Surgical scene understanding is critical for surgical training and robotic decision-making in robot-assisted surgery. Recent advances in Multimodal Large Language Models (MLLMs) have demonstrated great potential for advancing scene perception in the medical domain, facilitating surgeons to understand surgical scenes and procedures. However, these methods are primarily oriented towards image-based analysis or global video understanding, overlooking the fine-grained video reasoning that is crucial for analyzing specific processes and capturing detailed task execution within a surgical procedure. To bridge this gap, we propose SurgVidLM, the first video language model designed to address both full and fine-grained surgical video comprehension. To train our SurgVidLM, we construct the SVU-31K that is a large-scale dataset with over 31K video-instruction pairs, enabling both holistic understanding and detailed analysis of surgical procedures. Building on this resource, SurgVidLM incorporates a two-stage StageFocus mechanism: the first stage extracts global procedural context, while the second stage performs high-frequency local analysis guided by temporal cues. We also develop the Multi-frequency Fusion Attention to effectively integrate low- and high-frequency visual tokens, ensuring the preservation of critical task-specific details. Experimental results demonstrate that SurgVidLM significantly outperforms state-of-the-art Vid-LLMs of comparable parameter scale in both full and fine-grained video understanding tasks, showcasing its superior capability in capturing the context of complex robot-assisted surgeries. Our code and dataset will be publicly accessible soon.

Recent work shows that post-training datasets for LLMs can be substantially downsampled without noticeably deteriorating performance. However, data selection often incurs high computational costs or is limited to narrow domains. In this paper, we demonstrate that data selection can be both -- efficient and universal -- by using a multi-step pipeline in which we efficiently bin data points into groups, estimate quality using specialized models, and score difficulty with a robust, lightweight method. Task-based categorization allows us to control the composition of our final data -- crucial for finetuning multi-purpose models. To guarantee diversity, we improve upon previous work using embedding models and a clustering algorithm. This integrated strategy enables high-performance fine-tuning with minimal overhead.

Interaction between learner and feedback-giver has come into focus recently for post-training of Large Language Models (LLMs), through the use of reward models that judge the appropriateness of a model's response. In this paper, we investigate whether Dialogue Games -- goal-directed and rule-governed activities driven predominantly by verbal actions -- can also serve as a source of feedback signals for learning. We introduce Playpen, an environment for off- and online learning through Dialogue Game self-play, and investigate a representative set of post-training methods: supervised fine-tuning; direct alignment (DPO); and reinforcement learning with GRPO. We experiment with post-training a small LLM (Llama-3.1-8B-Instruct), evaluating performance on unseen instances of training games as well as unseen games, and on standard benchmarks. We find that imitation learning through SFT improves performance on unseen instances, but negatively impacts other skills, while interactive learning with GRPO shows balanced improvements without loss of skills. We release the framework and the baseline training setups to foster research in the promising new direction of learning in (synthetic) interaction.

Conversations around birth control usually focus on women, but Kevin Eisenfrats, one of the MIT Technology Review 2025 Innovators Under 35, is working to change that. His company, Contraline, is working toward testing new birth control options for men . Exclusive: A record-breaking baby has been born from an embryo that's over 30 years old Jessica Hamzelou Therapists are secretly using ChatGPT. Exclusive: A record-breaking baby has been born from an embryo that's over 30 years old The embryos were created in 1994, while the expectant father was still a toddler, and donated via a Christian "embryo adoption" agency. Therapists are secretly using ChatGPT. Some therapists are using AI during therapy sessions.