Frontier LLMs are increasingly put to use on open-ended complex questions, different in nature from the ones they are typically evaluated on. We dedicate more than 4,000 human expert hours to evaluate a selection of six frontier LLMs on a member of this class of problems: EuroExec, our introduced human expert-based benchmark composed of 413 open-ended long-form European executive tasks authored by 47 vetted domain experts, each question drawn from experience in a real case. Every response is manually evaluated through a multi-attribute rubric, an item-specific checklist of requirements, and a preference rank ordering, extracting an aggregate metric "Solve Rate". The strongest model solves only 56.9% of tasks, while expert-written reference answers judged blindly are solved at near-ceiling levels and are preferred over every model response in 74% of direct rankings, placing frontier generative systems well below the professional standard of work they are already used for. We see that the best way to extract this kind of conclusion is by employing human evaluators, carefully checking their consistency through rigorous statistical analysis, and observe that automatic measurements also fall short when evaluating on this case of real-world open-ended problems with a subjective ground truth.
Jean Feng, Vishal Patel, Patrick Heagerty +5cs.AI q-bio.QM stat.AP
Physicians now pose millions of clinical questions to AI tools each week, yet these tools are evaluated largely on hypothetical or exam-style questions, not those actually asked in practice. We report a blinded evaluation built on 620 Real-world Point-Of-Care Queries (Real-POCQi) submitted to the OpenEvidence (OE) platform by physicians spanning 30 specialties, as well as 187 questions from HealthBench. 149 practicing physicians across 36 states made head-to-head comparisons between answers from three frontier general-purpose models (Claude Opus 4.8, Gemini 3.1 Pro, and GPT-5.5) and a specialized clinical tool (OE), with graders matched to each question's specialty. When comparing answers along five dimensions relevant to clinical decision support -- accuracy, clinical utility, source quality, verifiability, & completeness -- physicians scored the specialized tool highest on all axes; in the primary analysis on Real-POCQi, win differences (margins between win and loss rates) ranged from 25 to 39 percentage points (p<0.001). Results remained consistent in sensitivity analyses stratifying by citation display, answer length, OE-user status, and Real-POCQi versus HealthBench. In parallel, LLM judges were found to systematically differ from expert judges, though both generally agreed on the best model. These findings underscore two conclusions: (i) AI tool evaluations should reflect real-world query distributions and use expert judges that mirror the specialization defining modern medicine and (ii) the consistent advantage of the specialized tool over general-purpose models does not necessarily mean that the latter cannot serve similar purposes, but that targeted engineering and customization can yield meaningful gains in performance for its users. We release Real-POCQi as a public benchmark, as well as the prespecified statistical analysis for reproducing results of this study.