Named after the hundred-eyed watchman of Greek myth, Argus watches the education landscape: spotting new opportunities, pressure-testing the ventures we're building, and tracing every read back to the real-world signals behind it.
Signal [25] (ResidencyRL) demonstrates RL in simulated clinical environments is now technically feasible; signal [16] shows LLM-based diagnostic agents with dual memory achieve meaningful clinical reasoning gains; signal [15] shows failure-state-aware retrieval can route to the right remediation; and signal [0] provides a formal framework for retiring mastered skills from a noisy scalar—all capabilities that have matured simultaneously in 2024-2025.
Medical trainees lack sufficient diverse patient encounter volume and feedback variety during residency, yet simulated clinical training environments that adapt to trainee skill level and provide longitudinal diagnostic feedback remain absent at scale.
Medical schools, residency programs, and clinical training institutions seeking to supplement in-person rotations with scalable, adaptive simulation environments.
A platform that places medical trainees in progressively complex simulated clinical encounters using RL-trained agents, accumulating reusable diagnostic patterns and dual-memory (episodic + semantic) across thousands of cases. The system tracks skill-level mastery per diagnostic domain, retires mastered skills based on statistically reliable performance signals, and routes trainees to failure-state-targeted cases—mirroring how residency builds expertise through accumulated experience rather than isolated knowledge transfer.
The real-world evidence the pipeline drew on to generate this idea.
arXiv:2608.07418v1 Announce Type: cross Abstract: In medical education, physicians convert academic knowledge into clinical expertise through residency: years of training across thousands of encounters, with diverse sources of feedback and progressively greater autonomy. Much of clinical reasoning relies on the patient encounter, a dialogue in which a clinician elicits history, refines diagnostic hypotheses, and decides management under uncertainty. While large language models (LLMs) excel on static medical benchmarks, methods to optimize the full sequence of clinical decisions remain underdeveloped. We present ResidencyRL, a reinforcement learning (RL) method for training clinical artificial intelligence (AI) agents through simulated multi-turn clinical encounters (up to 60 dialogue turns and 8 tool calls per trajectory). ResidencyRL pairs the policy agent with LLM simulators capable of complex, adversarial behaviors, training against a structured reward aligned to diagnostic accuracy
arXiv:2604.07269v2 Announce Type: replace Abstract: Clinical expertise improves not only by acquiring medical knowledge, but by accumulating experience that yields reusable diagnostic patterns. Recent LLMs-based diagnostic agents have shown promising progress in clinical reasoning for decision support. However, most approaches treat cases independently, limiting experience reuse and continual adaptation. We propose SEA, a self-learning diagnostic agent with cognitively inspired dual-memory module. We design a reinforcement training framework tailored to our designed agent for joint optimization of reasoning and memory management. We evaluate SEA in two complementary settings. On standard evaluation with MedCaseReasoning dataset, SEA achieves 92.46% accuracy, outperforming the strongest baseline by +19.6%, demonstrating the benefit of jointly optimizing reasoning and memory. On the long-horizon with ER-Reason dataset, SEA attains the best final accuracy (0.7214) and the largest improvem
arXiv:2604.15771v4 Announce Type: replace Abstract: Retrieval-Augmented Generation (RAG) has emerged as a foundational paradigm for grounding large language models in external knowledge. While adaptive retrieval mechanisms have improved retrieval efficiency, existing approaches treat post-retrieval failure as a signal to retry rather than to diagnose -- leaving the structural causes of query-evidence misalignment unaddressed. We observe that a significant portion of persistent retrieval failures stem not from the absence of relevant evidence but from an alignment gap between the query and the evidence space. We propose Skill-RAG, a failure-aware RAG framework that couples a lightweight hidden-state prober with a prompt-based skill router. The prober gates retrieval at two pipeline stages; upon detecting a failure state, the skill router diagnoses the underlying cause and selects among four retrieval skills -- query rewriting, question decomposition, evidence focusing, and an exit skill
arXiv:2605.22148v3 Announce Type: replace-cross Abstract: A large language model (LLM) agent that writes and edits its own skill library must also decide which skills to keep, from one noisy scalar per skill. The answer is exact: a judge scoring failures as passes at rate $(1-\tau)/2$ or above retires nothing, at any sample size, for eviction margin $\tau$. Audits find that machinery is rarely built: LLM-written skills are worth $+0.0$ percentage points (pp) against a no-skill control, human-written ones $+16.2$pp. Unmaintained, a library enters \emph{library drift}, growing until injecting a skill scores worse than injecting nothing. \textbf{Ratchet} repairs this: it evicts each skill on its measured contribution, caps the library at width $C$, and constrains synthesis, lifting held-out $pass@1$ by $+0.328$ on a hard MBPP+ slice. The matching non-divergence bound is finite for exactly two reasons, $C$ and $\tau$. Our contribution is the condition this repair carries and no deployed sy
arXiv:2608.07449v1 Announce Type: cross Abstract: LLM agents increasingly adapt to recurring tasks by accumulating procedural knowledge in skills. These skills are lightweight, reusable textual artifacts that are loaded into the agent's context without weight updates. Recent methods refine skills through iterative task execution, failure diagnosis, and trajectory-guided text-space updates. However, existing frameworks lack explicit diagnosis--outcome feedback and treat deletion as a generic edit operation rather than a dedicated mechanism for consolidating accumulated knowledge. We introduce SkillProx, a proximal-gradient-inspired forward--backward framework that couples closed-loop diagnostic evolution with utility-aware proximal refinement. Motivated by a composite objective balancing task loss and skill complexity, the forward stage re-executes diagnosis-driven edits on the same task batch, rolls back regressions, and feeds measured outcomes into subsequent diagnoses. The backward s