Seungwon KooK

Jeongmoon Won, Seungwon Kook, Yohan Jo

Conversational diagnosis requires multi-turn history-taking, where an agent asks clarifying questions to refine differential diagnoses under incomplete information. Existing approaches often rely on the parametric knowledge of a model or assume that patients provide rich and concrete information, which is unrealistic. To address these limitations, we propose a conversational diagnosis system that explores a diagnostic knowledge graph to reason in two steps: (i) generating diagnostic hypotheses from the dialogue context, and (ii) verifying hypotheses through clarifying questions, which are repeated until a final diagnosis is reached. Since evaluating the system requires a realistic patient simulator that responds to the system's questions, we adopt a well-established simulator along with patient profiles from MIMIC-IV. We further adapt it to describe symptoms vaguely to reflect real-world patients during early clinical encounters. Experiments show improved diagnostic accuracy and efficiency over strong baselines, and evaluations by physicians support the realism of our simulator and the clinical utility of the generated questions. Our code will be released upon publication.

Jeonghoon Shim, Woojung Song, Cheyon Jin et al.

Tool agents interact with users through multi-turn dialogues to accomplish various tasks. Recent studies have adopted user simulation methods to develop these agents in multi-turn settings. However, existing user simulators tend to be agent-friendly, exhibiting only cooperative behaviors, which fails to train and test agents against non-collaborative users in the real world. To address this, we propose a novel user simulator architecture that simulates four categories of non-collaborative behaviors: requesting unavailable services, digressing into tangential conversations, expressing impatience, and providing incomplete utterances. Our user simulator can simulate challenging and natural non-collaborative behaviors while reliably delivering all intents and information necessary to accomplish the task. Our experiments on MultiWOZ and $τ$-bench reveal significant performance degradation in state-of-the-art tool agents when encountering non-collaborative users. We provide detailed analyses of agents' weaknesses under each non-collaborative condition, such as escalated hallucinations and dialogue breakdowns. Ultimately, we contribute an easily extensible user simulation framework to help the research community develop tool agents and preemptively diagnose them under challenging real-world conditions within their own services.