Challenge: Medical dialogue systems have attracted significant attention for their potential to act as medical assistants.
Approach: They propose a framework that emulates clinicians' diagnostic reasoning processes and aligns with clinician preferences through thought process modeling.
Outcome: The proposed framework generates appropriate responses that relies on abductive and deductive diagnostic reasoning analyses and aligns with clinician preferences through thought process modeling.

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The AI Doctor Is In: A Survey of Task-Oriented Dialogue Systems for Healthcare Applications (2022.acl-long)

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Challenge: Task-oriented dialogue systems have been surveyed in the medical community from a non-technical perspective, but a systematic review from . a rigorous computational perspective has to date remained noticeably absent.
Approach: They analyze 4070 papers on task-oriented dialogue systems for healthcare applications and identify gaps in their analysis.
Outcome: The proposed system-level implementation details remain limited or underspecified, slowing the pace of innovation in this area.
Task-oriented Dialogue System for Automatic Diagnosis (P18-2)

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Challenge: Existing methods to identify phenotypes using electronic health records (EHRs) are expensive and difficult to transfer models from one disease to another.
Approach: They propose a task-oriented dialogue system framework to make diagnosis for patients automatically, which can converse with patients to collect additional symptoms beyond their self-reports.
Outcome: The proposed system can collect additional symptoms from conversation and improve disease identification accuracy.
MidMed: Towards Mixed-Type Dialogues for Medical Consultation (2023.acl-long)

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Challenge: Current medical dialogue systems assume that patients have explicit goals but are often unavailable in real-world situations due to the lack of medical knowledge.
Approach: They propose a human-to-human mixed-type medical consultation dialogue corpus . they build benchmarking baselines on MidMed and propose an instruction-guiding framework . Experimental results show the effectiveness of InsMed .
Outcome: The proposed system can help patients clarify their goals in real-world situations . it covers four departments with 8,309 dialogues and provides benchmarking baselines .
Medical Dialogue Generation via Dual Flow Modeling (2023.findings-acl)

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Challenge: Medical dialogue systems (MDS) aim to provide patients with medical services, such as diagnosis and prescription.
Approach: They propose a Dual Flow enhanced Medical (DFMed) dialogue generation framework that extracts the medical entities and doctor's dialogue acts used in the dialogue history and models their transitions with an entity-centric graph flow and a sequential act flow.
Outcome: The proposed framework exceeds baselines in both automatic and manual evaluations on two datasets.
Integrating Physician Diagnostic Logic into Large Language Models: Preference Learning from Process Feedback (2024.findings-acl)

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Challenge: Existing studies have shown that large language models can enhance response richness and coherence, but there is a pressing need to bolster the model’s capacity for diagnostic logic to ensure patient safety.
Approach: They propose an approach termed preference learning from process feedback (PLPF) that integrates the doctor’s diagnostic logic into LLMs.
Outcome: The proposed approach improves the diagnostic accuracy of the baseline model in medical conversations by 17.6%, surpassing the performance of traditional approaches.
High-Quality Medical Dialogue Synthesis for Improving EMR Generation (2025.emnlp-industry)

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Challenge: Existing methods for generating EMRs from doctor-patient dialogues produce rigid and repetitive dialogues.
Approach: They propose a framework that integrates Intent Graph Planning, Dual-Agent Simulation and Rule-Reward Quality Control to generate realistic doctor-patient dialogues.
Outcome: The proposed framework significantly enhances realism, diversity and downstream EMR quality, reducing physician editing efforts.
MIE: A Medical Information Extractor towards Medical Dialogues (2020.acl-main)

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Challenge: EMRs are important but many doctors suffer from writing them, which is time-consuming and tedious.
Approach: They propose an automatic conversion of medical dialogues to EMRs using a window-sliding style . they propose a medical information extractor (MIE) that extracts medical information from medical dialogue .
Outcome: The proposed model extracts medical information from doctor-patient dialogues.
Medical Dialogue System: A Survey of Categories, Methods, Evaluation and Challenges (2024.findings-acl)

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Challenge: Existing medical dialogue systems have significant potential to simplify diagnostic procedure and reduce the cost of collecting information from patients.
Approach: They analyze 325 papers from well-known computer science, natural language processing conferences and journals to find out the major challenges of medical dialog systems.
Outcome: The proposed systems have been surveyed in the medical community but have not been evaluated from a technical perspective.
Extracting relevant information from physician-patient dialogues for automated clinical note taking (D19-62)

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Challenge: a system that extracts pertinent medical information from dialogues between clinicians and patients is proposed . entering data into EMRs is currently slow and error-prone, and clinicians spend up to 50% of their time on data entry.
Approach: They propose a system that automatically extracts medical information from dialogues between clinicians and patients using context and time information.
Outcome: The proposed system extracts medical information from dialogues and automatically generates a patient note.
Seeing Is Believing! towards Knowledge-Infused Multi-modal Medical Dialogue Generation (2024.lrec-main)

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Challenge: Existing models of disease diagnosis using AI do not use knowledge infusion.
Approach: They propose a transformer-based, knowledge-infused multi-modal medical dialogue generation framework . they propose 'discourse-aware' image identifier that recognizes signs and their severity .
Outcome: The proposed model outperforms state-of-the-art models by 7.84% in the english language.

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