license: cc-by-nc-sa-4.0
language:
- en
task_categories:
- question-answering
- text-generation
tags:
- medical
- clinical
- benchmark
- llm-evaluation
- rubric-grading
- patient-safety
pretty_name: BedsideBench
size_categories:
- n<1K
configs:
- config_name: all
default: true
data_files:
- split: test
path: data/all/test.parquet
- config_name: drug_safety
data_files:
- split: test
path: data/drug_safety/test.parquet
- config_name: guideline_adherence
data_files:
- split: test
path: data/guideline_adherence/test.parquet
- config_name: landmark_trials
data_files:
- split: test
path: data/landmark_trials/test.parquet
- config_name: medical_hallucination
data_files:
- split: test
path: data/medical_hallucination/test.parquet
- config_name: health_equity
data_files:
- split: test
path: data/health_equity/test.parquet
- config_name: clinical_calculations
data_files:
- split: test
path: data/clinical_calculations/test.parquet
- config_name: calculators_numerical
data_files:
- split: test
path: data/calculators_numerical/test.parquet
- config_name: calculators_conditional
data_files:
- split: test
path: data/calculators_conditional/test.parquet
- config_name: safety_diagnostic
data_files:
- split: test
path: data/safety_diagnostic/test.parquet
- config_name: safety_therapeutic
data_files:
- split: test
path: data/safety_therapeutic/test.parquet
BedsideBench
BedsideBench is a clinical question-answering benchmark with 500 cases and
public grading rubrics. It covers factual questions, calculations, false-premise
queries, and free-text management plans. Each of the 10 configs contains 50
cases; the default all config contains all 500.
Not for clinical use. BedsideBench evaluates AI systems. It is not medical advice and must not be used for patient care.
Configs
| Config | Grading | n | Description |
|---|---|---|---|
drug_safety |
points | 50 | Drug interactions, contraindications, dosing, and cross-reactivity |
guideline_adherence |
points | 50 | Guideline-concordant care |
landmark_trials |
points | 50 | Trial evidence and outcome interpretation |
medical_hallucination |
points | 50 | Fictitious entities and false premises |
health_equity |
points | 50 | Bias-aware reasoning and barriers to care |
clinical_calculations |
points | 50 | Doses, scores, and unit conversions |
calculators_numerical |
points | 50 | Medical calculators with numeric outputs |
calculators_conditional |
points | 50 | Medical calculators with categorical or conditional outputs |
safety_diagnostic |
weighted F1 | 50 | Diagnostic workup, referral, procedures, and follow-up |
safety_therapeutic |
weighted F1 | 50 | Medication, counseling, and treatment plans |
Usage
from datasets import load_dataset
ds = load_dataset("doximity/bedside-bench", "all", split="test")
drug_safety = load_dataset("doximity/bedside-bench", "drug_safety", split="test")
case = drug_safety[0]
print(case["prompt"])
for item in case["rubric_items"]:
print(item["points"], item["text"])
Schema
Every config uses the same fields:
| Field | Type | Description |
|---|---|---|
case_id |
string | Stable case identifier |
benchmark |
string | Benchmark name |
grading_method |
string | points_rubric or f1_weighted_rubric |
prompt |
string | Question sent to the model |
rubric_items |
list | Grading criteria |
Each rubric item contains:
| Field | Type | Description |
|---|---|---|
item_id |
string | Stable item identifier |
text |
string | Criterion or candidate action |
points |
float | Signed weight |
Grading
An LLM judge makes one binary matched/unmatched decision for every rubric item. It counts an item only when the answer explicitly states or clearly entails the criterion. For a harmful item, a match means the answer endorses the action; mentioning it only to reject it is not a match.
For points_rubric, matched positive criteria add their weight and matched
negative criteria subtract their weight. Divide by the available positive
weight, then clamp the result to [0, 1].
For f1_weighted_rubric:
- weighted true positives are matched positive actions;
- weighted false negatives are unmatched positive actions;
- weighted false positives are matched negative actions, using absolute weight;
- zero-weight actions do not affect the score.
Compute precision and recall from those weighted totals, then their harmonic mean. Each config score is the mean of its 50 case scores. The overall score is the macro-average of the 10 config means.
Reference evaluation uses one answer per case, one judge pass, and percentile 95% bootstrap confidence intervals with 10,000 resamples and seed 42.
Reference result
gpt-5.4-mini scored 0.711 (95% bootstrap CI 0.681–0.739) over
500/500 cases, judged once per answer by gpt-5.6-sol. Model identifiers do not
guarantee immutable provider behavior, so comparisons are strongest when models
are evaluated together under the same configuration.
Construction and limitations
Cases were developed and validated for physician-led evaluation. This release is a deterministic sample (seed 42) from a larger pool. Cases are synthetic or de-identified constructions, not patient records.
Rubrics reflect clinical judgment and the available standard of care when they were written. Guidelines change, LLM judges can make classification errors, and public benchmark cases may enter future training data. A score does not establish that a model is safe or suitable for clinical use.
Some cases deliberately contain false premises, fictitious entities, or unsafe actions. Model responses may also be incorrect or unsafe.
License
CC BY-NC-SA 4.0 — Attribution-NonCommercial-ShareAlike. © 2026 Doximity, Inc.
Citation
@dataset{doximity_bedside_bench,
title = {BedsideBench: A Clinical Question-Answering Benchmark},
author = {{Doximity}},
year = {2026},
version = {0.2.0},
license = {CC-BY-NC-SA-4.0}
}