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Paper · arXiv

IatroBench: A Pre-Registered Benchmark of Clinical Omission in Language Models

We introduce IatroBench, a benchmark with two axes of harm (commission and omission), comprising 60 pre-registered clinical scenarios, tested on 6 models. Matched scenarios are framed as a patient query and a doctor consultation, differing in register and request (with the implication of supervision by a treating physician in the latter). We analyse the responses of five different models and find that all share more information in the doctor framing than the patient framing (which we call "framing-contingent withholding"). For example, a model with strong safety training provides a benzodiazepine tapering schedule to a doctor, but does not provide this schedule to a patient who requests i...

AuthorsDavid Gringras
Primary categorycs.AI
Published9 April 2026
Last updated at source30 September 2026
cs.AIcs.CLcs.CYcs.LG
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