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Aug 10

Safety and accuracy follow different scaling laws in clinical large language models

Clinical LLMs are often scaled by increasing model size, context length, retrieval complexity, or inference-time compute, with the implicit expectation that higher accuracy implies safer behavior. This assumption is incomplete in medicine, where a few confident, high-risk, or evidence-contradicting errors can matter more than average benchmark performance. We introduce SaFE-Scale, a framework for measuring how clinical LLM safety changes across model scale, evidence quality, retrieval strategy, context exposure, and inference-time compute. To instantiate this framework, we introduce RadSaFE-200, a Radiology Safety-Focused Evaluation benchmark of 200 multiple-choice questions with clinician-defined clean evidence, conflict evidence, and option-level labels for high-risk error, unsafe answer, and evidence contradiction. We evaluated 34 locally deployed LLMs across six deployment conditions: closed-book prompting (zero-shot), clean evidence, conflict evidence, standard RAG, agentic RAG, and max-context prompting. Clean evidence produced the strongest improvement, increasing mean accuracy from 73.5% to 94.1%, while reducing high-risk error from 12.0% to 2.6%, contradiction from 12.7% to 2.3%, and dangerous overconfidence from 8.0% to 1.6%. Standard RAG and agentic RAG did not reproduce this safety profile: agentic RAG improved accuracy over standard RAG and reduced contradiction, but high-risk error and dangerous overconfidence remained elevated. Max-context prompting increased latency without closing the safety gap, and additional inference-time compute produced only limited gains. Worst-case analysis showed that clinically consequential errors concentrated in a small subset of questions. Clinical LLM safety is therefore not a passive consequence of scaling, but a deployment property shaped by evidence quality, retrieval design, context construction, and collective failure behavior.

  • 12 authors
·
May 4

Safe, or Simply Incapable? Rethinking Safety Evaluation for Phone-Use Agents

When a phone-use agent avoids harm, does that show safety, or simply inability to act? Existing evaluations often cannot tell. A harmful outcome may be avoided because the agent recognized the risk and chose the safe action, or because it failed to understand the screen or execute any relevant action at all. These cases have different causes and call for different fixes, yet current benchmarks often merge them under task success, refusal, or final harmful outcome. We address this problem with PhoneSafety, a benchmark of 700 safety-critical moments drawn from real phone interactions across more than 130 apps. Each instance isolates the next decision at a risky moment and asks a simple question: does the model take the safe action, take the unsafe action, or fail to do anything useful? We evaluate eight representative phone-use agents under this framework. Our results reveal two main patterns. First, stronger general phone-use ability does not reliably imply safer choices at risky moments. Models that perform better on ordinary app tasks are not always the ones that behave more safely when the next action matters. Second, failures to do anything useful behave like a capability signal rather than a safety signal: they are concentrated in more visually and operationally demanding settings and remain stable when the evaluation protocol changes. Across models, failures split into two recurring patterns: unsafe choices in settings where the model can act but chooses wrongly, and inability to act in more visually and operationally demanding screens. Overall, a harmless outcome is not enough to count as evidence of safety. Evaluating phone-use agents requires separating unsafe judgment from inability to act.

  • 21 authors
·
May 7 2

Subtle Errors Matter: Preference Learning via Error-injected Self-editing

Large Language Models (LLMs) have exhibited strong mathematical reasoning and computational prowess, tackling tasks ranging from basic arithmetic to advanced competition-level problems. However, frequently occurring subtle errors, such as miscalculations or incorrect substitutions, limit the models' full mathematical potential. Existing studies to improve mathematical ability typically involve distilling reasoning skills from stronger LLMs or applying preference learning to step-wise response pairs. Although these methods leverage samples of varying granularity to mitigate reasoning errors, they overlook the frequently occurring subtle errors. A major reason is that sampled preference pairs involve differences unrelated to the errors, which may distract the model from focusing on subtle errors. In this work, we propose a novel preference learning framework called eRror-Injected Self-Editing (RISE), which injects predefined subtle errors into partial tokens of correct solutions to construct hard pairs for error mitigation. In detail, RISE uses the model itself to edit a small number of tokens in the solution, injecting designed subtle errors. Then, pairs composed of self-edited solutions and their corresponding correct ones, along with pairs of correct and incorrect solutions obtained through sampling, are used together for subtle error-aware DPO training. Compared with other preference learning methods, RISE further refines the training objective to focus on predefined errors and their tokens, without requiring fine-grained sampling or preference annotation. Extensive experiments validate the effectiveness of RISE, with preference learning on Qwen2-7B-Instruct yielding notable improvements of 3.0% on GSM8K and 7.9% on MATH.

  • 10 authors
·
Oct 9, 2024

Severity-Aware Weighted Loss for Arabic Medical Text Generation

Large language models have shown strong potential for Arabic medical text generation; however, traditional fine-tuning objectives treat all medical cases uniformly, ignoring differences in clinical severity. This limitation is particularly critical in healthcare settings, where errors in severe cases contain higher clinical risk. In this work, we propose a severity-aware weighted loss for fine-tuning Arabic language models on medical complaint-response data. The method depends on soft severity probabilities to dynamically scale token-level loss contributions during optimization, thereby prioritizing clinically critical interactions without modifying model architectures. Experiments are conducted using the MAQA dataset, which provides Arabic medical complaints and trusted human responses. Severity labels and probabilistic scores are automatically derived using a fine-tuned AraBERT-based classifier and incorporated exclusively at the loss level. The proposed approach is evaluated across ten Arabic large language models of varying architectures and parameter scales. While standard cross-entropy fine-tuning yields only modest improvements, severity-aware optimization consistently achieves larger gains. Using a balanced weighting configuration, performance improves from 54.04% to 66.14% for AraGPT2-Base, from 59.16% to 67.18% for AraGPT2-Medium, and from 57.83% to 66.86% for Qwen2.5-0.5B, with peak performance reaching 67.18%. Overall, severity-aware fine-tuning delivers improvements of up to 12.10% over non-fine-tuned baselines, demonstrating robust and architecture-consistent gains.

  • 3 authors
·
Apr 6

InT: Self-Proposed Interventions Enable Credit Assignment in LLM Reasoning

Outcome-reward reinforcement learning (RL) has proven effective at improving the reasoning capabilities of large language models (LLMs). However, standard RL assigns credit only at the level of the final answer, penalizing entire reasoning traces when the outcome is incorrect and uniformly reinforcing all steps when it is correct. As a result, correct intermediate steps may be discouraged in failed traces, while spurious steps may be reinforced in successful ones. We refer to this failure mode as the problem of credit assignment. While a natural remedy is to train a process reward model, accurately optimizing such models to identify corrective reasoning steps remains challenging. We introduce Intervention Training (InT), a training paradigm in which the model performs fine-grained credit assignment on its own reasoning traces by proposing short, targeted corrections that steer trajectories toward higher reward. Using reference solutions commonly available in mathematical reasoning datasets and exploiting the fact that verifying a model-generated solution is easier than generating a correct one from scratch, the model identifies the first error in its reasoning and proposes a single-step intervention to redirect the trajectory toward the correct solution. We then apply supervised fine-tuning (SFT) to the on-policy rollout up to the point of error concatenated with the intervention, localizing error to the specific step that caused failure. We show that the resulting model serves as a far better initialization for RL training. After running InT and subsequent fine-tuning with RL, we improve accuracy by nearly 14% over a 4B-parameter base model on IMO-AnswerBench, outperforming larger open-source models such as gpt-oss-20b.

On the Limits of LLM Adaptability: Impact of Model-Internalized Priors on Annotation Task Performance

Large Language Models (LLMs) are increasingly used for zero-shot annotation and LLM-as-a-judge tasks, yet their reliability hinges on how model-internalized priors interact with user-provided instructions. We investigate three dimensions of this interaction: (1) how an LLM's familiarity with data and task definitions affects performance, (2) the extent to which additional information in prompts can correct zero-shot errors ("decision stickiness"), and (3) model susceptibility to misaligned task definitions. Through experiments on toxicity detection across diverse datasets (spanning social media, gaming, news, and forums) using both dense and mixture-of-experts models, we find that nearly two-thirds of zero-shot errors are resistant to correction, with an overall rescue rate (fraction of initial errors corrected by prompting) of only 34.8%. High-confidence errors prove especially resistant to correction. When given misaligned definitions, LLMs follow them while maintaining confidence levels unchanged from the aligned condition. Crucially, we introduce Definition-Specific Familiarity (DSF), which measures alignment between a model's internal concept and the task definition. After controlling for dataset-level confounds, DSF shows a positive association with model performance (partial r = +0.41), while three distinct memorization metrics (ROUGE-L, BERTScore, and embedding cosine similarity) all fail to show a positive association. These findings show the limitations of prompt-based correction in annotation tasks, highlighting the importance of definition alignment over text-level memorization.

Can Large Reasoning Models Improve Accuracy on Mathematical Tasks Using Flawed Thinking?

Chain-of-thought (CoT) prompting has become central to mathematical reasoning in large language models, yet models remain brittle to early errors: a single arithmetic slip or unjustified inference typically propagates uncorrected to an incorrect final answer. We investigate whether training on intentionally flawed reasoning traces can teach models to detect and recover from such errors without degrading standard problem-solving ability. Using competition-level problems from MATH-lighteval, we generate CoT prefixes containing exactly one controlled error, either a calculation error (sign flips, dropped terms) or a reasoning error (misapplied rules, unjustified logical steps), and fine-tune Qwen3-4B with GRPO using a binary final-answer reward. Our Mixed-CoT-RL model matches standard RL on clean problems (41% vs 41%) while substantially outperforming it on problems prefilled with flawed reasoning (24% vs 19%). Notably, clean-only RL fine-tuning degrades robustness below the untuned baseline 19% vs. 20%), indicating that conventional training increases susceptibility to misleading prefills. Among error types, training on reasoning errors yields greater robustness gains than calculation errors alone, with mixed training performing best. These findings demonstrate that exposure to flawed traces during training can improve error-recovery behavior without sacrificing accuracy, suggesting a path toward more robust mathematical reasoning in LLMs.

  • 4 authors
·
Dec 18, 2025