ResidencyRL: RL in simulated clinics nearly doubles psychiatric diagnostic appropriateness to 68%

SRSchmidgall · x · 2026-10-31

A new preprint from Google researchers introduces ResidencyRL, training clinical AI agents via multi-turn simulated encounters (up to 60 dialogue turns, 8 tool calls per trajectory). Applied to psychiatry, an agent trained purely against simulated patients was preferred over its base model in 76.7% of scenario pairs in a double-blind OSCE with 32 role-playing psychiatrists, nearly doubling diagnostic appropriateness from 33% to 68% by learning to ask better questions.

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

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