Leveraging Large Language Model as Simulated Patients for Clinical Education

Simulated Patients (SPs) play a crucial role in clinical medical education by providing realistic scenarios for student practice. However, the high cost of training and hiring qualified SPs, along with the heavy workload and potential risks they face in consistently portraying actual patients, limit students' access to this type of clinical training. Consequently, the integration of computer program-based simulated patients has emerged as a valuable educational tool in recent years. With the rapid development of Large Language Models (LLMs), their exceptional capabilities in conversational artificial intelligence and role-playing have been demonstrated, making them a feasible option for implementing Virtual Simulated Patient (VSP). In this paper, we present an integrated model-agnostic framework called CureFun that harnesses the potential of LLMs in clinical medical education. This framework facilitates natural conversations between students and simulated patients, evaluates their dialogue, and provides suggestions to enhance students' clinical inquiry skills. Through comprehensive evaluations, our approach demonstrates more authentic and professional SP-scenario dialogue flows compared to other LLM-based chatbots, thus proving its proficiency in simulating patients. Additionally, leveraging CureFun's evaluation ability, we assess several medical LLMs and discuss the possibilities and limitations of using LLMs as virtual doctors from the perspective of their diagnostic abilities.

TimeTraveler: Reinforcement Learning for Temporal Knowledge Graph Forecasting

Temporal knowledge graph (TKG) reasoning is a crucial task that has gained increasing research interest in recent years. Most existing methods focus on reasoning at past timestamps to complete the missing facts, and there are only a few works of reasoning on known TKGs to forecast future facts. Compared with the completion task, the forecasting task is more difficult that faces two main challenges: (1) how to effectively model the time information to handle future timestamps? (2) how to make inductive inference to handle previously unseen entities that emerge over time? To address these challenges, we propose the first reinforcement learning method for forecasting. Specifically, the agent travels on historical knowledge graph snapshots to search for the answer. Our method defines a relative time encoding function to capture the timespan information, and we design a novel time-shaped reward based on Dirichlet distribution to guide the model learning. Furthermore, we propose a novel representation method for unseen entities to improve the inductive inference ability of the model. We evaluate our method for this link prediction task at future timestamps. Extensive experiments on four benchmark datasets demonstrate substantial performance improvement meanwhile with higher explainability, less calculation, and fewer parameters when compared with existing state-of-the-art methods.

Reinforced Hybrid Genetic Algorithm for the Traveling Salesman Problem

We propose a powerful Reinforced Hybrid Genetic Algorithm (RHGA) for the famous NP-hard Traveling Salesman Problem (TSP). RHGA combines reinforcement learning technique with the well-known Edge Assembly Crossover genetic algorithm (EAX-GA) and the Lin-Kernighan-Helsgaun (LKH) local search heuristic. With the help of the proposed hybrid mechanism, the genetic evolution of EAX-GA and the local search of LKH can boost each other's performance. And the reinforcement learning technique based on Q-learning further promotes the hybrid genetic algorithm. Experimental results on 138 well-known and widely used TSP benchmarks, with the number of cities ranging from 1,000 to 85,900, demonstrate the excellent performance of the proposed method.