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This study benchmarks Jev, a non-generative "System One" model, against frontier LLMs on critical medical diagnostic tasks, revealing significant accuracy gaps in complex case reasoning despite superior calibration on specific datasets. The results underscore that while fast and inexpensive, such constrained models currently lack the reliability required for clinical deployment without rigorous task-specific validation. This evaluation highlights the ongoing trade-offs between cost-efficiency and high-stakes performance in specialized AI applications.
Jev in Medicine: A Benchmark Evaluation. Preliminary Results
arXiv:2609.34024v1 Announce Type: cross Abstract: Jev is a non-generative "System One" model that assigns probabilities to predefined answer options and cannot answer outside them. Its accuracy and calibration on medical question-answering and case-based diagnostic-reasoning tasks are unknown. We evaluated Jev 1.13 on four medical benchmarks: MetaMedQA, PubMedQA, DiagnosisArena-MCQ and the NEJM Case Challenges. GPT-6 Sol, with (medium) and without reasoning, was the reference. The primary outcome was top-1 accuracy; key secondary outcomes were calibration, selective prediction and recognition of unanswerable questions. All 8,469 requests returned a valid answer. Jev's accuracy was similar to that of GPT-6 Sol with medium reasoning on PubMedQA (78.4% vs 78.2%;), lower on MetaMedQA (74.8% vs 82.7%) and much lower on DiagnosisArena-MCQ (59.8% vs 82.4%;) and the NEJM cases (61.8% vs 82.4%). On MetaMedQA, Jev's probabilities were the best calibrated (expected calibration error 0.063 vs 0.146), and its answers with a probability of at least 0.9 (52.9% of questions) were 93.4% accurate, but GPT-6 Sol was as accurate when it accepted a similar proportion of questions. On DiagnosisArena-MCQ, Jev's probabilities discriminated poorly (AUROC 0.645 vs 0.768). Of the 162 questions whose correct answer was "I don't know or cannot answer", Jev chose that option for 10.5% (GPT-6 Sol, 8.6%). Median latency was 0.27-0.31 s; all 2,823 items cost USD 0.08. Jev was fast and inexpensive, and its accuracy was similar to that of a frontier LLM on research abstracts but lower on examination questions and much lower on complex diagnostic cases. Task-specific validation is required before clinical use.
Title:Jev in Medicine: A Benchmark Evaluation. Preliminary Results
Abstract:Jev is a non-generative "System One" model that assigns probabilities to predefined answer options and cannot answer outside them. Its accuracy and calibration on medical question-answering and case-based diagnostic-reasoning tasks are unknown. We evaluated Jev 1.13 on four medical benchmarks: MetaMedQA, PubMedQA, DiagnosisArena-MCQ and the NEJM Case Challenges. GPT-6 Sol, with (medium) and without reasoning, was the reference. The primary outcome was top-1 accuracy; key secondary outcomes were calibration, selective prediction and recognition of unanswerable questions. All 8,469 requests returned a valid answer. Jev's accuracy was similar to that of GPT-6 Sol with medium reasoning on PubMedQA (78.4% vs 78.2%;), lower on MetaMedQA (74.8% vs 82.7%) and much lower on DiagnosisArena-MCQ (59.8% vs 82.4%;) and the NEJM cases (61.8% vs 82.4%). On MetaMedQA, Jev's probabilities were the best calibrated (expected calibration error 0.063 vs 0.146), and its answers with a probability of at least 0.9 (52.9% of questions) were 93.4% accurate, but GPT-6 Sol was as accurate when it accepted a similar proportion of questions. On DiagnosisArena-MCQ, Jev's probabilities discriminated poorly (AUROC 0.645 vs 0.768). Of the 162 questions whose correct answer was "I don't know or cannot answer", Jev chose that option for 10.5% (GPT-6 Sol, 8.6%). Median latency was 0.27-0.31 s; all 2,823 items cost USD 0.08. Jev was fast and inexpensive, and its accuracy was similar to that of a frontier LLM on research abstracts but lower on examination questions and much lower on complex diagnostic cases. Task-specific validation is required before clinical use.
Artificial Intelligence (cs.AI); Machine Learning (cs.LG)
arXiv:2609.34024 [cs.AI]
(or arXiv:2609.34024v1 [cs.AI] for this version)
https://doi.org/10.48550/arXiv.2609.34024 Focus to learn more arXiv-issued DOI via DataCite (pending registration)
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