# Learning to Be A Doctor: Searching for Effective Medical Agent Architectures

arXiv: https://arxiv.org/abs/2504.11301 · HTML: https://mlsanity.com/paper/2504.11301/

## Key facts

- Cited by 4 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 28 of its 49 references that are in the map.
- First posted on arXiv 15 Apr 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, 28 of 28)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Self-Consistency Improves Chain of Thought Reasoning in Language Models](https://mlsanity.com/paper/2203.11171/) (2022)
- [Reflexion: Language Agents with Verbal Reinforcement Learning](https://mlsanity.com/paper/2303.11366/) (2023)
- [Generative Agents: Interactive Simulacra of Human Behavior](https://mlsanity.com/paper/2304.03442/) (2023)
- [BLOOM: A 176B-Parameter Open-Access Multilingual Language Model](https://mlsanity.com/paper/2211.05100/) (2022)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Encouraging Divergent Thinking in Large Language Models through Multi-Agent Debate](https://mlsanity.com/paper/2305.19118/) (2023)
- [LLM-Blender: Ensembling Large Language Models with Pairwise Ranking and Generative Fusion](https://mlsanity.com/paper/2306.02561/) (2023)
- [Multi-Agent Collaboration Mechanisms: A Survey of LLMs](https://mlsanity.com/paper/2501.06322/) (2025)
- [AppAgent: Multimodal Agents as Smartphone Users](https://mlsanity.com/paper/2312.13771/) (2023)
- [ChatDoctor: A Medical Chat Model Fine-Tuned on a Large Language Model Meta-AI (LLaMA) Using Medical Domain Knowledge](https://mlsanity.com/paper/2303.14070/) (2023)
- [ReConcile: Round-Table Conference Improves Reasoning via Consensus among Diverse LLMs](https://mlsanity.com/paper/2309.13007/) (2023)
- [AgentClinic: a multimodal agent benchmark to evaluate AI in simulated clinical environments](https://mlsanity.com/paper/2405.07960/) (2024)
- [Agent Hospital: A Simulacrum of Hospital with Evolvable Medical Agents](https://mlsanity.com/paper/2405.02957/) (2024)
- [AutoAgents: A Framework for Automatic Agent Generation](https://mlsanity.com/paper/2309.17288/) (2023)
- [Evaluating Deep Neural Networks Trained on Clinical Images in Dermatology with the Fitzpatrick 17k Dataset](https://mlsanity.com/paper/2104.09957/) (2021)
- [Rethinking the Bounds of LLM Reasoning: Are Multi-Agent Discussions the Key?](https://mlsanity.com/paper/2402.18272/) (2024)
- [MMedAgent: Learning to Use Medical Tools with Multi-modal Agent](https://mlsanity.com/paper/2407.02483/) (2024)
- [Self-Evolving Multi-Agent Collaboration Networks for Software Development](https://mlsanity.com/paper/2410.16946/) (2024)
- [A Survey on Neural Architecture Search](https://mlsanity.com/paper/1905.01392/) (2019)
- [A Survey on LLM-based Multi-Agent System: Recent Advances and New Frontiers in Application](https://mlsanity.com/paper/2412.17481/) (2024)
- [AppAgentX: Evolving GUI Agents as Proficient Smartphone Users](https://mlsanity.com/paper/2503.02268/) (2025)
- [SkinCon: A skin disease dataset densely annotated by domain experts for fine-grained model debugging and analysis](https://mlsanity.com/paper/2302.00785/) (2023)
- [Automated Machine Learning: State-of-The-Art and Open Challenges](https://mlsanity.com/paper/1906.02287/) (2019)
- [A Comprehensive Survey on Automated Machine Learning for Recommendations](https://mlsanity.com/paper/2204.01390/) (2022)

## Built on by (most cited first, 4 of 4)

- [A Survey of Self-Evolving Agents: What, When, How, and Where to Evolve on the Path to Artificial Super Intelligence](https://mlsanity.com/paper/2507.21046/) (2025)
- [Auto-Slides: An Interactive Multi-Agent System for Creating and Customizing Research Presentations](https://mlsanity.com/paper/2509.11062/) (2025)
- [CubeBench: Diagnosing Interactive, Long-Horizon Spatial Reasoning Under Partial Observations](https://mlsanity.com/paper/2512.23328/) (2025)
- [Aligning Clinical Needs and AI Capabilities: A Survey on LLMs for Medical Reasoning](https://mlsanity.com/paper/2607.07761/) (2026)

## Abstract (arXiv)

Large Language Model (LLM)-based agents have demonstrated strong capabilities across a wide range of tasks, and their application in the medical domain holds particular promise due to the demand for high generalizability and reliance on interdisciplinary knowledge. However, existing medical agent systems often rely on static, manually crafted workflows that lack the flexibility to accommodate diverse diagnostic requirements and adapt to emerging clinical scenarios. Motivated by the success of automated machine learning (AutoML), this paper introduces a novel framework for the automated design of medical agent architectures. Specifically, we define a hierarchical and expressive agent search space that enables dynamic workflow adaptation through structured modifications at the node, structural, and framework levels. Our framework conceptualizes medical agents as graph-based architectures composed of diverse, functional node types and supports iterative self-improvement guided by diagnostic feedback. Experimental results on skin disease diagnosis tasks demonstrate that the proposed method effectively evolves workflow structures and significantly enhances diagnostic accuracy over time. This work represents the first fully automated framework for medical agent architecture design and offers a scalable, adaptable foundation for deploying intelligent agents in real-world clinical environments.
