MedConsultBench: A Full-Cycle, Fine-Grained, Process-Aware Benchmark for Medical Consultation Agents

Fuente: arXiv
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Autores principales: Qiao, Chuhan, Huang, Jianghua, Zhao, Daxing, Liu, Ziding, Shen, Yanjun, Cheng, Bing, Lin, Wei, Wu, Kai
Formato: Preprint
Publicado: 2026
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author Qiao, Chuhan
Huang, Jianghua
Zhao, Daxing
Liu, Ziding
Shen, Yanjun
Cheng, Bing
Lin, Wei
Wu, Kai
author_facet Qiao, Chuhan
Huang, Jianghua
Zhao, Daxing
Liu, Ziding
Shen, Yanjun
Cheng, Bing
Lin, Wei
Wu, Kai
contents Current evaluations of medical consultation agents often prioritize outcome-oriented tasks, frequently overlooking the end-to-end process integrity and clinical safety essential for real-world practice. While recent interactive benchmarks have introduced dynamic scenarios, they often remain fragmented and coarse-grained, failing to capture the structured inquiry logic and diagnostic rigor required in professional consultations. To bridge this gap, we propose MedConsultBench, a comprehensive framework designed to evaluate the complete online consultation cycle by covering the entire clinical workflow from history taking and diagnosis to treatment planning and follow-up Q\&A. Our methodology introduces Atomic Information Units (AIUs) to track clinical information acquisition at a sub-turn level, enabling precise monitoring of how key facts are elicited through 22 fine-grained metrics. By addressing the underspecification and ambiguity inherent in online consultations, the benchmark evaluates uncertainty-aware yet concise inquiry while emphasizing medication regimen compatibility and the ability to handle realistic post-prescription follow-up Q\&A via constraint-respecting plan revisions. Systematic evaluation of 19 large language models reveals that high diagnostic accuracy often masks significant deficiencies in information-gathering efficiency and medication safety. These results underscore a critical gap between theoretical medical knowledge and clinical practice ability, establishing MedConsultBench as a rigorous foundation for aligning medical AI with the nuanced requirements of real-world clinical care.
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spellingShingle MedConsultBench: A Full-Cycle, Fine-Grained, Process-Aware Benchmark for Medical Consultation Agents
Qiao, Chuhan
Huang, Jianghua
Zhao, Daxing
Liu, Ziding
Shen, Yanjun
Cheng, Bing
Lin, Wei
Wu, Kai
Artificial Intelligence
Current evaluations of medical consultation agents often prioritize outcome-oriented tasks, frequently overlooking the end-to-end process integrity and clinical safety essential for real-world practice. While recent interactive benchmarks have introduced dynamic scenarios, they often remain fragmented and coarse-grained, failing to capture the structured inquiry logic and diagnostic rigor required in professional consultations. To bridge this gap, we propose MedConsultBench, a comprehensive framework designed to evaluate the complete online consultation cycle by covering the entire clinical workflow from history taking and diagnosis to treatment planning and follow-up Q\&A. Our methodology introduces Atomic Information Units (AIUs) to track clinical information acquisition at a sub-turn level, enabling precise monitoring of how key facts are elicited through 22 fine-grained metrics. By addressing the underspecification and ambiguity inherent in online consultations, the benchmark evaluates uncertainty-aware yet concise inquiry while emphasizing medication regimen compatibility and the ability to handle realistic post-prescription follow-up Q\&A via constraint-respecting plan revisions. Systematic evaluation of 19 large language models reveals that high diagnostic accuracy often masks significant deficiencies in information-gathering efficiency and medication safety. These results underscore a critical gap between theoretical medical knowledge and clinical practice ability, establishing MedConsultBench as a rigorous foundation for aligning medical AI with the nuanced requirements of real-world clinical care.
title MedConsultBench: A Full-Cycle, Fine-Grained, Process-Aware Benchmark for Medical Consultation Agents
topic Artificial Intelligence
url https://arxiv.org/abs/2601.12661