{"id":"https://openalex.org/W7164414059","doi":"https://doi.org/10.48550/arxiv.2606.12291","title":"Measuring Epistemic Resilience of LLMs Under Misleading Medical Context","display_name":"Measuring Epistemic Resilience of LLMs Under Misleading Medical Context","publication_year":2026,"publication_date":"2026-06-10","ids":{"openalex":"https://openalex.org/W7164414059","doi":"https://doi.org/10.48550/arxiv.2606.12291"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2606.12291","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.12291","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"type":"preprint","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48550/arxiv.2606.12291","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5138412701","display_name":"Hongjian Zhou","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhou, Hongjian","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138478951","display_name":"Xinyu Zou","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zou, Xinyu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138453951","display_name":"Jinge Wu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wu, Jinge","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138435225","display_name":"Sean Wu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wu, Sean","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060684352","display_name":"Junchi Yu","orcid":"https://orcid.org/0000-0003-4118-3248"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yu, Junchi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056737192","display_name":"Bradley Segal","orcid":"https://orcid.org/0000-0001-5313-4596"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Segal, Bradley Max","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137194529","display_name":"Tobias Erich Niebuhr","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Niebuhr, Tobias Erich","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093385374","display_name":"Sara Amro","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Amro, Sara","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137213774","display_name":"Michael Petrus","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Petrus, Michael","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136524612","display_name":"Sheikh Momin","orcid":"https://orcid.org/0000-0002-5451-1725"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Momin, Sheikh","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048847547","display_name":"Alexandra Cardoso Pinto","orcid":"https://orcid.org/0000-0001-5852-4841"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pinto, Alexandra M. Cardoso","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137297246","display_name":"Rachel Niesen","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Niesen, Rachel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107653164","display_name":"Laura Wegner","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wegner, Laura Sophie","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137197084","display_name":"Dhruv Darji","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Darji, Dhruv","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090503411","display_name":"Jung Moses Koo","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Koo, Jung Moses","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055961214","display_name":"Joshua Fieggen","orcid":"https://orcid.org/0000-0002-3116-218X"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Fieggen, Joshua","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088702642","display_name":"Kapil Narain","orcid":"https://orcid.org/0000-0002-1124-8189"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Narain, Kapil","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030158946","display_name":"Mingde Zeng","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zeng, Mingde","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138435170","display_name":"Lei Clifton","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Clifton, Lei","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137290887","display_name":"Linda Shapiro","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shapiro, Linda","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138404600","display_name":"Fenglin Liu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Liu, Fenglin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5138472160","display_name":"David A. Clifton","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Clifton, David A.","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.461899995803833,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.461899995803833,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11689","display_name":"Adversarial Robustness in Machine Learning","score":0.11659999936819077,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T12026","display_name":"Explainable Artificial Intelligence (XAI)","score":0.09709999710321426,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.7232999801635742},{"id":"https://openalex.org/keywords/harm","display_name":"Harm","score":0.6905999779701233},{"id":"https://openalex.org/keywords/adversarial-system","display_name":"Adversarial system","score":0.621399998664856},{"id":"https://openalex.org/keywords/psychological-resilience","display_name":"Psychological resilience","score":0.46230000257492065},{"id":"https://openalex.org/keywords/measure","display_name":"Measure (data warehouse)","score":0.42410001158714294},{"id":"https://openalex.org/keywords/clinical-judgment","display_name":"Clinical judgment","score":0.3650999963283539},{"id":"https://openalex.org/keywords/vulnerability","display_name":"Vulnerability (computing)","score":0.33079999685287476}],"concepts":[{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.7232999801635742},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.6905999779701233},{"id":"https://openalex.org/C37736160","wikidata":"https://www.wikidata.org/wiki/Q1801315","display_name":"Adversarial system","level":2,"score":0.621399998664856},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.49880000948905945},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.46230000257492065},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.4244000017642975},{"id":"https://openalex.org/C2780009758","wikidata":"https://www.wikidata.org/wiki/Q6804172","display_name":"Measure (data warehouse)","level":2,"score":0.42410001158714294},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.4002000093460083},{"id":"https://openalex.org/C3020452639","wikidata":"https://www.wikidata.org/wiki/Q454812","display_name":"Clinical judgment","level":2,"score":0.3650999963283539},{"id":"https://openalex.org/C95713431","wikidata":"https://www.wikidata.org/wiki/Q631425","display_name":"Vulnerability (computing)","level":2,"score":0.33079999685287476},{"id":"https://openalex.org/C2779585090","wikidata":"https://www.wikidata.org/wiki/Q3457762","display_name":"Resilience (materials science)","level":2,"score":0.3248000144958496},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.31700000166893005},{"id":"https://openalex.org/C2780522230","wikidata":"https://www.wikidata.org/wiki/Q1140419","display_name":"Ambiguity","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2921000123023987},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.2833999991416931},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28189998865127563},{"id":"https://openalex.org/C106977388","wikidata":"https://www.wikidata.org/wiki/Q2752427","display_name":"Medical research","level":2,"score":0.27149999141693115},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.26460000872612},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.25999999046325684},{"id":"https://openalex.org/C8614519","wikidata":"https://www.wikidata.org/wiki/Q17147500","display_name":"Leading question","level":2,"score":0.2513999938964844}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2606.12291","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.12291","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.48550/arxiv.2606.12291","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.12291","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, Justice and strong institutions","score":0.474973201751709}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Large":[0],"language":[1],"models":[2,164],"(LLMs)":[3],"now":[4],"reach":[5,123,130],"expert-level":[6],"scores":[7,17],"on":[8,100],"medical":[9,20,75,84,158,172],"licensing":[10],"exams,":[11],"encouraging":[12],"the":[13,50,55],"assumption":[14,33],"that":[15,43],"high":[16],"imply":[18],"safe":[19],"judgment":[21,60,173],"while":[22],"patients":[23],"increasingly":[24],"use":[25],"them":[26],"for":[27],"health":[28],"advice.":[29],"We":[30,53],"show":[31],"this":[32],"is":[34,39],"fragile:":[35],"when":[36],"misleading":[37,80,107,175],"context":[38,63],"injected":[40],"into":[41],"questions":[42,102],"LLMs":[44],"originally":[45],"answer":[46],"correctly,":[47],"they":[48,169],"abandon":[49],"correct":[51,59,171],"answer.":[52],"call":[54],"ability":[56],"to":[57,69,103],"maintain":[58],"under":[61,105,174],"adversarial":[62],"epistemic":[64],"resilience,":[65],"and":[66,78,88,127],"introduce":[67],"MedMisBench":[68,72,148],"measure":[70,162],"it.":[71],"contains":[73],"10,932":[74],"question":[76],"items":[77],"48,889":[79],"context-option":[81],"pairs":[82],"spanning":[83],"reasoning,":[85],"agentic":[86],"capability,":[87],"patient-journey":[89],"evaluation.":[90],"Across":[91],"11":[92],"model":[93],"configurations,":[94],"mean":[95],"accuracy":[96],"falls":[97],"from":[98,136],"71.1%":[99],"original":[101],"38.0%":[104],"focused":[106],"context,":[108],"with":[109],"51.5%":[110],"attack":[111,125],"success.":[112],"The":[113],"most":[114],"damaging":[115],"injections":[116],"are":[117],"formal,":[118],"rule-like":[119],"fabrications:":[120],"authority-framed":[121],"falsehoods":[122],"69.5%":[124],"success":[126],"exception-poisoning":[128],"claims":[129],"64.1%.":[131],"A":[132],"14-member":[133],"clinical":[134],"panel":[135],"7":[137],"countries":[138],"identified":[139],"serious":[140],"potential":[141],"harm":[142],"in":[143,154,157],"38.2%":[144],"of":[145],"reviewed":[146],"cases.":[147],"exposes":[149],"a":[150],"structural":[151],"blind":[152],"spot":[153],"LLM":[155],"evaluation":[156],"settings:":[159],"existing":[160],"benchmarks":[161],"what":[163],"know,":[165],"but":[166],"not":[167],"whether":[168],"preserve":[170],"context.":[176]},"counts_by_year":[],"updated_date":"2026-07-28T07:46:37.118299","created_date":"2026-06-12T00:00:00"}
