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Large Language Models (LLMs) have achieved high accuracy on medical question-answer (QA) benchmarks, yet their capacity for flexible clinical reasoning has been debated. Here, we asked whether advances in reasoning LLMs improve their…

Computation and Language · Computer Science 2026-01-21 Kie Shidara , Preethi Prem , Jonathan Kim , Anna Podlasek , Feng Liu , Ahmed Alaa , Danilo Bernardo

Several recent works seek to adapt general-purpose large language models (LLMs) and vision-language models (VLMs) for medical applications through continued pretraining on publicly available biomedical corpora. These works typically claim…

Computation and Language · Computer Science 2025-07-01 Daniel P. Jeong , Pranav Mani , Saurabh Garg , Zachary C. Lipton , Michael Oberst

Large language models (LLMs) have demonstrated remarkable capabilities across a wide range of tasks, yet they often refuse to answer legitimate queries--a phenomenon known as overrefusal. Overrefusal typically stems from over-conservative…

Artificial Intelligence · Computer Science 2025-09-18 Licheng Pan , Yongqi Tong , Xin Zhang , Xiaolu Zhang , Jun Zhou , Zhixuan Chu

Clinical reasoning in medicine is a hypothesis-driven process where physicians refine diagnoses from limited information through targeted history, physical examination, and diagnostic investigations. In contrast, current medical benchmarks…

Machine Learning · Computer Science 2025-10-14 Christopher Chiu , Silviu Pitis , Mihaela van der Schaar

Large language models (LLMs) have achieved strong performance on medical question answering (medical QA), and chain-of-thought (CoT) prompting has further improved results by eliciting explicit intermediate reasoning; meanwhile,…

Computation and Language · Computer Science 2026-04-03 Zaifu Zhan , Mengyuan Cui , Rui Zhang

Can LLMs accurately adjust their confidence when facing opposition? Building on previous studies measuring calibration on static fact-based question-answering tasks, we evaluate Large Language Models (LLMs) in a dynamic, adversarial debate…

Computation and Language · Computer Science 2025-06-10 Pradyumna Shyama Prasad , Minh Nhat Nguyen

As large language models (LLMs) are increasingly embedded in everyday decision-making, their safety responsibilities extend beyond reacting to explicit harmful intent toward anticipating unintended but consequential risks. In this work, we…

Computation and Language · Computer Science 2026-02-25 Xuan Luo , Yubin Chen , Zhiyu Hou , Linpu Yu , Geng Tu , Jing Li , Ruifeng Xu

Continuing advances in Large Language Models (LLMs) in artificial intelligence offer important capacities in intuitively accessing and using medical knowledge in many contexts, including education and training as well as assessment and…

Computation and Language · Computer Science 2024-08-01 Roma Shusterman , Allison C. Waters , Shannon O`Neill , Phan Luu , Don M. Tucker

Large language models (LLMs) exhibit impressive performance across diverse tasks but often struggle to accurately gauge their knowledge boundaries, leading to confident yet incorrect responses. This paper explores leveraging LLMs' internal…

Computation and Language · Computer Science 2025-06-26 Shiyu Ni , Keping Bi , Jiafeng Guo , Lulu Yu , Baolong Bi , Xueqi Cheng

Large Language Models (LLMs) are usually aligned with "human values/preferences" to prevent harmful output. Discussions around the alignment of Large Language Models (LLMs) generally focus on preventing harmful outputs. However, in this…

Computers and Society · Computer Science 2025-10-08 Wenqi Marshall Guo , Yiyang Du , Heidi J. S. Tworek , Shan Du

Large language models (LLMs) are entering clinical workflows as decision support tools, yet how they respond to explicit patient value statements -- the core content of shared decision-making -- remains unmeasured. We conducted a factorial…

Computers and Society · Computer Science 2026-03-03 Sanjay Basu

We study 15 large language models (LLMs) fine-tuned for chat and find that their maximum softmax probabilities (MSPs) are consistently miscalibrated on multiple-choice Q&A. However, those MSPs might still encode useful uncertainty…

Computation and Language · Computer Science 2025-08-08 Benjamin Plaut , Nguyen X. Khanh , Tu Trinh

As large language models (LLMs) become increasingly integrated into clinical decision-making, ensuring transparent and trustworthy reasoning is essential. However, existing evaluation strategies of LLMs' medical reasoning capability either…

Language model (LM) agents have demonstrated significant potential for automating real-world tasks, yet they pose a diverse array of potential, severe risks in safety-critical scenarios. In this work, we identify a significant gap between…

Artificial Intelligence · Computer Science 2025-08-20 Yuzhi Tang , Tianxiao Li , Elizabeth Li , Chris J. Maddison , Honghua Dong , Yangjun Ruan

Large language models (LLMs) have demonstrated remarkable capabilities across a wide range of tasks in various domains. Despite their impressive performance, they can be unreliable due to factual errors in their generations. Assessing their…

Computation and Language · Computer Science 2024-03-26 Jiahui Geng , Fengyu Cai , Yuxia Wang , Heinz Koeppl , Preslav Nakov , Iryna Gurevych

When applied directly in an end-to-end manner to medical follow-up tasks, Large Language Models (LLMs) often suffer from uncontrolled dialog flow and inaccurate information extraction due to the complexity of follow-up forms. To address…

Computation and Language · Computer Science 2025-12-23 Jinyan Liu , Zikang Chen , Qinchuan Wang , Tan Xie , Heming Zheng , Xudong Lv

As artificial intelligence (AI) systems, particularly large language models (LLMs), become increasingly integrated into decision-making processes, the ability to trust their outputs is crucial. To earn human trust, LLMs must be well…

Machine Learning · Computer Science 2025-02-14 Mark Steyvers , Heliodoro Tejeda , Aakriti Kumar , Catarina Belem , Sheer Karny , Xinyue Hu , Lukas Mayer , Padhraic Smyth

Predictive analysis is a cornerstone of modern decision-making, with applications in various domains. Large Language Models (LLMs) have emerged as powerful tools in enabling nuanced, knowledge-intensive conversations, thus aiding in complex…

Computation and Language · Computer Science 2025-05-26 Qin Chen , Yuanyi Ren , Xiaojun Ma , Yuyang Shi

Large language models (LLM) have achieved impressive performance on medical question-answering benchmarks. However, high benchmark accuracy does not imply that the performance generalizes to real-world clinical settings. Medical…

Computation and Language · Computer Science 2024-09-04 Robert Osazuwa Ness , Katie Matton , Hayden Helm , Sheng Zhang , Junaid Bajwa , Carey E. Priebe , Eric Horvitz

This work presents a framework for assessing whether large language models (LLMs) encode more factual knowledge in their parameters than what they express in their outputs. While a few studies hint at this possibility, none has clearly…

Computation and Language · Computer Science 2025-08-07 Zorik Gekhman , Eyal Ben David , Hadas Orgad , Eran Ofek , Yonatan Belinkov , Idan Szpektor , Jonathan Herzig , Roi Reichart
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