clinical-reasoning-benchmark-v0.2 / evaluation_notes.md
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Evaluation Notes

Each dataset includes its own scorer.

Binary datasets report:

  • accuracy
  • precision
  • recall
  • f1
  • confusion matrix

Three-class datasets report:

  • accuracy
  • macro precision
  • macro recall
  • macro f1
  • confusion matrix

Recommended Use

Evaluate each dataset separately first.

Then group scores by capability domain.

Example profile:

Capability Domain Datasets Score Type
State Reasoning Compensation vs Recovery Binary F1
Trajectory Reasoning Silent Failure, Trajectory Awareness Mean Binary F1
Decision Reasoning Escalation Discipline Binary F1
Boundary Reasoning Constraint Pressure Macro F1
Margin Reasoning Boundary Distance Macro F1
Recovery Reasoning Recovery Geometry, Recovery Energy Mixed F1 / Macro F1
Intervention Reasoning Competing Interventions Macro F1

Interpretation

This benchmark is designed to show capability profile rather than produce a single universal score.

A model may perform well on visible state reasoning while failing boundary or intervention reasoning.

The goal is to reveal where clinical reasoning remains stable and where it breaks down.

v0.2 Design Features

v0.2 adds:

  • counterfactual twin cases
  • adversarial symmetry
  • misleading improvement cases
  • same-score different-label cases
  • visible severity versus trajectory conflicts
  • support dependence signals
  • reserve capacity signals

These features reduce shortcut learning.

Hidden Construction Logic

The datasets provide observable variables and labels.

They do not publish:

  • generator code
  • hidden scoring rules
  • latent stability equations
  • rationale for each label

This allows public benchmarking while preserving the dataset construction method.