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Nov 6

FELM: Benchmarking Factuality Evaluation of Large Language Models

Assessing factuality of text generated by large language models (LLMs) is an emerging yet crucial research area, aimed at alerting users to potential errors and guiding the development of more reliable LLMs. Nonetheless, the evaluators assessing factuality necessitate suitable evaluation themselves to gauge progress and foster advancements. This direction remains under-explored, resulting in substantial impediments to the progress of factuality evaluators. To mitigate this issue, we introduce a benchmark for Factuality Evaluation of large Language Models, referred to as felm. In this benchmark, we collect responses generated from LLMs and annotate factuality labels in a fine-grained manner. Contrary to previous studies that primarily concentrate on the factuality of world knowledge (e.g.~information from Wikipedia), felm focuses on factuality across diverse domains, spanning from world knowledge to math and reasoning. Our annotation is based on text segments, which can help pinpoint specific factual errors. The factuality annotations are further supplemented by predefined error types and reference links that either support or contradict the statement. In our experiments, we investigate the performance of several LLM-based factuality evaluators on felm, including both vanilla LLMs and those augmented with retrieval mechanisms and chain-of-thought processes. Our findings reveal that while retrieval aids factuality evaluation, current LLMs are far from satisfactory to faithfully detect factual errors.

  • 7 authors
·
Oct 1, 2023

Knowing Is Not Choosing: What Explicit Verification Adds Beyond Generative Preference

Generating a correct answer does not mean that a language model will select it. We separate factual recall into three steps: generating a correct candidate, ranking the available candidates, and selecting the final answer. Pre-generation readouts predict factual recall and which questions sampling will cover across three model families, but say little about whether an available correct answer will ultimately be selected. Explicit verification with P(True) improves within-question ranking over mean log-likelihood in Gemma, Qwen3, and Llama, with AUROC gains of 0.08--0.12. In a prospectively defined Gemma cohort, verification raises plurality accuracy by about 5 points, and still gains about 2 points over chat-template likelihood, a stronger generative baseline. The advantage is strongest for relations with common-answer priors and depends on access to the entity; masking the entity removes the ranking advantage in larger Qwen models. Finally, the measured benefit depends on how correctness is defined: recall-oriented reference matching can credit option lists favored by likelihood and substantially understate the improvement seen under human semantic judgments. Prior work shows that models can carry latent factual knowledge and judge candidate answers; we show that these capabilities do not collapse into a single notion of ``knowing,'' and trace where information is gained, lost, or mismeasured between availability, ranking, and final choice.

  • 4 authors
·
Sep 28

EQUATOR: A Deterministic Framework for Evaluating LLM Reasoning with Open-Ended Questions. # v1.0.0-beta

Despite the remarkable coherence of Large Language Models (LLMs), existing evaluation methods often suffer from fluency bias and rely heavily on multiple-choice formats, making it difficult to assess factual accuracy and complex reasoning effectively. LLMs thus frequently generate factually inaccurate responses, especially in complex reasoning tasks, highlighting two prominent challenges: (1) the inadequacy of existing methods to evaluate reasoning and factual accuracy effectively, and (2) the reliance on human evaluators for nuanced judgment, as illustrated by Williams and Huckle (2024)[1], who found manual grading indispensable despite automated grading advancements. To address evaluation gaps in open-ended reasoning tasks, we introduce the EQUATOR Evaluator (Evaluation of Question Answering Thoroughness in Open-ended Reasoning). This framework combines deterministic scoring with a focus on factual accuracy and robust reasoning assessment. Using a vector database, EQUATOR pairs open-ended questions with human-evaluated answers, enabling more precise and scalable evaluations. In practice, EQUATOR significantly reduces reliance on human evaluators for scoring and improves scalability compared to Williams and Huckle's (2004)[1] methods. Our results demonstrate that this framework significantly outperforms traditional multiple-choice evaluations while maintaining high accuracy standards. Additionally, we introduce an automated evaluation process leveraging smaller, locally hosted LLMs. We used LLaMA 3.2B, running on the Ollama binaries to streamline our assessments. This work establishes a new paradigm for evaluating LLM performance, emphasizing factual accuracy and reasoning ability, and provides a robust methodological foundation for future research.

  • 4 authors
·
Dec 30, 2024

Two-Level Meta-Rubrics for Evaluating Open-Ended Generation: GAMUT, a Benchmark for Factual Completeness

Evaluating the factuality of long-form generations has focused predominantly on precision, measuring whether the claims a model makes are correct. The dominant decompose-search-verify pipeline catches incorrect claims well but says little about whether a response contains all the information it should. Measuring factual completeness, the missing half of factuality, is harder: it requires enumerating the full set of facts a complete answer should contain, and these facts rarely form a flat list. They often involve open-ended sets where coverage is what matters, ordered processes, and relationships among facts that a list of independent boolean checks fails to capture. We introduce a two-level meta-rubric framework for evaluating open-ended generation, and instantiate it as Gamut (Grounded Assessment of Multimodal Factuality), a benchmark for factual completeness in long-form generation. The framework rests on a two-level rubric representation: a structured meta-rubric captures the organization and importance of the required content, which is then mechanically compiled into a flat checklist of binary, machine-gradable rubrics that an LLM judge scores reliably. We construct 1,813 questions grounded in real wearable imagery across 10 diverse domains, each paired with an evidence-backed rubric verified by expert human annotators. Because the framework is modality-agnostic, we also release a text-only variant. Evaluating 14 frontier and open-weight models, we find the benchmark genuinely challenging (best score 58.7% from Gemini 3.1 Pro), highly discriminative, and robust to the choice of judge.

facebook AI at Meta
·
Jul 20 2

Fine-tuning Language Models for Factuality

The fluency and creativity of large pre-trained language models (LLMs) have led to their widespread use, sometimes even as a replacement for traditional search engines. Yet language models are prone to making convincing but factually inaccurate claims, often referred to as 'hallucinations.' These errors can inadvertently spread misinformation or harmfully perpetuate misconceptions. Further, manual fact-checking of model responses is a time-consuming process, making human factuality labels expensive to acquire. In this work, we fine-tune language models to be more factual, without human labeling and targeting more open-ended generation settings than past work. We leverage two key recent innovations in NLP to do so. First, several recent works have proposed methods for judging the factuality of open-ended text by measuring consistency with an external knowledge base or simply a large model's confidence scores. Second, the direct preference optimization algorithm enables straightforward fine-tuning of language models on objectives other than supervised imitation, using a preference ranking over possible model responses. We show that learning from automatically generated factuality preference rankings, generated either through existing retrieval systems or our novel retrieval-free approach, significantly improves the factuality (percent of generated claims that are correct) of Llama-2 on held-out topics compared with RLHF or decoding strategies targeted at factuality. At 7B scale, compared to Llama-2-chat, we observe 58% and 40% reduction in factual error rate when generating biographies and answering medical questions, respectively.

  • 5 authors
·
Nov 14, 2023 2

FactBench: A Dynamic Benchmark for In-the-Wild Language Model Factuality Evaluation

Language models (LMs) are widely used by an increasing number of users, underscoring the challenge of maintaining factuality across a broad range of topics. We first present VERIFY (Verification and Evidence RetrIeval for FactualitY evaluation), a pipeline to evaluate LMs' factuality in real-world user interactions. VERIFY considers the verifiability of LM-generated content and categorizes content units as supported, unsupported, or undecidable based on the retrieved evidence from the Web. Importantly, factuality judgment by VERIFY correlates better with human evaluations than existing methods. Using VERIFY, we identify "hallucination prompts" across diverse topics, i.e., those eliciting the highest rates of incorrect and inconclusive LM responses. These prompts form FactBench, a dataset of 1K prompts across 150 fine-grained topics. Our dataset captures emerging factuality challenges in real-world LM interactions and can be regularly updated with new prompts. We benchmark widely-used LMs from GPT, Gemini, and Llama3.1 family on FactBench, yielding the following key findings: (i) Proprietary models exhibit better factuality, with performance declining from Easy to Hard hallucination prompts. (ii) Llama3.1-405B-Instruct shows comparable or lower factual accuracy than Llama3.1-70B-Instruct across all evaluation methods due to its higher subjectivity that leads to more content labeled as undecidable. (iii) Gemini1.5-Pro shows a significantly higher refusal rate, with over-refusal in 25% of cases. Our code and data are publicly available at https://huggingface.co/spaces/launch/factbench.

  • 4 authors
·
Oct 29, 2024

Disentangling Visual and Factual Correctness in LVLMs' Visualization Literacy

Large Vision-Language Models (LVLMs) show strong visualization interpretation, yet it is unclear whether their responses reflect genuine reasoning over visual evidence or factual priors learned during training. Current evaluations mix these two sources, obscuring when correct visual interpretation is overridden by memorized facts. We present a framework that isolates visual correctness from factual correctness, revealing validity limitations in existing visualization literacy assessments. Across three experiments with 15 state-of-the-art LVLMs: (1) several models reach human-level performance on standard tests (VLAT), but this may reflect factual recall rather than visual understanding, while randomized-data tests (reVLAT) underestimate literacy when correct visual interpretation is superseded by factual priors. (2) Using our Counterfactual Visualization Literacy Assessment Test (CVLAT) with capability-normalized arbitration metrics, we classify models by the sign of their visual-factual reliance index (VFRI), revealing a visualization-oriented majority and a factual knowledge-oriented minority, though several near-zero cases warrant caution. A human baseline (N=30) on the same counterfactual items confirms that people overwhelmingly follow the chart under conflict, providing a human reference point. (3) Prompt-based intervention can shift prioritization, but its effectiveness is highly model-dependent and direction-asymmetric, and high chart-reading capability does not predict prompt-controllability. Overall, high visualization accuracy is not sufficient evidence of faithful visual reasoning: reliable integration into visual analytics requires evaluating not only visualization literacy but also how models arbitrate between visual evidence and factual priors when the two diverge. Benchmark and code: https://github.com/JaeyoungKim-HCIL/CVLAT

  • 8 authors
·
Jun 1

TrueTeacher: Learning Factual Consistency Evaluation with Large Language Models

Factual consistency evaluation is often conducted using Natural Language Inference (NLI) models, yet these models exhibit limited success in evaluating summaries. Previous work improved such models with synthetic training data. However, the data is typically based on perturbed human-written summaries, which often differ in their characteristics from real model-generated summaries and have limited coverage of possible factual errors. Alternatively, large language models (LLMs) have recently shown promising results in directly evaluating generative tasks, but are too computationally expensive for practical use. Motivated by these limitations, we introduce TrueTeacher, a method for generating synthetic data by annotating diverse model-generated summaries using a LLM. Unlike prior work, TrueTeacher does not rely on human-written summaries, and is multilingual by nature. Experiments on the TRUE benchmark show that a student model trained using our data, substantially outperforms both the state-of-the-art model with similar capacity, and the LLM teacher. In a systematic study, we compare TrueTeacher to existing synthetic data generation methods and demonstrate its superiority and robustness to domain-shift. Using the the mFACE dataset, we also show that our method generalizes to multilingual scenarios. Finally, we release a large-scale synthetic dataset with 1.4M examples generated using TrueTeacher.

  • 5 authors
·
May 18, 2023

Belief in the Machine: Investigating Epistemological Blind Spots of Language Models

As language models (LMs) become integral to fields like healthcare, law, and journalism, their ability to differentiate between fact, belief, and knowledge is essential for reliable decision-making. Failure to grasp these distinctions can lead to significant consequences in areas such as medical diagnosis, legal judgments, and dissemination of fake news. Despite this, current literature has largely focused on more complex issues such as theory of mind, overlooking more fundamental epistemic challenges. This study systematically evaluates the epistemic reasoning capabilities of modern LMs, including GPT-4, Claude-3, and Llama-3, using a new dataset, KaBLE, consisting of 13,000 questions across 13 tasks. Our results reveal key limitations. First, while LMs achieve 86% accuracy on factual scenarios, their performance drops significantly with false scenarios, particularly in belief-related tasks. Second, LMs struggle with recognizing and affirming personal beliefs, especially when those beliefs contradict factual data, which raises concerns for applications in healthcare and counseling, where engaging with a person's beliefs is critical. Third, we identify a salient bias in how LMs process first-person versus third-person beliefs, performing better on third-person tasks (80.7%) compared to first-person tasks (54.4%). Fourth, LMs lack a robust understanding of the factive nature of knowledge, namely, that knowledge inherently requires truth. Fifth, LMs rely on linguistic cues for fact-checking and sometimes bypass the deeper reasoning. These findings highlight significant concerns about current LMs' ability to reason about truth, belief, and knowledge while emphasizing the need for advancements in these areas before broad deployment in critical sectors.

  • 7 authors
·
Oct 28, 2024

The Curious Case of Factual (Mis)Alignment between LLMs' Short- and Long-Form Answers

Large language models (LLMs) can correctly answer "When was Einstein born?" yet fail to provide the same date when writing about Einstein's life revealing a fundamental inconsistency in how models access factual knowledge across task complexities. While models display impressive accuracy on factual question-answering benchmarks, the reliability gap between simple and complex queries remains poorly understood, eroding their trustworthiness. In this work, we introduce Short-Long Form Alignment for Factual Question Answering (SLAQ), a controlled evaluation framework that compares LLMs' answers to the same factual questions asked (a) in isolation (short) vs. (b) integrated into complex queries (long). Looking at 16 LLMs across 600 queries, we find a systematic misalignment of answers to the corresponding short and long queries. We further uncover position-dependent accuracy loss and momentum effects where consecutive correct or incorrect answers create self-reinforcing patterns. Through mechanistic analysis, we find that aligned facts activate overlapping model internals, and that metrics based on mechanistic similarity can predict short-long answer alignment with up to 78% accuracy. Our work establishes factual consistency over query complexity as an important aspect of LLMs' trustworthiness and challenges current evaluation practices, which implicitly assume that good performance for simple factual queries implies reliability in more complex knowledge-seeking tasks too.

WueNLP WüNLP
·
Oct 13, 2025 2

EviScene: Beyond "Is It AI?" for Agentic Image Factuality Assessment

Determining whether an image is AI-generated does not establish whether the situation it depicts is factually supported. We formulate Image Factuality Assessment: given an image and a generic verification instruction, a system returns a supported or refuted verdict with an evidence-grounded explanation. Without a supplied textual claim, the system must progressively refine factual questions during investigation and align external evidence with the specific situation depicted. We introduce EviLens, an expert-reviewed benchmark of 10,174 supported and refuted images from controlled construction and web collection, covering twelve factual error types and evaluating both verdict accuracy and evidence sufficiency. We develop EviScene, a multimodal ReAct agent that interleaves visual inspection, external retrieval, and evidence analysis, using new findings to refine its questions and revisit relevant image details. We train a compact policy with supervised fine-tuning on reviewed teacher trajectories, followed by privileged on-policy self-distillation applied to verified decisions from the policy's own investigations. On the 1,527-image test set, the trained Qwen3.5-9B agent achieves 79.05% balanced accuracy and a Strict Evidence Sufficiency Rate (SESR) of 52.26%, improving over the same-backbone base agent by 6.71 and 9.37 percentage points, respectively. Its SESR is the highest among the evaluated agents.Code, models, and data will be released at https://github.com/wangzian828/EVISCENE and https://huggingface.co/ZiAnwang/EviScene.

  • 13 authors
·
Oct 9 3

Do LVLMs Understand Charts? Analyzing and Correcting Factual Errors in Chart Captioning

Recent advancements in large vision-language models (LVLMs) have led to significant progress in generating natural language descriptions for visual content and thus enhancing various applications. One issue with these powerful models is that they sometimes produce texts that are factually inconsistent with the visual input. While there has been some effort to mitigate such inconsistencies in natural image captioning, the factuality of generated captions for structured document images, such as charts, has not received as much scrutiny, posing a potential threat to information reliability in critical applications. This work delves into the factuality aspect by introducing a comprehensive typology of factual errors in generated chart captions. A large-scale human annotation effort provides insight into the error patterns and frequencies in captions crafted by various chart captioning models, ultimately forming the foundation of a novel dataset, CHOCOLATE. Our analysis reveals that even state-of-the-art models, including GPT-4V, frequently produce captions laced with factual inaccuracies. In response to this challenge, we establish the new task of Chart Caption Factual Error Correction and introduce CHARTVE, a model for visual entailment that outperforms proprietary and open-source LVLMs in evaluating factual consistency. Furthermore, we propose C2TFEC, an interpretable two-stage framework that excels at correcting factual errors. This work inaugurates a new domain in factual error correction for chart captions, presenting a novel evaluation mechanism, and demonstrating an effective approach to ensuring the factuality of generated chart captions.

  • 8 authors
·
Dec 15, 2023

On the Tip of the Tongue: First-Token Cueing as a Behavioral Probe of Recall Failures in LLMs

Large language models often answer factual questions incorrectly in closed-book settings, and such errors are usually attributed to missing knowledge. Yet models often encode answers they fail to produce. We show that many closed-book errors are first-token recall failures: the model commits to a wrong first token, but once given the right one it completes the answer and often recognizes it as correct. We study this with First-Token Cueing, a behavioral probe that prefills the response with the first token of the gold answer. Model uncertainty peaks at the first answer token, where it already predicts correctness, and among gold prefixes of any length the first token alone accounts for the largest share of recovered errors. Across 16 open models, this one token corrects between a fifth and a half of the errors on multi-token answers in English QA and improves accuracy in all seven languages of a multilingual benchmark. Most of the errors it corrects are also solved by the model's own sampled reasoning, a criterion for encoded knowledge, and models recognize correct starts they do not produce: they continue a correct start more confidently than an incorrect start of the same answer type and prior probability, yet rarely find it without the gold answer. These results locate a recoverable class of factual errors at the first decoding step, where inference-time methods may gain the most.

PanCanBench: A Comprehensive Benchmark for Evaluating Large Language Models in Pancreatic Oncology

Large language models (LLMs) have achieved expert-level performance on standardized examinations, yet multiple-choice accuracy poorly reflects real-world clinical utility and safety. As patients and clinicians increasingly use LLMs for guidance on complex conditions such as pancreatic cancer, evaluation must extend beyond general medical knowledge. Existing frameworks, such as HealthBench, rely on simulated queries and lack disease-specific depth. Moreover, high rubric-based scores do not ensure factual correctness, underscoring the need to assess hallucinations. We developed a human-in-the-loop pipeline to create expert rubrics for de-identified patient questions from the Pancreatic Cancer Action Network (PanCAN). The resulting benchmark, PanCanBench, includes 3,130 question-specific criteria across 282 authentic patient questions. We evaluated 22 proprietary and open-source LLMs using an LLM-as-a-judge framework, measuring clinical completeness, factual accuracy, and web-search integration. Models showed substantial variation in rubric-based completeness, with scores ranging from 46.5% to 82.3%. Factual errors were common, with hallucination rates (the percentages of responses containing at least one factual error) ranging from 6.0% for Gemini-2.5 Pro and GPT-4o to 53.8% for Llama-3.1-8B. Importantly, newer reasoning-optimized models did not consistently improve factuality: although o3 achieved the highest rubric score, it produced inaccuracies more frequently than other GPT-family models. Web-search integration did not inherently guarantee better responses. The average score changed from 66.8% to 63.9% for Gemini-2.5 Pro and from 73.8% to 72.8% for GPT-5 when web search was enabled. Synthetic AI-generated rubrics inflated absolute scores by 17.9 points on average while generally maintaining similar relative ranking.

  • 16 authors
·
Mar 1

AlignScore: Evaluating Factual Consistency with a Unified Alignment Function

Many text generation applications require the generated text to be factually consistent with input information. Automatic evaluation of factual consistency is challenging. Previous work has developed various metrics that often depend on specific functions, such as natural language inference (NLI) or question answering (QA), trained on limited data. Those metrics thus can hardly assess diverse factual inconsistencies (e.g., contradictions, hallucinations) that occur in varying inputs/outputs (e.g., sentences, documents) from different tasks. In this paper, we propose AlignScore, a new holistic metric that applies to a variety of factual inconsistency scenarios as above. AlignScore is based on a general function of information alignment between two arbitrary text pieces. Crucially, we develop a unified training framework of the alignment function by integrating a large diversity of data sources, resulting in 4.7M training examples from 7 well-established tasks (NLI, QA, paraphrasing, fact verification, information retrieval, semantic similarity, and summarization). We conduct extensive experiments on large-scale benchmarks including 22 evaluation datasets, where 19 of the datasets were never seen in the alignment training. AlignScore achieves substantial improvement over a wide range of previous metrics. Moreover, AlignScore (355M parameters) matches or even outperforms metrics based on ChatGPT and GPT-4 that are orders of magnitude larger.

  • 4 authors
·
May 26, 2023

LaMDA: Language Models for Dialog Applications

We present LaMDA: Language Models for Dialog Applications. LaMDA is a family of Transformer-based neural language models specialized for dialog, which have up to 137B parameters and are pre-trained on 1.56T words of public dialog data and web text. While model scaling alone can improve quality, it shows less improvements on safety and factual grounding. We demonstrate that fine-tuning with annotated data and enabling the model to consult external knowledge sources can lead to significant improvements towards the two key challenges of safety and factual grounding. The first challenge, safety, involves ensuring that the model's responses are consistent with a set of human values, such as preventing harmful suggestions and unfair bias. We quantify safety using a metric based on an illustrative set of human values, and we find that filtering candidate responses using a LaMDA classifier fine-tuned with a small amount of crowdworker-annotated data offers a promising approach to improving model safety. The second challenge, factual grounding, involves enabling the model to consult external knowledge sources, such as an information retrieval system, a language translator, and a calculator. We quantify factuality using a groundedness metric, and we find that our approach enables the model to generate responses grounded in known sources, rather than responses that merely sound plausible. Finally, we explore the use of LaMDA in the domains of education and content recommendations, and analyze their helpfulness and role consistency.

  • 60 authors
·
Jan 20, 2022 2

Scaling Reasoning can Improve Factuality in Large Language Models

Recent studies on large language model (LLM) reasoning capabilities have demonstrated promising improvements in model performance by leveraging a lengthy thinking process and additional computational resources during inference, primarily in tasks involving mathematical reasoning (Muennighoff et al., 2025). However, it remains uncertain if longer reasoning chains inherently enhance factual accuracy, particularly beyond mathematical contexts. In this work, we thoroughly examine LLM reasoning within complex open-domain question-answering (QA) scenarios. We initially distill reasoning traces from advanced, large-scale reasoning models (QwQ-32B and DeepSeek-R1-671B), then fine-tune a variety of models ranging from smaller, instruction-tuned variants to larger architectures based on Qwen2.5. To enrich reasoning traces, we introduce factual information from knowledge graphs in the form of paths into our reasoning traces. Our experimental setup includes four baseline approaches and six different instruction-tuned models evaluated across a benchmark of six datasets, encompassing over 22.6K questions. Overall, we carry out 168 experimental runs and analyze approximately 1.7 million reasoning traces. Our findings indicate that, within a single run, smaller reasoning models achieve noticeable improvements in factual accuracy compared to their original instruction-tuned counterparts. Moreover, our analysis demonstrates that adding test-time compute and token budgets factual accuracy consistently improves by 2-8%, further confirming the effectiveness of test-time scaling for enhancing performance and consequently improving reasoning accuracy in open-domain QA tasks. We release all the experimental artifacts for further research.

  • 3 authors
·
May 16, 2025 2

Can LLMs Refuse Questions They Do Not Know? Measuring Knowledge-Aware Refusal in Factual Tasks

Large Language Models (LLMs) should refuse to answer questions beyond their knowledge. This capability, which we term knowledge-aware refusal, is crucial for factual reliability. However, existing metrics fail to faithfully measure this ability. On the one hand, simple refusal-based metrics are biased by refusal rates and yield inconsistent scores when models exhibit different refusal tendencies. On the other hand, existing calibration metrics are proxy-based, capturing the performance of auxiliary calibration processes rather than the model's actual refusal behavior. In this work, we propose the Refusal Index (RI), a principled metric that measures how accurately LLMs refuse questions they do not know. We define RI as Spearman's rank correlation between refusal probability and error probability. To make RI practically measurable, we design a lightweight two-pass evaluation method that efficiently estimates RI from observed refusal rates across two standard evaluation runs. Extensive experiments across 16 models and 5 datasets demonstrate that RI accurately quantifies a model's intrinsic knowledge-aware refusal capability in factual tasks. Notably, RI remains stable across different refusal rates and provides consistent model rankings independent of a model's overall accuracy and refusal rates. More importantly, RI provides insight into an important but previously overlooked aspect of LLM factuality: while LLMs achieve high accuracy on factual tasks, their refusal behavior can be unreliable and fragile. This finding highlights the need to complement traditional accuracy metrics with the Refusal Index for comprehensive factuality evaluation.

  • 8 authors
·
Oct 2, 2025

Global-Liar: Factuality of LLMs over Time and Geographic Regions

The increasing reliance on AI-driven solutions, particularly Large Language Models (LLMs) like the GPT series, for information retrieval highlights the critical need for their factuality and fairness, especially amidst the rampant spread of misinformation and disinformation online. Our study evaluates the factual accuracy, stability, and biases in widely adopted GPT models, including GPT-3.5 and GPT-4, contributing to reliability and integrity of AI-mediated information dissemination. We introduce 'Global-Liar,' a dataset uniquely balanced in terms of geographic and temporal representation, facilitating a more nuanced evaluation of LLM biases. Our analysis reveals that newer iterations of GPT models do not always equate to improved performance. Notably, the GPT-4 version from March demonstrates higher factual accuracy than its subsequent June release. Furthermore, a concerning bias is observed, privileging statements from the Global North over the Global South, thus potentially exacerbating existing informational inequities. Regions such as Africa and the Middle East are at a disadvantage, with much lower factual accuracy. The performance fluctuations over time suggest that model updates may not consistently benefit all regions equally. Our study also offers insights into the impact of various LLM configuration settings, such as binary decision forcing, model re-runs and temperature, on model's factuality. Models constrained to binary (true/false) choices exhibit reduced factuality compared to those allowing an 'unclear' option. Single inference at a low temperature setting matches the reliability of majority voting across various configurations. The insights gained highlight the need for culturally diverse and geographically inclusive model training and evaluation. This approach is key to achieving global equity in technology, distributing AI benefits fairly worldwide.

  • 5 authors
·
Jan 30, 2024

MedScore: Generalizable Factuality Evaluation of Free-Form Medical Answers by Domain-adapted Claim Decomposition and Verification

While Large Language Models (LLMs) can generate fluent and convincing responses, they are not necessarily correct. This is especially apparent in the popular decompose-then-verify factuality evaluation pipeline, where LLMs evaluate generations by decomposing the generations into individual, valid claims. Factuality evaluation is especially important for medical answers, since incorrect medical information could seriously harm the patient. However, existing factuality systems are a poor match for the medical domain, as they are typically only evaluated on objective, entity-centric, formulaic texts such as biographies and historical topics. This differs from condition-dependent, conversational, hypothetical, sentence-structure diverse, and subjective medical answers, which makes decomposition into valid facts challenging. We propose MedScore, a new pipeline to decompose medical answers into condition-aware valid facts and verify against in-domain corpora. Our method extracts up to three times more valid facts than existing methods, reducing hallucination and vague references, and retaining condition-dependency in facts. The resulting factuality score substantially varies by decomposition method, verification corpus, and used backbone LLM, highlighting the importance of customizing each step for reliable factuality evaluation by using our generalizable and modularized pipeline for domain adaptation.

A Geometric Taxonomy of Hallucinations in LLMs

The term "hallucination" converge different failure modes with specific geometric signatures in embedding space. We propose a taxonomy identifying three types: unfaithfulness (Type I: ignoring provided context), confabulation (Type II: inventing semantically foreign content), and factual error (Type III: wrong details within correct conceptual frames). We introduce two detection methods grounded in this taxonomy: the Semantic Grounding Index (SGI) for Type I, which measures whether a response moves toward provided context on the unit hypersphere, and the Directional Grounding Index (DGI) for Type II, which measures displacement geometry in context-free settings. DGI achieves AUROC=0.958 on human-crafted confabulations with 3.8% cross-domain degradation. External validation on three independently collected human-annotated benchmarks -WikiBio GPT-3, FELM, and ExpertQA- yields domain-specific AUROC 0.581-0.695, with DGI outperforming an NLI CrossEncoder baseline on expert-domain data, where surface entailment operates at chance. On LLM-generated benchmarks, detection is domain-local. We examine the Type III boundary through TruthfulQA, where apparent classifier signal (Logistic Regression with AUROC 0.731) is traced to a stylistic annotation confound: false answers are geometrically closer to queries than truthful ones, a pattern incompatible with factual-error detection. This identifies a theoretical constraint from a methodological limitation.

  • 1 authors
·
Mar 6

Long-form factuality in large language models

Large language models (LLMs) often generate content that contains factual errors when responding to fact-seeking prompts on open-ended topics. To benchmark a model's long-form factuality in open domains, we first use GPT-4 to generate LongFact, a prompt set comprising thousands of questions spanning 38 topics. We then propose that LLM agents can be used as automated evaluators for long-form factuality through a method which we call Search-Augmented Factuality Evaluator (SAFE). SAFE utilizes an LLM to break down a long-form response into a set of individual facts and to evaluate the accuracy of each fact using a multi-step reasoning process comprising sending search queries to Google Search and determining whether a fact is supported by the search results. Furthermore, we propose extending F1 score as an aggregated metric for long-form factuality. To do so, we balance the percentage of supported facts in a response (precision) with the percentage of provided facts relative to a hyperparameter representing a user's preferred response length (recall). Empirically, we demonstrate that LLM agents can achieve superhuman rating performance - on a set of ~16k individual facts, SAFE agrees with crowdsourced human annotators 72% of the time, and on a random subset of 100 disagreement cases, SAFE wins 76% of the time. At the same time, SAFE is more than 20 times cheaper than human annotators. We also benchmark thirteen language models on LongFact across four model families (Gemini, GPT, Claude, and PaLM-2), finding that larger language models generally achieve better long-form factuality. LongFact, SAFE, and all experimental code are available at https://github.com/google-deepmind/long-form-factuality.

  • 11 authors
·
Mar 27, 2024 2

Truth or Mirage? Towards End-to-End Factuality Evaluation with LLM-OASIS

After the introduction of Large Language Models (LLMs), there have been substantial improvements in the performance of Natural Language Generation (NLG) tasks, including Text Summarization and Machine Translation. However, LLMs still produce outputs containing hallucinations, that is, content not grounded in factual information. Therefore, developing methods to assess the factuality of LLMs has become urgent. Indeed, resources for factuality evaluation have recently emerged. Although challenging, these resources face one or more of the following limitations: (i) they are tailored to a specific task or domain; (ii) they are limited in size, thereby preventing the training of new factuality evaluators; (iii) they are designed for simpler verification tasks, such as claim verification. To address these issues, we introduce LLM-Oasis, to the best of our knowledge the largest resource for training end-to-end factuality evaluators. LLM-Oasis is constructed by extracting claims from Wikipedia, falsifying a subset of these claims, and generating pairs of factual and unfactual texts. We then rely on human annotators to both validate the quality of our dataset and to create a gold standard test set for benchmarking factuality evaluation systems. Our experiments demonstrate that LLM-Oasis presents a significant challenge for state-of-the-art LLMs, with GPT-4o achieving up to 60% accuracy in our proposed end-to-end factuality evaluation task, highlighting its potential to drive future research in the field.

  • 6 authors
·
Nov 29, 2024 2

Ontology-Grounded, Reasoner-Verified Benchmarks for Evaluating LLM Reasoning in Scientific AI

Large language models (LLMs) increasingly underpin scientific AI applications that reason over structured knowledge, from biomedical question answering to materials informatics. However, their logical reasoning often falls short, producing factual inaccuracies unacceptable in these settings. Reliable evaluation remains challenging: manual dataset construction scales poorly, and LLM-based generation risks embedding the very flaws it aims to measure. High-quality benchmarks must ground both correct and incorrect labelled examples in explicit background knowledge, formally verifiable by a standard reasoner. We propose a pipeline that automatically generates ontology-grounded multiple-choice question (MCQ) benchmarks from any sufficiently axiomatised OWL 2 ontology, with correct answers grounded in the ontology by design. Distractors are generated by perturbing the right-hand-side class expressions of class definition axioms, and their incorrectness is formally verified by an OWL reasoner via entailment checks. We evaluate the pipeline on three ontologies: Pizza (small, academic), PMDco (complex, materials science), and DOID (large, biomedical), generating 112, 2,491, and 15,216 MCQs respectively. Distractors span four semantic categories from class unsatisfiability to weakened subsumptions, enabling diagnostic evaluation of specific reasoning failures. Items meet natural language quality standards: mean LLM judge scores of 4.02, 4.36, and 3.36 out of 5 confirm fluency, and correct-answer-to-distractor similarity above 0.8 shows that wrong options cannot be dismissed on surface form alone. Six LLMs evaluated zero-shot achieve 41.1-76.8% accuracy, well above the 25% random-guessing baseline, indicating the benchmarks are challenging and discriminative. This work is a step towards more reliable benchmarks for assessing logical reasoning in scientific AI.

  • 4 authors
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Sep 29

Evaluating the Factual Consistency of Large Language Models Through News Summarization

While large language models (LLMs) have proven to be effective on a large variety of tasks, they are also known to hallucinate information. To measure whether an LLM prefers factually consistent continuations of its input, we propose a new benchmark called FIB(Factual Inconsistency Benchmark) that focuses on the task of summarization. Specifically, our benchmark involves comparing the scores an LLM assigns to a factually consistent versus a factually inconsistent summary for an input news article. For factually consistent summaries, we use human-written reference summaries that we manually verify as factually consistent. To generate summaries that are factually inconsistent, we generate summaries from a suite of summarization models that we have manually annotated as factually inconsistent. A model's factual consistency is then measured according to its accuracy, i.e.\ the proportion of documents where it assigns a higher score to the factually consistent summary. To validate the usefulness of FIB, we evaluate 23 large language models ranging from 1B to 176B parameters from six different model families including BLOOM and OPT. We find that existing LLMs generally assign a higher score to factually consistent summaries than to factually inconsistent summaries. However, if the factually inconsistent summaries occur verbatim in the document, then LLMs assign a higher score to these factually inconsistent summaries than factually consistent summaries. We validate design choices in our benchmark including the scoring method and source of distractor summaries. Our code and benchmark data can be found at https://github.com/r-three/fib.

  • 6 authors
·
Nov 15, 2022

How Transformers Reject Wrong Answers: Rotational Dynamics of Factual Constraint Processing

When a language model is fed a wrong answer, what happens inside the network? Current understanding treats truthfulness as a static property of individual-layer representations-a direction to be probed, a feature to be extracted. Less is known about the dynamics: how internal representations diverge across the full depth of the network when the model processes correct versus incorrect continuations. We introduce forced-completion probing, a method that presents identical queries with known correct and incorrect single-token continuations and tracks five geometric measurements across every layer of four decoder-only models(1.5B-13B parameters). We report three findings. First, correct and incorrect paths diverge through rotation, not rescaling: displacement vectors maintain near-identical magnitudes while their angular separation increases, meaning factual selection is encoded in direction on an approximate hypersphere. Second, the model does not passively fail on incorrect input-it actively suppresses the correct answer, driving internal probability away from the right token. Third, both phenomena are entirely absent below a parameter threshold and emerge at 1.6B, suggesting a phase transition in factual processing capability. These results show that factual constraint processing has a specific geometric character-rotational, not scalar; active, not passive-that is invisible to methods based on single-layer probes or magnitude comparisons.

  • 1 authors
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Feb 24

Reducing Hallucinations in LLMs via Factuality-Aware Preference Learning

Preference alignment methods such as RLHF and Direct Preference Optimization (DPO) improve instruction following, but they can also reinforce hallucinations when preference judgments reward fluency and confidence over factual correctness. We introduce F-DPO (Factuality-aware Direct Preference Optimization), a simple extension of DPO that uses only binary factuality labels. F-DPO (i) applies a label-flipping transformation that corrects misordered preference pairs so the chosen response is never less factual than the rejected one, and (ii) adds a factuality-aware margin that emphasizes pairs with clear correctness differences, while reducing to standard DPO when both responses share the same factuality. We construct factuality-aware preference data by augmenting DPO pairs with binary factuality indicators and synthetic hallucinated variants. Across seven open-weight LLMs (1B-14B), F-DPO consistently improves factuality and reduces hallucination rates relative to both base models and standard DPO. On Qwen3-8B, F-DPO reduces hallucination rates by five times (from 0.424 to 0.084) while improving factuality scores by 50 percent (from 5.26 to 7.90). F-DPO also generalizes to out-of-distribution benchmarks: on TruthfulQA, Qwen2.5-14B achieves plus 17 percent MC1 accuracy (0.500 to 0.585) and plus 49 percent MC2 accuracy (0.357 to 0.531). F-DPO requires no auxiliary reward model, token-level annotations, or multi-stage training.

  • 5 authors
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Jan 6

The strength of clinical evidence is recoverable from language model representations but not from their stated grades

Large language models (LLMs) increasingly summarize clinical evidence, where a claim's weight depends on how strongly it is supported. Yet these models convey confidence poorly, and properties they never state, such as truth, are often readable from their activations. Whether a clinical model registers evidence strength, distinct from truth, and states it when asked is untested, and any such signal could be lexical. We compiled 45,134 clinical claims from six public sources, harmonized 20,611 into a four-level evidence grade under three independent frameworks, and tested 22 local, open-weight LLMs from several developers (0.6-70 billion parameters; general, medical, and reasoning), with lexical, truth, and cross-framework controls. A linear estimator recovered the grade in every model (median AUROC 71.8), yet decodability did not rise with scale and was weakest in reasoning models. The grade the models stated fell to chance, 25-27 percentage points below the estimator. The recoverable signal was largely lexical and did not transfer across topics or frameworks, yet it was distinct from factual truth and still flagged weakly supported claims (AUROC 69.2). Clinical LLMs thus carry an ordered evidence-strength signal they do not express, so their stated grades fail to convey a claim's support even when it is recoverable from their representations and text.

  • 1 authors
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Jun 26

ChatGPT as a Factual Inconsistency Evaluator for Text Summarization

The performance of text summarization has been greatly boosted by pre-trained language models. A main concern of existing methods is that most generated summaries are not factually inconsistent with their source documents. To alleviate the problem, many efforts have focused on developing effective factuality evaluation metrics based on natural language inference, question answering, and syntactic dependency et al. However, these approaches are limited by either their high computational complexity or the uncertainty introduced by multi-component pipelines, resulting in only partial agreement with human judgement. Most recently, large language models(LLMs) have shown excellent performance in not only text generation but also language comprehension. In this paper, we particularly explore ChatGPT's ability to evaluate factual inconsistency under a zero-shot setting by examining it on both coarse-grained and fine-grained evaluation tasks including binary entailment inference, summary ranking, and consistency rating. Experimental results indicate that ChatGPT generally outperforms previous evaluation metrics across the three tasks, indicating its great potential for factual inconsistency evaluation. However, a closer inspection of ChatGPT's output reveals certain limitations including its preference for more lexically similar candidates, false reasoning, and inadequate understanding of instructions.

  • 3 authors
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Mar 27, 2023

Blind Men and the Elephant: Probing the Epistemic Myopia of LLMs under Long-Tail Divergent Knowledge

Factual question answering (QA) typically assumes a single canonical answer, obscuring whether large language models (LLMs) retain divergent accounts of long-tail facts. To address this gap, we introduce ElephantBench, a closed-book knowledge probe comprising 1,094 questions generated through an auditable graph-based pipeline. The pipeline retrieves related documents from a low-exposure web corpus, identifies naturally occurring disagreements, and converts them into multi-account QA records. Each answer is verified against the originating documents and authoritative public web sources and is then reviewed by human annotators. Across 32 models, even the strongest model recovers both accounts on only 52.4% of questions, while on nearly all remaining questions it recalls one account but omits the other. Scaling model size and inference-time reasoning improve recall but do not eliminate this incompleteness. Corpus analysis further shows that exposure imbalance favors the dominant account, whereas greater minority-side exposure is associated with more complete recall. These findings establish ElephantBench as a reproducible knowledge probe for diagnosing epistemic myopia in parametric memory. More broadly, our graph-based benchmark construction pipeline provides an efficient and scalable way to turn long-tail corpora into source-traceable knowledge probes, supporting efforts to evaluate and advance the epistemic rigour of next-generation LLMs. Code is available at https://github.com/Tencent/ElephantBench.

tencent Tencent
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Aug 27 2

Generalized Correctness Models: Learning Calibrated and Model-Agnostic Correctness Predictors from Historical Patterns

Generating accurate and calibrated confidence estimates is critical for deploying LLMs in high-stakes or user-facing applications, and remains an open challenge. Prior research has often framed confidence as a problem of eliciting a model's "self-knowledge", i.e., the ability of an LLM to judge whether its own answers are correct; this approach implicitly assumes that there is some privileged information about the answer's correctness that is accessible to the model itself. However, our experiments reveal that an LLM attempting to predict the correctness of its own outputs generally performs no better than an unrelated LLM. Moreover, we hypothesize that a key factor in building a "Correctness Model" (CM) is exposure to a target model's historical predictions. We propose multiple methods to inject this historical correctness information, creating a Generalized Correctness Model (GCM). We first show that GCMs can be trained on the correctness data from many LLMs and learn patterns for correctness prediction applicable across datasets and models. We then use CMs as a lens for studying the source of correctness prediction ability and its generalization, systematically controlling their training data and finding that answer phrasing is a strong predictor for correctness. We further explore alternative methods of injecting history without training an LLM, finding that including history as in-context examples can help improve correctness prediction, and post-hoc calibration can provide complementary reductions in calibration error. We evaluate GCMs based on Qwen3-8B across 5 model families and the MMLU and TriviaQA datasets, as well as on a downstream selective prediction task, finding that reliable LLM confidence estimation is a generalizable and model-agnostic skill learned by systematically encoding correctness history rather than a model-specific skill reliant on self-introspection.

  • 5 authors
·
Sep 29, 2025 2

Distilling Directional Verification

Knowledge distillation aims to transfer the factual knowledge of large language models to smaller models for efficient deployment. Yet a teacher may recall a relation in one direction while failing to generate the answer in the reverse direction. Distillation from its generated answers can therefore propagate this directional limitation to the student. The same teacher can nevertheless recognize such an answer by scoring the relation in the direction it knows. We introduce directional label distillation, in which frozen teachers score candidate answers in that known direction and the best-scoring candidate becomes the student's training target. On facts about parents and their children, known-direction scoring yields more accurate labels than scoring the requested direction, even after tuned corrections for name priors. With prior-corrected scores, the better direction depends on the facts rather than the template, and reverses on mined facts whose notable entity is the parent rather than the child. With the evaluated children's forward facts withheld, students trained on known-direction labels improve open-ended accuracy on their trained queries by 13 to 15 points over students trained on prior-corrected reverse labels. After generated answers are matched to a fixed name list by lexical similarity, students reproduce nearly all selected labels. Their accuracy largely follows label quality. The label advantage holds on unscreened queries and when candidates are retrieved without inserting correct answers. Our findings show that directional verification mitigates the transfer of errors from teacher-generated answers to students by providing more accurate training targets. Code is available at https://github.com/js-lee-AI/directional-verification.

  • 7 authors
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Sep 30

Narrowing the Knowledge Evaluation Gap: Open-Domain Question Answering with Multi-Granularity Answers

Factual questions typically can be answered correctly at different levels of granularity. For example, both ``August 4, 1961'' and ``1961'' are correct answers to the question ``When was Barack Obama born?''. Standard question answering (QA) evaluation protocols, however, do not explicitly take this into account and compare a predicted answer against answers of a single granularity level. In this work, we propose GRANOLA QA, a novel evaluation setting where a predicted answer is evaluated in terms of accuracy and informativeness against a set of multi-granularity answers. We present a simple methodology for enriching existing datasets with multi-granularity answers, and create GRANOLA-EQ, a multi-granularity version of the EntityQuestions dataset. We evaluate a range of decoding methods on GRANOLA-EQ, including a new algorithm, called Decoding with Response Aggregation (DRAG), that is geared towards aligning the response granularity with the model's uncertainty. Our experiments show that large language models with standard decoding tend to generate specific answers, which are often incorrect. In contrast, when evaluated on multi-granularity answers, DRAG yields a nearly 20 point increase in accuracy on average, which further increases for rare entities. Overall, this reveals that standard evaluation and decoding schemes may significantly underestimate the knowledge encapsulated in LMs.

  • 3 authors
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Jan 9, 2024

Knowledge Distillation During Mid-Training Favors Reasoning over Factual Recall

Logit-based knowledge distillation (KD) is used to train smaller language models (LMs) via supervision from stronger teachers, but whether its benefits are consistent across training stages remains unclear. Through controlled experiments, we find that forward Kullback-Leibler (KL) distillation--the standard KD formulation--with post-trained teachers behaves fundamentally differently during mid-training, an intermediate phase of self-supervised learning on curated corpora. Surprisingly, while forward KD simultaneously improves reasoning and factual recall during pre-training relative to standard next-token prediction (NTP), it instead slows factual recall acquisition during mid-training despite continued reasoning gains. We trace this stage dependence to an asymmetry in teacher confidence across data domains and the student's evolving knowledge state: teachers are more confident on procedural than knowledge-intensive data, while students acquire low-entropy factual knowledge earlier in training. To mitigate this imbalance, we propose Switch Distillation, a simple mid-training objective that distills on tokens where the teacher is confident, using teacher predictive entropy as a lightweight routing signal, and otherwise falls back to cross-entropy. Switch Distillation consistently outperforms existing distillation objectives across teacher sizes. Relative to standard NTP, it achieves 1.61-1.71x the reasoning performance and 1.13-1.19x the knowledge and commonsense performance while preserving 96.7-96.8% of factual recall. Crucially, these benefits persist after post-training: Switch Distillation closes the factual recall gap while maintaining 1.25-1.32x and 1.13-1.20x gains in reasoning and knowledge and commonsense, respectively.

meta Meta
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Aug 31 2

Probing the Geometry of Truth: Consistency and Generalization of Truth Directions in LLMs Across Logical Transformations and Question Answering Tasks

Large language models (LLMs) are trained on extensive datasets that encapsulate substantial world knowledge. However, their outputs often include confidently stated inaccuracies. Earlier works suggest that LLMs encode truthfulness as a distinct linear feature, termed the "truth direction", which can classify truthfulness reliably. We address several open questions about the truth direction: (i) whether LLMs universally exhibit consistent truth directions; (ii) whether sophisticated probing techniques are necessary to identify truth directions; and (iii) how the truth direction generalizes across diverse contexts. Our findings reveal that not all LLMs exhibit consistent truth directions, with stronger representations observed in more capable models, particularly in the context of logical negation. Additionally, we demonstrate that truthfulness probes trained on declarative atomic statements can generalize effectively to logical transformations, question-answering tasks, in-context learning, and external knowledge sources. Finally, we explore the practical application of truthfulness probes in selective question-answering, illustrating their potential to improve user trust in LLM outputs. These results advance our understanding of truth directions and provide new insights into the internal representations of LLM beliefs. Our code is public at https://github.com/colored-dye/truthfulness_probe_generalization

  • 7 authors
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May 31, 2025

Search-G1: Co-Evolving Representation-Based Rewards for Selective Grounded Search

Search-augmented language agents should retrieve external information only when necessary and ground their answers in retrieved evidence. Yet terminal correctness assigns equal credit to direct answers from parametric knowledge, evidence-grounded answers, and answers recalled after redundant search. Process supervision and LLM judges provide richer feedback but can require high-cost annotation or inference; low-cost, non-contrastive policy confidence signals do not directly identify whether retrieved evidence changes an answer. We propose Search-G1, a reward framework that couples retrieval necessity with evidence reliance through two intervention-calibrated hidden-state readouts for selective grounded search. A prompt readout predicts closed-book sufficiency, whose complement proxies policy-relative retrieval necessity; an answer-commit readout predicts evidence reliance as sensitivity to evidence deletion conditional on the realized reasoning prefix. A correctness-first reward gates evidence-reliance credit by retrieval necessity, rewards sufficient direct answers, and penalizes repeated search. After calibration, scoring needs neither process annotations nor LLM-judge inference. As policy-relative targets, trajectory distributions, and representations may drift, Search-G1 periodically regenerates targets and refits its readouts. Across four QA benchmarks and two scales, Search-G1 achieves competitive task accuracy, with stronger counterfactual evidence dependence and fewer searches in the main comparisons, complemented by independent human audits of answer support.

  • 10 authors
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Oct 9

A rubric landscape for evaluating clinical reasoning in large language models: what exists, what is missing, and what needs to be combined

Exam-style accuracy does not establish whether large language models (LLMs) reason well over clinical records. We define clinical reasoning as integrating and updating evidence across time and sources to form, revise and justify a patient's problem representation and a defensible plan. This structured narrative review maps three literatures: medical education assessment instruments, clinical LLM benchmarks published from 2023 onwards, and general-domain methods for evaluating long-form generation. We examine six dimensions: problem representation, temporal synthesis, differential and management reasoning, counterfactual reasoning, calibrated uncertainty, and reasoning faithfulness. Preprints are included and flagged. No single instrument covers all six dimensions. Problem representation and differential or management reasoning are reasonably covered, although reliability varies by instrument and setting. TIMER-Eval targets temporal synthesis, and ER-Reason assesses sequential diagnostic belief updating. Dedicated uncertainty and counterfactual evaluations are emerging, but their applicability to longitudinal free-text reasoning remains limited. Factual completeness is well theorised in general-domain evaluation, with early clinical evidence of important omissions. Faithfulness remains the weakest dimension, with one identified clinical causal-ablation study on multiple-choice questions. Existing tools should be combined through binary rubric items, separate completeness and correctness scores, case-specific importance weighting with non-compensable safety caps, temporal order-consistency checks, and chance-corrected reliability reporting. Further design work is needed for calibrated uncertainty, counterfactual reasoning and faithfulness over longitudinal free-text records. This review provides a design rationale, not a validated instrument.

  • 3 authors
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Sep 30