Objective: We aim to investigate long-term robotic surgical skill acquisition among surgical residents and the effects of training intervals and fatigue on performance. Methods: For six months, surgical residents participated in three training sessions once a month, surrounding a single 26-hour hospital shift. In each shift, they participated in training sessions scheduled before, during, and after the shift. In each training session, they performed three dry-lab training tasks: Ring Tower Transfer, Knot-Tying, and Suturing. We collected a comprehensive dataset, including videos synchronized with kinematic data, activity tracking, and scans of the suturing pads. Results: We collected a dataset of 972 trials performed by 18 residents of different surgical specializations. Participants demonstrated consistent performance improvement across all tasks. In addition, we found variations in between-shift learning and forgetting across metrics and tasks, and hints for possible effects of fatigue. Conclusion: The findings from our first analysis shed light on the long-term learning processes of robotic surgical skills with extended intervals and varying levels of fatigue. Significance: This study lays the groundwork for future research aimed at optimizing training protocols and enhancing AI applications in surgery, ultimately contributing to improved patient outcomes. The dataset will be made available upon acceptance of our journal submission.

Such feedback can be stochastic, e.g. the

Extending recent advances in Learning from Demonstration (LfD) frameworks to multi-robot settings poses critical challenges such as environment non-stationarity due to partial observability which is detrimental to the applicability of existing methods. Although prior work has shown that enabling communication among agents of a robot team can alleviate such issues, creating inter-agent communication under existing Multi-Agent LfD (MA-LfD) frameworks requires the human expert to provide demonstrations for both environment actions and communication actions, which necessitates an efficient communication strategy on a known message space. To address this problem, we propose Mixed-Initiative Multi-Agent Apprenticeship Learning (MixTURE). MixTURE enables robot teams to learn from a human expert-generated data a preferred policy to accomplish a collaborative task, while simultaneously learning emergent inter-agent communication to enhance team coordination. The key ingredient to MixTURE's success is automatically learning a communication policy, enhanced by a mutual-information maximizing reverse model that rationalizes the underlying expert demonstrations without the need for human generated data or an auxiliary reward function. MixTURE outperforms a variety of relevant baselines on diverse data generated by human experts in complex heterogeneous domains. MixTURE is the first MA-LfD framework to enable learning multi-robot collaborative policies directly from real human data, resulting in 44% less human workload, and 46% higher usability score.

Recent advancements in multimodal foundation models have showcased impressive capabilities in understanding and reasoning with visual and textual information. Adapting these foundation models trained for general usage to specialized domains like biomedicine requires large-scale domain-specific instruction datasets. While existing works have explored curating such datasets automatically, the resultant datasets are not explicitly aligned with domain expertise. In this work, we propose a data-centric framework, Biomedical Visual Instruction Tuning with Clinician Preference Alignment (BioMed-VITAL), that incorporates clinician preferences into both stages of generating and selecting instruction data for tuning biomedical multimodal foundation models. First, during the generation stage, we prompt the GPT-4V generator with a diverse set of clinician-selected demonstrations for preference-aligned data candidate generation. Then, during the selection phase, we train a separate selection model, which explicitly distills clinician and policy-guided model preferences into a rating function to select high-quality data for medical instruction tuning. Results show that the model tuned with the instruction data from our method demonstrates a significant improvement in open visual chat (18.5% relatively) and medical VQA (win rate up to 81.73%). Our instruction-following data, models, and code are available at https://BioMed-VITAL.github.io.

Artificial general intelligence on graphs has shown significant advancements across various applications, yet the traditional'Pre-train & Fine-tune' paradigm faces inefficiencies and negative transfer issues, particularly in complex and few-shot settings. Graph prompt learning emerges as a promising alternative, leveraging lightweight prompts to manipulate data and fill the task gap by reformulating downstream tasks to the pretext. However, several critical challenges still remain: how to unify diverse graph prompt models, how to evaluate the quality of graph prompts, and to improve their usability for practical comparisons and selection. In response to these challenges, we introduce the first comprehensive benchmark for graph prompt learning. Our benchmark integrates SIX pre-training methods and FIVE state-of-the-art graph prompt techniques, evaluated across FIFTEEN diverse datasets to assess performance, flexibility, and efficiency. We also present'ProG', an easy-to-use open-source library that streamlines the execution of various graph prompt models, facilitating objective evaluations. Additionally, we propose a unified framework that categorizes existing graph prompt methods into two main approaches: prompts as graphs and prompts as tokens. This framework enhances the applicability and comparison of graph prompt techniques.

We study the following question: given an efficient approximation algorithm for an optimization problem, can we learn efficiently in the same setting? We give a formal affirmative answer to this question in the form of a reduction from online learning to offline approximate optimization using an efficient algorithm that guarantees near optimal regret. The algorithm is efficient in terms of the number of oracle calls to a given approximation oracle - it makes only logarithmically many such calls per iteration.

We study the problem of robustly estimating the mean or location parameter without moment assumptions. Known computationally efficient algorithms rely on strong distributional assumptions, such as sub-Gaussianity, or (certifiably) bounded moments. Moreover, the guarantees that they achieve in the heavy-tailed setting are weaker than those for sub-Gaussian distributions with known covariance. In this work, we show that such a tradeoff, between error guarantees and heavy-tails, is not necessary for symmetric distributions. We show that for a large class of symmetric distributions, the same error as in the Gaussian setting can be achieved efficiently. The distributions we study include products of arbitrary symmetric one-dimensional distributions, such as product Cauchy distributions, as well as elliptical distributions, a vast generalization of the Gaussian distribution.