让AI导师同时指导多个医学生,提升临床教学效率与质量
ClinTutor-R1: Advancing Scalable and Robust One-to-Many Alignment in Clinical Socratic Education
- 设计多智能体教学模拟器,构建真实临床对话数据集
- 模型在200人真实测试中表现优于基线模型20%以上
- 适合医学教育、智能辅导系统研发人员参考
尽管大型语言模型在一对一教学中取得显著进展,但在临床查房等一对多场景中仍面临上下文稀释和目标错位问题。为此,我们提出ClinEdu多智能体教学模拟平台,构建了大规模苏格拉底式教学对话数据集ClinTeach,并推出首个专为临床教育设计的一对多对齐视觉-语言代理ClinTutor-R1。该模型通过显式内部思考机制,同时建模个体认知状态与群体共识。在静态基准、模拟交互、专家评估及200名用户实测中验证,ClinTutor-R1相比基础模型性能提升超20%,达到商用模型水平,并在学生人数扩大时保持教学品质稳定。
原文摘要 · Abstract (English)
While Large Language Models (LLMs) have achieved remarkable success in dyadic (one-on-one) instruction, they face significant challenges in One-to-Many alignment, such as clinical ward rounds, where an instructor must simultaneously guide a diverse group of trainees. Current models often suffer from context dilution and goal misalignment, failing to balance individual scaffolding with collective learning progress. To address this, we introduce ClinEdu, a multi-agent pedagogical simulator that models the complexity of group dynamics. Leveraging this platform, we construct ClinTeach, a large-scale dataset of Socratic teaching dialogues, and propose ClinTutor-R1, the first vision-language agent explicitly architected to achieve one-to-many alignment in clinical education, employing an explicit internal thinking mechanism to model both individual belief states and group consensus. We validate our framework through a comprehensive protocol covering static benchmarks, in-situ interactive evaluation within ClinEdu, expert assessment, and a 200-participant real user study. Experimental results demonstrate that ClinTutor-R1 outperforms base models by over 20% and achieves parity with proprietary models, while exhibiting scalability in maintaining instructional quality across expanding student cohorts.
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