Transforming GenAI Policy to Prompting Instruction: An RCT of Scalable Prompting Interventions in a CS1 Course

Despite universal GenAI adoption, students cannot distinguish task performance from actual learning and lack skills to leverage AI for learning, leading to worse exam performance when AI use remains unreflective. Yet few interventions teaching students to prompt AI as a tutor rather than solution provider have been validated at scale through randomized controlled trials (RCTs). To bridge this gap, we conducted a semester-long RCT (N=979) with four ICAP framework-based instructional conditions varying in engagement intensity with a pre-test, immediate and delayed post-test and surveys. Mixed methods analysis results showed: (1) All conditions significantly improved prompting skills, with gains increasing progressively from Condition 1 to Condition 4, validating ICAP's cognitive engagement hierarchy; (2) for students with similar pre-test scores, higher learning gain in immediate post-test predict higher final exam score, though no direct between-group differences emerged; (3) Our interventions are suitable and scalable solutions for diverse educational contexts, resources and learners. Together, this study makes empirical and theoretical contributions: (1) theoretically, we provided one of the first large-scale RCTs examining how cognitive engagement shapes learning in prompting literacy and clarifying the relationship between learning-oriented prompting skills and broader academic performance; (2) empirically, we offered timely design guidance for transforming GenAI classroom policies into scalable, actionable prompting literacy instruction to advance learning in the era of Generative AI.

Multi-agent Self-triage System with Medical Flowcharts

Online health resources and large language models (LLMs) are increasingly used as a first point of contact for medical decision-making, yet their reliability in healthcare remains limited by low accuracy, lack of transparency, and susceptibility to unverified information. We introduce a proof-of-concept conversational self-triage system that guides LLMs with 100 clinically validated flowcharts from the American Medical Association, providing a structured and auditable framework for patient decision support. The system leverages a multi-agent framework consisting of a retrieval agent, a decision agent, and a chat agent to identify the most relevant flowchart, interpret patient responses, and deliver personalized, patient-friendly recommendations, respectively. Performance was evaluated at scale using synthetic datasets of simulated conversations. The system achieved 95.29% top-3 accuracy in flowchart retrieval (N=2,000) and 99.10% accuracy in flowchart navigation across varied conversational styles and conditions (N=37,200). By combining the flexibility of free-text interaction with the rigor of standardized clinical protocols, this approach demonstrates the feasibility of transparent, accurate, and generalizable AI-assisted self-triage, with potential to support informed patient decision-making while improving healthcare resource utilization.