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In healthcare settings where patients use LLMs as a medical assistant, LLM performance differs between evaluation and deployment. (a) Bean et al. (2025) find a 61 percentage point difference between evaluation and deployment. (b) We argue this gap arises not from poorly designed benchmarks, but from implicit assumptions embedded i...


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Task construction as the control surface in continued pretraining. A construction rule \(c\) maps each unlabeled example \(x\sim\mathcal D_u\) into a self-supervised prediction problem \((x_c,y,m)\), such as one-hot next-token prediction in language modeling or paired views and targets in DINO-style vision SSL. Standard continued pretraining fixes this rule before training, ...

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