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Paper · arXiv

Clinical Concept Centers in LLMs

Large language models are increasingly used in clinical settings. However, research into the reliability and performance of these models has focused almost entirely on the language substrate, scoring what the model says. Mechanistic interpretability has found that the latent space carries a higher fidelity of representation than the text: internal representations not only encode substantially more than the output verbalizes, but the stated reasoning also systematically omits features that causally drive the answer. An evaluation of model behavior in terms of mechanistic interpretability has not been explored in clinical decision support. In this work, we extend behavioral evaluation into ...

AuthorsAishik Nagar, Abhishek Vaidyanathan, Arun-Kumar Kaliya-Perumal et al.
Primary categorycs.CL
Published2 October 2026
Last updated at source5 October 2026
cs.CLcs.LG
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