batra, Robert Tillman, Guang Cheng
arXiv:2609.37788v1 Announce Type: cross
Abstract: Rubrics support the structured evaluation of language models. We propose a rubric for assessing expressed clinical reasoning in model responses, draw...
By Zhangshu Joshua Jiang, Zina Ibrahim, James T. Teo
arXiv:2603. 05308v3 Announce Type: replace-cross Abstract: Assessing whether an article supports an assertion is essential for hallucination detection and claim verification.
By Qiao Jin, Yin Fang, Lauren He, Yifan Yang, Guangzhi Xiong, Zhizheng Wang, Nicholas Wan, Joey Chan, Donald C. Comeau, Robert Leaman, Charalampos S. Floudas, Aidong Zhang, Michael F. Chiang, Yifan Peng, Zhiyong Lu
arXiv:2606. 19509v1 Announce Type: new Abstract: Large language models (LLMs) are increasingly applied to structured clinical data, yet whether they can recognize the limits of their own knowledge on such tasks remains unexplored.
By Akshat Dasula, Prasanna Desikan, Jaideep Srivastava
arXiv:2608.22483v1 Announce Type: new
Abstract: Large Language Models (LLMs) increasingly support decision-making in high-stakes domains, but they often hallucinate and express confidence that is mis...
By Toghrul Abbasli, Kentaroh Toyoda, Yuan Wang, Li Chen