MedPRMBench is the first fine-grained benchmark for process reward models in medical reasoning, featuring 6500 questions, 13000 chains, 113910 step labels, and a baseline that improves downstream QA accuracy by 3.2-6.7 points.
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In medical CoT distillation, answer accuracy on MedQA-USMLE rises from 74.7% to 84.4% while step-level reasoning error increases from 30.6% to 50.3% per LLM-judge audit.
Scoping review of 134 studies on LLM-as-a-Judge in healthcare finds concentration in clinical decision support and NLP, frequent use of OpenAI models with prompt engineering, and moderate-to-strong human alignment where validated.
Counterfactual prompting effects on LLMs are often indistinguishable from those caused by meaning-preserving paraphrases, causing most previously reported demographic sensitivities to disappear under proper statistical comparison.
Non-reasoning GPT-5.4 outperforms its reasoning version on SOAP note quality across datasets, with RAG giving smaller model-dependent gains.
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LLM-as-a-Judge in Healthcare: A Scoping Analysis of Applications, Methods, and Human Alignment
Scoping review of 134 studies on LLM-as-a-Judge in healthcare finds concentration in clinical decision support and NLP, frequent use of OpenAI models with prompt engineering, and moderate-to-strong human alignment where validated.