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Clinical LLMs evaluated on evidence-gathering capabilities

A new research paper published on arXiv introduces a "DECIDE/ASK/DEFER" framework for clinical large language models (LLMs) to better handle incomplete evidence. This approach moves beyond simple "DECIDE/ABSTAIN" formulations by explicitly evaluating the need for information acquisition. When tested on 200 clinical scenarios using Qwen, Gemini, and GPT, the models exhibited significant differences in their action selections, with disagreements in 137 states. The study found that Qwen's selected information more clearly influenced subsequent decisions than diagnostic correctness, and a trade-off between safety and autonomy was observed. AI

IMPACT This research highlights the need for LLMs to assess evidence completeness in clinical settings, potentially improving diagnostic safety and decision-making.

RANK_REASON Research paper published on arXiv detailing a new framework for evaluating LLMs in a clinical context. [lever_c_demoted from research: ic=1 ai=1.0]

Read on arXiv cs.AI →

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Clinical LLMs evaluated on evidence-gathering capabilities

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Research paper published on arXiv detailing a new framework for evaluating LLMs in a clinical context. [lever_c_demoted from research: ic=1 ai=1.0]
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COVERAGE [1]

  1. arXiv cs.AI TIER_1 Español(ES) · Mingzhan Yang, Weili Wu ·

    Decide, Ask, or Defer: Clinical LLMs under Incomplete Evidence

    arXiv:2610.04542v3 Announce Type: replace Abstract: Clinical LLMs must decide not only what diagnosis to produce, but also whether the available evidence is sufficient for autonomous decision making. Binary DECIDE/ABSTAIN formulations merge distinct non decision states and do not…