mlsanityData to 7 Oct 2026

ReflecTool: Towards Reflection-Aware Tool-Augmented Clinical Agents

arXiv 2410.17657 ↗First posted 23 Oct 2024cs.CLcited by 20

On the map: LLM agents and tool use → Medical and scientific domain agents

Abstract (arXiv)

Large Language Models (LLMs) have shown promising potential in the medical domain, assisting with tasks like clinical note generation and patient communication. However, current LLMs are limited to text-based communication, hindering their ability to interact with diverse forms of information in clinical environments. Despite clinical agents succeeding in diverse signal interaction, they are oriented to a single clinical scenario and hence fail for broader applications. To evaluate clinical agents holistically, we propose ClinicalAgent Bench~(CAB), a comprehensive medical agent benchmark consisting of 18 tasks across five key realistic clinical dimensions. Building on this, we introduce ReflecTool, a novel framework that excels at utilizing domain-specific tools within two stages. The first optimization stage progressively enlarges a long-term memory by saving successful solving processes and tool-wise experience of agents in a tiny pre-defined training set. In the following inference stage, ReflecTool can search for supportive successful demonstrations from already built long-term memory to guide the tool selection strategy, and a verifier improves the tool usage according to the tool-wise experience with two verification methods--iterative refinement and candidate selection. Extensive experiments on ClinicalAgent Benchmark demonstrate that ReflecTool surpasses the pure LLMs with more than 10 points and the well-established agent-based methods with 3 points, highlighting its adaptability and effectiveness in solving complex clinical tasks.

Key facts. Cited by 20 papers in the map (data through 7 Oct 2026). Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use. Builds on 24 of its 49 references that are in the map. First posted on arXiv 23 Oct 2024.

Builds on

24 of 49 references.

Closest ancestors · 4

Same direction, newest first

  1. 2024MMedAgent: Learning to Use Medical Tools with Multi-modal Agent2 Jul
  2. 2024BioKGBench: A Knowledge Graph Checking Benchmark of AI Agent for Biomedical Science29 Jun
  3. 2024ClinicalAgent: Clinical Trial Multi-Agent System with Large Language Model-based Reasoning23 Apr
  4. 2024AgentMD: Empowering Language Agents for Risk Prediction with Large-Scale Clinical Tool Learning20 Feb

Other references · 20

  1. 2023GPT-4 Technical Reportcited by 18,132
  2. 2024The Llama 3 Herd of Modelscited by 14,192
  3. 2023InternVL: Scaling up Vision Foundation Models and Aligning for Generic Visual-Linguistic Taskscited by 2,534
  4. 2024Qwen2 Technical Reportcited by 2,076
  5. 2024Scaling LLM Test-Time Compute Optimally can be More Effective than Scaling Model Parameterscited by 1,928
  6. 2024MiniCPM-V: A GPT-4V Level MLLM on Your Phonecited by 1,061
  7. 2024MiniCPM: Unveiling the Potential of Small Language Models with Scalable Training Strategiescited by 694
  8. 2023Capabilities of GPT-4 on Medical Challenge Problemscited by 630
  9. 2023MEDITRON-70B: Scaling Medical Pretraining for Large Language Modelscited by 272
  10. 2024HuatuoGPT-Vision, Towards Injecting Medical Visual Knowledge into Multimodal LLMs at Scalecited by 194
  11. 2019MedMentions: A Large Biomedical Corpus Annotated with UMLS Conceptscited by 79
  12. 2024Towards Conversational Diagnostic AIcited by 79
8 more
  1. 2024MedTrinity-25M: A Large-scale Multimodal Dataset with Multigranular Annotations for Medicinecited by 79
  2. 2024EHRAgent: Code Empowers Large Language Models for Few-shot Complex Tabular Reasoning on Electronic Health Recordscited by 75
  3. 2024MedCalc-Bench: Evaluating Large Language Models for Medical Calculationscited by 64
  4. 2024Automatic Interactive Evaluation for Large Language Models with State Aware Patient Simulatorcited by 36
  5. 2024LongHealth: A Question Answering Benchmark with Long Clinical Documentscited by 33
  6. 2024Intelligent Clinical Documentation: Harnessing Generative AI for Patient-Centric Clinical Note Generationcited by 20
  7. 2024Hallucination Benchmark in Medical Visual Question Answeringcited by 18
  8. 2024Enhancing Clinical Efficiency through LLM: Discharge Note Generation for Cardiac Patientscited by 14

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Cited by year (2026 to 7 Oct)

Citing papers per year: 2025: 6; 2026: 14.

20 papers.

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  1. 2025MedAgentGym: A Scalable Agentic Training Environment for Code-Centric Reasoning in Biomedical Data Sciencecited by 22
  2. 2025EHR-R1: A Reasoning-Enhanced Foundational Language Model for Electronic Health Record Analysiscited by 17
  3. 2025Towards Omni-RAG: Comprehensive Retrieval-Augmented Generation for Large Language Models in Medical Applicationscited by 13
  4. 2025WorkForceAgent-R1: Incentivizing Reasoning Capability in LLM-based Web Agents via Reinforcement Learningcited by 7
  5. 2026HealthAgentBench: A Unified Benchmark Suite of Realistic Agentic Healthcare Environments for Challenging Frontier AI Agentscited by 6
  6. 2026LongMedBench: Benchmarking Medical Agents for Long-Horizon Clinical Decision-Makingcited by 6
  7. 2026AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarizationcited by 4
  8. 2026Agent Memory Distillation: Empowering Small LLM Agents with Hierarchical Teacher Memorycited by 3
  9. 2025Empowering Real-World: A Survey on the Technology, Practice, and Evaluation of LLM-driven Industry Agentscited by 2
  10. 2025Infherno: End-to-end Agent-based FHIR Resource Synthesis from Free-form Clinical Notescited by 1
  11. 2026An Empirical Study of Agent Skills for Healthcare: Practice, Gaps, and Governancecited by 1
  12. 2026The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomycited by 1
8 more
  1. 2026PULSE: Agentic Investigation with Passive Sensing for Proactive Affective Intervention in Cancer Survivorshipcited by 0
  2. 2026CAREAgent: Clinical Agent with Structured Reasoning and Tool-Integrated for Order Generationcited by 0
  3. 2026Configurable Clinical Information Extraction with Agentic RAG: What Works, What Breaks, and Whycited by 0
  4. 2026Understanding From Human Perspective: A Multi-agent System for Interactive Egocentric Medical Image Segmentationcited by 0
  5. 2026Towards Robust Tool Use in Agents via Experience-Driven Adaptive Guidancecited by 0
  6. 2026MediSkill-Evo: Process-Constrained Self-Evolution for Evidence-Grounded Clinical Interactioncited by 0
  7. 2026Ascent: An Agentic System over the Model Context Protocol for Real-World Clinical Data Analysiscited by 0
  8. 2026Improving Medical Calculation of LLMs with Embedded Codingcited by 0

Similar, not cited

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  1. 2026ClinicalAgents: Multi-Agent Orchestration for Clinical Decision Making with Dual-Memory
  2. 2024AgentClinic: a multimodal agent benchmark to evaluate AI in simulated clinical environments
  3. 2026DoctorAgents: an agentic framework to iteratively refine AutoML pipeline for small clinical temporal data
  4. 2026CodeClinic: Evaluating Automation of Coding Skills for Clinical Reasoning Agents
  5. 2026Retrieval-Augmented Agentic Rubric Generation for Reliable Medical Response Evaluation
  6. 2025CureAgent: A Training-Free Executor-Analyst Framework for Clinical Reasoning
  7. 2026When OpenClaw Meets Hospital: Toward an Agentic Operating System for Dynamic Clinical Workflows
  8. 2026Agentic AI in medicine: architectures, applications, evaluation, and challenges for clinical translation