arXiv — NLP / Computation & Language · · 3 min read

Adaptive Memory and Reflection Multi-Agent System for Medical Question Answering

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Computer Science > Artificial Intelligence

arXiv:2608.19029 (cs)
[Submitted on 19 Aug 2026]

Title:Adaptive Memory and Reflection Multi-Agent System for Medical Question Answering

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Abstract:Accurate and responsible medical question answering (QA) is important in healthcare, where complex cases require factual knowledge and nuanced reasoning. Existing medical QA systems, typically based on single-agent architectures and static retrieval, often lack adaptability, persistent memory, and structured decision-making. This work introduces an adaptive memory and reflection (AMR) agentic system, a multi-agent framework in which specialized agents use dedicated memory and reflection-based feedback to retrieve relevant prior cases and improve subsequent reasoning. Complexity assessment routes questions through solo, collaborative, or escalated workflows, while consensus and ethical overseer modules support reasoning consolidation and output review. Evaluation on MedQA and MedMCQA demonstrates strong performance compared with several baselines. Ablation studies show that combining agent-specific memory, reflection, and external retrieval yields the strongest performance. These findings highlight the potential of structured memory and feedback for developing more trustworthy medical agents. The source code is publicly available at this https URL.
Comments: Accepted by IEEE SMC 2026
Subjects: Artificial Intelligence (cs.AI); Computation and Language (cs.CL); Multiagent Systems (cs.MA)
Cite as: arXiv:2608.19029 [cs.AI]
  (or arXiv:2608.19029v1 [cs.AI] for this version)
  https://doi.org/10.48550/arXiv.2608.19029
arXiv-issued DOI via DataCite (pending registration)

Submission history

From: Xinqi Fan [view email]
[v1] Wed, 19 Aug 2026 15:24:18 UTC (1,838 KB)
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