Multi-Method Validation of Large Language Model Medical Translation Across High- and Low-Resource Languages

Language barriers affect 27.3 million U.S. residents with non-English language preference, yet professional medical translation remains costly and often unavailable. We evaluated four frontier large language models (GPT-5.1, Claude Opus 4.5, Gemini 3 Pro, Kimi K2) translating 22 medical documents into 8 languages spanning high-resource (Spanish, Chinese, Russian, Vietnamese), medium-resource (Korean, Arabic), and low-resource (Tagalog, Haitian Creole) categories using a five-layer validation framework. Across 704 translation pairs, all models achieved high semantic preservation (LaBSE greater than 0.92), with no significant difference between high- and low-resource languages (p = 0.066). Cross-model back-translation confirmed results were not driven by same-model circularity (delta = -0.0009). Inter-model concordance across four independently trained models was high (LaBSE: 0.946), and lexical borrowing analysis showed no correlation between English term retention and fidelity scores in low-resource languages (rho = +0.018, p = 0.82). These converging results suggest frontier LLMs preserve medical meaning across resource levels, with implications for language access in healthcare.

Deployment and Evaluation of an EHR-integrated, Large Language Model-Powered Tool to Triage Surgical Patients

Surgical co-management (SCM) is an evidence-based model in which hospitalists jointly manage medically complex perioperative patients alongside surgical teams. Despite its clinical and financial value, SCM is limited by the need to manually identify eligible patients. To determine whether SCM triage can be automated, we conducted a prospective, unblinded study at Stanford Health Care in which an LLM-based, electronic health record (EHR)-integrated triage tool (SCM Navigator) provided SCM recommendations followed by physician review. Using pre-operative documentation, structured data, and clinical criteria for perioperative morbidity, SCM Navigator categorized patients as appropriate, not appropriate, or possibly appropriate for SCM. Faculty indicated their clinical judgment and provided free-text feedback when they disagreed. Sensitivity, specificity, positive predictive value, and negative predictive value were measured using physician determinations as a reference. Free-text reasons were thematically categorized, and manual chart review was conducted on all false-negative cases and 30 randomly selected cases from the largest false-positive category. Since deployment, 6,193 cases have been triaged, of which 1,582 (23%) were recommended for hospitalist consultation. SCM Navigator displayed high sensitivity (0.94, 95% CI 0.91-0.96) and moderate specificity (0.74, 95% CI 0.71-0.77). Post-hoc chart review suggested most discrepancies reflect modifiable gaps in clinical criteria, institutional workflow, or physician practice variability rather than LLM misclassification, which accounted for 2 of 19 (11%) false-negative cases. These findings demonstrate that an LLM-powered, EHR-integrated, human-in-the-loop AI system can accurately and safely triage surgical patients for SCM, and that AI-enabled screening tools can augment and potentially automate time-intensive clinical workflows.

MedHELM: Holistic Evaluation of Large Language Models for Medical Tasks

While large language models (LLMs) achieve near-perfect scores on medical licensing exams, these evaluations inadequately reflect the complexity and diversity of real-world clinical practice. We introduce MedHELM, an extensible evaluation framework for assessing LLM performance for medical tasks with three key contributions. First, a clinician-validated taxonomy spanning 5 categories, 22 subcategories, and 121 tasks developed with 29 clinicians. Second, a comprehensive benchmark suite comprising 35 benchmarks (17 existing, 18 newly formulated) providing complete coverage of all categories and subcategories in the taxonomy. Third, a systematic comparison of LLMs with improved evaluation methods (using an LLM-jury) and a cost-performance analysis. Evaluation of 9 frontier LLMs, using the 35 benchmarks, revealed significant performance variation. Advanced reasoning models (DeepSeek R1: 66% win-rate; o3-mini: 64% win-rate) demonstrated superior performance, though Claude 3.5 Sonnet achieved comparable results at 40% lower estimated computational cost. On a normalized accuracy scale (0-1), most models performed strongly in Clinical Note Generation (0.73-0.85) and Patient Communication & Education (0.78-0.83), moderately in Medical Research Assistance (0.65-0.75), and generally lower in Clinical Decision Support (0.56-0.72) and Administration & Workflow (0.53-0.63). Our LLM-jury evaluation method achieved good agreement with clinician ratings (ICC = 0.47), surpassing both average clinician-clinician agreement (ICC = 0.43) and automated baselines including ROUGE-L (0.36) and BERTScore-F1 (0.44). Claude 3.5 Sonnet achieved comparable performance to top models at lower estimated cost. These findings highlight the importance of real-world, task-specific evaluation for medical use of LLMs and provides an open source framework to enable this.

Towards Fine-Grained Video Question Answering

In the rapidly evolving domain of video understanding, Video Question Answering (VideoQA) remains a focal point. However, existing datasets exhibit gaps in temporal and spatial granularity, which consequently limits the capabilities of existing VideoQA methods. This paper introduces the Multi-Object Multi-Actor Question Answering (MOMA-QA) dataset, which is designed to address these shortcomings by emphasizing temporal localization, spatial relationship reasoning, and entity-centric queries. With ground truth scene graphs and temporal interval annotations, MOMA-QA is ideal for developing models for fine-grained video understanding. Furthermore, we present a novel video-language model, SGVLM, which incorporates a scene graph predictor, an efficient frame retriever, and a pre-trained large language model for temporal localization and fine-grained relationship understanding. Evaluations on MOMA-QA and other public datasets demonstrate the superior performance of our model, setting new benchmarks for VideoQA.

An Interactive Agent Foundation Model

The development of artificial intelligence systems is transitioning from creating static, task-specific models to dynamic, agent-based systems capable of performing well in a wide range of applications. We propose an Interactive Agent Foundation Model that uses a novel multi-task agent training paradigm for training AI agents across a wide range of domains, datasets, and tasks. Our training paradigm unifies diverse pre-training strategies, including visual masked auto-encoders, language modeling, and next-action prediction, enabling a versatile and adaptable AI framework. We demonstrate the performance of our framework across three separate domains -- Robotics, Gaming AI, and Healthcare. Our model demonstrates its ability to generate meaningful and contextually relevant outputs in each area. The strength of our approach lies in its generality, leveraging a variety of data sources such as robotics sequences, gameplay data, large-scale video datasets, and textual information for effective multimodal and multi-task learning. Our approach provides a promising avenue for developing generalist, action-taking, multimodal systems.