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Apr 14

Zhongjing: Enhancing the Chinese Medical Capabilities of Large Language Model through Expert Feedback and Real-world Multi-turn Dialogue

Recent advances in Large Language Models (LLMs) have achieved remarkable breakthroughs in understanding and responding to user intents. However, their performance lag behind general use cases in some expertise domains, such as Chinese medicine. Existing efforts to incorporate Chinese medicine into LLMs rely on Supervised Fine-Tuning (SFT) with single-turn and distilled dialogue data. These models lack the ability for doctor-like proactive inquiry and multi-turn comprehension and cannot align responses with experts' intentions. In this work, we introduce Zhongjing, the first Chinese medical LLaMA-based LLM that implements an entire training pipeline from continuous pre-training, SFT, to Reinforcement Learning from Human Feedback (RLHF). Additionally, we construct a Chinese multi-turn medical dialogue dataset of 70,000 authentic doctor-patient dialogues, CMtMedQA, which significantly enhances the model's capability for complex dialogue and proactive inquiry initiation. We also define a refined annotation rule and evaluation criteria given the unique characteristics of the biomedical domain. Extensive experimental results show that Zhongjing outperforms baselines in various capacities and matches the performance of ChatGPT in some abilities, despite the 100x parameters. Ablation studies also demonstrate the contributions of each component: pre-training enhances medical knowledge, and RLHF further improves instruction-following ability and safety. Our code, datasets, and models are available at https://github.com/SupritYoung/Zhongjing.

  • 7 authors
·
Aug 7, 2023

Reasoning While Asking: Transforming Reasoning Large Language Models from Passive Solvers to Proactive Inquirers

Reasoning-oriented Large Language Models (LLMs) have achieved remarkable progress with Chain-of-Thought (CoT) prompting, yet they remain fundamentally limited by a blind self-thinking paradigm: performing extensive internal reasoning even when critical information is missing or ambiguous. We propose Proactive Interactive Reasoning (PIR), a new reasoning paradigm that transforms LLMs from passive solvers into proactive inquirers that interleave reasoning with clarification. Unlike existing search- or tool-based frameworks that primarily address knowledge uncertainty by querying external environments, PIR targets premise- and intent-level uncertainty through direct interaction with the user. PIR is implemented via two core components: (1) an uncertainty-aware supervised fine-tuning procedure that equips models with interactive reasoning capability, and (2) a user-simulator-based policy optimization framework driven by a composite reward that aligns model behavior with user intent. Extensive experiments on mathematical reasoning, code generation, and document editing demonstrate that PIR consistently outperforms strong baselines, achieving up to 32.70\% higher accuracy, 22.90\% higher pass rate, and 41.36 BLEU improvement, while reducing nearly half of the reasoning computation and unnecessary interaction turns. Further reliability evaluations on factual knowledge, question answering, and missing-premise scenarios confirm the strong generalization and robustness of PIR. Model and code are publicly available at: https://github.com/SUAT-AIRI/Proactive-Interactive-R1

  • 8 authors
·
Jan 29

Teaching Language Models To Gather Information Proactively

Large language models (LLMs) are increasingly expected to function as collaborative partners, engaging in back-and-forth dialogue to solve complex, ambiguous problems. However, current LLMs often falter in real-world settings, defaulting to passive responses or narrow clarifications when faced with incomplete or under-specified prompts, falling short of proactively gathering the missing information that is crucial for high-quality solutions. In this work, we introduce a new task paradigm: proactive information gathering, where LLMs must identify gaps in the provided context and strategically elicit implicit user knowledge through targeted questions. To systematically study and train this capability, we design a scalable framework that generates partially specified, real-world tasks, masking key information and simulating authentic ambiguity. Within this setup, our core innovation is a reinforcement finetuning strategy that rewards questions that elicit genuinely new, implicit user information -- such as hidden domain expertise or fine-grained requirements -- that would otherwise remain unspoken. Experiments demonstrate that our trained Qwen-2.5-7B model significantly outperforms o3-mini by 18% on automatic evaluation metrics. More importantly, human evaluation reveals that clarification questions and final outlines generated by our model are favored by human annotators by 42% and 28% respectively. Together, these results highlight the value of proactive clarification in elevating LLMs from passive text generators to genuinely collaborative thought partners.

  • 7 authors
·
Jul 28, 2025

PIRA-Bench: A Transition from Reactive GUI Agents to GUI-based Proactive Intent Recommendation Agents

Current Graphical User Interface (GUI) agents operate primarily under a reactive paradigm: a user must provide an explicit instruction for the agent to execute a task. However, an intelligent AI assistant should be proactive, which is capable of anticipating user intentions directly from continuous visual inputs, such as mobile or desktop screenshots, and offering timely recommendations without explicit user prompting. Transitioning to this proactive paradigm presents significant challenges. Real-world screen activity is rarely linear; it consists of long-horizon trajectories fraught with noisy browsing, meaningless actions, and multithreaded task-switching. To address this gap, we introduce PIRA-Bench (Proactive Intent Recommendation Agent Benchmark), a novel benchmark for evaluating multimodal large language models (MLLMs) on continuous, weakly-supervised visual inputs. Unlike reactive datasets, PIRA-Bench features complex trajectories with multiple interleaved intents and noisy segments with various user profile contexts, challenging agents to detect actionable events while fitting to user preferences. Furthermore, we propose the PIRF baseline, a memory-aware, state-tracking framework that empowers general MLLMs to manage multiple task threads and handle misleading visual inputs. PIRA-Bench serves as an initial step toward robust and proactive GUI-based personal assistants.

  • 5 authors
·
Mar 9 2

Proactive Agent: Shifting LLM Agents from Reactive Responses to Active Assistance

Agents powered by large language models have shown remarkable abilities in solving complex tasks. However, most agent systems remain reactive, limiting their effectiveness in scenarios requiring foresight and autonomous decision-making. In this paper, we tackle the challenge of developing proactive agents capable of anticipating and initiating tasks without explicit human instructions. We propose a novel data-driven approach for this problem. Firstly, we collect real-world human activities to generate proactive task predictions. These predictions are then labeled by human annotators as either accepted or rejected. The labeled data is used to train a reward model that simulates human judgment and serves as an automatic evaluator of the proactiveness of LLM agents. Building on this, we develop a comprehensive data generation pipeline to create a diverse dataset, ProactiveBench, containing 6,790 events. Finally, we demonstrate that fine-tuning models with the proposed ProactiveBench can significantly elicit the proactiveness of LLM agents. Experimental results show that our fine-tuned model achieves an F1-Score of 66.47% in proactively offering assistance, outperforming all open-source and close-source models. These results highlight the potential of our method in creating more proactive and effective agent systems, paving the way for future advancements in human-agent collaboration.

  • 15 authors
·
Oct 16, 2024

ContextAgent: Context-Aware Proactive LLM Agents with Open-World Sensory Perceptions

Recent advances in Large Language Models (LLMs) have propelled intelligent agents from reactive responses to proactive support. While promising, existing proactive agents either rely exclusively on observations from enclosed environments (e.g., desktop UIs) with direct LLM inference or employ rule-based proactive notifications, leading to suboptimal user intent understanding and limited functionality for proactive service. In this paper, we introduce ContextAgent, the first context-aware proactive agent that incorporates extensive sensory contexts to enhance the proactive capabilities of LLM agents. ContextAgent first extracts multi-dimensional contexts from massive sensory perceptions on wearables (e.g., video and audio) to understand user intentions. ContextAgent then leverages the sensory contexts and the persona contexts from historical data to predict the necessity for proactive services. When proactive assistance is needed, ContextAgent further automatically calls the necessary tools to assist users unobtrusively. To evaluate this new task, we curate ContextAgentBench, the first benchmark for evaluating context-aware proactive LLM agents, covering 1,000 samples across nine daily scenarios and twenty tools. Experiments on ContextAgentBench show that ContextAgent outperforms baselines by achieving up to 8.5% and 6.0% higher accuracy in proactive predictions and tool calling, respectively. We hope our research can inspire the development of more advanced, human-centric, proactive AI assistants.

  • 10 authors
·
May 20, 2025

MediQ: Question-Asking LLMs and a Benchmark for Reliable Interactive Clinical Reasoning

Users typically engage with LLMs interactively, yet most existing benchmarks evaluate them in a static, single-turn format, posing reliability concerns in interactive scenarios. We identify a key obstacle towards reliability: LLMs are trained to answer any question, even with incomplete context or insufficient knowledge. In this paper, we propose to change the static paradigm to an interactive one, develop systems that proactively ask questions to gather more information and respond reliably, and introduce an benchmark - MediQ - to evaluate question-asking ability in LLMs. MediQ simulates clinical interactions consisting of a Patient System and an adaptive Expert System; with potentially incomplete initial information, the Expert refrains from making diagnostic decisions when unconfident, and instead elicits missing details via follow-up questions. We provide a pipeline to convert single-turn medical benchmarks into an interactive format. Our results show that directly prompting state-of-the-art LLMs to ask questions degrades performance, indicating that adapting LLMs to proactive information-seeking settings is nontrivial. We experiment with abstention strategies to better estimate model confidence and decide when to ask questions, improving diagnostic accuracy by 22.3%; however, performance still lags compared to an (unrealistic in practice) upper bound with complete information upfront. Further analyses show improved interactive performance with filtering irrelevant contexts and reformatting conversations. Overall, we introduce a novel problem towards LLM reliability, an interactive MediQ benchmark and a novel question-asking system, and highlight directions to extend LLMs' information-seeking abilities in critical domains.

  • 7 authors
·
Jun 2, 2024

ProactiveMobile: A Comprehensive Benchmark for Boosting Proactive Intelligence on Mobile Devices

Multimodal large language models (MLLMs) have made significant progress in mobile agent development, yet their capabilities are predominantly confined to a reactive paradigm, where they merely execute explicit user commands. The emerging paradigm of proactive intelligence, where agents autonomously anticipate needs and initiate actions, represents the next frontier for mobile agents. However, its development is critically bottlenecked by the lack of benchmarks that can address real-world complexity and enable objective, executable evaluation. To overcome these challenges, we introduce ProactiveMobile, a comprehensive benchmark designed to systematically advance research in this domain. ProactiveMobile formalizes the proactive task as inferring latent user intent across four dimensions of on-device contextual signals and generating an executable function sequence from a comprehensive function pool of 63 APIs. The benchmark features over 3,660 instances of 14 scenarios that embrace real-world complexity through multi-answer annotations. To ensure quality, a team of 30 experts conducts a final audit of the benchmark, verifying factual accuracy, logical consistency, and action feasibility, and correcting any non-compliant entries. Extensive experiments demonstrate that our fine-tuned Qwen2.5-VL-7B-Instruct achieves a success rate of 19.15%, outperforming o1 (15.71%) and GPT-5 (7.39%). This result indicates that proactivity is a critical competency widely lacking in current MLLMs, yet it is learnable, emphasizing the importance of the proposed benchmark for proactivity evaluation.

  • 15 authors
·
Feb 25

Plug-and-Play Policy Planner for Large Language Model Powered Dialogue Agents

Proactive dialogues serve as a practical yet challenging dialogue problem in the era of large language models (LLMs), where the dialogue policy planning is the key to improving the proactivity of LLMs. Most existing studies enable the dialogue policy planning of LLMs using various prompting schemes or iteratively enhance this capability in handling the given case with verbal AI feedback. However, these approaches are either bounded by the policy planning capability of the frozen LLMs or hard to be transferred to new cases. In this work, we introduce a new dialogue policy planning paradigm to strategize LLMs for proactive dialogue problems with a tunable language model plug-in as a plug-and-play dialogue policy planner, named PPDPP. Specifically, we develop a novel training framework to facilitate supervised fine-tuning over available human-annotated data as well as reinforcement learning from goal-oriented AI feedback with dynamic interaction data collected by the LLM-based self-play simulation. In this manner, the LLM-powered dialogue agent can not only be generalized to different cases after the training, but also be applicable to different applications by just substituting the learned plug-in. In addition, we propose to evaluate the policy planning capability of dialogue systems under the interactive setting. Experimental results demonstrate that PPDPP consistently and substantially outperforms existing approaches on three different proactive dialogue applications, including negotiation, emotional support, and tutoring dialogues.

  • 5 authors
·
Oct 31, 2023

PRISM: Festina Lente Proactivity -- Risk-Sensitive, Uncertainty-Aware Deliberation for Proactive Agents

Proactive agents must decide not only what to say but also whether and when to intervene. Many current systems rely on brittle heuristics or indiscriminate long reasoning, which offers little control over the benefit-burden tradeoff. We formulate the problem as cost-sensitive selective intervention and present PRISM, a novel framework that couples a decision-theoretic gate with a dual-process reasoning architecture. At inference time, the agent intervenes only when a calibrated probability of user acceptance exceeds a threshold derived from asymmetric costs of missed help and false alarms. Inspired by festina lente (Latin: "make haste slowly"), we gate by an acceptance-calibrated, cost-derived threshold and invoke a resource-intensive Slow mode with counterfactual checks only near the decision boundary, concentrating computation on ambiguous and high-stakes cases. Training uses gate-aligned, schema-locked distillation: a teacher running the full PRISM pipeline provides dense, executable supervision on unlabeled interaction traces, while the student learns a response policy that is explicitly decoupled from the intervention gate to enable tunable and auditable control. On ProactiveBench, PRISM reduces false alarms by 22.78% and improves F1 by 20.14% over strong baselines. These results show that principled decision-theoretic gating, paired with selective slow reasoning and aligned distillation, yields proactive agents that are precise, computationally efficient, and controllable. To facilitate reproducibility, we release our code, models, and resources at https://prism-festinalente.github.io/; all experiments use the open-source ProactiveBench benchmark.

  • 5 authors
·
Feb 1

Proactive Agents for Multi-Turn Text-to-Image Generation Under Uncertainty

User prompts for generative AI models are often underspecified, leading to sub-optimal responses. This problem is particularly evident in text-to-image (T2I) generation, where users commonly struggle to articulate their precise intent. This disconnect between the user's vision and the model's interpretation often forces users to painstakingly and repeatedly refine their prompts. To address this, we propose a design for proactive T2I agents equipped with an interface to (1) actively ask clarification questions when uncertain, and (2) present their understanding of user intent as an understandable belief graph that a user can edit. We build simple prototypes for such agents and verify their effectiveness through both human studies and automated evaluation. We observed that at least 90% of human subjects found these agents and their belief graphs helpful for their T2I workflow. Moreover, we develop a scalable automated evaluation approach using two agents, one with a ground truth image and the other tries to ask as few questions as possible to align with the ground truth. On DesignBench, a benchmark we created for artists and designers, the COCO dataset (Lin et al., 2014), and ImageInWords (Garg et al., 2024), we observed that these T2I agents were able to ask informative questions and elicit crucial information to achieve successful alignment with at least 2 times higher VQAScore (Lin et al., 2024) than the standard single-turn T2I generation. Demo: https://github.com/google-deepmind/proactive_t2i_agents.

  • 7 authors
·
Dec 9, 2024

Exploring the Inquiry-Diagnosis Relationship with Advanced Patient Simulators

Online medical consultation (OMC) restricts doctors to gathering patient information solely through inquiries, making the already complex sequential decision-making process of diagnosis even more challenging. Recently, the rapid advancement of large language models has demonstrated a significant potential to transform OMC. However, most studies have primarily focused on improving diagnostic accuracy under conditions of relatively sufficient information, while paying limited attention to the "inquiry" phase of the consultation process. This lack of focus has left the relationship between "inquiry" and "diagnosis" insufficiently explored. In this paper, we first extract real patient interaction strategies from authentic doctor-patient conversations and use these strategies to guide the training of a patient simulator that closely mirrors real-world behavior. By inputting medical records into our patient simulator to simulate patient responses, we conduct extensive experiments to explore the relationship between "inquiry" and "diagnosis" in the consultation process. Experimental results demonstrate that inquiry and diagnosis adhere to the Liebig's law: poor inquiry quality limits the effectiveness of diagnosis, regardless of diagnostic capability, and vice versa. Furthermore, the experiments reveal significant differences in the inquiry performance of various models. To investigate this phenomenon, we categorize the inquiry process into four types: (1) chief complaint inquiry; (2) specification of known symptoms; (3) inquiry about accompanying symptoms; and (4) gathering family or medical history. We analyze the distribution of inquiries across the four types for different models to explore the reasons behind their significant performance differences. We plan to open-source the weights and related code of our patient simulator at https://github.com/LIO-H-ZEN/PatientSimulator.

  • 10 authors
·
Jan 16, 2025 4

ProRAG: Process-Supervised Reinforcement Learning for Retrieval-Augmented Generation

Reinforcement learning (RL) has become a promising paradigm for optimizing Retrieval-Augmented Generation (RAG) in complex reasoning tasks. However, traditional outcome-based RL approaches often suffer from reward sparsity and inefficient credit assignment, as coarse-grained scalar rewards fail to identify specific erroneous steps within long-horizon trajectories. This ambiguity frequently leads to "process hallucinations", where models reach correct answers through flawed logic or redundant retrieval steps. Although recent process-aware approaches attempt to mitigate this via static preference learning or heuristic reward shaping, they often lack the on-policy exploration capabilities required to decouple step-level credit from global outcomes. To address these challenges, we propose ProRAG, a process-supervised reinforcement learning framework designed to integrate learned step-level supervision into the online optimization loop. Our framework consists of four stages: (1) Supervised Policy Warmup to initialize the model with a structured reasoning format; (2) construction of an MCTS-based Process Reward Model (PRM) to quantify intermediate reasoning quality; (3) PRM-Guided Reasoning Refinement to align the policy with fine-grained process preferences; and (4) Process-Supervised Reinforcement Learning with a dual-granularity advantage mechanism. By aggregating step-level process rewards with global outcome signals, ProRAG provides precise feedback for every action. Extensive experiments on five multi-hop reasoning benchmarks demonstrate that ProRAG achieves superior overall performance compared to strong outcome-based and process-aware RL baselines, particularly on complex long-horizon tasks, validating the effectiveness of fine-grained process supervision. The code and model are available at https://github.com/lilinwz/ProRAG.

  • 3 authors
·
Jan 29