Yuan Sui
Publications
EvoClinician: A Self-Evolving Agent for Multi-Turn Medical Diagnosis via Test-Time Evolutionary Learning
Prevailing medical AI operates on an unrealistic ''one-shot'' model, diagnosing from a complete patient file. However, real-world diagnosis is an iterative inquiry where Clinicians sequentially ask questions and order tests to strategically gather information while managing cost and time. To address this, we first propose Med-Inquire, a new benchmark designed to evaluate an agent's ability to perform multi-turn diagnosis. Built upon a dataset of real-world clinical cases, Med-Inquire simulates the diagnostic process by hiding a complete patient file behind specialized Patient and Examination agents. They force the agent to proactively ask questions and order tests to gather information piece by piece. To tackle the challenges posed by Med-Inquire, we then introduce EvoClinician, a self-evolving agent that learns efficient diagnostic strategies at test time. Its core is a ''Diagnose-Grade-Evolve'' loop: an Actor agent attempts a diagnosis; a Process Grader agent performs credit assignment by evaluating each action for both clinical yield and resource efficiency; finally, an Evolver agent uses this feedback to update the Actor's strategy by evolving its prompt and memory. Our experiments show EvoClinician outperforms continual learning baselines and other self-evolving agents like memory agents. The code is available at https://github.com/yf-he/EvoClinician
Conversation for Non-verifiable Learning: Self-Evolving LLMs through Meta-Evaluation
Training large language models (LLMs) for non-verifiable tasks, such as creative writing, dialogue, and ethical reasoning, remains challenging due to the absence of ground-truth labels. While LLM-as-Judge approaches offer a scalable alternative to human feedback, they face a fundamental limitation: performance is constrained by the evaluator's own quality. If the judge cannot recognize good solutions, it cannot provide useful training signals, and evaluation biases (e.g., favoring verbosity over quality) remain unaddressed. This motivates meta-evaluation: the ability to evaluate and improve the evaluator itself. We introduce CoNL, a framework that unifies generation, evaluation, and meta-evaluation through multi-agent self-play. Our key insight: critique quality can be measured by whether it helps others improve their solutions. In CoNL, multiple agents sharing the same policy engage in structured conversations to propose, critique, and revise solutions. Critiques that enable solution improvements earn a diagnostic reward, creating explicit supervision for meta-evaluation and enabling joint optimization of generation and judging capabilities through self-play, without external judges or ground truth. Experiments on five benchmarks show that CoNL achieves consistent improvements over self-rewarding baselines while maintaining stable training.