Asad Aali, Muhammad Ahmed Mohsin, Vasiliki Bikia, Arnav Singhvi, Richard Gaus, Suhana Bedi, Hejie Cui, Miguel Fuentes 等 18 位作者
As language models (LMs) are increasingly adopted across domains, high-quality benchmarking frameworks are essential for guiding deployment decisions. However, frameworks such as Holistic Evaluation of Language Models (HELM) typically evaluate models under a single static prompt configuration, even though model behavior depends strongly on prompt choice. As a result, reported scores can reflect prompt choice as much as model capability. Declarative prompting frameworks, such as DSPy, offer a scalable way to operationalize this evaluation protocol by evaluating models under structured prompting strategies rather than static prompts. Here, we conduct a reproducible DSPy+HELM benchmarking study and quantify how prompt choice impacts benchmark outcomes. Using five prompting methods, we evaluate four frontier and two open-source LMs across seven benchmarks against HELM baseline scores and find that prompt choice can materially impact leaderboards. Structured prompting improves performance (by 6% on average), alters comparisons (leaderboard rankings shift on $5/7$ benchmarks); chain-of-thought provides the strongest cost-performance tradeoff while more advanced optimizers offer smaller additional gains. Beyond the known intuition that prompts affect outputs, our benchmarking study integrates structured prompting into an established evaluation framework and quantifies how prompt choice alone impacts leaderboards. We open-source (i) DSPy+HELM Evaluation (https://github.com/stanford-crfm/helm/pull/3893) and (ii) Prompt Optimization Pipeline (https://github.com/StanfordMIMI/dspy-helm).
We study structured abstraction-based reasoning for the Abstraction and Reasoning Corpus (ARC) and compare its generalization to test-time approaches. Purely neural architectures lack reliable combinatorial generalization, while strictly symbolic systems struggle with perceptual grounding. We therefore propose a neuro-symbolic architecture that extracts object-level structure from grids, uses neural priors to propose candidate transformations from a fixed domain-specific language (DSL) of atomic patterns, and filters hypotheses using cross-example consistency checks. Instantiated as a compositional reasoning framework based on unit patterns inspired by human visual abstraction, the system augments large language models (LLMs) with object representations and transformation proposals. On ARC-AGI-2, it improves over the base solver LLM (Grok-4, 16.0%) to 24.4% on the public evaluation set, and to 30.8% when combined with ARC Lang Solver via a meta-classifier. These results support the claim that in the evaluated settings, allocating test-time compute to object abstraction, neural-guided transformation proposal, and consistency filtering can improve accuracy over unstructured sampling-based scaling without task-specific finetuning of the system. We open-source the code: (https://github.com/CoreThink-AI/arc-agi-2-reasoner).
Jordan L. Cahoon, Chloe Stanwyck, Asad Aali, Rachel Madding, Sulaiman S. Somani, Emma Sun, Yixing Jiang, Renumathy Dhanasekaran 等 9 位作者
Background: Clinical notes contain extensive duplicated text from templates, copy-paste, and auto-populated fields ("note bloat"), diluting clinical signal, limiting longitudinal context, and increasing large language model (LLM) costs. Methods: TRACE removes note bloat using note-level EHR metadata to identify templated and copied content, with frequency-based de-duplication when metadata are unavailable. We evaluated TRACE using blinded physician span review and gold-standard templated-text annotations across four cohorts spanning liver transplant, obstetrics, and inpatient populations at multiple health systems (5.3M notes). We compared zero-shot LLMs and embedding-based classifiers using original and TRACE-processed notes for 20 information extraction tasks and prediction of 5-year survival, postpartum hemorrhage, and 30-day readmission. Results: Only 0.3-6.6% of removed text was flagged as author-generated; TRACE captured 86% of annotated templated characters. Information extraction F1 differences averaged by cohort ranged from -0.009 to +0.004; task-specific prediction F1 differences ranged from -0.011 to +0.018. Among 1,000 randomly sampled Stanford Health Care patients, TRACE reduced chart text by 47.3% (742.7M characters), averaging 220,167 fewer tokens per patient. Using 2024 encounter volumes at a large tertiary academic center and one query per encounter, projected three-year net savings ranged from $1.00M to $13.58M across evaluated model pricing schemes, including initial and annual TRACE processing costs. Conclusion: TRACE substantially reduces clinical note redundancy while preserving information extraction and prediction performance. Underused EHR metadata can reduce LLM inference costs, expand usable longitudinal context, and support scalable clinical AI.
With the growing use of language models (LMs) in clinical environments, there is an immediate need to evaluate the accuracy and safety of LM-generated medical text. Currently, such evaluation relies solely on manual physician review. However, detecting errors in LM-generated text is challenging because 1) manual review is costly and 2) expert-composed reference outputs are often unavailable in real-world settings. While the "LLM-as-a-judge" paradigm offers scalable evaluation, even frontier LMs can miss subtle but clinically significant errors. We propose MedVAL, a novel, self-supervised, data-efficient distillation method that leverages synthetic data to train evaluator LMs to assess whether LM-generated medical outputs are factually consistent with inputs, without requiring physician labels or reference outputs. To evaluate LM performance, we introduce MedVAL-Bench, a dataset of 840 physician-annotated outputs across 6 diverse medical tasks capturing real-world challenges. Across 10 state-of-the-art LMs spanning open-source and proprietary models, MedVAL distillation significantly improves (p < 0.001) alignment with physicians across seen and unseen tasks, increasing average F1 scores from 66% to 83%. Despite strong baseline performance, MedVAL improves the best-performing proprietary LM (GPT-4o) by 8% without training on physician-labeled data, demonstrating a performance statistically non-inferior to a single human expert on a subset annotated by multiple physicians (p < 0.001). To support a scalable, risk-aware pathway towards clinical integration, we open-source: 1) Codebase (https://github.com/StanfordMIMI/MedVAL), 2) MedVAL-Bench (https://huggingface.co/datasets/stanfordmimi/MedVAL-Bench), 3) MedVAL-4B (https://huggingface.co/stanfordmimi/MedVAL-4B). Our benchmark provides evidence of LMs approaching expert-level ability in validating AI-generated medical text.