Sangwon Baek

Sangwon Baek, Kyu Yeon Hur, Kyunga Kim

Clinical AI evaluation increasingly delegates scoring to large language models (LLMs) acting as AI raters, yet their scoring behavior across evaluation conditions has not been quantitatively characterized. We address this gap through a factorial study of AI rater behavior in adult type 2 diabetes (T2D) pharmacotherapy at 12-month outpatient follow-up, a clinical task involving complex decision-making operationalized across seven evaluation questions. Four open-source LLMs served simultaneously as clinical decision support system (CDSS) models and AI raters. Each CDSS output was scored under two scoring protocols: a rubric-anchored Gold Rubric (GR) protocol incorporating a patient-specific rubric, and a rubric-free Non Gold Rubric (Non-GR) protocol. Linear mixed effects models crossed the scoring protocol factor with five design factors -- CDSS model, CDSS prompt configuration (document-referenced generation [DRG] vs.\ Baseline), rater model, prompt character, and prompt type -- and estimated main effects together with their protocol interactions. Across all questions, AI raters yielded consistently higher scores within a very narrow range (74--78 points on average) under Non-GR compared to those under GR (7.69 to 49.64 points lower mean scores; 1.68 to 3.67 times wider interquartile ranges). Within each question, GR amplified the AI rater's discrimination between DRG and Baseline CDSS outputs by factors of 1.76 to 5.10, while also revealing substantial behavioral variation across rater models that Non-GR suppressed. These findings support rubric anchoring as the scoring protocol that preserves discriminative power in clinical AI evaluation; rubric-free scoring cannot substitute when questions require patient-specific or jurisdiction-specific criteria that rater models cannot infer from parametric knowledge alone.

Guijin Son, Sangwon Baek, Sangdae Nam et al. · cmu

Large language models (LLMs) are typically prompted to follow a single instruction per inference call. In this work, we analyze whether LLMs also hold the capability to handle multiple instructions simultaneously, denoted as Multi-Task Inference. For this purpose, we introduce the MTI Bench(Multi-Task Inference Benchmark), a comprehensive evaluation benchmark encompassing 5,000 instances across 25 tasks. Each task in the MTI Bench involves 2 to 3 sub-tasks. As expected, we first demonstrate that Multi-Task Inference reduces the total inference time by 1.46 times in average since it does not require multiple inference calls. Interestingly, contrary to the expectation that LLMs would perform better when tasks are divided, we find that state-of-the-art LLMs, such as Llama-2-Chat-70B and GPT-4, show up to 7.3% and 12.4% improved performance with Multi-Task Inference compared to Single-Task Inference on the MTI Bench. We release the MTI Bench dataset and our code at this link https://github.com/guijinSON/MTI-Bench.

Sangwon Baek, Seung Jun Lee

Few studies have investigated the diagnostic utilities of biomarkers for predicting bacteremia among septic patients admitted to intensive care units (ICU). Therefore, this study evaluated the prediction power of laboratory biomarkers to utilize those markers with high performance to optimize the predictive model for bacteremia. This retrospective cross-sectional study was conducted at the ICU department of Gyeongsang National University Changwon Hospital in 2019. Adult patients qualifying SEPSIS-3 (increase in sequential organ failure score greater than or equal to 2) criteria with at least two sets of blood culture were selected. Collected data was initially analyzed independently to identify the significant predictors, which was then used to build the multivariable logistic regression (MLR) model. A total of 218 patients with 48 cases of true bacteremia were analyzed in this research. Both CRP and PCT showed a substantial area under the curve (AUC) value for discriminating bacteremia among septic patients (0.757 and 0.845, respectively). To further enhance the predictive accuracy, we combined PCT, bilirubin, neutrophil lymphocyte ratio (NLR), platelets, lactic acid, erythrocyte sedimentation rate (ESR), and Glasgow Coma Scale (GCS) score to build the predictive model with an AUC of 0.907 (95% CI, 0.843 to 0.956). In addition, a high association between bacteremia and mortality rate was discovered through the survival analysis (0.004). While PCT is certainly a useful index for distinguishing patients with and without bacteremia by itself, our MLR model indicates that the accuracy of bacteremia prediction substantially improves by the combined use of PCT, bilirubin, NLR, platelets, lactic acid, ESR, and GCS score.

Hanwool Lee, Dasol Choi, Sooyong Kim et al.

Recent advancements in Korean large language models (LLMs) have driven numerous benchmarks and evaluation methods, yet inconsistent protocols cause up to 10 p.p performance gaps across institutions. Overcoming these reproducibility gaps does not mean enforcing a one-size-fits-all evaluation. Rather, effective benchmarking requires diverse experimental approaches and a framework robust enough to support them. To this end, we introduce HRET (Haerae Evaluation Toolkit), an open-source, registry-based framework that unifies Korean LLM assessment. HRET integrates major Korean benchmarks, multiple inference backends, and multi-method evaluation, with language consistency enforcement to ensure genuine Korean outputs. Its modular registry design also enables rapid incorporation of new datasets, methods, and backends, ensuring the toolkit adapts to evolving research needs. Beyond standard accuracy metrics, HRET incorporates Korean-focused output analyses-morphology-aware Type-Token Ratio (TTR) for evaluating lexical diversity and systematic keyword-omission detection for identifying missing concepts-to provide diagnostic insights into language-specific behaviors. These targeted analyses help researchers pinpoint morphological and semantic shortcomings in model outputs, guiding focused improvements in Korean LLM development.