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MedAgentBoard: Benchmarking Multi-Agent Collaboration with Conventional Methods for Diverse Medical Tasks

NeurIPS 2025 · Multi-agent systems and games › LLM agents · approach: LLM multi-agent decision making

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Introduces MedAgentBoard, a benchmark comparing multi-agent LLM collaboration, single LLMs, and conventional methods across four medical task categories (QA/VQA, lay summarization, EHR prediction, clinical workflow automation), finding multi-agent methods do not consistently beat strong single LLMs or specialized conventional models.

Problem

Multi-agent LLM collaboration is claimed to help medical tasks, but prior evaluations are narrow in task coverage and rarely compare against both single LLMs and established conventional methods.

Approach

A unified benchmark spanning four diverse medical task categories and several data modalities, benchmarking multi-agent frameworks against single-LLM prompting and fine-tuned conventional models under the same pipeline.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
use CoT-SC instead of zero-shot prompting (ablation)DeepSeek-V3-0324 · MedQA MCaccuracy: 77.50\stddev{2.57} -> 89.90\stddev{2.43}Helped
use CoT-SC instead of zero-shot prompting (ablation)DeepSeek-V3-0324 · PubMedQA FFLLM-as-a-judge score: 91.23\stddev{0.78} -> 84.25\stddev{1.14}Hurt
use multi-agent MedAgents instead of the strongest single-LLM settingDeepSeek-V3-0324 · MedQA MCaccuracy: 89.90\stddev{2.43} -> 85.25\stddev{2.67}Hurt
use specialized conventional VLMs instead of general-purpose VLMsmedical VQA systems · PathVQA MCaccuracy: 74.50\stddev{3.20} -> 91.40\stddev{1.74}Helped
add two in-context examples to optimized prompting (ablation)DeepSeek-V3-0324 · CochraneROUGE-L: 33.85\stddev{0.60} -> 35.58\stddev{0.63}Helped
add two in-context examples to optimized prompting (ablation)DeepSeek-V3-0324 · CochraneSARI: 38.25\stddev{0.41} -> 38.56\stddev{0.28}Helped
use AgentSimp instead of the best single LLM prompting settingDeepSeek-V3-0324 · CochraneROUGE-L: 35.58\stddev{0.63} -> 34.25\stddev{0.55}Hurt
use fine-tuned conventional models instead of LLM-based methodslay summary generation · PLABAROUGE-L: 41.37\stddev{0.42} -> 59.11\stddev{1.02}Helped
use conventional AdaCare instead of zero-shot GPT-4oMIMIC-IV mortality prediction · MIMIC-IV mortalityAUROC: 85.99\stddev{3.85} -> 94.28\stddev{3.52}Helped
use multi-agent ColaCare instead of its single base LLMDeepSeek-V3-0324 · MIMIC-IV mortalityAUROC: 76.86\stddev{4.71} -> 82.91\stddev{4.49}Helped
use conventional AdaCare instead of multi-agent ColaCareMIMIC-IV mortality prediction · MIMIC-IV mortalityAUROC: 82.91\stddev{4.49} -> 94.28\stddev{3.52}Helped
use multi-agent workflow automation instead of a single LLMclinical workflow automation · TJH modeling workflowCorrect: 8.42\% -> 64.0\%Helped

Surprising findings

Limitations

Experimental setup

Datasets: MedQA PubMedQA PathVQA VQA-RAD Cochrane eLife PLOS Med-EASi PLABA MIMIC-IV TJH

Benchmarks: MedQA PubMedQA PathVQA VQA-RAD Cochrane eLife PLOS Med-EASi PLABA MIMIC-IV TJH

Metrics: accuracy LLM-as-a-judge score ROUGE-L SARI AUROC AUPRC correct-rate by expert panel

Baselines: BioLinkBERT Gatortron M³AE BiomedGPT MUMC LLaVA-Med Med-Flamingo BART T5 PEGASUS BART-CNN XGBoost

Builds on: MedAgents ReConcile MDAgents ColaCare AgentSimp

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