Iacer Calixto

Mustafa Dogan, Ilker Kesen, Iacer Calixto et al.

As multimodal large language models (MLLMs) advance in handling interleaved image-text data, assessing their few-shot learning capabilities remains an open challenge. In this paper, we introduce FewMMBench, a comprehensive benchmark designed to evaluate MLLMs under few-shot conditions, with a focus on In-Context Learning (ICL) and Chain-of-Thought (CoT) prompting. Covering a diverse suite of multimodal understanding tasks, from attribute recognition to temporal reasoning, FewMMBench enables systematic analysis across task types, model families, and prompting strategies. We evaluate 26 open-weight MLLMs from six model families across zero-shot, few-shot, and CoT-augmented few-shot settings. Our findings reveal that instruction-tuned models exhibit strong zero-shot performance but benefit minimally, or even regress, with additional demonstrations or CoT reasoning. Retrieval-based demonstrations and increased context size also yield limited gains. These results highlight FewMMBench as a rigorous testbed for diagnosing and advancing few-shot capabilities in multimodal LLMs. The data is available at: https://huggingface.co/datasets/mustafaa/FewMMBench

Arnisa Fazla, Alberto Testoni, Ameen Abu-Hanna et al.

Safe deployment of clinical vision-language models (VLMs) requires reliable uncertainty estimation (UE): a signal indicating when predictions should be trusted or escalated to a clinician. We test whether current UE methods actually deliver this signal. Benchmarking 8 methods across 12 VLMs on clinical visual question-answering (VQA), we find that UE quality is not an intrinsic property of the UE method: it tracks model accuracy, degrading precisely where the model performance is weakest, and therefore where reliability is most needed. When we stress-test models by hiding the correct option among the multiple-choice answers (NOTA perturbations), accuracy collapses while uncertainty barely changes, leaving models systematically miscalibrated. Yet, we find that uncertainty on the unperturbed input reliably anticipates which predictions will collapse under NOTA, indicating that UE in current VLMs carries diagnostic information about model fragility. Our results position UE as a diagnostic tool for identifying fragile predictions and motivate perturbation-based evaluation as a path toward safe clinical deployment.