# Clinical Harness for Governable Medical AI Skill Ecosystems

arXiv: https://arxiv.org/abs/2606.26494 · HTML: https://mlsanity.com/paper/2606.26494/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 11 of its 58 references that are in the map.
- First posted on arXiv 25 Jun 2026.

## Builds on (most cited first, 11 of 11)

- [ReAct: Synergizing Reasoning and Acting in Language Models](https://mlsanity.com/paper/2210.03629/) (2022)
- [Reflexion: Language Agents with Verbal Reinforcement Learning](https://mlsanity.com/paper/2303.11366/) (2023)
- [Toolformer: Language Models Can Teach Themselves to Use Tools](https://mlsanity.com/paper/2302.04761/) (2023)
- [Self-Refine: Iterative Refinement with Self-Feedback](https://mlsanity.com/paper/2303.17651/) (2023)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [Model Cards for Model Reporting](https://mlsanity.com/paper/1810.03993/) (2018)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (2021)
- [Language Agent Tree Search Unifies Reasoning Acting and Planning in Language Models](https://mlsanity.com/paper/2310.04406/) (2023)
- [MedPerf: Open Benchmarking Platform for Medical Artificial Intelligence using Federated Evaluation](https://mlsanity.com/paper/2110.01406/) (2021)
- [FUTURE-AI: International consensus guideline for trustworthy and deployable artificial intelligence in healthcare](https://mlsanity.com/paper/2309.12325/) (2023)
- [Medical Imaging and Machine Learning](https://mlsanity.com/paper/2103.01938/) (2021)

## 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.