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Playing Along: Learning a Double-Agent Defender for Belief Steering via Theory of Mind RPA-Check: A Multi-Stage Automated Framework for Evaluating Dynamic LLM-based Role-Playing Agents A Triadic Suffix Tokenization Scheme for Numerical Reasoning Hidden Measurement Error in LLM Pipelines Distorts Annotation, Evaluation, and Benchmarking Synthius-Mem: Brain-Inspired Hallucination-Resistant Persona Memory Achieving 94.4% Memory Accuracy and 99.6% Adversarial Robustness on LoCoMo Time is Not a Label: Continuous Phase Rotation for Temporal Knowledge Graphs and Agentic Memory NovBench: Evaluating Large Language Models on Academic Paper Novelty Assessment Policy Split: Incentivizing Dual-Mode Exploration in LLM Reinforcement with Dual-Mode Entropy Regularization METER: Evaluating Multi-Level Contextual Causal Reasoning in Large Language Models Think Before you Write: QA-Guided Reasoning for Character Descriptions in Books METRO: Towards Strategy Induction from Expert Dialogue Transcripts for Non-collaborative Dialogues Retrieval as Generation: A Unified Framework with Self-Triggered Information Planning Do LLMs Know Tool Irrelevance? Demystifying Structural Alignment Bias in Tool Invocations Enhancing Multimodal Large Language Models for Ancient Chinese Character Evolution Analysis via Glyph-Driven Fine-Tuning Polyglot Teachers: Evaluating Language Models for Multilingual Synthetic Data Generation Exploring Knowledge Conflicts for Faithful LLM Reasoning: Benchmark and Method CocoaBench: Evaluating Unified Digital Agents in the Wild MathAgent: Adversarial Evolution of Constraint Graphs for Mathematical Reasoning Data Synthesis Evaluating Memory Capability in Continuous Lifelog Scenario How Robust Are Large Language Models for Clinical Numeracy? An Empirical Study on Numerical Reasoning Abilities in Clinical Contexts Efficient Training for Cross-lingual Speech Language Models Shared Emotion Geometry Across Small Language Models: A Cross-Architecture Study of Representation, Behavior, and Methodological Confounds A Systematic Analysis of the Impact of Persona Steering on LLM Capabilities Uncertainty-Aware Web-Conditioned Scientific Fact-Checking When Valid Signals Fail: Regime Boundaries Between LLM Features and RL Trading Policies When Verification Fails: How Compositionally Infeasible Claims Escape Rejection Mem$^2$Evolve: Towards Self-Evolving Agents via Co-Evolutionary Capability Expansion and Experience Distillation AOP-Smart: A RAG-Enhanced Large Language Model Framework for Adverse Outcome Pathway Analysis OccuBench: Evaluating AI Agents on Real-World Professional Tasks via Language Environment Simulation Advancing Polish Language Modeling through Tokenizer Optimization in the Bielik v3 7B and 11B Series
Assessing the Quality of AI-Generated Clinical Notes: A V...
Erin Palm, Astrit Manikantan, Mark E. Pepin, Herprit Mahal, Srik · 2025-05-16 · via cs.CL updates on arXiv.org

In medical practices across the United States, physicians have begun implementing generative artificial intelligence (AI) tools to perform the function of scribes in order to reduce the burden of documenting clinical encounters. Despite their widespread use, no established methods exist to gauge the quality of AI scribes. To address this gap, we developed a blinded study comparing the relative performance of large language model (LLM) generated clinical notes with those from field experts based on audio-recorded clinical encounters. Quantitative metrics from the Physician Documentation Quality Instrument (PDQI9) provided a framework to measure note quality, which we adapted to assess relative performance of AI generated notes. Clinical experts spanning 5 medical specialties used the PDQI9 tool to evaluate specialist-drafted Gold notes and LLM authored Ambient notes. Two evaluators from each specialty scored notes drafted from a total of 97 patient visits. We found uniformly high inter rater agreement (RWG greater than 0.7) between evaluators in general medicine, orthopedics, and obstetrics and gynecology, and moderate (RWG 0.5 to 0.7) to high inter rater agreement in pediatrics and cardiology. We found a modest yet significant difference in the overall note quality, wherein Gold notes achieved a score of 4.25 out of 5 and Ambient notes scored 4.20 out of 5 (p = 0.04). Our findings support the use of the PDQI9 instrument as a practical method to gauge the quality of LLM authored notes, as compared to human-authored notes.