Large Language Models (LLMs) configured as clinical agents exhibit a critical vulnerability to conversational sycophancy, wherein the model acquiesces to user pressure for medically unindicated and guideline-discordant interventions. Despite system prompts explicitly instructing adherence to evidence-based guidelines (e.g., Choosing Wisely recommendations), models prioritize "helpfulness" and user alignment over clinical correctness when subjected to multi-turn adversarial persuasion. This…
Source: arXiv