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MedAgentBoard: Benchmarking Multi-Agent Collaboration with Conventional Methods for Diverse Medical Tasks
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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
- On MedQA multiple-choice, CoT-SC single LLM reaches 89.90% accuracy, while MedAgents reaches 85.25%; specialized VQA model MUMC reaches 91.40% on PathVQA vs. best multi-agent 75.90%.
- On lay summary (Cochrane), BART-CNN achieves 42.24% ROUGE-L versus 35.58% for the best single-LLM method and 34.25% for AgentSimp.
- On MIMIC-IV mortality EHR prediction, AdaCare reaches 94.28% AUROC versus 82.91% for ColaCare and 85.99% for GPT-4o; in clinical workflow automation, OpenManus achieves 64.0% correct on TJH modeling vs. 8.42% for single LLM.
Measured effects reported in the paper
| What was changed | Where | Measured | Effect |
|---|---|---|---|
| use CoT-SC instead of zero-shot prompting (ablation) | DeepSeek-V3-0324 · MedQA MC | accuracy: 77.50\stddev{2.57} -> 89.90\stddev{2.43} | Helped |
| use CoT-SC instead of zero-shot prompting (ablation) | DeepSeek-V3-0324 · PubMedQA FF | LLM-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 setting | DeepSeek-V3-0324 · MedQA MC | accuracy: 89.90\stddev{2.43} -> 85.25\stddev{2.67} | Hurt |
| use specialized conventional VLMs instead of general-purpose VLMs | medical VQA systems · PathVQA MC | accuracy: 74.50\stddev{3.20} -> 91.40\stddev{1.74} | Helped |
| add two in-context examples to optimized prompting (ablation) | DeepSeek-V3-0324 · Cochrane | ROUGE-L: 33.85\stddev{0.60} -> 35.58\stddev{0.63} | Helped |
| add two in-context examples to optimized prompting (ablation) | DeepSeek-V3-0324 · Cochrane | SARI: 38.25\stddev{0.41} -> 38.56\stddev{0.28} | Helped |
| use AgentSimp instead of the best single LLM prompting setting | DeepSeek-V3-0324 · Cochrane | ROUGE-L: 35.58\stddev{0.63} -> 34.25\stddev{0.55} | Hurt |
| use fine-tuned conventional models instead of LLM-based methods | lay summary generation · PLABA | ROUGE-L: 41.37\stddev{0.42} -> 59.11\stddev{1.02} | Helped |
| use conventional AdaCare instead of zero-shot GPT-4o | MIMIC-IV mortality prediction · MIMIC-IV mortality | AUROC: 85.99\stddev{3.85} -> 94.28\stddev{3.52} | Helped |
| use multi-agent ColaCare instead of its single base LLM | DeepSeek-V3-0324 · MIMIC-IV mortality | AUROC: 76.86\stddev{4.71} -> 82.91\stddev{4.49} | Helped |
| use conventional AdaCare instead of multi-agent ColaCare | MIMIC-IV mortality prediction · MIMIC-IV mortality | AUROC: 82.91\stddev{4.49} -> 94.28\stddev{3.52} | Helped |
| use multi-agent workflow automation instead of a single LLM | clinical workflow automation · TJH modeling workflow | Correct: 8.42\% -> 64.0\% | Helped |
Surprising findings
- Advanced single LLMs (e.g., DeepSeek-V3 zero-shot) can match or exceed multi-agent collaboration on textual QA and lay summaries.
- Multi-agent gains on EHR prediction appear largely driven by the strength of the underlying base LLM rather than the collaboration mechanism.
Limitations
- Results depend on underlying foundation models and may shift as LLMs improve.
- Clinical workflow automation uses only a curated set of 100 tasks, not exhaustive.
- Evaluation relies largely on automated metrics and limited human assessment.
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
Closest papers by meaning
- MDAgents: An Adaptive Collaboration of LLMs for Medical Decision-Making (NeurIPS 2024 · similarity 0.92)
- MedAgent-Pro: Towards Evidence-based Multi-modal Medical Diagnosis via Reasoning Agentic Workflow (ICLR 2026 · similarity 0.89)
- PhysicianBench: Evaluating LLM Agents in Real-World EHR Environments (NeurIPS 2026 · similarity 0.88)
- MedChain: Bridging the Gap Between LLM Agents and Clinical Practice with Interactive Sequence (NeurIPS 2025 · similarity 0.88)
- MMedAgent-RL: Optimizing Multi-Agent Collaboration for Multimodal Medical Reasoning (ICLR 2026 · similarity 0.88)
- MedExAgent: Training LLM Agents to Ask, Examine, and Diagnose in Noisy Clinical Environments (NeurIPS 2026 · similarity 0.88)
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