In plain words: A public collection of 3,848 clinical notes containing five kinds of medical mistakes, built to test whether AI can spot and fix errors in doctors' writing. The strongest models did well, but two doctors still found and corrected more errors.
Abstract · MEDEC: A Benchmark for Medical Error Detection and Correction in Clinical Notes
Several studies showed that Large Language Models (LLMs) can answer medical questions correctly, even outperforming the average human score in some medical exams. However, to our knowledge, no study has been conducted to assess the ability of language models to validate existing or generated medical text for correctness and consistency. In this paper, we introduce MEDEC (https://github.com/abachaa/MEDEC), the first publicly available benchmark for medical error detection and correction in clinical notes, covering five types of errors (Diagnosis, Management, Treatment, Pharmacotherapy, and Causal Organism). MEDEC consists of 3,848 clinical texts, including 488 clinical notes from three US hospital systems that were not previously seen by any LLM. The dataset has been used for the MEDIQA-CORR shared task to evaluate seventeen participating systems [Ben Abacha et al., 2024]. In this paper, we describe the data creation methods and we evaluate recent LLMs (e.g., o1-preview, GPT-4, Claude 3.5 Sonnet, and Gemini 2.0 Flash) for the tasks of detecting and correcting medical errors requiring both medical knowledge and reasoning capabilities. We also conducted a comparative study where two medical doctors performed the same task on the MEDEC test set. The results showed that MEDEC is a sufficiently challenging benchmark to assess the ability of models to validate existing or generated notes and to correct medical errors. We also found that although recent LLMs have a good performance in error detection and correction, they are still outperformed by medical doctors in these tasks. We discuss the potential factors behind this gap, the insights from our experiments, the limitations of current evaluation metrics, and share potential pointers for future research.
Asma Ben Abacha, Wen-wai Yim, Yujuan Fu, Zhaoyi Sun, Meliha Yetisgen, Fei Xia, Thomas Lin
arXiv:2412.19260 · cs.CL, cs.AI, cs.LG · submitted Dec 26, 2024 · updated Jan 2, 2025
abstract · pdf · html · This version has been updated with further clarification regarding the model size estimates that were mined from public articles only and provided to aid in contextualizing model performance. The authors cannot vouch for the accuracy of those estimates