# ERVQA: A Dataset to Benchmark the Readiness of Large Vision Language Models in Hospital Environments

arXiv: https://arxiv.org/abs/2410.06420 · HTML: https://mlsanity.com/paper/2410.06420/

## Key facts

- Cited by 5 papers in the map (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 26 of its 43 references that are in the map.
- First posted on arXiv 8 Oct 2024.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 26 of 26)

- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
- [Improved Baselines with Visual Instruction Tuning](https://mlsanity.com/paper/2310.03744/) (2023)
- [Gemini 1.5: Unlocking multimodal understanding across millions of tokens of context](https://mlsanity.com/paper/2403.05530/) (2024)
- [InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuning](https://mlsanity.com/paper/2305.06500/) (2023)
- [A Broad-Coverage Challenge Corpus for Sentence Understanding through Inference](https://mlsanity.com/paper/1704.05426/) (2017)
- [Making the V in VQA Matter: Elevating the Role of Image Understanding in Visual Question Answering](https://mlsanity.com/paper/1612.00837/) (2016)
- [VQA: Visual Question Answering](https://mlsanity.com/paper/1505.00468/) (2015)
- [CLIPScore: A Reference-free Evaluation Metric for Image Captioning](https://mlsanity.com/paper/2104.08718/) (2021)
- [CLEVR: A Diagnostic Dataset for Compositional Language and Elementary Visual Reasoning](https://mlsanity.com/paper/1612.06890/) (2016)
- [mPLUG-Owl: Modularization Empowers Large Language Models with Multimodality](https://mlsanity.com/paper/2304.14178/) (2023)
- [Can LLMs Express Their Uncertainty? An Empirical Evaluation of Confidence Elicitation in LLMs](https://mlsanity.com/paper/2306.13063/) (2023)
- [A-OKVQA: A Benchmark for Visual Question Answering using World Knowledge](https://mlsanity.com/paper/2206.01718/) (2022)
- [PathVQA: 30000+ Questions for Medical Visual Question Answering](https://mlsanity.com/paper/2003.10286/) (2020)
- [SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answering](https://mlsanity.com/paper/2102.09542/) (2021)
- [Med-Flamingo: a Multimodal Medical Few-shot Learner](https://mlsanity.com/paper/2307.15189/) (2023)
- [RAVEN: A Dataset for Relational and Analogical Visual rEasoNing](https://mlsanity.com/paper/1903.02741/) (2019)
- [FVQA: Fact-based Visual Question Answering](https://mlsanity.com/paper/1606.05433/) (2016)
- [Unsupervised Evaluation of Interactive Dialog with DialoGPT](https://mlsanity.com/paper/2006.12719/) (2020)
- [Medical Visual Question Answering: A Survey](https://mlsanity.com/paper/2111.10056/) (2021)
- [Improving Dialog Evaluation with a Multi-reference Adversarial Dataset and Large Scale Pretraining](https://mlsanity.com/paper/2009.11321/) (2020)
- [Improving Automatic VQA Evaluation Using Large Language Models](https://mlsanity.com/paper/2310.02567/) (2023)
- [Beyond VQA: Generating Multi-word Answer and Rationale to Visual Questions](https://mlsanity.com/paper/2010.12852/) (2020)
- [Towards Automatic Evaluation for LLMs' Clinical Capabilities: Metric, Data, and Algorithm](https://mlsanity.com/paper/2403.16446/) (2024)
- [Beyond Accuracy: Investigating Error Types in GPT-4 Responses to USMLE Questions](https://mlsanity.com/paper/2404.13307/) (2024)

## Built on by (most cited first, 5 of 5)

- [Med-CMR: A Fine-Grained Benchmark Integrating Visual Evidence and Clinical Logic for Medical Complex Multimodal Reasoning](https://mlsanity.com/paper/2512.00818/) (2025)
- [Better Safe Than Sorry? Overreaction Problem of Vision Language Models in Visual Emergency Recognition](https://mlsanity.com/paper/2505.15367/) (2025)
- [EduVidQA: Generating and Evaluating Long-form Answers to Student Questions based on Lecture Videos](https://mlsanity.com/paper/2509.24120/) (2025)
- [Towards Next-Generation Healthcare: A Survey of Medical Embodied AI for Perception, Decision-Making, and Action](https://mlsanity.com/paper/2606.15647/) (2026)
- [DiagnosticIQ: A Benchmark for LLM-Based Industrial Maintenance Action Recommendation from Symbolic Rules](https://mlsanity.com/paper/2605.08614/) (2026)

## Abstract (arXiv)

The global shortage of healthcare workers has demanded the development of smart healthcare assistants, which can help monitor and alert healthcare workers when necessary. We examine the healthcare knowledge of existing Large Vision Language Models (LVLMs) via the Visual Question Answering (VQA) task in hospital settings through expert annotated open-ended questions. We introduce the Emergency Room Visual Question Answering (ERVQA) dataset, consisting of <image, question, answer> triplets covering diverse emergency room scenarios, a seminal benchmark for LVLMs. By developing a detailed error taxonomy and analyzing answer trends, we reveal the nuanced nature of the task. We benchmark state-of-the-art open-source and closed LVLMs using traditional and adapted VQA metrics: Entailment Score and CLIPScore Confidence. Analyzing errors across models, we infer trends based on properties like decoder type, model size, and in-context examples. Our findings suggest the ERVQA dataset presents a highly complex task, highlighting the need for specialized, domain-specific solutions.