Simulation-trained Gemini nearly doubles clinical rubric score, 0.706 vs 0.379

SRSchmidgall · x · 2026-10-31

Across 127 simulated intake scenarios validated by 54 board-certified psychiatrists, the simulation-RL-trained agent nearly doubled its base model's clinical rubric score (0.706 vs. 0.379; composite 0.564 vs. 0.294), with gains preserved under an independent out-of-family judge (GPT-5.6-Luna).

The evaluation framework shows licensed psychiatrists grading scenario quality on eight criteria (clinical realism, diagnostic coherence, difficulty calibration, etc.), and a radar chart shows the trained model beating the base model across diagnostic appropriateness, therapeutic alliance, clinical management, and documentation.

Related event: Google Trains Gemini for Psychiatric Intake via RL with Simulated Patients, Halving Missed Triage(12 posts)→

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