medical-multiple-choice-qa-multi-agent-pipeline-mining-natural-language-lessons-own CLM-0438
observationsingle paperReviewed by AI

For medical multiple-choice QA with a multi-agent pipeline, mining natural-language lessons from its own past trajectories (both correct and failed) into a reusable library gives a larger accuracy gain than the multi-agent role decomposition itself, and the gain comes mostly from the most abstract tier: removing principle-level entries costs more than removing pattern- or case-level entries.

Capability: Improving its own scaffolding from failures

Observed on

Text-only medical multiple-choice benchmarks (MedQA, MedMCQA, PubMedQA, MMLU/MMLU-Pro medical subsets) with Qwen3-8B and GPT-4o; ground-truth labels available to tag trajectories a.

Model cards: GPT-4 · GPT-4o

Sources

  • Validated by: Accuracy over nine medical QA sets against single-LLM, static multi-agent (MedAgents, MDAgents) and experience-based baselines (ExpeL, ReasoningBank, G-Memory, MDTeamGPT, EvolveR); average accuracy 81.1 vs 77.8 for MDAgents on Qwen3-8B and 93.9 vs 92.4 on GPT-4o; ablations remove experience (-6.7 on MedQA) versus removing planner and department agents (-2.9), and remove each tier (principles -4.6, patterns -2.5, cases -1.2).. [truncated]
Reviewed by AI (Claude Opus 5)Last checked: 2026-10-17Evidence activity: not checked yet
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Notes

Drafted from the paper by a model and filed unreviewed. Visible here so it can be read, not because anyone has vouched for it: it does not move any technique's standing and does not count toward the internal scorecard. Drafted confidence: low. Falsifier as drafted: An ablation on the same benchmarks where removing the role decomposition costs more accuracy than removing the experience library, or where removing case-level entries costs as much as removing principle-level entries.