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LLM-as-a-Judge in Healthcare Faces Safety and Bias Concerns

A scoping review of Large Language Model-as-a-Judge (LaaJ) applications in healthcare identified significant gaps in validation rigor and safety assessments. The review, which screened over 11,000 studies, found that while LaaJ offers a scalable alternative to expert review, most studies lacked thorough bias testing, human oversight, and temporal stability assessments. To address these issues, the researchers propose the MedJUDGE framework, a three-pillar system designed to guide the evaluation and governance of LaaJ systems in clinical settings. AI

影响 Highlights critical validation and safety gaps in using LLMs for healthcare evaluations, necessitating new governance frameworks like MedJUDGE.

排序理由 Academic paper proposing a new framework for evaluating LLM-as-a-Judge systems in healthcare.

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LLM-as-a-Judge in Healthcare Faces Safety and Bias Concerns

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  1. arXiv cs.CL TIER_1 English(EN) · Chenyu Li, Zohaib Akhtar, Mingu Kwak, Yuelyu Ji, Hang Zhang, Tracey Obi, Yufan Ren, Xizhi Wu, Sonish Sivarajkumar, Harold P. Lehmann, Shyam Visweswaran, Michael J. Becich, Danielle L. Mowery, Renxuan Liu, Haoyang Sun, Yanshan Wang ·

    A Scoping Review of LLM-as-a-Judge in Healthcare and the MedJUDGE Framework

    arXiv:2604.25933v1 Announce Type: cross Abstract: As large language models (LLMs) increasingly generate and process clinical text, scalable evaluation has become critical. LLM-as-a-Judge (LaaJ), which uses LLMs to evaluate model outputs, offers a scalable alternative to costly ex…