Multi-Stage Patient Role-Playing Framework for Realistic Clinical Interactions

The simulation of realistic clinical interactions plays a pivotal role in advancing clinical Large Language Models (LLMs) and supporting medical diagnostic education. Existing approaches and benchmarks rely on generic or LLM-generated dialogue data, which limits the authenticity and diversity of doctor-patient interactions. In this work, we propose the first Chinese patient simulation dataset (Ch-PatientSim), constructed from realistic clinical interaction scenarios to comprehensively evaluate the performance of models in emulating patient behavior. Patients are simulated based on a five-dimensional persona structure. To address issues of the persona class imbalance, a portion of the dataset is augmented using few-shot generation, followed by manual verification. We evaluate various state-of-the-art LLMs and find that most produce overly formal responses that lack individual personality. To address this limitation, we propose a training-free Multi-Stage Patient Role-Playing (MSPRP) framework, which decomposes interactions into three stages to ensure both personalization and realism in model responses. Experimental results demonstrate that our approach significantly improves model performance across multiple dimensions of patient simulation.

VERHallu: Evaluating and Mitigating Event Relation Hallucination in Video Large Language Models

Video Large Language Models (VideoLLMs) exhibit various types of hallucinations. Existing research has primarily focused on hallucinations involving the presence of events, objects, and scenes in videos, while largely neglecting event relation hallucination. In this paper, we introduce a novel benchmark for evaluating the Video Event Relation Hallucination, named VERHallu. This benchmark focuses on causal, temporal, and subevent relations between events, encompassing three types of tasks: relation classification, question answering, and counterfactual question answering, for a comprehensive evaluation of event relation hallucination. Additionally, it features counterintuitive video scenarios that deviate from typical pretraining distributions, with each sample accompanied by human-annotated candidates covering both vision-language and pure language biases. Our analysis reveals that current state-of-the-art VideoLLMs struggle with dense-event relation reasoning, often relying on prior knowledge due to insufficient use of frame-level cues. Although these models demonstrate strong grounding capabilities for key events, they often overlook the surrounding subevents, leading to an incomplete and inaccurate understanding of event relations. To tackle this, we propose a Key-Frame Propagating (KFP) strategy, which reallocates frame-level attention within intermediate layers to enhance multi-event understanding. Experiments show it effectively mitigates the event relation hallucination without affecting inference speed.