arXiv AI By Grace Chang Yuan, Xiaoman Zhang, Sung Eun Kim, Luyang Luo, Pranav Rajpurkar

Asclepius: An Adaptive Harness for Long-Horizon Clinical Agents

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arXiv AI
Aug 10

ResidencyRL: Reinforcement Learning in Simulated Clinical Environments

arXiv:2608. 07418v1 Announce Type: new Abstract: In medical education, physicians convert academic knowledge into clinical expertise through residency: years of training across thousands of encounters, with diverse sources of feedback and progressively greater autonomy.

By Valentin Li\'{e}vin, Samuel Schmidgall, Tim Strother, Alex Bijamov, Akshay Goel, Anil Palepu, Chunjong Park, Vahid Balazadeh, Min Woo Sun, Marius Guerard, Justin Chen, Dave Steiner, Vikram Dhillon, Ibrahim Azar, Akhil Mehta, Nicholas Spetsieris, Shilpan Shah, Maen Abdelrahim, Amit Dahiya, Yun Liu, Katherine Chou, Yossi Matias, Avinatan Hassidim, Dale R. Webster, Quoc V. Le, Raia Hadsell, Joelle Barral, Carey Radebaugh, Aleksandra Faust, Shekoofeh Azizi, Mike Schaekermann, Po-Hsuan Cameron Chen, Tao Tu, David Racz, Lin Yang
arXiv AI
Oct 1

Agent Error Dataset: Scaling 50,000 Error--Diagnosis Pairs for Failure Analysis and Error-Aware Post-Training

The Agent Error Dataset (AED) presents 50,228 error–diagnosis pairs collected from 9,961 source tasks across 33 environments, 19 harness families, and 23 policy models in text‑based agent systems. A five‑stage Agentic Error‑to‑Training (AET) pipeline generates diagnoses and proposed corrections, verifies them against recorded evidence, and creates separate training views for diagnosis and actor recovery. Experiments show that first‑proposal corrections improve verifier pass rates from 18.4% to 51.1%, and fine‑tuning with full‑diagnosis data raises Qwen3‑8B’s exact‑step agreement from 47.2% to 63.6% on a holdout set.

By Kunlun Zhu, Xuyan Ye, Yibo Li, Cheng Qian, Beibin Li, Heng Ji
arXiv AI
Sep 15

Same Patient, Different Order: Action-Level Reliability of Clinical LLM Agents Under Repeated Runs

The paper introduces a new evaluation method called "same-input rerun" to assess the consistency of clinical language‑model agents across repeated runs. By replaying 1,000 MedAgentBench tasks with identical inputs, the authors find that action‑level outputs—such as test orders, medication requests, and referrals—vary significantly, even when benchmark scores remain unchanged. The study demonstrates that current benchmarks, which typically evaluate only a single run per task, can miss substantial behavioral divergence.

By Rohith Reddy Bellibatlu, Manpreet Singh, Zhoutian Han, Wenbin Zhang
arXiv AI
Oct 16

Auditing Escalation Reliability in Healthcare LLM Agents: A Perturbation-Controlled Benchmark of Workflow-State Failures

The paper introduces a benchmark of 400 synthetic healthcare workflow episodes to evaluate large language model (LLM) agents’ reliability in escalating care when evidence is missing or conflicting. It finds that while clean decision accuracy is high (0.97), models miss a large proportion of necessary escalations (32–97%) under uncertainty, and even the largest 9.7B model’s performance drops to 0.78 in conflict scenarios. A workflow-aware controller improves utility and reduces missed escalations, but its effectiveness is limited by lexical generalization failures.

By Zihao Zheng (Washington University in St. Louis), Junyi Yao (Washington University in St. Louis), Baichuan Li (Southern Methodist University), Jiayu Long (Washington University in St. Louis)