Daily Papers

Medical care follows complex clinical pathways that extend beyond isolated physician-patient encounters, emphasizing decision-making and transitions between different stages. Current benchmarks focusing on static exams or isolated dialogues inadequately evaluate large language models (LLMs) in dynamic clinical scenarios. We introduce CP-Env, a controllable agentic hospital environment designed to evaluate LLMs across end-to-end clinical pathways. CP-Env simulates a hospital ecosystem with patient and physician agents, constructing scenarios ranging from triage and specialist consultation to diagnostic testing and multidisciplinary team meetings for agent interaction. Following real hospital adaptive flow of healthcare, it enables branching, long-horizon task execution. We propose a three-tiered evaluation framework encompassing Clinical Efficacy, Process Competency, and Professional Ethics. Results reveal that most models struggle with pathway complexity, exhibiting hallucinations and losing critical diagnostic details. Interestingly, excessive reasoning steps can sometimes prove counterproductive, while top models tend to exhibit reduced tool dependency through internalized knowledge. CP-Env advances medical AI agents development through comprehensive end-to-end clinical evaluation. We provide the benchmark and evaluation tools for further research and development at https://github.com/SPIRAL-MED/CP_ENV.

Answer verification is crucial not only for evaluating large language models (LLMs) by matching their unstructured outputs against standard answers, but also serves as the reward model to guide LLM optimization. Most evaluation frameworks rely on regularized matching or employ general LLMs for answer verification, which demands extensive, repetitive customization for regex rules or evaluation prompts. Two fundamental limitations persist in current methodologies: 1) the absence of comprehensive benchmarks that systematically evaluate verification capabilities across different LLMs; and 2) the nascent stage of verifier development, where existing approaches lack both the robustness to handle complex edge cases and the generalizability across different domains. In this work, we develop CompassVerifier, an accurate and robust lightweight verifier model for evaluation and outcome reward. It demonstrates multi-domain competency spanning math, knowledge, and diverse reasoning tasks, with the capability to process various answer types, including multi-subproblems, formulas, and sequence answers, while effectively identifying abnormal/invalid responses. We introduce VerifierBench benchmark comprising model outputs collected from multiple data sources, augmented through manual analysis of metaerror patterns to enhance CompassVerifier. We anticipate that CompassVerifier and VerifierBench will facilitate answer verification, evaluation protocols, and reinforcement learning research. Code and dataset are available at https://github.com/open-compass/CompassVerifier.