18.2CLJul 10, 2025
Automating Expert-Level Medical Reasoning Evaluation of Large Language ModelsShuang Zhou, Wenya Xie, Jiaxi Li et al.
As large language models (LLMs) become increasingly integrated into clinical decision-making, ensuring transparent and trustworthy reasoning is essential. However, existing evaluation strategies of LLMs' medical reasoning capability either suffer from unsatisfactory assessment or poor scalability, and a rigorous benchmark remains lacking. To address this, we introduce MedThink-Bench, a benchmark designed for rigorous, explainable, and scalable assessment of LLMs' medical reasoning. MedThink-Bench comprises 500 challenging questions across ten medical domains, each annotated with expert-crafted step-by-step rationales. Building on this, we propose LLM-w-Ref, a novel evaluation framework that leverages fine-grained rationales and LLM-as-a-Judge mechanisms to assess intermediate reasoning with expert-level fidelity while maintaining scalability. Experiments show that LLM-w-Ref exhibits a strong positive correlation with expert judgments. Benchmarking twelve state-of-the-art LLMs, we find that smaller models (e.g., MedGemma-27B) can surpass larger proprietary counterparts (e.g., OpenAI-o3). Overall, MedThink-Bench offers a foundational tool for evaluating LLMs' medical reasoning, advancing their safe and responsible deployment in clinical practice.
OWLed: Outlier-weighed Layerwise Pruning for Efficient Autonomous Driving FrameworkJiaxi Li, Lu Yin, Xilu Wang
The integration of Large Language Models (LLMs) into autonomous driving systems offers promising enhancements in environmental understanding and decision-making. However, the substantial computational demands of deploying LLMs locally on vehicles render this approach unfeasible for real-world automotive applications. To address this challenge, we introduce OWLed, the Outlier-Weighed Layerwise Pruning for Efficient Autonomous Driving Framework that leverages outlier-weighted layerwise sparsity for model compression. Our method assigns non-uniform sparsity ratios to different layers based on the distribution of outlier features, significantly reducing the model size without the need for fine-tuning. To ensure the compressed model adapts well to autonomous driving tasks, we incorporate driving environment data into both the calibration and pruning processes. Our empirical studies reveal that the encoder component is more sensitive to pruning than the LLM, highlighting its critical role in the system. Experimental results demonstrate that OWLed outperforms existing methods in perception, action prediction, and language understanding while substantially lowering computational requirements. These findings underscore the potential of combining advanced pruning techniques with LLMs to develop efficient and robust autonomous driving systems capable of handling complex scenarios. Code will be made publicly available.