SpeechMedAssist: Efficiently and Effectively Adapting Speech Language Models for Medical Consultation

Medical consultations are intrinsically speech-centric. However, most prior works focus on long-text-based interactions, which are cumbersome and patient-unfriendly. Recent advances in speech language models (SpeechLMs) have enabled more natural speech-based interaction, yet the scarcity of medical speech data and the inefficiency of directly fine-tuning on speech data jointly hinder the adoption of SpeechLMs in medical consultation. In this paper, we propose SpeechMedAssist, a SpeechLM natively capable of conducting speech-based multi-turn interactions with patients. By exploiting the architectural properties of SpeechLMs, we decouple the conventional one-stage training into a two-stage paradigm consisting of (1) Knowledge & Capability Injection via Text and (2) Modality Re-alignment with Limited Speech Data, thereby reducing the requirement for medical speech data to only 10k synthesized samples. To evaluate SpeechLMs for medical consultation scenarios, we design a benchmark comprising both single-turn question answering and multi-turn simulated interactions. Experimental results show that our model outperforms all baselines in both effectiveness and robustness in most evaluation settings.

MedMKEB: A Comprehensive Knowledge Editing Benchmark for Medical Multimodal Large Language Models

Recent advances in multimodal large language models (MLLMs) have significantly improved medical AI, enabling it to unify the understanding of visual and textual information. However, as medical knowledge continues to evolve, it is critical to allow these models to efficiently update outdated or incorrect information without retraining from scratch. Although textual knowledge editing has been widely studied, there is still a lack of systematic benchmarks for multimodal medical knowledge editing involving image and text modalities. To fill this gap, we present MedMKEB, the first comprehensive benchmark designed to evaluate the reliability, generality, locality, portability, and robustness of knowledge editing in medical multimodal large language models. MedMKEB is built on a high-quality medical visual question-answering dataset and enriched with carefully constructed editing tasks, including counterfactual correction, semantic generalization, knowledge transfer, and adversarial robustness. We incorporate human expert validation to ensure the accuracy and reliability of the benchmark. Extensive single editing and sequential editing experiments on state-of-the-art general and medical MLLMs demonstrate the limitations of existing knowledge-based editing approaches in medicine, highlighting the need to develop specialized editing strategies. MedMKEB will serve as a standard benchmark to promote the development of trustworthy and efficient medical knowledge editing algorithms.

STAMPsy: Towards SpatioTemporal-Aware Mixed-Type Dialogues for Psychological Counseling

Online psychological counseling dialogue systems are trending, offering a convenient and accessible alternative to traditional in-person therapy. However, existing psychological counseling dialogue systems mainly focus on basic empathetic dialogue or QA with minimal professional knowledge and without goal guidance. In many real-world counseling scenarios, clients often seek multi-type help, such as diagnosis, consultation, therapy, console, and common questions, but existing dialogue systems struggle to combine different dialogue types naturally. In this paper, we identify this challenge as how to construct mixed-type dialogue systems for psychological counseling that enable clients to clarify their goals before proceeding with counseling. To mitigate the challenge, we collect a mixed-type counseling dialogues corpus termed STAMPsy, covering five dialogue types, task-oriented dialogue for diagnosis, knowledge-grounded dialogue, conversational recommendation, empathetic dialogue, and question answering, over 5,000 conversations. Moreover, spatiotemporal-aware knowledge enables systems to have world awareness and has been proven to affect one's mental health. Therefore, we link dialogues in STAMPsy to spatiotemporal state and propose a spatiotemporal-aware mixed-type psychological counseling dataset. Additionally, we build baselines on STAMPsy and develop an iterative self-feedback psychological dialogue generation framework, named Self-STAMPsy. Results indicate that clarifying dialogue goals in advance and utilizing spatiotemporal states are effective.