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Paper Citation Record · LEDGER

Clinical knowledge in LLMs does not translate to human interactions

As of 19 August 2026, this Paper Citation Record lists 34 of 34 outbound references and 3 inbound Pith citation observations for arXiv:2504.18919.

A citation records a reference. It does not transfer a finding from one paper to another.

pith.paper-citation-record.v1
2504.18919 v1

Coverage vector

measured 34 of 34 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-08-16T10:10:33.951035Z

measured 37 of 37 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-19T06:32:44.657259+00:00

measured 3 of 3 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links, observed 2026-08-03T10:32:50.204525Z

measured 0 of 1 external citation measurements

A source-named dated measurement, never combined with another source.

Source: arxiv_reference, observed 2026-05-16T14:12:58.659874Z

Reference resolution

34 of 34 outbound references displayed

  • verified exact0
  • verified fuzzy18
  • unresolved15
  • parse uncertain0
  • malformed identifier1
  • metadata mismatch0

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation 0d452214-30a5-4173-9304-8581e98fdc14 · outbound

This paper cites ChatGPT diagnoses cause of child’s chronic pain after 17 doctors failed.The Independent(2023).

Clinical knowledge in LLMs does not translate to human interactions ChatGPT diagnoses cause of child’s chronic pain after 17 doctors failed.The Independent(2023)

Reference 1

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.232243Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.861926Z digest=sha256:338895100666879aa80c9b0011252abf8543eee1deebc48ad07deb8f2e7d8cc2

Observation 64d3e5f6-4a16-4625-9655-d34810c83a79 · outbound

This paper cites & Published, L.

Clinical knowledge in LLMs does not translate to human interactions & Published, L

Reference 2

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.224175Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.864791Z digest=sha256:5f5b76d86995333da210c513a6e6f6bf2f74a2c81d9a3e55a0009afbe46e64c7

Observation b3723578-bbad-4811-8f5f-56a89f862427 · outbound

This paper cites & Choudhury, A.

Clinical knowledge in LLMs does not translate to human interactions & Choudhury, A

Reference 3

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.216674Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.867133Z digest=sha256:9a06871b56812686dda215aa015ccc9c2e0a4dc78465e3bc3896f14852c978e7

Observation dcef3962-40e8-4a7d-a860-6e0a6ee1d956 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 4

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.208893Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.869714Z digest=sha256:2507669152ff125fe14171f9a82a8345d46471c983fd078759224a83b6ff3b4a

Observation 040c04f5-7085-4cee-8abb-0b4a2a2b67aa · outbound

This paper cites W.et al.Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum.JAMA Internal Medicine183, 589–596 (2023).

Clinical knowledge in LLMs does not translate to human interactions W.et al.Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum.JAMA Internal Medicine183, 589–596 (2023)

Reference 5

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.202053Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.872162Z digest=sha256:0a04a8dd243be64209b2e63e94dc139d0700caa181d936cace1c2f7362f702c8

Observation 687fe5c8-539d-4702-a11e-697dd6dbd64e · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 6

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.195198Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.874463Z digest=sha256:5bb40109b8b504233934daf2b6a8ed8ede234191373fe90410142bd81351437e

Observation 39015112-308f-4703-96b2-f2b420748358 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 7

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.188557Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.876936Z digest=sha256:58d168db0b01145be5f39973649681962f339f41bc4343ac824947c25c223a95

Observation e5e0644b-3719-4f65-9d19-4454b7c78342 · outbound

This paper cites & Salz, T.

Clinical knowledge in LLMs does not translate to human interactions & Salz, T

Reference 8

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.180927Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.879136Z digest=sha256:41212a838f343555ba234470daaa1319e50d609782b3d3874ce7e0821bce4cab

Observation d2e3ca02-e7b0-4733-8f6c-78df90956038 · outbound

This paper cites Superhuman performance of a large language model on the reasoning tasks of a physician.

Clinical knowledge in LLMs does not translate to human interactions Superhuman performance of a large language model on the reasoning tasks of a physician

Reference 9

Resolution
unresolved
no resolver link, observed 2026-08-16T10:10:33.881333Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-16T10:10:33.881333Z digest=sha256:6b1e30e2c50d2fb79258c97e23eabc99b65dfc114707a698fd42472969426dc7

Observation c42b11fe-9483-4210-8bb3-3b7146c7df0b · outbound

This paper cites & Topol, E.

Clinical knowledge in LLMs does not translate to human interactions & Topol, E

Reference 10

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.173075Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.884277Z digest=sha256:20a780477d422d66f9686fccac012fc22caf8a69d2da6afb95825e4f147ff71f

Observation 81f7d2e7-aadf-4a45-909b-09857869b0fb · outbound

This paper cites J., Simmons, J.

Clinical knowledge in LLMs does not translate to human interactions J., Simmons, J

Reference 11

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.164183Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.887036Z digest=sha256:160b1143ddad646ecb43fe89680973c1691157d5ba7796f26962abcd280539bd

Observation f1ce8d4e-79e8-4dd4-aa74-18a2c0421535 · outbound

This paper cites & Cohen, I.

Clinical knowledge in LLMs does not translate to human interactions & Cohen, I

Reference 12

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.156599Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.889904Z digest=sha256:7c0a15cf0ee90c1d53c3d034e7ee96352f5c5ecef512b87aedf4869e3d1dd2d3

Observation 6f0f8b9d-8d5b-46c8-925a-efe1bb7cd7fb · outbound

This paper cites Generative artificial intelligence enhances creativity but reduces the diversity of novel content.

Clinical knowledge in LLMs does not translate to human interactions Generative artificial intelligence enhances creativity but reduces the diversity of novel content

Reference 13

Resolution
unresolved
no resolver link, observed 2026-08-16T10:10:33.892466Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-16T10:10:33.892466Z digest=sha256:c0b010175de29e26b53405bd7a6a97bc4b0a5f939224cf1cbf4d1acbc2d60127

Observation e9c19933-ed30-4e9a-a0c1-b51a5351989d · outbound

This paper cites Digital Access – a ‘front door to the NHS’.

Clinical knowledge in LLMs does not translate to human interactions Digital Access – a ‘front door to the NHS’

Reference 14

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.148755Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.895581Z digest=sha256:57915a05a8ce55f725fa91c447ebd4bc91cf18ca873b3367db4e0c3e2a2dee34

Observation 2943ea92-ecb0-4762-af67-1130a0f5ab43 · outbound

This paper cites AI Opportunities Action Plan (2025).

Clinical knowledge in LLMs does not translate to human interactions AI Opportunities Action Plan (2025)

Reference 15

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.140730Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.898217Z digest=sha256:32d900524d8add99d64e3b9d496dfbe8ab0ac080108427adc3983a00f5eb91c9

Observation 666f01a8-6330-4d98-b48a-3967b547cbc4 · outbound

This paper cites Grand Challenges Africa: Catalyzing Equitable Artificial Intelligence (AI) Use to Improve Global Health (2023).

Clinical knowledge in LLMs does not translate to human interactions Grand Challenges Africa: Catalyzing Equitable Artificial Intelligence (AI) Use to Improve Global Health (2023)

Reference 16

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.132971Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.900856Z digest=sha256:ccbed7bdd101072394fc8566ccccda9cd85583d4be8d18df1bf59d78905c6a71

Observation 07eb55cb-f625-4057-a75f-a5c7d8750e1c · outbound

This paper cites HHS Releases Strategic Plan for the Use of Artificial Intelligence to Enhance and Protect the Health and Well-Being of Americans (2025).

Clinical knowledge in LLMs does not translate to human interactions HHS Releases Strategic Plan for the Use of Artificial Intelligence to Enhance and Protect the Health and Well-Being of Americans (2025)

Reference 17

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.124967Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.903376Z digest=sha256:41e1fb275267939ec2951d63ed7aef210e78c21643db0f771d1b001657ac5657

Observation b17ded5d-d8a2-4fdc-9e01-2f73f9482194 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 18

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.115979Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.905971Z digest=sha256:11ecf035c66288c73da3d4310c1cb87ba26188e25b3baceef02791095bef5035

Observation 34f6a488-985a-4ffb-9651-dbed4ba62901 · outbound

This paper cites & Petro, J.

Clinical knowledge in LLMs does not translate to human interactions & Petro, J

Reference 19

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.109200Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.908463Z digest=sha256:6f68b7652771e52b6a6d0221277b54f8ac5bee9744647a3f76d781e7a3debcdb

Observation 5fd8686d-aab5-4b07-b402-10a1d0332a2a · outbound

This paper cites Nature616, 259–265 (2023).

Clinical knowledge in LLMs does not translate to human interactions Nature616, 259–265 (2023)

Reference 20

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.102069Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.911121Z digest=sha256:0f80986a065b360f391e56fa31dd41fe7f91c2075957a4412ed50face92526f2

Observation e148cbf2-d8b6-4095-9121-c183dd0d78a9 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 21

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.094215Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.913776Z digest=sha256:dfcdad5c71eb40adf9e9be14e5a48e2750dbc54bb096ec2d754021b67fdee031

Observation bd4b3900-60f7-4bef-a3a6-9df1932538ff · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 22

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.086114Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.916446Z digest=sha256:118b21986c3fc85f603e590f54a00bd7388164cce7c9fba2b6dc42eae235ba5d

Observation 7b0ac0e3-ae29-4e04-8d6e-5f548f7b8888 · outbound

This paper cites Capabilities of GPT-4 on Medical Challenge Problems.

Clinical knowledge in LLMs does not translate to human interactions Capabilities of GPT-4 on Medical Challenge Problems

Reference 23

Resolution
unresolved
no resolver link, observed 2026-08-16T10:10:33.919759Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-16T10:10:33.919759Z digest=sha256:726f77fb2de1de54d4a30fe5c0f6fc87597ce58a83dc0aa233bf8834e2f750cc

Observation 639a89c5-7586-4611-833d-613a18693ce8 · outbound

This paper cites AgentClinic: a multimodal agent benchmark to evaluate AI in simulated clinical environments.

Clinical knowledge in LLMs does not translate to human interactions AgentClinic: a multimodal agent benchmark to evaluate AI in simulated clinical environments

Reference 24

Resolution
unresolved
no resolver link, observed 2026-08-16T10:10:33.922686Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-16T10:10:33.922686Z digest=sha256:4ab139d76b6bc04da18228746399e74ea2d35d8701b827f48c10a27760e0d975

Observation 0976fc9a-6143-4791-8cce-a02ac5f160d0 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 25

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.078460Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.925686Z digest=sha256:a8e6970f7d3cb2fda6edf43c2dc464ea0858dab7dee580a4642e605e79703db0

Observation 489f889f-e5ac-4ccf-a694-9dea34dda0c1 · outbound

This paper cites arXiv:2404.

Clinical knowledge in LLMs does not translate to human interactions arXiv:2404

Reference 26

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.070058Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.928203Z digest=sha256:cca5715c3522a6e7529946dc09248c92e1217a9d9631aa93b37097bf5c5a3747

Observation e70d732c-5dad-49b5-8e6f-6919437106c6 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 27

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.061932Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.930925Z digest=sha256:dc76808b4f9b699f0b2684ec95140dcfc3b4891cbff42e0b59ee7c2717867cc1

Observation 6ab089bc-79aa-4fbb-924c-c6a90c391ce1 · outbound

This paper cites & Kamar, E.

Clinical knowledge in LLMs does not translate to human interactions & Kamar, E

Reference 28

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.053972Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.933611Z digest=sha256:ee8eac5b918ee045b05f0c405d1e49807d6dbf674c029e8a38f4ce501ed718ac

Observation 83157762-bdae-4c6f-90b8-717c35d6b1e5 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 29

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.044933Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.936498Z digest=sha256:dae4c9e1493eead633d3ec67d8697324788730f7bea6be9ea509471b6fe1a480

Observation 3eb7c51f-39e9-43ac-a89d-6230473a576a · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 30

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.036612Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.939212Z digest=sha256:d4923e8023858f0ff252efd3c8df13720ac77c33e9859c7e9cc585d58eb03558

Observation dcb8813d-eb47-4f44-9064-1477f3be6c71 · outbound

This paper cites an unresolved cited work.

Clinical knowledge in LLMs does not translate to human interactions Unresolved cited work

Reference 31

Resolution
unresolved
raw_fallback, observed 2026-08-16T10:10:34.027313Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.942763Z digest=sha256:d8497a119b521a2b37219d74c41ff8f1aa25cadd344423de7107d34f739377d3

Observation f9649c2d-2134-44f0-8c2a-df3559824830 · outbound

This paper cites NICE guidelines.

Clinical knowledge in LLMs does not translate to human interactions NICE guidelines

Reference 32

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.018939Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.945722Z digest=sha256:c1a765f6a74706b0f3d3963128ddab80c2f089b415b063109f090622e394cce5

Observation 4d3653ef-15ff-41c8-bbd8-8ef7cf5f84a6 · outbound

This paper cites C., Ostermann, T.

Clinical knowledge in LLMs does not translate to human interactions C., Ostermann, T

Reference 33

Resolution
verified fuzzy
raw_fallback, observed 2026-08-16T10:10:34.011123Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.948506Z digest=sha256:30ccb308c38d1d56c0feddc53574d1377be7bee5b25d99d291e5b0f2018ba725

Observation 6c80fac2-9ef4-4dc2-b46d-ec2e53b6ebcd · outbound

This paper cites Z., Shah, S., Stone, J.

Clinical knowledge in LLMs does not translate to human interactions Z., Shah, S., Stone, J

Reference 34

Resolution
malformed identifier
raw_fallback, observed 2026-08-16T10:10:34.003170Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-08-16T10:10:33.951035Z digest=sha256:3dbaa3ab7ce1fd55bbaa830d7817597d4ab2059287edc34492dbd755b598e6a8

Pith citing papers

Observation 5eb21662-2161-41d2-84a1-d186a9fdc52c · inbound

MedRedFlag: Investigating how LLMs Redirect Misconceptions in Real-World Health Communication cites this paper.

MedRedFlag: Investigating how LLMs Redirect Misconceptions in Real-World Health Communication Clinical knowledge in LLMs does not translate to human interactions

Reference 1

Resolution
verified exact
arxiv_id, observed 2026-05-16T14:12:58.662428Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

source=pdf_text observed=2026-05-16T14:11:41.843620Z digest=sha256:56b9e52ca853a992b30a502c2357ebf34202bedc6de6a73bb43e3c0e3fe9b8c9

Observation 7d79e9ac-8cd4-4db7-b294-a3c7eb8317b1 · inbound

MedRedFlag: Investigating how LLMs Redirect Misconceptions in Real-World Health Communication cites this paper.

MedRedFlag: Investigating how LLMs Redirect Misconceptions in Real-World Health Communication Clinical knowledge in LLMs does not translate to human interactions

Reference 2025

Resolution
unresolved
no resolver link, observed 2026-08-03T10:32:50.204525Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T10:32:50.204525Z digest=sha256:0889a1d899ae89fc211aa6e1a0928ae50908b6341bd28936125effd77660f3a1

Observation 5061cb42-0fd4-4833-b1b2-a3987e51c63d · inbound

MedDialBench: Benchmarking LLM Diagnostic Robustness under Parametric Adversarial Patient Behaviors cites this paper.

MedDialBench: Benchmarking LLM Diagnostic Robustness under Parametric Adversarial Patient Behaviors Clinical knowledge in LLMs does not translate to human interactions

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