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CQA-Eval: Designing Reliable Evaluations of Multi-paragraph Clinical QA under Resource Constraints

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abstract

Evaluating multi-paragraph clinical question answering (QA) systems is resource-intensive and challenging: accurate judgments require medical expertise and achieving consistent human judgments over multi-paragraph text is difficult. We introduce CQA-Eval, an evaluation framework and set of evaluation recommendations for limited-resource and high-expertise settings. Based on physician annotations of 300 real patient questions answered by physicians and LLMs, we compare coarse answer-level versus fine-grained sentence-level evaluation over the dimensions of correctness, relevance, and risk disclosure. We find that inter-annotator agreement (IAA) varies by dimension: fine-grained annotation improves agreement on correctness, coarse improves agreement on relevance, and judgments on communicates-risks remain inconsistent. Additionally, annotating only a small subset of sentences can provide reliability comparable to coarse annotations, reducing cost and effort.

fields

cs.AI 1

years

2026 1

verdicts

UNVERDICTED 1

representative citing papers

From Table to Cell: Attention for Better Reasoning with TABALIGN

cs.AI · 2026-05-14 · unverdicted · novelty 7.0

TABALIGN pairs a diffusion language model planner emitting binary cell masks with a trained attention verifier, raising average accuracy 15.76 points over strong baselines on eight table benchmarks while speeding execution 44.64%.

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  • From Table to Cell: Attention for Better Reasoning with TABALIGN cs.AI · 2026-05-14 · unverdicted · none · ref 8 · internal anchor

    TABALIGN pairs a diffusion language model planner emitting binary cell masks with a trained attention verifier, raising average accuracy 15.76 points over strong baselines on eight table benchmarks while speeding execution 44.64%.