Can AI Agents Interface Clinicians and Complex Models?

Artificial Intelligence agents based on large language models provide convenient natural language interfaces to scientific software, but reliability is not automatic. Here we introduce the Epydemix Agent Framework, an additive layer over Epydemix, an open-source Python library for stochastic compartmental epidemic modeling. The framework extends the library with four capabilities to facilitate interaction with an AI agent: discovery of available models and parameters, preventive validation of a declarative scenario specification, execution through tested library code, and inspectability of results. These capabilities let an agent handle the entire modeling process, from the natural-language description of the scenario to quantitative results, figures, and interpretation of findings without writing custom code. Each step reads input files and saves results in a separate output bundle, making the process auditable and reproducible. First, we show the end-to-end workflow with a case study comparing vaccination strategies for a novel respiratory virus. Second, we assessed the framework across 50 agent sessions and five modeling tasks by comparing the agent use of the framework against the direct use of the Python interface. The framework reduced turns, output tokens, and cost on most tasks, unless it trades resources for per-point reproducibility.

Multi-modal large language models (MM-LLMs) have shown strong performance in medical image understanding and clinical reasoning. Recent medical agent systems extend them with tool use and multi-agent collaboration, enabling complex decision-making. However, these systems rely almost entirely on frontier models (e.g., GPT), whose API-based deployment incurs high cost, high latency, and privacy risks that conflict with on-premise clinical requirements. We present Meissa, a lightweight 4B-parameter medical MM-LLM that brings agentic capability offline. Instead of imitating static answers, Meissa learns both when to engage external interaction (strategy selection) and how to execute multi-step interaction (strategy execution) by distilling structured trajectories from frontier models. Specifically, we propose: (1) Unified trajectory modeling: trajectories (reasoning and action traces) are represented within a single state-action-observation formalism, allowing one model to generalize across heterogeneous medical environments. (2) Three-tier stratified supervision: the model's own errors trigger progressive escalation from direct reasoning to tool-augmented and multi-agent interaction, explicitly learning difficulty-aware strategy selection. (3) Prospective-retrospective supervision: pairing exploratory forward traces with hindsight-rationalized execution traces enables stable learning of effective interaction policies. Trained on 40K curated trajectories, Meissa matches or exceeds proprietary frontier agents in 10 of 16 evaluation settings across 13 medical benchmarks spanning radiology, pathology, and clinical reasoning. Using over 25x fewer parameters than typical frontier models like Gemini-3, Meissa operates fully offline with 22x lower end-to-end latency compared to API-based deployment. Data, models, and environments are released at https://github.com/Schuture/Meissa.

Agent-based modeling (ABM) has the capability to model millions of individuals and their interactions, which is useful for policy making. However, ABMs have traditionally relied on static prior, which prevents the models from adapting to real-time changes. Our research provides a novel approach to addressing this information gap. Large language models (LLMs) offer new opportunities to predict human decision-making. Here, we introduce a scalable Hybrid Agent-based and Language-driven Epidemic (HALE) modeling framework that leverages LLMs to predict human decision-making in an ABM simulation. As a proof-of-concept, we use HALE to simulate COVID-19 and its effects in Salt Lake County, UT.