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Feb 6

SAS-Bench: A Fine-Grained Benchmark for Evaluating Short Answer Scoring with Large Language Models

Subjective Answer Grading (SAG) plays a crucial role in education, standardized testing, and automated assessment systems, particularly for evaluating short-form responses in Short Answer Scoring (SAS). However, existing approaches often produce coarse-grained scores and lack detailed reasoning. Although large language models (LLMs) have demonstrated potential as zero-shot evaluators, they remain susceptible to bias, inconsistencies with human judgment, and limited transparency in scoring decisions. To overcome these limitations, we introduce SAS-Bench, a benchmark specifically designed for LLM-based SAS tasks. SAS-Bench provides fine-grained, step-wise scoring, expert-annotated error categories, and a diverse range of question types derived from real-world subject-specific exams. This benchmark facilitates detailed evaluation of model reasoning processes and explainability. We also release an open-source dataset containing 1,030 questions and 4,109 student responses, each annotated by domain experts. Furthermore, we conduct comprehensive experiments with various LLMs, identifying major challenges in scoring science-related questions and highlighting the effectiveness of few-shot prompting in improving scoring accuracy. Our work offers valuable insights into the development of more robust, fair, and educationally meaningful LLM-based evaluation systems.

  • 11 authors
·
May 12, 2025

Towards Accurate Differential Diagnosis with Large Language Models

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

  • 28 authors
·
Nov 30, 2023 1