arXiv:2606. 17441v1 Announce Type: cross Abstract: Simulating realistic patient interactions is a key requirement to testing clinical applications of LLMs at scale without time-consuming and expensive user studies.
arXiv:2602.01995v2 Announce Type: replace Abstract: Conversational diagnosis requires multi-turn history-taking, where an agent asks clarifying questions to refine differential diagnoses under incomp...
The study introduces a scaffolding-oriented multi-agent Large Language Model (LLM) AI Standardized Patient (AI-SP) platform designed to train medical students in patient interviews. In a randomized controlled trial with 100 students, the multi-agent system—comprising a patient agent, a Socratic tutor agent, and a turn-level evaluator—did not improve diagnostic accuracy but significantly enhanced overall OSCE scores, especially in communication, empathy, and history-taking. The authors also release a richly annotated dataset to support further research in AI-supported clinical reasoning training.
arXiv:2606. 17474v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly considered for use in clinical consultation tasks, yet most medical evaluations remain static, single-turn, or narrowly outcome-based, limiting their ability to reflect the sequential, uncertain, and interactive nature of real-world care.
arXiv:2606. 15735v1 Announce Type: cross Abstract: Discharge summaries are crucial clinical documents containing the context of a patient's overall hospital stay, and are routinely reviewed by medical experts for patient readmission, ongoing care, and diagnostic decision-making.
arXiv:2609.38480v1 Announce Type: cross Abstract: Most clinical benchmarks evaluate language models (LMs) on diagnosis using complete case descriptions. In clinical practice, however, patients presen...
arXiv:2509. 02594v3 Announce Type: replace-cross Abstract: Evaluating large language models (LLMs) on their ability to generate high-quality, accurate, situationally aware answers to clinical questions requires going beyond conventional benchmarks to assess how these systems behave in complex, high-stakes clinical scenarios.
arXiv:2607. 25485v1 Announce Type: new Abstract: Health AI is evolving from answering questions to agentic systems that converse with patients, reason about health records, and act on their behalf.
The paper investigates how medical large language models (LLMs) may exhibit narrative anchoring bias when presented with the same clinical case in different patient voices. Using the NarrativeShield SDoH MedQA dataset, the authors evaluate three Qwen2.5 instruction‑tuned LLMs (1.5B, 3B, 7B) on 300 clinical cases, reporting metrics such as persona‑level accuracy, counterfactual consistency, correct consistency, and narrative sensitivity error. The 7B model achieves the highest accuracy (56.33 %) and correct consistency (40.33 %), yet narrative sensitivity errors remain substantial (31.67 %).
arXiv:2602.20294v2 Announce Type: replace-cross Abstract: Simulating real personalities with large language models requires grounding generation in authentic personal data. Existing evaluation approa...
The paper introduces a three-tier persona vector for user simulation in evaluating LLM agents, comprising 23 dimensions across demographics, behavioral traits, and emotional states, plus a query-complexity overlay. It demonstrates that these nuanced personas generate diverse, scenario-reactive conversations, leading to significant variations in agent goal achievement and compliance across different contexts. The model’s design allows for reproducible, auditable user behavior patterns without relying on learned covariance matrices.
The study investigates whether coded dialogue logs from generative AI-powered virtual patients can provide teacher-interpretable evidence of clinical reasoning. Analyzing 1,030 dialogues from 210 second-year medical learners, the researchers applied behavioural prevalence, Epistemic Network Analysis, and Transition Network Analysis to identify process patterns linked to high-rated history-taking performance. Findings show that high-rated consultations involve more integrated information gathering, communication, and synthesis, rather than merely increased volume of activity.