# KokushiMD-10: Benchmark for Evaluating Large Language Models on Ten Japanese National Healthcare Licensing Examinations

arXiv: https://arxiv.org/abs/2506.11114 · HTML: https://mlsanity.com/paper/2506.11114/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 7 of its 20 references that are in the map.
- First posted on arXiv 9 Jun 2025.

## Builds on (most cited first, 7 of 7)

- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Exams](https://mlsanity.com/paper/2009.13081/) (2020)
- [MedMCQA : A Large-scale Multi-Subject Multi-Choice Dataset for Medical domain Question Answering](https://mlsanity.com/paper/2203.14371/) (2022)
- [Benchmarking Large Language Models on CMExam -- A Comprehensive Chinese Medical Exam Dataset](https://mlsanity.com/paper/2306.03030/) (2023)
- [MedTrinity-25M: A Large-scale Multimodal Dataset with Multigranular Annotations for Medicine](https://mlsanity.com/paper/2408.02900/) (2024)
- [Evaluating GPT-4 and ChatGPT on Japanese Medical Licensing Examinations](https://mlsanity.com/paper/2303.18027/) (2023)
- [A Japanese Language Model and Three New Evaluation Benchmarks for Pharmaceutical NLP](https://mlsanity.com/paper/2505.16661/) (2025)

## Built on by (most cited first, 3 of 3)

- [CoT-X: An Adaptive Framework for Cross-Model Chain-of-Thought Transfer and Optimization](https://mlsanity.com/paper/2511.05747/) (2025)
- [JMedEthicBench: A Multi-Turn Conversational Benchmark for Evaluating Medical Safety in Japanese Large Language Models](https://mlsanity.com/paper/2601.01627/) (2026)
- [KorMedMCQA-V: A Multimodal Benchmark for Evaluating Vision-Language Models on the Korean Medical Licensing Examination](https://mlsanity.com/paper/2602.13650/) (2026)

## Abstract (arXiv)

Recent advances in large language models (LLMs) have demonstrated notable performance in medical licensing exams. However, comprehensive evaluation of LLMs across various healthcare roles, particularly in high-stakes clinical scenarios, remains a challenge. Existing benchmarks are typically text-based, English-centric, and focus primarily on medicines, which limits their ability to assess broader healthcare knowledge and multimodal reasoning. To address these gaps, we introduce KokushiMD-10, the first multimodal benchmark constructed from ten Japanese national healthcare licensing exams. This benchmark spans multiple fields, including Medicine, Dentistry, Nursing, Pharmacy, and allied health professions. It contains over 11588 real exam questions, incorporating clinical images and expert-annotated rationales to evaluate both textual and visual reasoning. We benchmark over 30 state-of-the-art LLMs, including GPT-4o, Claude 3.5, and Gemini, across both text and image-based settings. Despite promising results, no model consistently meets passing thresholds across domains, highlighting the ongoing challenges in medical AI. KokushiMD-10 provides a comprehensive and linguistically grounded resource for evaluating and advancing reasoning-centric medical AI across multilingual and multimodal clinical tasks.