Clinically Grounded Privacy Evaluation of Medical LMs
Medical language models (LMs) can memorize and reproduce protected health information, but privacy evaluations often focus on recovery of training text rather than disclosure under realistic threat models. We introduce a clinically grounded framework that evaluates leakage along a graded axis of adversarial access, ranging from publicly inferable demographics to leaked note fragments. At each tier, we measure verbatim memorization of patient-specific text and semantic leakage of sensitive diagnoses. Applying the framework to an LM continually pretrained on 378k clinical notes, we find that routine encounter metadata (i.e., name, date of birth, visit date, provider name, and practice locat...
| Authors | Sasha Ronaghi, Sana Tonekaboni, Lena Stempfle et al. |
|---|---|
| Primary category | cs.CL |
| Published | 8 June 2026 |
| Last updated at source | 28 August 2026 |
Silytics shows public metadata from arXiv and links to the original. Information may be incomplete or out of date. Last refreshed 17 October 2026. Licenses and terms of the original apply to the work itself. Not financial, legal or professional advice.