Xinrui Chen, Bingquan Zhang
As fatigue is normally revealed in the eyes and mouth of a person's face, this paper tried to construct a XGBoost Algorithm-Based fatigue recognition model using the two indicators, EAR (Eye Aspect Ratio) and MAR(Mouth Aspect Ratio). With an accuracy rate of 87.37% and sensitivity rate of 89.14%, the model was proved to be efficient and valid for further applications.
Zhiqi Gao, Guo Zhu, Huarui Luo et al.
Standardized patients (SPs) play a central role in clinical communication training but are costly, difficult to scale, and inconsistent. Large language model (LLM) based AI standardized patients (AI-SPs) promise flexible, on-demand practice, yet learners often report that they talk like a patient but feel different. We interviewed 12 clinical-year medical students and conducted three co-design workshops to examine how learners experience constraints of SP encounters and what they expect from AI-SPs. We identified six learner-centered needs, translated them into AI-SP design requirements, and synthesized a conceptual workflow. Our findings position AI-SPs as tools for deliberate practice and show that instructional usability, rather than conversational realism alone, drives learner trust, engagement, and educational value.
Bingquan Zhang, Xiaoxiao Liu, Yuchi Wang et al.
Standardized Patients (SP) are indispensable for clinical skills training but remain expensive, inflexible, and difficult to scale. Existing large-language-model (LLM)-based SP simulators promise lower cost yet show inconsistent behavior and lack rigorous comparison with human SP. We present EasyMED, a multi-agent framework combining a Patient Agent for realistic dialogue, an Auxiliary Agent for factual consistency, and an Evaluation Agent that delivers actionable feedback. To support systematic assessment, we introduce SPBench, a benchmark of real SP-doctor interactions spanning 14 specialties and eight expert-defined evaluation criteria. Experiments demonstrate that EasyMED matches human SP learning outcomes while producing greater skill gains for lower-baseline students and offering improved flexibility, psychological safety, and cost efficiency.