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Nov 9

Does Your Trial Simulator Know What the Drug Does? An Intervention-Blind Test of Interventional Validity on 7,207 Registered Trials

Patient world models are increasingly proposed as simulators of clinical trials, and recent surveys rank their capabilities on a ladder from temporal prediction to counterfactual rollouts. Position on that ladder is currently assigned by reading papers rather than by measurement. We turn the counterfactual rung into a measured quantity. From 30,119 completed phase 2/3 trials with results posted to ClinicalTrials.gov we construct 9,996 audited within-trial contrasts from 7,207 trials, and we score a simulator on how much of its accuracy depends on knowing which intervention was tested. The instrument is an intervention-blind reference: the same model, trained on the same trials, with every intervention-identifying field withheld. Interventional skill is the error the full model removes relative to that reference. On a temporal split (878 test contrasts from 655 trials) a registry-trained gradient-boosting simulator removes a fifth of the error of a trivial baseline, but its interventional skill is -0.12 (95% CI -0.21 to -0.05): withholding the intervention makes it better, and no alternative featurisation, stratum, temporal cut or same-molecule retrieval yields an interval above zero. A frontier language model reading only the registered protocol has interventional skill 0.20 [0.08, 0.31]; smaller and open-weight models sit at the limit of detection. Perturbation tests show the large model uses the intervention as such: swapping the arms reverses the sign of its prediction in 86% of contrasts. The blind reference is itself not drug-blind (a language model recovers the withheld drug class 45% of the time from the blind prompt), so interventional skill is a conservative lower bound. A reliability layer shows that ranking by predicted error lowers it but that calibrated error control does not transfer under temporal shift. Benchmark, code, prompts and per-call model outputs are released.

  • 1 authors
·
Nov 3

Does Imitation Learning Preserve Temporal Robustness in Dexterous Manipulation? An Expert-Learner Comparison Across Task Execution Speeds

Dexterous manipulation policies learned by imitation are typically evaluated for robustness to variation in scenes, objects, or instructions, but their performance across task execution speeds is less often examined. This leaves open how much temporal robustness a learner retains relative to the expert it imitates. We compare an expert and learner under the same task conditions, initial-condition draws, and speedup factors. We instantiate the evaluation in ParcelStow, a contact-rich task in which the robot acquires, reorients, and inserts a parcel. The demonstrations span the speedup range for the manipulation phases after parcel acquisition. A scripted expert and an Action Chunking with Transformers (ACT) policy trained from the expert's demonstrations both achieve 100 percent task success at nominal speed. Their success rates diverge within the demonstrated range: at its maximum, expert success is 84 percent and ACT success is 53 percent. Two ACT policies with different parameter initializations show similar degradation, decreasing by 34 and 48 percentage points from nominal speed to the maximum demonstrated speed, compared with 16 points for the expert. Stage-level analysis shows that 35 of ACT's 47 failures at the maximum demonstrated speed are insertion misalignments. Under the relative-motion handoff, every ACT acquisition retains the parcel through reorientation and transfer in free space, but only 64 percent complete the overall task, compared with 95 percent after expert acquisition. Across all evaluated policies and speeds, none of the 414 acquisitions without force closure completes the task. Equal nominal task success therefore does not imply preservation of expert performance across execution speeds. Code, data, and evaluation scripts are available at https://github.com/coenwerem/parcelstow.

Constructing Challenging Browser-Use Tasks by Controlled Environment Interventions

As browser-use agents improve, benchmarks keep pace by collecting new tasks, websites, and applications, often making tasks longer or more novel. This makes difficulty expensive to refresh and difficult to control: when many aspects change at once, it is unclear what actually makes a task challenging. We instead construct challenging instances from tasks agents already solve, turning difficulty into a programmable property of the environment. BreakingWeb pairs every base task with an intervention condition that preserves the user instruction, latent target, and backend success criterion while changing the environment at different web stack layers. Each intervention is deterministic, detectable, and recoverable, and is annotated with the cognitive primitive it primarily loads. The benchmark contains 519 clean/intervention task pairs across seven self-hosted websites and 29 intervention families, all graded against outcomes. We evaluate six strong browser-use agents, three GUI-only agents that see only screenshots, and humans. The construction is effective: interventions cut agent pass rate by 22.9% on average and overturn nearly half of the tasks each agent solves cleanly, whereas humans lose 10.0% on a first attempt and 5.7% after one familiarisation attempt. The dominant failure is belief failure: 75% of the six agents' failures end with a declared success although the required change never happened. Our code, data and environment are publicly available at www.breakingweb.app.

  • 11 authors
·
Sep 19

Spoken Dialogue System for Medical Prescription Acquisition on Smartphone: Development, Corpus and Evaluation

Hospital information systems (HIS) have become an essential part of healthcare institutions and now incorporate prescribing support software. Prescription support software allows for structured information capture, which improves the safety, appropriateness and efficiency of prescriptions and reduces the number of adverse drug events (ADEs). However, such a system increases the amount of time physicians spend at a computer entering information instead of providing medical care. In addition, any new visiting clinician must learn to manage complex interfaces since each HIS has its own interfaces. In this paper, we present a natural language interface for e-prescribing software in the form of a spoken dialogue system accessible on a smartphone. This system allows prescribers to record their prescriptions verbally, a form of interaction closer to their usual practice. The system extracts the formal representation of the prescription ready to be checked by the prescribing software and uses the dialogue to request mandatory information, correct errors or warn of particular situations. Since, to the best of our knowledge, there is no existing voice-based prescription dialogue system, we present the system developed in a low-resource environment, focusing on dialogue modeling, semantic extraction and data augmentation. The system was evaluated in the wild with 55 participants. This evaluation showed that our system has an average prescription time of 66.15 seconds for physicians and 35.64 seconds for other experts, and a task success rate of 76\% for physicians and 72\% for other experts. All evaluation data were recorded and annotated to form PxCorpus, the first spoken drug prescription corpus that has been made fully available to the community (https://doi.org/10.5281/zenodo.6524162).

  • 6 authors
·
Nov 6, 2023

Towards Conversational Diagnostic AI

At the heart of medicine lies the physician-patient dialogue, where skillful history-taking paves the way for accurate diagnosis, effective management, and enduring trust. Artificial Intelligence (AI) systems capable of diagnostic dialogue could increase accessibility, consistency, and quality of care. However, approximating clinicians' expertise is an outstanding grand challenge. Here, we introduce AMIE (Articulate Medical Intelligence Explorer), a Large Language Model (LLM) based AI system optimized for diagnostic dialogue. AMIE uses a novel self-play based simulated environment with automated feedback mechanisms for scaling learning across diverse disease conditions, specialties, and contexts. We designed a framework for evaluating clinically-meaningful axes of performance including history-taking, diagnostic accuracy, management reasoning, communication skills, and empathy. We compared AMIE's performance to that of primary care physicians (PCPs) in a randomized, double-blind crossover study of text-based consultations with validated patient actors in the style of an Objective Structured Clinical Examination (OSCE). The study included 149 case scenarios from clinical providers in Canada, the UK, and India, 20 PCPs for comparison with AMIE, and evaluations by specialist physicians and patient actors. AMIE demonstrated greater diagnostic accuracy and superior performance on 28 of 32 axes according to specialist physicians and 24 of 26 axes according to patient actors. Our research has several limitations and should be interpreted with appropriate caution. Clinicians were limited to unfamiliar synchronous text-chat which permits large-scale LLM-patient interactions but is not representative of usual clinical practice. While further research is required before AMIE could be translated to real-world settings, the results represent a milestone towards conversational diagnostic AI.

  • 25 authors
·
Jan 10, 2024

Multi-View MoE: Letting Every Router Shape Expert Computation

Sparse mixture-of-experts (MoE) models expand parameter capacity by activating a small subset of experts per token. Expert selection directly affects model capabilities under a fixed active-expert budget. Dense evaluation of all experts reveals weak agreement between single-router rankings and expert-utility evaluation rankings, especially in middle and deep layers. Richer signals for selection and computation incur additional cost: selection based on internal expert activations requires preliminary computation, while processing multiple full representations separately through the same expert repeats its computation. We propose Multi-View MoE to improve expert selection with multiple routers and reuse their preferences to modulate expert computation under a fixed expert budget. Its Multi-Router submodule aggregates sigmoid scores from independently initialized routers. These routers develop highly differentiated expert preferences during training, allowing experts strongly favored by one router or jointly supported by several routers to be selected. Multi-View further uses each selected expert's relative scores across routers to mix learned latent views into its input, reusing routing preferences for both selection and computation. Each selected expert executes one forward pass, preserving the active-expert count, expert FLOPs, and all-to-all communication volume. On a 24-layer 10B-A1B model trained on 708B tokens, full Multi-View MoE improves the nine-task downstream mean by 1.18 percentage points over the baseline. Multi-Router alone yields a 0.6-percentage-point gain and improves the rank correlation between router scores and evaluated expert utility, with relative increases of 8.1% globally and approximately 58% in the layer with the lowest single-router alignment. Controlled mixing interventions show the model uses input differences that depend on both the expert and the token.

  • 5 authors
·
Oct 28

MedSkillAudit: A Domain-Specific Audit Framework for Medical Research Agent Skills

Background: Agent skills are increasingly deployed as modular, reusable capability units in AI agent systems. Medical research agent skills require safeguards beyond general-purpose evaluation, including scientific integrity, methodological validity, reproducibility, and boundary safety. This study developed and preliminarily evaluated a domain-specific audit framework for medical research agent skills, with a focus on reliability against expert review. Methods: We developed MedSkillAudit (skill-auditor@1.0), a layered framework assessing skill release readiness before deployment. We evaluated 75 skills across five medical research categories (15 per category). Two experts independently assigned a quality score (0-100), an ordinal release disposition (Production Ready / Limited Release / Beta Only / Reject), and a high-risk failure flag. System-expert agreement was quantified using ICC(2,1) and linearly weighted Cohen's kappa, benchmarked against the human inter-rater baseline. Results: The mean consensus quality score was 72.4 (SD = 13.0); 57.3% of skills fell below the Limited Release threshold. MedSkillAudit achieved ICC(2,1) = 0.449 (95% CI: 0.250-0.610), exceeding the human inter-rater ICC of 0.300. System-consensus score divergence (SD = 9.5) was smaller than inter-expert divergence (SD = 12.4), with no directional bias (Wilcoxon p = 0.613). Protocol Design showed the strongest category-level agreement (ICC = 0.551); Academic Writing showed a negative ICC (-0.567), reflecting a structural rubric-expert mismatch. Conclusions: Domain-specific pre-deployment audit may provide a practical foundation for governing medical research agent skills, complementing general-purpose quality checks with structured audit workflows tailored to scientific use cases.

AIPOCH-AI AIPOCH
·
Apr 21 2

Instrumental Choices: Measuring the Propensity of LLM Agents to Pursue Instrumental Behaviors

AI systems have become increasingly capable of dangerous behaviours in many domains. This raises the question: Do models sometimes choose to violate human instructions in order to perform behaviour that is more useful for certain goals? We introduce a benchmark for measuring model propensity for instrumental convergence (IC) behaviour in terminal-based agents. This is behaviour such as self-preservation that has been hypothesised to play a key role in risks from highly capable AI agents. Our benchmark is realistic and low-stakes which serves to reduce evaluation-awareness and roleplay confounds. The suite contains seven operational tasks, each with an official workflow and a policy-violating shortcut. An eight-variant shared framework varies monitoring, instruction clarity, stakes, permission, instrumental usefulness and blocked honest paths to support inferences regarding the factors driving IC behaviour. We evaluated ten models using deterministic environment-state scorers over 1,680 samples, with trace review employed for audit and adjudication purposes. The final IC rate is 86 out of 1,680 samples (5.1%). IC behaviour is concentrated rather than uniform: two Gemini models account for 66.3% of IC cases and three tasks account for 84.9%. Conditions in which IC behaviour is indispensable for task success result in the greatest increase in the adjusted IC rate (+15.7 percentage points), whereas emphasising that task success is critical or certain framing choices do not produce comparable effects. Our findings indicate that realistic, low-nudge environments elicit IC behaviour rarely but systematically in most tested models. We conclude that it is feasible to robustly measure tendencies for dangerous behaviour in current frontier AI agents.

  • 3 authors
·
May 6

One note in three: a verified census of three deployed AI scribes, and the instrument that counted it

Ambient AI scribes draft clinical notes under the reassurance that a clinician signs every note. We audited three commercial AI scribes on the same 142 consultations: 565 notes from recorded UK primary-care and US ambulatory encounters plus authored scenarios. Twelve discovery passes proposed 13,678 candidate errors; the 5,898 clearing an importance filter went to an adversarial panel of two models from different families, each told to refute what it could, and 618 survived. One note in three (31.3% [27.0, 35.6]) carries a verified failure, concentrated in allergy and medication information, invented patient identity, and history written up as examination on telephone consultations that can contain none. No product was given a patient record; setting aside the two classes a record would have prefilled, invented identity and dates, the rate is 24.8% [20.8, 29.0]. One failure mode did not fit our scheme, drawn from published scribe-error taxonomies: a treatment the clinician retracts, recorded as delivered care. Two clinicians adjudicated blind, disjoint samples: a physician author upheld 20 of 21 findings (95.2% [77.3, 99.2]) and an independent clinician, not an author, 12 of 12 ([75.8, 100]); both judged every sampled refusal genuine. A failure rate depends on the instrument as much as the scribes. With model, evidence and settings fixed, the review instruction alone moves the share of candidates verified from 9.3% to 79.0%, and the reviewing family moves it too: alone at that instruction the gentler flags 54.8% of notes against 27.8%. Between 28% and 97% of sampled notes carry a failure depending on the standard. Published audits disagree among themselves by a margin instrument differences alone can produce: omission is 54-86% of their errors against our 23.1%. We release all 618 findings with transcript-side evidence, every prompt and model version, and the re-runnable pipeline.

  • 4 authors
·
Aug 30

Debate Helps Supervise Unreliable Experts

As AI systems are used to answer more difficult questions and potentially help create new knowledge, judging the truthfulness of their outputs becomes more difficult and more important. How can we supervise unreliable experts, which have access to the truth but may not accurately report it, to give answers that are systematically true and don't just superficially seem true, when the supervisor can't tell the difference between the two on their own? In this work, we show that debate between two unreliable experts can help a non-expert judge more reliably identify the truth. We collect a dataset of human-written debates on hard reading comprehension questions where the judge has not read the source passage, only ever seeing expert arguments and short quotes selectively revealed by 'expert' debaters who have access to the passage. In our debates, one expert argues for the correct answer, and the other for an incorrect answer. Comparing debate to a baseline we call consultancy, where a single expert argues for only one answer which is correct half of the time, we find that debate performs significantly better, with 84% judge accuracy compared to consultancy's 74%. Debates are also more efficient, being 68% of the length of consultancies. By comparing human to AI debaters, we find evidence that with more skilled (in this case, human) debaters, the performance of debate goes up but the performance of consultancy goes down. Our error analysis also supports this trend, with 46% of errors in human debate attributable to mistakes by the honest debater (which should go away with increased skill); whereas 52% of errors in human consultancy are due to debaters obfuscating the relevant evidence from the judge (which should become worse with increased skill). Overall, these results show that debate is a promising approach for supervising increasingly capable but potentially unreliable AI systems.

  • 7 authors
·
Nov 15, 2023

Open-Weight Masked Introspection: Measuring What Language Models Can Report About Their Own Computation

Are frontier models able to introspect about their internal states? Recent work suggests that under certain conditions a complex enough model can audit its own internals, call out what changed, and report back confidently about it. We tested that claim on eight open-weight models from seven families and found no such ability: asked whether their own computation had been altered, none answered better than chance. To test it we built Open-Weight Masked Introspection (OWMI), a framework that intervenes on residual-stream sites, attention heads and sparse-autoencoder features, then interrogates the model about the change against the null conditions an answer has to beat: sham runs where nothing was altered, impact-matched random perturbations, and a text-only observer that sees only the visible output. Over 78,000 measurements, no model's report discriminates a real intervention from a sham beyond chance (AUROC ~0.5007), and an equivalence test bounds the effect below 0.15 percentage points of AUROC. Surprisingly, all the information needed is in the models. A model fine-tuned to report this class of intervention reaches near-perfect recovery on held-out directions, and a linear probe recovers intervention presence from the same activations at 75% to 95.8% accuracy, sharpening to no held-out error at the last layer before the model speaks. In one model the signal surfaces in the confidence rather than the words: its yes-or-no report never varies, while the confidence attached to it separates intervention from sham at AUROC 0.647. The failure sits in the path from internal state to verbal report, so oversight that reads a model's own testimony needs validating against an internal reference. While our results show the inability of current open-weight models to introspect, the debate is not settled for future models.

  • 1 authors
·
Aug 19

A study of a deterministic model for meningitis epidemic

A compartmental deterministic model that allows (1) immunity from two stages of infection and carriage, and (2) disease induced death, is used in studying the dynamics of meningitis epidemic process in a closed population. It allows for difference in the transmission rate of infection to a susceptible by a carrier and an infective. It is generalized to allow a proportion ({\phi}) of those susceptibles infected to progress directly to infectives in stage I. Both models are used in this study. The threshold conditions for the spread of carrier and infectives in stage I are derived for the two models. Sensitivity analysis is performed on the reproductive number derived from the next generation matrix. The case-carrier ratio profile for various parameters and threshold values are shown. So also are the graphs of the total number ever infected as influenced by {\epsilon} and {\phi}. The infection transmission rate (eta), the odds in favor of a carrier, over an infective, in transmitting an infection to a susceptible ({\epsilon}) and the carrier conversion rate ({\phi}) to an infective in stage I, are identified as key parameters that should be subject of attention for any control intervention strategy. The case-carrier ratio profiles provide evidence of a critical case-carrier ratio attained before the number of reported cases grows to an epidemic level. They also provide visual evidence of epidemiological context, in this case, epidemic incidence (in later part of dry season) and endemic incidence (during rainy season). Results from total proportion ever infected suggest that the model, in which {\phi}=0 obtained, can adequately represent, in essence, the generalized model for this study.

  • 2 authors
·
Mar 31, 2023

RE-Bench: Evaluating frontier AI R&D capabilities of language model agents against human experts

Frontier AI safety policies highlight automation of AI research and development (R&D) by AI agents as an important capability to anticipate. However, there exist few evaluations for AI R&D capabilities, and none that are highly realistic and have a direct comparison to human performance. We introduce RE-Bench (Research Engineering Benchmark, v1), which consists of 7 challenging, open-ended ML research engineering environments and data from 71 8-hour attempts by 61 distinct human experts. We confirm that our experts make progress in the environments given 8 hours, with 82% of expert attempts achieving a non-zero score and 24% matching or exceeding our strong reference solutions. We compare humans to several public frontier models through best-of-k with varying time budgets and agent designs, and find that the best AI agents achieve a score 4x higher than human experts when both are given a total time budget of 2 hours per environment. However, humans currently display better returns to increasing time budgets, narrowly exceeding the top AI agent scores given an 8-hour budget, and achieving 2x the score of the top AI agent when both are given 32 total hours (across different attempts). Qualitatively, we find that modern AI agents possess significant expertise in many ML topics -- e.g. an agent wrote a faster custom Triton kernel than any of our human experts' -- and can generate and test solutions over ten times faster than humans, at much lower cost. We open-source the evaluation environments, human expert data, analysis code and agent trajectories to facilitate future research.

  • 22 authors
·
Nov 22, 2024

A foundation model for human-AI collaboration in medical literature mining

Systematic literature review is essential for evidence-based medicine, requiring comprehensive analysis of clinical trial publications. However, the application of artificial intelligence (AI) models for medical literature mining has been limited by insufficient training and evaluation across broad therapeutic areas and diverse tasks. Here, we present LEADS, an AI foundation model for study search, screening, and data extraction from medical literature. The model is trained on 633,759 instruction data points in LEADSInstruct, curated from 21,335 systematic reviews, 453,625 clinical trial publications, and 27,015 clinical trial registries. We showed that LEADS demonstrates consistent improvements over four cutting-edge generic large language models (LLMs) on six tasks. Furthermore, LEADS enhances expert workflows by providing supportive references following expert requests, streamlining processes while maintaining high-quality results. A study with 16 clinicians and medical researchers from 14 different institutions revealed that experts collaborating with LEADS achieved a recall of 0.81 compared to 0.77 experts working alone in study selection, with a time savings of 22.6%. In data extraction tasks, experts using LEADS achieved an accuracy of 0.85 versus 0.80 without using LEADS, alongside a 26.9% time savings. These findings highlight the potential of specialized medical literature foundation models to outperform generic models, delivering significant quality and efficiency benefits when integrated into expert workflows for medical literature mining.

  • 23 authors
·
Jan 27, 2025

Verified, not generated: expert-verified AI study materials and the distribution of learning gains in a university course

Experimental studies of generative AI in education mostly report average effects, yet field evidence shows that AI can narrow attainment gaps or widen them. We argue that the direction depends on the judgement burden, the expertise a learner must supply to screen AI output before learning from it, and that expert verification before release moves this burden from students to an accountable tutor. We test the argument in a two-cohort difference-in-differences design in which one half of a compulsory firstyear university economics course received AI-generated podcasts, FAQs and quiz-based study guides, produced with a source-grounded model and checked by a named graduate teaching assistant (170 students; 340 examination marks). Access was associated with a 2.34-mark advantage on a 50-mark component. The share of marks below the upper-second classification boundary fell by 24.7 percentage points relative to the counterfactual, effects were significant at every threshold from 23 to 31 marks and at none above, and roughly three-quarters of the average originated in the bottom quintile. The threshold estimate is robust to removing the lowest-scoring students from the pre-intervention cohort; the average effect is not. Interviews and feedback from 36 students indicate that the verification label gave students a reason to engage with AI-generated material without ending their scrutiny of it. Evaluations of AI learning resources that report only mean effects cannot detect whether the students the resources are meant to help are the ones who gain.

  • 2 authors
·
Oct 4

Write, Execute, Refine: From Skill Followers to Skill Optimizers via Reinforcement Learning from Execution Feedback

Expert-written natural language skills can improve tool-using agents, yet agent-authored skills perform 8-11 points worse than using no skill. This gap suggests that following procedural guidance and improving it from execution evidence are distinct capabilities. Inference time loops can repair skills but do not improve the model that writes the next one. We study how to organize execution experience from intermediate skills into training states for an optimizer. We introduce WER (Write, Execute, and Refine), a multi-phase framework that trains a Skill Optimizer outside a frozen executor. The optimizer proposes skills, a frozen agent executes each repeatedly, and a programmatic verifier scores the outcomes. The scores provide relative credit and select mixed-outcome records. Matched successful and failed trajectories from these records form the next phase's refinement states, so the optimizer learns from the consequences of its earlier outputs. On BFCL v4 multi-turn and tau2-bench, WER improves average Pass@1 over the no-skill baseline by 7.80 and 3.85 points, respectively. Under an identical refinement workflow, it outperforms the same backbone without optimizer training by 9.35 and 10.29 points. The trained 4B optimizer reaches 76.63 percent on BFCL v4, outperforming all evaluated off-the-shelf general-purpose models used as skill optimizers on average.

  • 10 authors
·
Aug 18

To Trust or to Think: Cognitive Forcing Functions Can Reduce Overreliance on AI in AI-assisted Decision-making

People supported by AI-powered decision support tools frequently overrely on the AI: they accept an AI's suggestion even when that suggestion is wrong. Adding explanations to the AI decisions does not appear to reduce the overreliance and some studies suggest that it might even increase it. Informed by the dual-process theory of cognition, we posit that people rarely engage analytically with each individual AI recommendation and explanation, and instead develop general heuristics about whether and when to follow the AI suggestions. Building on prior research on medical decision-making, we designed three cognitive forcing interventions to compel people to engage more thoughtfully with the AI-generated explanations. We conducted an experiment (N=199), in which we compared our three cognitive forcing designs to two simple explainable AI approaches and to a no-AI baseline. The results demonstrate that cognitive forcing significantly reduced overreliance compared to the simple explainable AI approaches. However, there was a trade-off: people assigned the least favorable subjective ratings to the designs that reduced the overreliance the most. To audit our work for intervention-generated inequalities, we investigated whether our interventions benefited equally people with different levels of Need for Cognition (i.e., motivation to engage in effortful mental activities). Our results show that, on average, cognitive forcing interventions benefited participants higher in Need for Cognition more. Our research suggests that human cognitive motivation moderates the effectiveness of explainable AI solutions.

  • 3 authors
·
Feb 18, 2021

Storage Is Not Strategy: State-Conditioned Support Control for LLM Unlearning

Many localized large language model (LLM) unlearning methods select a small parameter subset from a localization signal and keep it fixed during optimization. The parameters most associated with a target, however, need not be the best ones to update, and candidate interventions can change value as optimization proceeds. In a controlled experiment, a storage-localization score reaches an area under the receiver operating characteristic curve (AUROC) of 0.981, yet storage identity agrees with the better intervention on only 17/36 targets, while low-rank adaptation (LoRA) wins 35/36. We introduce Intervention Score, which ranks editable groups by the predicted effect of the actual unlearning update while accounting for collateral damage, and use it to form the static intervention-value baseline (Static-IV). We then introduce selective dynamic intervention re-ranking (DIR-R), which revisits that subset only when a calibrated probe justifies the comparison. On the Natural-TOFU dataset, our method has positive descriptive margins in 19/20 comparisons between methods and objectives, although several are near zero. On the LACUNA localization-precision benchmark, our mean terminal utility is higher in all six negative preference optimization (NPO) and SimNPO comparisons: NPO margins range from +0.431 to +0.848, and SimNPO margins range from +0.503 to +0.571. The gradient-difference (GradDiff) objective reveals substantial field dependence. Relative to Static-IV, the primary four-field GradDiff evaluation has six wins, six ties, and no losses, with mean and median paired gains of +0.165 and +0.0025. The evidence supports separating localization, initial intervention selection, and checkpoint-dependent support revision.

  • 5 authors
·
Oct 5

Socratic Skill Learning: Interleaving Teaching and Practice for Transferable Agent Skills

Agent Skills improve LLM agents by making task knowledge reusable across sessions. Learning transferable Skills requires evidence about a procedure and its conditions of use, which a successful task attempt can leave untested. We introduce Socratic Skill Learning (SSL), which interleaves expert teaching with Student practice. An Educator guides investigation while the Student remains the sole environment operator and Skill author, able to question, test, and adapt advice. To test reuse beyond the learning task, we construct SkillTransferBench, with 35 task families and 408 executable cases, pairing public variation specifications with held-out evaluation in fresh solver sessions. On the main 22-family, 155-case cohort, Fixed-Window SSL reaches 0.801 utility, versus 0.723 without a Skill, 0.761 for adapted Trace2Skill (trajectory distillation), and 0.751 for adapted SKILL-KD (contrastive distillation). Across three model pairs on shared families, interleaved guidance outperforms expert authoring and post-hoc teaching. Process analysis links guidance to Student writing and package revision; a case study shows the Student testing and refining a proposed procedure for later reuse. As demand for new lessons falls, the cost of fixed-window review grows. Issue-Guided SSL tracks unresolved questions across Skill revisions to select and focus review, reaching 0.805 utility with 61.7% fewer Educator tokens and 16.9% fewer total acquisition tokens than Fixed-Window SSL on the main cohort.

NJU-LINK NJU-LINK Lab
·
Oct 12 2

HALO: Human-Grounded Granular Evaluation of Proactive Agents

Proactive agents must decide whether, when, and how far to assist without an explicit request. Existing evaluations often rely on automated scores or binary verdicts, offering limited human diagnosis of evidence use and intervention quality. To address these gaps, we introduce HALO, Human-Grounded GrAnular EvaLuation of PrOactive Agents. HALO-Arena covers 4 proactive need types, Dependency, Blockage, Risk, and Opportunity, across 10 everyday domains and 50 personal environments. Scenarios require agents to retrieve evidence from structured databases or unstructured documents before judging whether assistance is warranted and choosing its scope. On HALO-Arena, we construct HALO-8K, a dataset of 8,000 responses from 10 models across 400 scenarios, annotated by 20 experts for action level, acceptability verdicts, and human diagnosis. For rejected responses, human diagnosis covers timing, intensity, and other issues. Recorded reasoning tokens and retrieval rounds measure the effort behind these responses. The best proprietary and open-source models achieve 72.88% and 56.63% acceptability, respectively. Our central finding is that over-proactivity is the dominant observed failure mode, with Premature timing or Excessive intensity accounting for 61.20% of rejected responses. Further analyses yield complementary findings on the balance between intervention and restraint, evidence acquisition, and the calibration of timing and intensity.

2077AIDataFoundation 2077AI
·
Oct 28 2

The impact of using an AI chatbot to respond to patient messages

Documentation burden is a major contributor to clinician burnout, which is rising nationally and is an urgent threat to our ability to care for patients. Artificial intelligence (AI) chatbots, such as ChatGPT, could reduce clinician burden by assisting with documentation. Although many hospitals are actively integrating such systems into electronic medical record systems, AI chatbots utility and impact on clinical decision-making have not been studied for this intended use. We are the first to examine the utility of large language models in assisting clinicians draft responses to patient questions. In our two-stage cross-sectional study, 6 oncologists responded to 100 realistic synthetic cancer patient scenarios and portal messages developed to reflect common medical situations, first manually, then with AI assistance. We find AI-assisted responses were longer, less readable, but provided acceptable drafts without edits 58% of time. AI assistance improved efficiency 77% of time, with low harm risk (82% safe). However, 7.7% unedited AI responses could severely harm. In 31% cases, physicians thought AI drafts were human-written. AI assistance led to more patient education recommendations, fewer clinical actions than manual responses. Results show promise for AI to improve clinician efficiency and patient care through assisting documentation, if used judiciously. Monitoring model outputs and human-AI interaction remains crucial for safe implementation.

  • 15 authors
·
Oct 26, 2023