Double-blind OSCE: simulation-trained agent wins 76.7% of psychiatrist pairs

SRSchmidgall · x · 2026-10-31

In a double-blind OSCE with psychiatrists role-playing patients, the simulation-trained agent beat its base model in 76.7% of pairs: clinical examination 3.04 vs 2.32, differential diagnosis accuracy 68.3% vs 33.3%, and communication 82.0% vs 65.2%.

Figures show the full pipeline (text consult → questionnaires → psychiatrist evaluation), with the trained model leading on management-plan appropriateness, avoiding inappropriate treatments, and patient-centered communication (adherence 82% vs 65%).

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

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