# Empowering Medical Multi-Agents with Clinical Consultation Flow for Dynamic Diagnosis

arXiv: https://arxiv.org/abs/2503.16547 · HTML: https://mlsanity.com/paper/2503.16547/

## Key facts

- Cited by 5 papers in the map (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 6 of its 12 references that are in the map.
- First posted on arXiv 19 Mar 2025.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 6 of 6)

- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Building Cooperative Embodied Agents Modularly with Large Language Models](https://mlsanity.com/paper/2307.02485/) (2023)
- [MedXpertQA: Benchmarking Expert-Level Medical Reasoning and Understanding](https://mlsanity.com/paper/2501.18362/) (2025)
- [Theory of Mind for Multi-Agent Collaboration via Large Language Models](https://mlsanity.com/paper/2310.10701/) (2023)
- [AI Hospital: Benchmarking Large Language Models in a Multi-agent Medical Interaction Simulator](https://mlsanity.com/paper/2402.09742/) (2024)
- [LLM-based Multi-Agent Reinforcement Learning: Current and Future Directions](https://mlsanity.com/paper/2405.11106/) (2024)

## Built on by (most cited first, 5 of 5)

- [LLM-based Agentic Reasoning Frameworks: A Survey from Methods to Scenarios](https://mlsanity.com/paper/2508.17692/) (2025)
- [ResidencyRL: Reinforcement Learning in Simulated Clinical Environments](https://mlsanity.com/paper/2608.07418/) (2026)
- [From Passive to Proactive: A Hierarchical Multi-Agent Framework for Automated Medical Pre-Consultation](https://mlsanity.com/paper/2511.01445/) (2025)
- [Evaluating Multi-Agent LLM Architectures for Rare Disease Diagnosis](https://mlsanity.com/paper/2603.06856/) (2026)
- [DongYuan: An LLM-Based Framework for Integrative Chinese and Western Medicine Spleen-Stomach Disorders Diagnosis](https://mlsanity.com/paper/2603.28191/) (2026)

## Abstract (arXiv)

Traditional AI-based healthcare systems often rely on single-modal data, limiting diagnostic accuracy due to incomplete information. However, recent advancements in foundation models show promising potential for enhancing diagnosis combining multi-modal information. While these models excel in static tasks, they struggle with dynamic diagnosis, failing to manage multi-turn interactions and often making premature diagnostic decisions due to insufficient persistence in information collection.To address this, we propose a multi-agent framework inspired by consultation flow and reinforcement learning (RL) to simulate the entire consultation process, integrating multiple clinical information for effective diagnosis. Our approach incorporates a hierarchical action set, structured from clinic consultation flow and medical textbook, to effectively guide the decision-making process. This strategy improves agent interactions, enabling them to adapt and optimize actions based on the dynamic state. We evaluated our framework on a public dynamic diagnosis benchmark. The proposed framework evidentially improves the baseline methods and achieves state-of-the-art performance compared to existing foundation model-based methods.
