Self-Evolving Multi-Agent Simulations for Realistic Clinical Interactions

In this work, we introduce MedAgentSim, an open-source simulated clinical environment with doctor, patient, and measurement agents designed to evaluate and enhance LLM performance in dynamic diagnostic settings. Unlike prior approaches, our framework requires doctor agents to actively engage with patients through multi-turn conversations, requesting relevant medical examinations (e.g., temperature, blood pressure, ECG) and imaging results (e.g., MRI, X-ray) from a measurement agent to mimic the real-world diagnostic process. Additionally, we incorporate self improvement mechanisms that allow models to iteratively refine their diagnostic strategies. We enhance LLM performance in our simulated setting by integrating multi-agent discussions, chain-of-thought reasoning, and experience-based knowledge retrieval, facilitating progressive learning as doctor agents interact with more patients. We also introduce an evaluation benchmark for assessing the LLM's ability to engage in dynamic, context-aware diagnostic interactions. While MedAgentSim is fully automated, it also supports a user-controlled mode, enabling human interaction with either the doctor or patient agent. Comprehensive evaluations in various simulated diagnostic scenarios demonstrate the effectiveness of our approach. Our code, simulation tool, and benchmark are available at \href{https://medagentsim.netlify.app/}.

LLM Post-Training: A Deep Dive into Reasoning Large Language Models

Large Language Models (LLMs) have transformed the natural language processing landscape and brought to life diverse applications. Pretraining on vast web-scale data has laid the foundation for these models, yet the research community is now increasingly shifting focus toward post-training techniques to achieve further breakthroughs. While pretraining provides a broad linguistic foundation, post-training methods enable LLMs to refine their knowledge, improve reasoning, enhance factual accuracy, and align more effectively with user intents and ethical considerations. Fine-tuning, reinforcement learning, and test-time scaling have emerged as critical strategies for optimizing LLMs performance, ensuring robustness, and improving adaptability across various real-world tasks. This survey provides a systematic exploration of post-training methodologies, analyzing their role in refining LLMs beyond pretraining, addressing key challenges such as catastrophic forgetting, reward hacking, and inference-time trade-offs. We highlight emerging directions in model alignment, scalable adaptation, and inference-time reasoning, and outline future research directions. We also provide a public repository to continually track developments in this fast-evolving field: https://github.com/mbzuai-oryx/Awesome-LLM-Post-training.