







Specialized clinical artificial intelligence (AI) tools are entering medical practice despite scarce independent evaluation. We quantitatively evaluate two clinical AI tools, OpenEvidence and UpToDate Expert AI, built on large language models (LLMs) against three frontier LLMs: GPT-5.2, Gemini 3.1 Pro and Claude Opus 4.6. Our evaluation has three stages: (1) 500 MedQA questions testing medical knowledge, (2) 500 HealthBench items measuring alignment with clinicians and (3) the real clinical queries (RCQ) benchmark, built from 100 de-identified queries from physicians to a general-purpose language model in a live clinical environment. For the RCQ benchmark, 12 US clinicians performed randomized, blinded review of model outputs, producing 1,800 model–question annotations. Frontier LLMs outperformed clinical AI tools in all three evaluations. Clinical AI tools performed comparably to auto-enabled Google Search AI Overview on the RCQ. These findings highlight the need for independent, real-world evaluation of AI tools before they enter clinical settings.
SimpleQA Verified: A Reliable Factuality Benchmark to Measure Parametric Knowledge
We introduce SimpleQA Verified, a 1,000-prompt benchmark for evaluating Large Language Model (LLM) short-form factuality based on OpenAI's SimpleQA. It addresses critical limitations in OpenAI's benchmark, including noisy and incorrect labels, topical biases, and question redundancy. SimpleQA Verified was created through a rigorous multi-stage filtering process involving de-duplication, topic balancing, and source reconciliation to produce a more reliable and challenging evaluation set, alongside improvements in the autorater prompt. On this new benchmark, Gemini 2.5 Pro achieves a state-of-the-art F1-score of 55.6, outperforming other frontier models, including GPT-5. This work provides the research community with a higher-fidelity tool to track genuine progress in parametric model factuality and to mitigate hallucinations. The benchmark dataset, evaluation code, and leaderboard are available at: https://www.kaggle.com/benchmarks/deepmind/simpleqa-verified.

SimpleQA Verified: A Reliable Factuality Benchmark to Measure Parametric Knowledge
We introduce SimpleQA Verified, a 1,000-prompt benchmark for evaluating Large Language Model (LLM) short-form factuality based on OpenAI's SimpleQA. It addresses critical limitations in OpenAI's benchmark, including noisy and incorrect labels, topical biases, and question redundancy. SimpleQA Verified was created through a rigorous multi-stage filtering process involving de-duplication, topic balancing, and source reconciliation to produce a more reliable and challenging evaluation set, alongside improvements in the autorater prompt. On this new benchmark, Gemini 2.5 Pro achieves a state-of-the-art F1-score of 55.6, outperforming other frontier models, including GPT-5. This work provides the research community with a higher-fidelity tool to track genuine progress in parametric model factuality and to mitigate hallucinations. The benchmark dataset, evaluation code, and leaderboard are available at: https://www.kaggle.com/benchmarks/deepmind/simpleqa-verified.

Reliability of LLMs as medical assistants for the general public: a randomized preregistered study
Global healthcare providers are exploring the use of large language models (LLMs) to provide medical advice to the public. LLMs now achieve nearly perfect scores on medical licensing exams, but this does not necessarily translate to accurate performance in real-world settings. We tested whether LLMs can assist members of the public in identifying underlying conditions and choosing a course of action (disposition) in ten medical scenarios in a controlled study with 1,298 participants. Participants were randomly assigned to receive assistance from an LLM (GPT-4o, Llama 3, Command R+) or a source of their choice (control). Tested alone, LLMs complete the scenarios accurately, correctly identifying conditions in 94.9% of cases and disposition in 56.3% on average. However, participants using the same LLMs identified relevant conditions in fewer than 34.5% of cases and disposition in fewer than 44.2%, both no better than the control group. We identify user interactions as a challenge to the deployment of LLMs for medical advice. Standard benchmarks for medical knowledge and simulated patient interactions do not predict the failures we find with human participants. Moving forward, we recommend systematic human user testing to evaluate interactive capabilities before public deployments in healthcare.

Reliability of LLMs as medical assistants for the general public: a randomized preregistered study
Global healthcare providers are exploring the use of large language models (LLMs) to provide medical advice to the public. LLMs now achieve nearly perfect scores on medical licensing exams, but this does not necessarily translate to accurate performance in real-world settings. We tested whether LLMs can assist members of the public in identifying underlying conditions and choosing a course of action (disposition) in ten medical scenarios in a controlled study with 1,298 participants. Participants were randomly assigned to receive assistance from an LLM (GPT-4o, Llama 3, Command R+) or a source of their choice (control). Tested alone, LLMs complete the scenarios accurately, correctly identifying conditions in 94.9% of cases and disposition in 56.3% on average. However, participants using the same LLMs identified relevant conditions in fewer than 34.5% of cases and disposition in fewer than 44.2%, both no better than the control group. We identify user interactions as a challenge to the deployment of LLMs for medical advice. Standard benchmarks for medical knowledge and simulated patient interactions do not predict the failures we find with human participants. Moving forward, we recommend systematic human user testing to evaluate interactive capabilities before public deployments in healthcare.

This Treatment Works, Right? Evaluating LLM Sensitivity to Patient Question Framing in Medical QA
Patients are increasingly turning to large language models (LLMs) with medical questions that are complex and difficult to articulate clearly. However, LLMs are sensitive to prompt phrasings and can be influenced by the way questions are worded. Ideally, LLMs should respond consistently regardless of phrasing, particularly when grounded in the same underlying evidence. We investigate this through a systematic evaluation in a controlled retrieval-augmented generation (RAG) setting for medical question answering (QA), where expert-selected documents are used rather than retrieved automatically. We examine two dimensions of patient query variation: question framing (positive vs. negative) and language style (technical vs. plain language). We construct a dataset of 6,614 query pairs grounded in clinical trial abstracts and evaluate response consistency across eight LLMs. Our findings show that positively- and negatively-framed pairs are significantly more likely to produce contradictory conclusions than same-framing pairs. This framing effect is further amplified in multi-turn conversations, where sustained persuasion increases inconsistency. We find no significant interaction between framing and language style. Our results demonstrate that LLM responses in medical QA can be systematically influenced through query phrasing alone, even when grounded in the same evidence, highlighting the importance of phrasing robustness as an evaluation criterion for RAG-based systems in high-stakes settings.

Performance of a large language model on the reasoning tasks of a physician
More than 65 years ago, complex clinical diagnostic reasoning cases were introduced as the gold standard for the evaluation of expert medical computing systems, a standard that has held ever since. In this study, we report the results of a physician ...

Can AI Agents Synthesize Scientific Conclusions?
Scientific AI agents increasingly retrieve evidence, reason across sources, and synthesize conclusions used in consequential decisions. Yet, their ability to do so in high-stakes domains such as health remains unclear. We introduce SciConBench, a large-scale live benchmark of 9.11K questions and expert-written conclusions from systematic reviews to evaluate open-domain scientific conclusion synthesis. The benchmark draws on an expert-validated automated evaluation pipeline that decomposes conclusions into atomic facts and measures correctness and comprehensiveness via factual precision and recall. To mitigate data leakage, we further introduce SciConHarness, a clean-room evaluation harness that equips agents with controlled web interaction to ensure valid measurement. Evaluating 8 frontier models and deep research agents, we find that factual quality remains low: under clean-room settings, the best agent achieves only a factual F1 of 0.337. Our clean-room setting consistently reduces performance relative to unconstrained evaluation, suggesting that leakage inflates estimates of models' true synthesis capabilities. Finally, we audit consumer-facing agents (e.g., Google AI Overview, OpenEvidence) and find they frequently generate incomplete and sometimes contradictory conclusions, even when the ground-truth answer is available. Overall, our results show that reliable synthesis of scientific conclusions remains an open challenge, and that clean-room evaluation is essential for assessing open-domain AI agents.

InsightEval: An Expert-Curated Benchmark for Assessing Insight Discovery in LLM-Driven Data Agents
Data analysis has become an indispensable part of scientific research. To discover the latent knowledge and insights hidden within massive datasets, we need to perform deep exploratory analysis to realize their full value. With the advent of large language models (LLMs) and multi-agent systems, more and more researchers are making use of these technologies for insight discovery. However, there are few benchmarks for evaluating insight discovery capabilities. As one of the most comprehensive existing frameworks, InsightBench also suffers from many critical flaws: format inconsistencies, poorly conceived objectives, and redundant insights. These issues may significantly affect the quality of data and the evaluation of agents. To address these issues, we thoroughly investigate shortcomings in InsightBench and propose essential criteria for a high-quality insight benchmark. Regarding this, we develop a data-curation pipeline to construct a new dataset named InsightEval. We further introduce a novel metric to measure the exploratory performance of agents. Through extensive experiments on InsightEval, we highlight prevailing challenges in automated insight discovery and raise some key findings to guide future research in this promising direction.

Towards Automating Scientific Review with Google's Paper Assistant Tool
Artificial intelligence is driving a revolution in scientific discovery, accelerating everything from hypothesis generation to mathematical theorem proving. However, this rapid acceleration is creating a systemic challenge: traditional human peer review cannot scale to match the influx of AI-assisted science. Ultimately, to resolve this tension, we must also deploy AI to accelerate the verification and review process itself. To frame the discussion around this transition, we propose a taxonomy consisting of four progressive levels of AI-human collaboration in scientific evaluation, and discuss various trade-offs involved with each. As a step toward this future, we introduce the Paper Assistant Tool (PAT), an agentic AI framework built for deep scientific review and verification. PAT ingests full scientific manuscripts and produces a comprehensive evaluation, checking theoretical results, validating experiments, suggesting improvements, and identifying potential flaws. By utilizing inference scaling techniques, PAT is able to identify deeper issues than a single model call alone, achieving a 34% improvement over zero-shot recall on mathematical errors in the SPOT benchmark. Pilot deployments of PAT as a pre-submission tool for authors at two major Computer Science conferences -- STOC and ICML -- demonstrate its ability to identify critical errors and suggest substantive improvements to research papers. By catching errors early, PAT eases the cognitive burden placed on referees, while preserving their control over the outcomes of the review process.

ToolSandbox: A Stateful, Conversational, Interactive Evaluation Benchmark for LLM Tool Use Capabilities
Recent large language models (LLMs) advancements sparked a growing research interest in tool assisted LLMs solving real-world challenges…

Towards Conversational Medical AI with Eyes, Ears and a Voice
The practice of medicine relies not only upon skillful dialogue but also on the nuanced exchange and interpretation of rich auditory and visual cues between doctors and patients. Building on the low-latency voice and video processing capabilities of Gemini, we introduce AI co-clinician, a first-of-its-kind conversational AI system utilizing continuous streams of audio-visual data from live patient conversations to inform real-time clinical decisions. Its dual-agent architecture balances deep clinical reasoning with the low latency required for natural dialogue. To assess this system, we implemented a video-based interface emulating telemedicine consultations. We crafted 20 standardized outpatient scenarios requiring proactive real-time auditory and visual reasoning and designed "TelePACES" evaluation criteria alongside case-specific rubrics. In a randomized, interface-blinded, crossover simulation study (n = 120 encounters) with 10 internal medicine residents as patient actors, we compared AI co-clinician with primary care physicians (PCPs), GPT-Realtime, and a baseline agent. AI co-clinician approached PCPs in key TelePACES dimensions, including management plans and differential diagnosis, while significantly outperforming GPT-Realtime across all general criteria. While our agent demonstrated parity with PCPs in case-specific triage measures, physicians maintained superior overall performance in case-specific assessments. Although AI co-clinician marks a significant advance in real-time telemedical AI, gaps remain in physical examination and disease-specific reasoning. Our work shows that text-only approaches fail to capture the true challenges of medical consultation and suggests that high-stakes real-time diagnostic AI is most safely advanced in collaborative, triadic models where AI can be a supportive co-clinician for doctors and patients.

Benchmarking DeepSeek R1 Models using Lumigator: A Practical Evaluation for Zero-Shot Clinical Summarization
New state-of-the-art models emerge every few weeks, making it hard to keep up, especially when testing and integrating them. In reality, many available models may already meet our needs. The key question isn’t “Which model is the best?” but rather, “What’s the smallest model that gets the job done?”

Measuring short-form factuality in large language models
We present SimpleQA, a benchmark that evaluates the ability of language models to answer short, fact-seeking questions. We prioritized two properties in designing this eval. First, SimpleQA is challenging, as it is adversarially collected against GPT-4 responses. Second, responses are easy to grade, because questions are created such that there exists only a single, indisputable answer. Each answer in SimpleQA is graded as either correct, incorrect, or not attempted. A model with ideal behavior would get as many questions correct as possible while not attempting the questions for which it is not confident it knows the correct answer. SimpleQA is a simple, targeted evaluation for whether models "know what they know," and our hope is that this benchmark will remain relevant for the next few generations of frontier models. SimpleQA can be found at https://github.com/openai/simple-evals.

Measuring short-form factuality in large language models
We present SimpleQA, a benchmark that evaluates the ability of language models to answer short, fact-seeking questions. We prioritized two properties in designing this eval. First, SimpleQA is challenging, as it is adversarially collected against GPT-4 responses. Second, responses are easy to grade, because questions are created such that there exists only a single, indisputable answer. Each answer in SimpleQA is graded as either correct, incorrect, or not attempted. A model with ideal behavior would get as many questions correct as possible while not attempting the questions for which it is not confident it knows the correct answer. SimpleQA is a simple, targeted evaluation for whether models "know what they know," and our hope is that this benchmark will remain relevant for the next few generations of frontier models. SimpleQA can be found at https://github.com/openai/simple-evals.

Towards Expert-level Medical AI for Real-time Video Consultations
Audio-visual interaction is the standard for patient-physician consultations, enabling natural communication and effective assessment of illness through non-verbal cues. While text-based AI has shown promise, it discards essential perceptual dimensions and limits patients who cannot articulate symptoms in writing. Early efforts to extend medical AI to audio-visual interaction have demonstrated feasibility but not reached clinician-level performance. Here, we provide the first demonstration of expert-level AI in real-time clinical video consultations using AMIE (Articulate Medical Intelligence Explorer) in a video configuration. AMIE (Video) is a Gemini-based multi-agent system integrating low-latency dialogue, clinical reasoning, and real-time audio-visual perception. To guide development, we established a taxonomy and automated evaluations for clinical audio-visual cues in telehealth settings. In a randomized Objective Structured Clinical Examination (OSCE) study with 30 primary care physicians (PCPs), 15 patient actors and 100 clinical scenarios, we compared AMIE (Video), its text-only counterpart AMIE (Text), and PCPs consulting via video. Clinical evaluators rated AMIE (Video) on par or better than PCPs in history-taking, diagnosis, management, and physical observation and examination. Patient actors preferred AMIE's approach to assessing and explaining conditions, while PCPs were preferred for rapport and partnership building. In modality ablation, patient actors preferred AMIE (Video)'s interface over text chat for communicative effectiveness, convenience, and feeling understood. Limitations remain in fine anatomical precision, subtle affective nuances, and high-frequency movements. While further research is needed before real-world translation, these results mark an important milestone toward AI systems capable of augmenting care across the sensory complexity of clinical practice.

Self-Driving Datasets: From 20 Million Papers to Nuanced Biomedical Knowledge at Scale
Manually curated biomedical repositories -- spanning bioactivity, genomics, and chemistry -- are expensive to maintain, lag behind primary literature, and discard experimental context, obscuring nuances needed to assess data correctness and coverage. We show that PubMed itself can be autonomously and cost-effectively turned into structured datasets that are larger, more nuanced, and more accurate than the curated databases they replace. We present three coupled contributions: (1) an LLM-based entity-tagging pipeline, grounded in nine biomedical ontologies, that tags 4.5B entities across 19 categories in a 22.5M-paper, 2.5T-token PubMed corpus; (2) hybrid sparse-dense retrieval supporting entity-filtered semantic queries over the tagged corpus; and (3) Starling, a multi-agent deep research system that, given only a natural-language task description, designs precision- and recall-targeted retrieval filters, induces an extraction schema, and emits structured records with nuance-rich fields and supporting passages. Across six tasks -- blood-brain barrier permeability, oral bioavailability, acute toxicity (LD50), gene-disease associations, protein subcellular localization, and chemical reactions -- Starling produces ~6.3M records (91K-3M per task); several are, to our knowledge, the largest public datasets for their property. Frontier-model rejection of our extractions is 0.6-7.7% across tasks, far below error rates we measure on widely used curated counterparts (e.g., 16.5% on BBB_Martins, 7.3% on Bioavailability_Ma). Beyond scale and accuracy, the supporting passages carry nuance tabular databases discard -- e.g., oral bioavailability may depend on fed vs. fasted state. Together, the corpus, retrieval, and agent establish a foundation for AI-driven therapeutic design. Code and datasets: https://github.com/starling-labs/starling.
