Experience Makes Skillful: Enabling Generalizable Medical Agent Reasoning via Self-Evolving Skill Memory

Medical agent systems are increasingly expected to support interactive clinical decision making rather than only static question answering. In such settings, effective agents must reuse prior experience across evolving cases, yet existing memory mechanisms often retain raw historical traces that are redundant, noisy, and difficult to govern. More importantly, they rarely distinguish which memories are truly useful for future reasoning. This limits their ability to accumulate compact and reliable experience for long-horizon clinical reasoning. To close this gap, we propose SkeMex, a post-deployment self-evolution framework that improves medical agents through a skill-based memory without updating model weights. SkeMex distills informative interaction trajectories into structured skills that encode reusable procedural knowledge, and organizes them into a multi-branch repository spanning general, task-specific, and action-level experience. To determine which memories should be reused and retained, SkeMex estimates context-dependent utility from environment feedback and uses it to guide value-aware retrieval and repository governance. A closed-loop ``Read--Write--Assess--Govern" lifecycle further supports continual evolution by writing new skills, updating utilities, promoting useful memories, and removing harmful entries. Experiments across diverse clinical tasks show that SkeMex consistently outperforms representative memory-based agents in both offline and online settings. It also generalizes across model backbones and supports transferable skill memory. All data and code will be released publicly.

Parameter Importance is Not Static: Evolving Parameter Isolation for Supervised Fine-Tuning

Supervised Fine-Tuning (SFT) of large language models often suffers from task interference and catastrophic forgetting. Recent approaches alleviate this issue by isolating task-critical parameters during training. However, these methods represent a static solution to a dynamic problem, assuming that parameter importance remains fixed once identified. In this work, we empirically demonstrate that parameter importance exhibits temporal drift over the course of training. To address this, we propose Evolving Parameter Isolation (EPI), a fine-tuning framework that adapts isolation decisions based on online estimates of parameter importance. Instead of freezing a fixed subset of parameters, EPI periodically updates isolation masks using gradient-based signals, enabling the model to protect emerging task-critical parameters while releasing outdated ones to recover plasticity. Experiments on diverse multi-task benchmarks demonstrate that EPI consistently reduces interference and forgetting compared to static isolation and standard fine-tuning, while improving overall generalization. Our analysis highlights the necessity of synchronizing isolation mechanisms with the evolving dynamics of learning diverse abilities.

PanoEnv: Exploring 3D Spatial Intelligence in Panoramic Environments with Reinforcement Learning

360 panoramic images are increasingly used in virtual reality, autonomous driving, and robotics for holistic scene understanding. However, current Vision-Language Models (VLMs) struggle with 3D spatial reasoning on Equirectangular Projection (ERP) images due to geometric distortion and limited 3D supervision. We introduce PanoEnv, a large-scale VQA benchmark built from synthetic 3D environments, containing 14.8K questions across five categories (e.g., relative position, volume comparison) grounded in accurate 3D annotations including depth, segmentation, and bounding boxes. Benchmarking 14 state-of-the-art VLMs reveals limited 3D understanding, achieving only 49.34% overall accuracy and 8.36% on open-ended (OE) questions. To enhance 3D reasoning, we propose a reinforcement learning post-training framework based on Group Relative Policy Optimization (GRPO) with a ground-truth-guided reward that incorporates five geometry-aware strategies such as distance tolerance and spatial consistency. A two-stage curriculum further mitigates catastrophic forgetting: Stage 1 trains on structured tasks (true/false and multiple choice), and Stage 2 fine-tunes on mixed open-ended data to improve generalization. Our 7B model achieves new state-of-the-art performance, improving overall accuracy to 52.93% (+3.59%) and open-ended accuracy to 14.83% while maintaining structured-task performance. It also achieves top semantic evaluation scores (Q-Score 6.24, P-Score 5.95), surpassing 32B models. These results demonstrate that PanoEnv-QA and our curriculum-based RL framework effectively instill 3D spatial intelligence in VLMs for omnidirectional perception.