LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validation

Fuente: arXiv
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Main Authors: Zhang, Ming, Shen, Yujiong, Li, Zelin, Sha, Huayu, Hu, Binze, Wang, Yuhui, Huang, Chenhao, Liu, Shichun, Tong, Jingqi, Jiang, Changhao, Chai, Mingxu, Xi, Zhiheng, Dou, Shihan, Gui, Tao, Zhang, Qi, Huang, Xuanjing
Format: Preprint
Published: 2025
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author Zhang, Ming
Shen, Yujiong
Li, Zelin
Sha, Huayu
Hu, Binze
Wang, Yuhui
Huang, Chenhao
Liu, Shichun
Tong, Jingqi
Jiang, Changhao
Chai, Mingxu
Xi, Zhiheng
Dou, Shihan
Gui, Tao
Zhang, Qi
Huang, Xuanjing
author_facet Zhang, Ming
Shen, Yujiong
Li, Zelin
Sha, Huayu
Hu, Binze
Wang, Yuhui
Huang, Chenhao
Liu, Shichun
Tong, Jingqi
Jiang, Changhao
Chai, Mingxu
Xi, Zhiheng
Dou, Shihan
Gui, Tao
Zhang, Qi
Huang, Xuanjing
contents Evaluating large language models (LLMs) in medicine is crucial because medical applications require high accuracy with little room for error. Current medical benchmarks have three main types: medical exam-based, comprehensive medical, and specialized assessments. However, these benchmarks have limitations in question design (mostly multiple-choice), data sources (often not derived from real clinical scenarios), and evaluation methods (poor assessment of complex reasoning). To address these issues, we present LLMEval-Med, a new benchmark covering five core medical areas, including 2,996 questions created from real-world electronic health records and expert-designed clinical scenarios. We also design an automated evaluation pipeline, incorporating expert-developed checklists into our LLM-as-Judge framework. Furthermore, our methodology validates machine scoring through human-machine agreement analysis, dynamically refining checklists and prompts based on expert feedback to ensure reliability. We evaluate 13 LLMs across three categories (specialized medical models, open-source models, and closed-source models) on LLMEval-Med, providing valuable insights for the safe and effective deployment of LLMs in medical domains. The dataset is released in https://github.com/llmeval/LLMEval-Med.
format Preprint
id arxiv_https___arxiv_org_abs_2506_04078
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validation
Zhang, Ming
Shen, Yujiong
Li, Zelin
Sha, Huayu
Hu, Binze
Wang, Yuhui
Huang, Chenhao
Liu, Shichun
Tong, Jingqi
Jiang, Changhao
Chai, Mingxu
Xi, Zhiheng
Dou, Shihan
Gui, Tao
Zhang, Qi
Huang, Xuanjing
Computation and Language
Artificial Intelligence
Evaluating large language models (LLMs) in medicine is crucial because medical applications require high accuracy with little room for error. Current medical benchmarks have three main types: medical exam-based, comprehensive medical, and specialized assessments. However, these benchmarks have limitations in question design (mostly multiple-choice), data sources (often not derived from real clinical scenarios), and evaluation methods (poor assessment of complex reasoning). To address these issues, we present LLMEval-Med, a new benchmark covering five core medical areas, including 2,996 questions created from real-world electronic health records and expert-designed clinical scenarios. We also design an automated evaluation pipeline, incorporating expert-developed checklists into our LLM-as-Judge framework. Furthermore, our methodology validates machine scoring through human-machine agreement analysis, dynamically refining checklists and prompts based on expert feedback to ensure reliability. We evaluate 13 LLMs across three categories (specialized medical models, open-source models, and closed-source models) on LLMEval-Med, providing valuable insights for the safe and effective deployment of LLMs in medical domains. The dataset is released in https://github.com/llmeval/LLMEval-Med.
title LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validation
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2506.04078