Xiaosong Wang
Publications
SKT: Skill-Use Training at Scale via Verified Synthetic Data Generation
Agent skills have become an important mechanism for equipping language-model agents with reusable procedural knowledge. However, providing skills alone does not guarantee that current models can effectively identify, apply, and coordinate them. To improve skill-use capabilities, we introduce SKT, a verified data synthesis pipeline that constructs skill-grounded tasks and executable trajectories from large collections of agent skills. SKT selects suitable single-skill and multi-skill configurations, synthesizes tasks through rule-based and agent-based verification with feedback-guided repair, and retains only successful trajectories that substantially use every required skill. Using 2,000 public skills, SKT produces 4,000 task packages and 27,164 verified trajectories. Based on the same pipeline and a disjoint test pool, we further construct SkillEval, a held-out executable benchmark for evaluating skill use. Experiments across diverse models, benchmarks, and agent harnesses show that supervised fine-tuning on SKT-generated trajectories consistently improves skill-use performance. Verification ablations, cross-harness evaluation, and scaling experiments further demonstrate that these gains depend on high-quality supervision, extend beyond a single agent interface, and increase with broader skill coverage. Together, these results establish verified data synthesis as an effective and scalable approach for skill-use training.
Evidence-Grounded AI for Musculoskeletal Care
Musculoskeletal diseases are among the leading causes of disability worldwide and create the greatest global need for rehabilitation. Because recovery, remodelling and degeneration often unfold over months to years, musculoskeletal care requires longitudinal management that repeatedly integrates evolving patient evidence, external medical knowledge and stage-specific functional goals. In routine practice, this evidence is fragmented across visits, departments and hospital systems, limiting individualized, evidence-based care. Here we report OrthoPilot, a clinical artificial intelligence system powered by a large language model that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal management. OrthoPilot autonomously retrieves real-time imaging, laboratory, pathology and order data and converts evolving patient states into evidence-based decisions from admission diagnosis to rehabilitation planning. We established a specialist-validated benchmark from real-world electronic health records spanning 1,000 disease codes. In a reader study across the complete care pathway, OrthoPilot was compared with 81 orthopaedic physicians and surpassed experts with 25 years of experience in diagnostic reasoning, clinical decision-making and management planning. It also outperformed all evaluated intelligent systems across 60 external clinical centres. In a prospective study of 1,870 complex cases, OrthoPilot increased full-chain management success by 10.6%. During an 8-month randomised deployment involving 8,240 inpatients, it increased cumulative cases per bed by 9.7% and improved patient-reported access to health information. These results move clinical AI from predicting isolated events toward executing longitudinal management across complete musculoskeletal care pathways.