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Clinical Harness for Governable Medical AI Skill Ecosystems

arXiv 2606.26494 ↗First posted 25 Jun 2026cs.AIcited by 0

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Abstract (arXiv)

Medical AI remains organized around isolated models, whereas care requires accountable capabilities that persist across time. We define clinical AI skills and propose the Clinical Harness, a runtime governance architecture that registers, orchestrates, constrains and monitors them. Using osteoporosis as an exemplar, we show how knowledge-driven, data-driven and physics-enhanced skills can support lifecycle care and provide a governed substrate for future medical agents.

Key facts. No citing papers in the map yet (data through 7 Oct 2026). Builds on 11 of its 58 references that are in the map. First posted on arXiv 25 Jun 2026.

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References · 11

  1. 2022ReAct: Synergizing Reasoning and Acting in Language Modelscited by 8,355
  2. 2023Toolformer: Language Models Can Teach Themselves to Use Toolscited by 4,072
  3. 2023Reflexion: Language Agents with Verbal Reinforcement Learningcited by 4,064
  4. 2023Self-Refine: Iterative Refinement with Self-Feedbackcited by 3,317
  5. 2022Large Language Models Encode Clinical Knowledgecited by 1,807
  6. 2018Model Cards for Model Reportingcited by 1,068
  7. 2021UNETR: Transformers for 3D Medical Image Segmentationcited by 954
  8. 2023Language Agent Tree Search Unifies Reasoning Acting and Planning in Language Modelscited by 551
  9. 2021MedPerf: Open Benchmarking Platform for Medical Artificial Intelligence using Federated Evaluationcited by 88
  10. 2023FUTURE-AI: International consensus guideline for trustworthy and deployable artificial intelligence in healthcarecited by 59
  11. 2021Medical Imaging and Machine Learningcited by 12

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