Ameen Patel

Benjamin Warner, Ratna Sagari Grandhi, Max Kieffer et al.

Evaluating large language models (LLMs) for medical applications remains challenging due to benchmark saturation, limited data accessibility, and insufficient coverage of relevant tasks. Existing suites have either saturated, heavily depend on restricted datasets, or lack comprehensive model coverage. We introduce Medmarks, a fully open-source evaluation suite with 30 benchmarks spanning question answering, information extraction, medical calculations, and open-ended clinical reasoning. We perform a systematic evaluation of 61 models across 71 configurations using verifiable metrics and LLM-as-a-Judge. Our results show that frontier reasoning models (Gemini 3 Pro Preview, GPT-5.1, & GPT-5.2) achieve the highest performance across both benchmarks, most frontier proprietary models are significantly more token efficient than open-weight alternatives, medically fine-tuned models outperform their generalist counterparts, and that models are susceptible to answer-order bias (particularly smaller models and Grok 4). A subset of our evals (Medmarks-T) can be directly used as reinforcement learning environments to post-train LLMs for medical reasoning. Code is available at https://github.com/MedARC-AI/Medmarks

Max Zhang, Ameen Patel, Sang T. Truong et al.

Large language models exhibit safety degradation in non-English languages. Standard evaluation relies on Jailbreak Success Rate (JSR), which confounds several safety-driving factors into one, obscuring the specific cause(s) of safety failure. We introduce a latent variable model, a Multi-Group Item Response Theory (IRT) framework, that decouples safety-driving factors such as language-agnostic safety robustness ($θ$), intrinsic prompt hardness ($β$), global language processing difficulty ($γ$), and a prompt-specific cross-lingual safety gap ($τ$). Using the MultiJail dataset, we evaluate the safety robustness of 61 model configurations across 5 closed-model families and 10 languages of varying resource, aggregating a dataset of 1.9 million rows. Exploratory Factor Analysis shows safety is primarily unidimensional: models refuse different harm types mainly through a shared mechanism. Contrary to the expected trend that safety degrades largely in low-resource languages, 22 model configurations are more vulnerable in English than in low-resource languages. Low-resource languages produce more uncertain responses (high entropy) than high-resource languages. Also, high-$τ$ prompts cluster in physical harm categories like Theft and Weapons and lower-resource languages, trends validated through cross-dataset generalization. While global translation quality shows low correlation with $τ$, severe mistranslations drive high-bias outliers, as validated by native speakers. Cultural and conceptual grounding mismatches also contribute to $τ$. In predictive validation, the IRT framework achieves $\mathrm{AUC} = 0.940$, outperforming simpler baselines in predicting safe refusal of unsafe prompts. Our framework reveals concept-language vulnerabilities that aggregate metrics obscure, enabling fairer cross-lingual safety evaluation and targeted improvements in dataset construction.

Ameen Patel, Felix Lee, Kyle Liang et al.

Emotional prompting - the use of specific emotional diction in prompt engineering - has shown increasing promise in improving large language model (LLM) performance, truthfulness, and responsibility. However these studies have been limited to single types of positive emotional stimuli and have not considered varying degrees of emotion intensity in their analyses. In this paper, we explore the effects of four distinct emotions - joy, encouragement, anger, and insecurity - in emotional prompting and evaluate them on accuracy, sycophancy, and toxicity. We develop a prompt-generation pipeline with GPT-4o mini to create a suite of LLM and human-generated prompts with varying intensities across the four emotions. Then, we compile a "Gold Dataset" of prompts where human and model labels align. Our empirical evaluation on LLM behavior suggests that positive emotional stimuli lead to more accurate and less toxic results, but also increase sycophantic behavior.

Jinyoung Park, Ameen Patel, Omar Zia Khan et al.

Chain-of-Thought (CoT) prompting along with sub-question generation and answering has enhanced multi-step reasoning capabilities of Large Language Models (LLMs). However, prompting the LLMs to directly generate sub-questions is suboptimal since they sometimes generate redundant or irrelevant questions. To deal with them, we propose a GE-Reasoning method, which directs LLMs to generate proper sub-questions and corresponding answers. Concretely, given an input question, we first prompt the LLM to generate knowledge triplets, forming a graph representation of the question. Unlike conventional knowledge triplets, our approach allows variables as head or tail entities, effectively representing a question as knowledge triplets. Second, for each triplet, the LLM generates a corresponding sub-question and answer along with using knowledge retrieval. If the prediction confidence exceeds a threshold, the sub-question and prediction are incorporated into the prompt for subsequent processing. This approach encourages that sub-questions are grounded in the extracted knowledge triplets, reducing redundancy and irrelevance. Our experiments demonstrate that our approach outperforms previous CoT prompting methods and their variants on multi-hop question answering benchmark datasets.

Sunghyun Park, Han Li, Ameen Patel et al.

Natural Language Understanding (NLU) is an established component within a conversational AI or digital assistant system, and it is responsible for producing semantic understanding of a user request. We propose a scalable and automatic approach for improving NLU in a large-scale conversational AI system by leveraging implicit user feedback, with an insight that user interaction data and dialog context have rich information embedded from which user satisfaction and intention can be inferred. In particular, we propose a general domain-agnostic framework for curating new supervision data for improving NLU from live production traffic. With an extensive set of experiments, we show the results of applying the framework and improving NLU for a large-scale production system and show its impact across 10 domains.