MedGame: Storytelling Gamification Empowered by Large Language Models for Medical Education

Large Language Models (LLMs) show promise for medical education, but most existing systems focus on localized interactions such as question answering or single-turn feedback, rather than organizing an entire clinical case into a decision-centered learning trajectory. We introduce \textit{MedGame}, a framework that transforms static clinical cases into structured, executable storytelling games. MedGame uses a dual-engine design: a Medical Narrative Designer synthesizes case-grounded clinical storylines with states and decision nodes, while a Story Director converts them into dependency-aware multimodal orchestration plans rendered by our released interactive platform. We construct MedGame Bench, a 5,000-case benchmark and evaluation protocol for Medical Narrative Generation and Story Direction. Experiments show that task-specific fine-tuning substantially improves open-source LLMs on MedGame Bench and narrows the gap with commercial models. A pilot student study further shows that learners perceive MedGame as more engaging and useful than text-only alternatives.

Self-Supervised Video Desmoking for Laparoscopic Surgery

Due to the difficulty of collecting real paired data, most existing desmoking methods train the models by synthesizing smoke, generalizing poorly to real surgical scenarios. Although a few works have explored single-image real-world desmoking in unpaired learning manners, they still encounter challenges in handling dense smoke. In this work, we address these issues together by introducing the self-supervised surgery video desmoking (SelfSVD). On the one hand, we observe that the frame captured before the activation of high-energy devices is generally clear (named pre-smoke frame, PS frame), thus it can serve as supervision for other smoky frames, making real-world self-supervised video desmoking practically feasible. On the other hand, in order to enhance the desmoking performance, we further feed the valuable information from PS frame into models, where a masking strategy and a regularization term are presented to avoid trivial solutions. In addition, we construct a real surgery video dataset for desmoking, which covers a variety of smoky scenes. Extensive experiments on the dataset show that our SelfSVD can remove smoke more effectively and efficiently while recovering more photo-realistic details than the state-of-the-art methods. The dataset, codes, and pre-trained models are available at \url{https://github.com/ZcsrenlongZ/SelfSVD}.