Challenge: Medical board exams or general clinical questions do not capture the complexity of real clinical cases.
Approach: They construct two datasets that are structured as multiple-choice question-answering tasks accompanied by expert-written explanations.
Outcome: The proposed datasets are harder than previous benchmarks.

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Large Language Models Are Poor Clinical Decision-Makers: A Comprehensive Benchmark (2024.emnlp-main)

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Challenge: Existing studies focus on evaluating large language models in close-ended QA tasks, but many clinical decisions involve answering open-ended questions without pre-set options.
Approach: They construct a benchmark to better understand large language models in the clinic . they use existing datasets to evaluate LLMs in clinical situations .
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Can LLMs Reason Like Doctors? Exploring the Limits of Large Language Models in Complex Medical Reasoning (2026.findings-eacl)

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Challenge: Large language models (LLMs) have shown remarkable progress in reasoning across multiple domains, but it remains unclear whether their abilities reflect genuine reasoning or sophisticated pattern matching.
Approach: They conduct one of the largest evaluations to date, assessing 77 LLMs . they select three medical question answering (QA) benchmarks targeting reasoning processes .
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LLMEval-Med: A Real-world Clinical Benchmark for Medical LLMs with Physician Validation (2025.findings-emnlp)

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Challenge: Current medical benchmarks have limitations in question design, data sources and evaluation methods.
Approach: They propose a new benchmark covering five core medical areas . it includes 2,996 questions created from real-world electronic health records .
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CasiMedicos-Arg: A Medical Question Answering Dataset Annotated with Explanatory Argumentative Structures (2024.emnlp-main)

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Challenge: Existing tools to aid residents in teaching medical doctors to explain decisions are a key objective of AI in education.
Approach: They present a multilingual dataset for Medical Question Answering where doctors can annotate correct and incorrect diagnoses with argument components and argument relations.
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ExplainCPE: A Free-text Explanation Benchmark of Chinese Pharmacist Examination (2023.findings-emnlp)

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Challenge: Existing explanation datasets for large language models are limited to the English language and general domain, leading to a scarcity of linguistic diversity and a lack of resources in specialized domains, such as medical.
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Benchmarking LLMs on Authentic Cases from Medical Journals (2026.findings-acl)

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Challenge: Existing medical benchmarks suffer from performance saturation due to medical exam questions.
Approach: They evaluate the performance of over 20 open-source and proprietary large language models and benchmark them against human medical experts.
Outcome: The new benchmark is based on authentic clinical cases sourced from medical journals and implements rigorous human review process to ensure the quality and reliability of the benchmark.
AfriMed-QA: A Pan-African, Multi-Specialty, Medical Question-Answering Benchmark Dataset (2025.acl-long)

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Challenge: Recent advances in large language models (LLMs) performance on medical multiplechoice question (MCQ) benchmarks have stimulated interest from healthcare providers and patients globally.
Approach: They introduce AfriMed-QA, the first largescale Pan-African English multi-specialty medical Question-Answering (QA) dataset, with 15,000 questions sourced from over 60 medical schools across 16 countries.
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DiagnosisArena: Benchmarking Diagnostic Reasoning for Large Language Models (2026.findings-acl)

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Challenge: Existing medical benchmarks for diagnostic reasoning are limited in their ability to perform complex tasks.
Approach: They propose to benchmark diagnostic capabilities of large language models to assess their accuracy and generalization bottlenecks.
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Evaluating Large Vision Language Models on Bangla Medical Visual Question Answering (2026.findings-acl)

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Challenge: Recent advances in Large Language Models and Large Vision Language Model (LVLMs) have demonstrated promising capabilities in complex reasoning tasks, but low-resource contexts like Bangla are underexplored.
Approach: They propose a multilingual medical visual question answering dataset using Bangla.
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What Does Infect Mean to Cardio? Investigating the Role of Clinical Specialty Data in Medical LLMs (2026.eacl-long)

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Challenge: S-MedQA is an English question-answering dataset designed for benchmarking large language models in fine-grained clinical specialties.
Approach: They propose to use an English medical question-answering dataset to benchmark large language models in clinical specialties.
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