Toward Personalized LLM-Powered Agents: Foundations, Evaluation, and Future Directions

Large language models have enabled agents that reason, plan, and interact with tools and environments to accomplish complex tasks. As these agents operate over extended interaction horizons, their effectiveness increasingly depends on adapting behavior to individual users and maintaining continuity across time, giving rise to personalized LLM-powered agents. In such long-term, user-dependent settings, personalization permeates the entire decision pipeline rather than remaining confined to surface-level generation. This survey provides a capability-oriented review of personalized LLM-powered agents. We organize the literature around four interdependent components: profile modeling, memory, planning, and action execution. Using this taxonomy, we synthesize representative methods and analyze how user signals are represented, propagated, and utilized, highlighting cross-component interactions and recurring design trade-offs. We further examine evaluation metrics and benchmarks tailored to personalized agents, summarize application scenarios spanning general assistance to specialized domains, and outline future directions for research and deployment. By offering a structured framework for understanding and designing personalized LLM-powered agents, this survey charts a roadmap toward more user-aligned, adaptive, robust, and deployable agentic systems, accelerating progress from prototype personalization to scalable real-world assistants.

Medical Reasoning in the Era of LLMs: A Systematic Review of Enhancement Techniques and Applications

The proliferation of Large Language Models (LLMs) in medicine has enabled impressive capabilities, yet a critical gap remains in their ability to perform systematic, transparent, and verifiable reasoning, a cornerstone of clinical practice. This has catalyzed a shift from single-step answer generation to the development of LLMs explicitly designed for medical reasoning. This paper provides the first systematic review of this emerging field. We propose a taxonomy of reasoning enhancement techniques, categorized into training-time strategies (e.g., supervised fine-tuning, reinforcement learning) and test-time mechanisms (e.g., prompt engineering, multi-agent systems). We analyze how these techniques are applied across different data modalities (text, image, code) and in key clinical applications such as diagnosis, education, and treatment planning. Furthermore, we survey the evolution of evaluation benchmarks from simple accuracy metrics to sophisticated assessments of reasoning quality and visual interpretability. Based on an analysis of 60 seminal studies from 2022-2025, we conclude by identifying critical challenges, including the faithfulness-plausibility gap and the need for native multimodal reasoning, and outlining future directions toward building efficient, robust, and sociotechnically responsible medical AI.

Medchain: Bridging the Gap Between LLM Agents and Clinical Practice through Interactive Sequential Benchmarking

Clinical decision making (CDM) is a complex, dynamic process crucial to healthcare delivery, yet it remains a significant challenge for artificial intelligence systems. While Large Language Model (LLM)-based agents have been tested on general medical knowledge using licensing exams and knowledge question-answering tasks, their performance in the CDM in real-world scenarios is limited due to the lack of comprehensive testing datasets that mirror actual medical practice. To address this gap, we present MedChain, a dataset of 12,163 clinical cases that covers five key stages of clinical workflow. MedChain distinguishes itself from existing benchmarks with three key features of real-world clinical practice: personalization, interactivity, and sequentiality. Further, to tackle real-world CDM challenges, we also propose MedChain-Agent, an AI system that integrates a feedback mechanism and a MCase-RAG module to learn from previous cases and adapt its responses. MedChain-Agent demonstrates remarkable adaptability in gathering information dynamically and handling sequential clinical tasks, significantly outperforming existing approaches. The relevant dataset and code will be released upon acceptance of this paper.