Self-Evolving Multi-Agent Simulations for Realistic Clinical Interactions
This work addresses the need for realistic clinical interaction benchmarks for LLMs, though it appears incremental as it builds on existing multi-agent and simulation concepts.
The authors tackled the problem of evaluating and enhancing LLM performance in clinical diagnostics by introducing MedAgentSim, a multi-agent simulation environment with doctor, patient, and measurement agents that enables dynamic, multi-turn diagnostic interactions, and they demonstrated its effectiveness in various simulated scenarios.
In this work, we introduce MedAgentSim, an open-source simulated clinical environment with doctor, patient, and measurement agents designed to evaluate and enhance LLM performance in dynamic diagnostic settings. Unlike prior approaches, our framework requires doctor agents to actively engage with patients through multi-turn conversations, requesting relevant medical examinations (e.g., temperature, blood pressure, ECG) and imaging results (e.g., MRI, X-ray) from a measurement agent to mimic the real-world diagnostic process. Additionally, we incorporate self improvement mechanisms that allow models to iteratively refine their diagnostic strategies. We enhance LLM performance in our simulated setting by integrating multi-agent discussions, chain-of-thought reasoning, and experience-based knowledge retrieval, facilitating progressive learning as doctor agents interact with more patients. We also introduce an evaluation benchmark for assessing the LLM's ability to engage in dynamic, context-aware diagnostic interactions. While MedAgentSim is fully automated, it also supports a user-controlled mode, enabling human interaction with either the doctor or patient agent. Comprehensive evaluations in various simulated diagnostic scenarios demonstrate the effectiveness of our approach. Our code, simulation tool, and benchmark are available at \href{https://medagentsim.netlify.app/}.