@inproceedings{buhnila-etal-2026-evaluating,
    title = "Evaluating {LLM}-as-a-Judge for Medical Term Simplification",
    author = "Buhnila, Ioana  and
      Sinha, Aman  and
      Agarwal, Rohit  and
      Prasad, Dilip K.  and
      Constant, Mathieu",
    editor = "Demner-Fushman, Dina  and
      Ananiadou, Sophia  and
      Roberts, Kirk  and
      Tsujii, Junichi",
    booktitle = "{B}io{NLP} 2026",
    month = jul,
    year = "2026",
    address = "San Diego, California",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/ingest-acl-workshops/2026.bionlp-1.55/",
    pages = "687--694",
    ISBN = "979-8-89176-434-7",
    abstract = "Highly technical medical terms are difficult for patients to understand during fast-paced hospital consultations, leading them to rely on Large Language Models (LLMs) for simplified explanations. However, LLMs can produce inaccurate or false information. Since expert evaluation is costly and time-consuming, LLM-as-a-Judge (LaaJ) approach is increasingly adopted to assess the quality of LLM-generated text. In this paper, we investigate the reliability and robustness of LaaJ for specialized medical knowledge by evaluating six LLMs for their judgment capabilities on three dimensions: correctness, readability, and completeness. We utilized three judgment setups: Vanilla, Epistemic, and Bias to probe robustness, and assess them against human expert annotations to measure alignment. To address the lack of specialized medical benchmarks, we introduce BrainCancerDB, an English dataset of 219 brain cancer terms with 23,652 annotations. Our findings indicate that while LLM-Judges and humans display similar trends in ranking simplified explanations, LLM-Judges tend to be more lenient on correctness, which may have serious implications in medical setting. Additionally, we observe that hallucinations in LaaJ setups can be mitigated by epistemic markers."
}