❌

Normal view

Received β€” 15 September 2026 ⏭ cs.AI, q-bio.NC updates on arXiv.org

When Rubrics Fail: Hallucinations Reveal Blind Spots in Medical AI Evaluation

arXiv:2609.12718v1 Announce Type: new Abstract: Hallucinations can undermine clinician trust in LLMs, making it important that evaluation methods capture clinically relevant errors. Rubric-based evaluation has become the leading approach for assessing LLMs in medicine, but it is unclear whether rubric scores reflect such errors. We first study this in a controlled setting using MedHallu, finding that more specific rubrics better distinguish correct from hallucinated responses. To test this systematically, we develop a taxonomy of medical hallucination types and a clinician-validated error-injection pipeline that creates matched correct and error-injected responses. Across HealthBench, HealthBench Professional, and LiveMedBench, our clinically relevant hallucinations are missed by rubrics, often leaving scores unchanged. We find that rubrics are most effective when explicitly checking facts, and are less effective for additional or unexpected errors they do not anticipate. A preliminary retrieval-based factuality check recovers some of the rubric-blind errors, suggesting a complementary approach. These findings reveal systematic blind spots in current medical evaluation of LLMs and suggest that rubric scores alone are insufficient to establish clinical reliability, potentially undermining clinician trust and confidence in clinical deployment.

Earth-Agent-Pro: Towards Real-World Full-Chain Earth Observation with Agents

arXiv:2609.12533v1 Announce Type: cross Abstract: Real-world Earth observation (EO) agents must translate high-level scientific questions into executable workflows to acquire observations, prepare data, perform domain computations, and derive conclusions from runtime evidence. Existing EO agents typically start from supplied observations, while benchmarks typically provide prepared inputs or candidate answers, leaving full-chain open-world EO execution largely untested. We present Earth-Agent-Pro, an execution-adaptive Plan-and-Execute framework using expert-authored skills to constrain planning and runtime tool use. Workflow-centered structured memory records planned steps, accepted evidence, and their dependencies, enabling repair of only the affected workflow suffix when runtime evidence invalidates a step. Separate large language model adapters use sequence-level supervised fine-tuning for planner workflow composition and node-level group relative policy optimization with locally verifiable rewards for executor tool-argument grounding. Earth-Bench-Pro instantiates 248 expert-curated task cores as 744 questions under three matched regimes. Its 248 Open-World Execution questions span RGB imagery, spectral observations, and remote sensing products, pairing high-level requests with runtime data requirements, executable trajectories, and open-ended answers grounded in execution evidence. With a shared GPT-5 backbone, Earth-Agent-Pro achieves 66.13% LLM-as-Judge accuracy, exceeding ReAct by 20.95 points in this metric and 24.44 points in Tools-In-Order. Joint adapter tuning raises Qwen3.5-9B LLM-as-Judge accuracy from 38.31% to 50.00%, an 11.69-point gain over the untuned configuration. Planning-only evaluation and execution with the reference workflow show that the adapters improve workflow composition and argument grounding, respectively. Code and datasets will be released soon.
❌