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How to benchmark medical AI agents
Silas Ruhrberg Estévez1,2,3, Dyke Ferber1, Mihaela van der Schaar2,3
1Else Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Plos Medicine
|July 9, 2026
Summary
Medical artificial intelligence is moving towards multimodal large language models for clinical workflows. New benchmarks are needed to evaluate reasoning, safety, and resource use, not just final outcomes.
Area of Science:
- Artificial intelligence in medicine
- Clinical workflow optimization
- Large language models
Background:
- Current medical AI research focuses on single-task models.
- There is a growing trend towards multimodal large language model-based agents.
- These agents are being developed for complex clinical workflows.
Purpose of the Study:
- To highlight the shift in medical AI research.
- To emphasize the need for new evaluation benchmarks.
- To advocate for benchmarks assessing clinical reasoning, process safety, and resource stewardship.
Main Methods:
- Analysis of current trends in medical AI research.
- Identification of limitations in existing evaluation methods.
- Proposal for a new benchmark framework.
Main Results:
- Single-task models are insufficient for complex clinical workflows.
- Multimodal large language models offer greater potential.
- Existing benchmarks primarily focus on final outputs, neglecting critical process elements.
Conclusions:
- Medical AI evaluation must evolve beyond simple output assessment.
- Benchmarks should incorporate clinical reasoning, process safety, and resource stewardship.
- This shift is crucial for the responsible integration of AI in healthcare.