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Meghan Shah

Publications and source records attributed to Meghan Shah.

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HealthBench: Evaluating Large Language Models Towards Improved Human Health

We present HealthBench, an open-source benchmark measuring the performance and safety of large language models in healthcare. HealthBench consists of 5,000 multi-turn conversations between a model and an individual user or healthcare professional. Responses are evaluated using conversation-specific rubrics created by 262 physicians. Unlike previous multiple-choice or short-answer benchmarks, HealthBench enables realistic, open-ended evaluation through 48,562 unique rubric criteria spanning several health contexts (e.g., emergencies, transforming clinical data, global health) and behavioral dimensions (e.g., accuracy, instruction following, communication). HealthBench performance over the last two years reflects steady initial progress (compare GPT-3.5 Turbo's 16% to GPT-4o's 32%) and more rapid recent improvements (o3 scores 60%). Smaller models have especially improved: GPT-4.1 nano outperforms GPT-4o and is 25 times cheaper. We additionally release two HealthBench variations: HealthBench Consensus, which includes 34 particularly important dimensions of model behavior validated via physician consensus, and HealthBench Hard, where the current top score is 32%. We hope that HealthBench grounds progress towards model development and applications that benefit human health.

cs.CL

First-Person Fairness in Chatbots

Evaluating chatbot fairness is crucial given their rapid proliferation, yet typical chatbot tasks (e.g., resume writing, entertainment) diverge from the institutional decision-making tasks (e.g., resume screening) which have traditionally been central to discussion of algorithmic fairness. The open-ended nature and diverse use-cases of chatbots necessitate novel methods for bias assessment. This paper addresses these challenges by introducing a scalable counterfactual approach to evaluate "first-person fairness," meaning fairness toward chatbot users based on demographic characteristics. Our method employs a Language Model as a Research Assistant (LMRA) to yield quantitative measures of harmful stereotypes and qualitative analyses of demographic differences in chatbot responses. We apply this approach to assess biases in six of our language models across millions of interactions, covering sixty-six tasks in nine domains and spanning two genders and four races. Independent human annotations corroborate the LMRA-generated bias evaluations. This study represents the first large-scale fairness evaluation based on real-world chat data. We highlight that post-training reinforcement learning techniques significantly mitigate these biases. This evaluation provides a practical methodology for ongoing bias monitoring and mitigation.

cs.CY