CARE-RAG - Clinical Assessment and Reasoning in RAG

• URL: http://arxiv.org/abs/2511.15994v1
• Date: Thu, 20 Nov 2025 02:44:55 GMT
• Title: CARE-RAG - Clinical Assessment and Reasoning in RAG
• Authors: Deepthi Potluri, Aby Mammen Mathew, Jeffrey B DeWitt, Alexander L. Rasgon, Yide Hao, Junyuan Hong, Ying Ding,
• Abstract summary: We study the gap between retrieval and reasoning in large language models (LLMs)<n>We propose an evaluation framework that measures accuracy, consistency, and fidelity of reasoning.
• Score: 43.1450755645803
• License: http://creativecommons.org/licenses/by/4.0/
• Abstract: Access to the right evidence does not guarantee that large language models (LLMs) will reason with it correctly. This gap between retrieval and reasoning is especially concerning in clinical settings, where outputs must align with structured protocols. We study this gap using Written Exposure Therapy (WET) guidelines as a testbed. In evaluating model responses to curated clinician-vetted questions, we find that errors persist even when authoritative passages are provided. To address this, we propose an evaluation framework that measures accuracy, consistency, and fidelity of reasoning. Our results highlight both the potential and the risks: retrieval-augmented generation (RAG) can constrain outputs, but safe deployment requires assessing reasoning as rigorously as retrieval.

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