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paperarXivTrust 82 · PrimaryPublished 6d agoLive · 4d ago

Beyond Information Seeking: Severity-Aware Question Supervision for Proactive Medical Dialogue

Proactive medical dialogue requires an agent to decide what to ask from incomplete patient information. Existing information-seeking approaches commonly prioritize questions that most reduce diagnostic uncertainty. While effective for acquiring informative evidence, this criterion overlooks an important property of medical diagnosis: different diagnostic errors can carry substantially different consequences. Missing a severe condition may matter more than reducing uncertainty among less consequential alternatives. Question acquisition should therefore consider not only how informative new evid

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