4.8CVMay 16
AI-Assisted Competency Assessment from Egocentric Video in Simulation-Based Nursing EducationHanchen David Wang, Yilin Liu, Madison J. Lee et al.
Assessing learner competency in clinical simulation requires expert observation that is time-intensive, difficult to scale, and subject to inter-rater variability. Vision-language models have emerged as a promising tool for understanding complex visual behavior. In this work, we investigate whether visual observations can provide educationally meaningful signals for competency assessment through a three-stage framework that (1) extracts action timelines from egocentric nursing simulation video using frozen visual encoders and few-shot learning, (2) derives sequence-level features and per-session recognition metrics, and (3) relates these to instructor-rated competency. Across 22 densely annotated sessions (3.8 hours, 493 actions), a frozen DINOv2 backbone with HMM Viterbi decoding achieves 57.4% MOF in leave-one-out 1-shot recognition. Surprisingly, we observe a negative trend between recognition accuracy and competency (rho = -0.524, p = 0.012 for mIoU), robust to six confound controls: more competent students produce diverse, harder-to-classify workflows, while simple sequence features show no such relationship. Per-item analysis identifies patient safety protocols and team communication as the expected behaviors most reflected in this pattern, and process model comparisons reveal that higher-competency students exhibit more protocol-consistent action transitions. These findings suggest that recognition accuracy may complement predicted action timelines as a pedagogically informative signal in automated competency assessment.
11.4MAMar 24
Evidence-Decision-Feedback: Theory-Driven Adaptive Scaffolding for LLM AgentsClayton Cohn, Siyuan Guo, Surya Rayala et al.
Multi-agent LLM architectures offer opportunities for pedagogical agents to help students construct domain knowledge and develop critical-thinking skills, yet many operate on a "one-size-fits-all" basis, limiting their ability to provide personalized support. To address this, we introduce Evidence-Decision-Feedback (EDF), a theoretical framework for adaptive scaffolding using LLMs. EDF integrates elements of intelligent tutoring systems and agentic behavior by organizing interactions around evidentiary inference, pedagogical decision-making, and adaptive feedback. We instantiate EDF through Copa, an agentic collaborative peer agent for STEM+C problem-solving. In an authentic high school classroom study, we show that EDF-guided interactions align feedback with students' demonstrated understanding and task mastery; promote gradual scaffold fading; and support interpretable, evidence-grounded explanations without fostering overreliance.
2.4AIFeb 6
BEAGLE: Behavior-Enforced Agent for Grounded Learner EmulationHanchen David Wang, Clayton Cohn, Zifan Xu et al.
Simulating student learning behaviors in open-ended problem-solving environments holds potential for education research, from training adaptive tutoring systems to stress-testing pedagogical interventions. However, collecting authentic data is challenging due to privacy concerns and the high cost of longitudinal studies. While Large Language Models (LLMs) offer a promising path to student simulation, they suffer from competency bias, optimizing for efficient correctness rather than the erratic, iterative struggle characteristic of novice learners. We present BEAGLE, a neuro-symbolic framework that addresses this bias by incorporating Self-Regulated Learning (SRL) theory into a novel architecture. BEAGLE integrates three key technical innovations: (1) a semi-Markov model that governs the timing and transitions of cognitive behaviors and metacognitive behaviors; (2) Bayesian Knowledge Tracing with explicit flaw injection to enforce realistic knowledge gaps and "unknown unknowns"; and (3) a decoupled agent design that separates high-level strategy use from code generation actions to prevent the model from silently correcting its own intentional errors. In evaluations on Python programming tasks, BEAGLE significantly outperforms state-of-the-art baselines in reproducing authentic trajectories. In a human Turing test, users were unable to distinguish synthetic traces from real student data, achieving an accuracy indistinguishable from random guessing (52.8%).
9.2MAMay 28
A Theory-Guided LLM Pedagogical Agent for STEM+C Scaffolding Without Over-RelianceClayton Cohn, Surya Rayala, Siyuan Guo et al.
LLM pedagogical agents are proliferating, yet recent findings have raised questions about their adherence to established theories of learning and, by extension, their educational value. Concerns regarding cognitive offloading, over-reliance, and "gaming" behaviors persist and remain largely unaddressed. In response, we developed Copa, an agentic, multi-agent, multimodal Collaborative Peer Agent for STEM+C learning. Copa is built on top of the Evidence-Decision-Feedback (EDF) framework, grounding its interactions in Social Cognitive Theory and Social Constructivism and promoting sense-making through adaptive, dialogic support rather than answer-seeking. In an authentic high school computational-modeling study (n=33 dyads), we demonstrate that Copa (1) supports students' confidence building and ability to verbalize conceptual understanding without causing dependence; and (2) provides adaptive feedback personalized to learners that is interpretable with respect to students' multimodal input data. These findings position theory-guided, multimodal LLM agents as a promising path toward classroom AI integration that amplifies students' reasoning rather than replacing it.
4.4AIMar 5
PACE: A Personalized Adaptive Curriculum Engine for 9-1-1 Call-taker TrainingZirong Chen, Hongchao Zhang, Meiyi Ma
9-1-1 call-taking training requires mastery of over a thousand interdependent skills, covering diverse incident types and protocol-specific nuances. A nationwide labor shortage is already straining training capacity, but effective instruction still demands that trainers tailor objectives to each trainee's evolving competencies. This personalization burden is one that current practice cannot scale. Partnering with Metro Nashville Department of Emergency Communications (MNDEC), we propose PACE (Personalized Adaptive Curriculum Engine), a co-pilot system that augments trainer decision-making by (1) maintaining probabilistic beliefs over trainee skill states, (2) modeling individual learning and forgetting dynamics, and (3) recommending training scenarios that balance acquisition of new competencies with retention of existing ones. PACE propagates evidence over a structured skill graph to accelerate diagnostic coverage and applies contextual bandits to select scenarios that target gaps the trainee is prepared to address. Empirical results show that PACE achieves 19.50% faster time-to-competence and 10.95% higher terminal mastery compared to state-of-the-art frameworks. Co-pilot studies with practicing training officers further demonstrate a 95.45% alignment rate between PACE's and experts' pedagogical judgments on real-world cases. Under estimation, PACE cuts turnaround time to merely 34 seconds from 11.58 minutes, up to 95.08% reduction.