AI Consilium — Role reasoning structured: leaderboard

190 held-out NEJM cases; single candidate model performs role assignment, all role-specific opinions and all review/revision/finalization calls; up to 5 rounds. Physician-calibrated GPT-OSS-120B judge, ordinal 0–3 criterion ratings pooled over numeric applicable cells. Component-specific criterion/denominator sets stay separate; not-evaluable cells omitted, infrastructure failures not converted to zero. The calibration cohort's mixed 3+1 worker pipeline is not this held-out experiment. Short Qwen3/Qwen3-Next/Gemma labels do not establish checkpoint variant; source-qualified identities must remain distinct until run manifests resolve them. Metric: Mean clinical quality (0–3). Higher is better. Source: https://arxiv.org/html/2610.22298v1

Metric: Mean clinical quality (0–3). Source: arxiv.org. Saturation forecast: Estimated already saturated. 8 models tracked.

Top models

#ModelScoreOverall rank
1GPT-5.6 Sol2.89#18
2GLM-5.22.46#71
3DeepSeek V4 Pro2.44#101
4GPT-OSS-120B2.42#336
5Qwen 3.5 27B2.26#185
6Gemma 4 31B2.25#197

No result here: #3 Claude Opus 5.5, #5 GPT-6 Astra, #7 Gemini 4 Argon.

Interactive version: theaggregate.ai/benchmark?slug=ai-consilium-role-reasoning-structured · How It Works · Data refreshed daily, snapshot 2026-10-17.