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Uncovering Students' Inquiry Patterns in GenAI-Supported Clinical Practice: An Integration of Epistemic Network Analysis and Sequential Pattern Mining

Wei, Jiameng, Dang, Dinh, Yang, Kaixun, Stokes, Emily, Mazeh, Amna, Lim, Angelina, Dai, David Wei, Moore, Joel, Fan, Yizhou, Gasevic, Danijela, Gasevic, Dragan, Chen, Guanliang

arXiv.org Artificial Intelligence

Assessment of medication history-taking has traditionally relied on human observation, limiting scalability and detailed performance data. While Generative AI (GenAI) platforms enable extensive data collection and learning analytics provide powerful methods for analyzing educational traces, these approaches remain largely underexplored in pharmacy clinical training. This study addresses this gap by applying learning analytics to understand how students develop clinical communication competencies with GenAI-powered virtual patients -- a crucial endeavor given the diversity of student cohorts, varying language backgrounds, and the limited opportunities for individualized feedback in traditional training settings. We analyzed 323 students' interaction logs across Australian and Malaysian institutions, comprising 50,871 coded utterances from 1,487 student-GenAI dialogues. Combining Epistemic Network Analysis to model inquiry co-occurrences with Sequential Pattern Mining to capture temporal sequences, we found that high performers demonstrated strategic deployment of information recognition behaviors. Specifically, high performers centered inquiry on recognizing clinically relevant information, integrating rapport-building and structural organization, while low performers remained in routine question-verification loops. Demographic factors including first-language background, prior pharmacy work experience, and institutional context, also shaped distinct inquiry patterns. These findings reveal inquiry patterns that may indicate clinical reasoning development in GenAI-assisted contexts, providing methodological insights for health professions education assessment and informing adaptive GenAI system design that supports diverse learning pathways.


Natural, Artificial, and Human Intelligences

Pothos, Emmanuel M., Widdows, Dominic

arXiv.org Artificial Intelligence

Human achievement, whether in culture, science, or technology, is unparalleled in the known existence. This achievement is tied to the enormous communities of knowledge, made possible by language: leaving theological content aside, it is very much true that "in the beginning was the word", and that in Western societies, this became particularly identified with the written word. There lies the challenge regarding modern age chatbots: they can 'do' language apparently as well as ourselves and there is a natural question of whether they can be considered intelligent, in the same way as we are or otherwise. Are humans uniquely intelligent? We consider this question in terms of the psychological literature on intelligence, evidence for intelligence in non-human animals, the role of written language in science and technology, progress with artificial intelligence, the history of intelligence testing (for both humans and machines), and the role of embodiment in intelligence. We think that it is increasingly difficult to consider humans uniquely intelligent. There are current limitations in chatbots, e.g., concerning perceptual and social awareness, but much attention is currently devoted to overcoming such limitations.


Embedding Generative AI into Systems Analysis and Design Curriculum: Framework, Case Study, and Cross-Campus Empirical Evidence

Elkhodr, Mahmoud, Gide, Ergun

arXiv.org Artificial Intelligence

Systems analysis students increasingly use Generative AI, yet current pedagogy lacks systematic approaches for teaching responsible AI orchestration that fosters critical thinking whilst meeting educational outcomes. Students risk accepting AI suggestions blindly or uncritically without assessing alignment with user needs or contextual appropriateness. SAGE (Structured AI-Guided Education) addresses this gap by embedding GenAI into curriculum design, training students when to accept, modify, or reject AI contributions. Implementation with 18 student groups across four Australian universities revealed how orchestration skills develop. Most groups (84\%) moved beyond passive acceptance, showing selective judgment, yet none proactively identified gaps overlooked by both human and AI analysis, indicating a competency ceiling. Students strong at explaining decisions also performed well at integrating sources, and those with deep domain understanding consistently considered accessibility considerations. Accessibility awareness proved fragile. When writing requirements, 85\% of groups explicitly considered elderly users and cultural needs. Notably, 55\% of groups struggled identifying when AI misclassified system boundaries (what belongs inside versus outside the system), 45\% missed data management errors (how information is stored and updated), and 55\% overlooked missing exception handling. Three implications emerge for educators: (i) require students to document why they accepted, modified, or rejected each AI suggestion, making reasoning explicit; (ii) embed accessibility prompts at each development stage because awareness collapses without continuous scaffolding; and (iii) have students create their own specifications before using AI, then compare versions, and anchor to research or standards to identify gaps.


EduAgentQG: A Multi-Agent Workflow Framework for Personalized Question Generation

Jia, Rui, Zhang, Min, Liu, Fengrui, Jiang, Bo, Kuang, Kun, Dai, Zhongxiang

arXiv.org Artificial Intelligence

Abstract--High-quality personalized question banks are crucial for supporting adaptive learning and individualized assessment. Manually designing questions is time-consuming and often fails to meet diverse learning needs, making automated question generation a crucial approach to reduce teachers' workload and improve the scalability of educational resources. However, most existing question generation methods rely on single-agent or rule-based pipelines, which still produce questions with unstable quality, limited diversity, and insufficient alignment with educational goals. T o address these challenges, we propose EduAgentQG, a multi-agent collaborative framework for generating high-quality and diverse personalized questions. The framework consists of five specialized agents and operates through an iterative feedback loop: the Planner generates structured design plans and multiple question directions to enhance diversity; the Writer produces candidate questions based on the plan and optimizes their quality and diversity using feedback from the Solver and Educator; the Solver and Educator perform binary scoring across multiple evaluation dimensions and feed the evaluation results back to the Writer; the Checker conducts final verification, including answer correctness and clarity, ensuring alignment with educational goals. Through this multi-agent collaboration and iterative feedback loop, EduAgentQG generates questions that are both high-quality and diverse, while maintaining consistency with educational objectives. Experiments on two mathematics question datasets demonstrate that EduAgentQG outperforms existing single-agent and multi-agent methods in terms of question diversity, goal consistency, and overall quality. High-quality personalized question banks are crucial for supporting adaptive learning and individualized assessment [1], [2], [3]. In practical teaching, experienced educators can often determine the specific educational goals a student needs to achieve based on observation and prior knowledge [4], [5], [6]. Teachers typically engage in iterative cycles of planning, drafting, validation, and optimization to design questions that are both diagnostically effective and pedagogically meaningful, balancing knowledge coverage, cognitive skill development, and difficulty levels [7], [8]. Existing question banks may not always contain suitable questions, and even when relevant questions are available, they may have been previously attempted by students [9], [10], [11].


Online Mixture of Experts: No-Regret Learning for Optimal Collective Decision-Making

Liu, Larkin, Etesami, Jalal

arXiv.org Artificial Intelligence

We explore the use of expert-guided bandit learning, which we refer to as online mixture-of-experts (OMoE). In this setting, given a context, a candidate committee of experts must determine how to aggregate their outputs to achieve optimal results in terms of aggregate accuracy. We propose two algorithms to address this problem. The first algorithm combines aggregate voting with UCB-driven successive elimination, efficiently pruning suboptimal exploration actions. The second algorithm employs an online weighted-majority-voting mechanism, leveraging the respective voting power of each expert proportional to their predictive power. We derive theoretical guarantees for the regret properties in the bandit setting under ideal circumstances, and empirical results are provided accordingly. As a modern study on applications, these methods are applied to the online fine-tuning of a set of expert large language models (LLMs), where after each response, the generative LLM dynamically reweighs its set of experts and/or selects the optimal committee of experts to generate the most accurate response. Our results introduce new methodologies and no-regret guarantees for combining multiple experts to improve on the performance of the an aggregate model overall.


AI Literacy in UAE Libraries: Assessing Competencies, Training Needs, and Ethical Considerations for the Digital Age

Khan, Zafar Imam

arXiv.org Artificial Intelligence

This is the accepted manuscript version. The final published version will appear in College & Research Libraries, November 2026. AI Literacy in UAE Libraries: Assessing Competencies, Training Needs, and Ethical Considerations for the Digital Age Zafar Imam Khan, Learning Resources Manager, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates, Email: zafarimamkhan@gmail.com, https://orcid.org/0000 - 0003 - 2081 - 0951 Abstract The study explores the current state of artificial intelligence (AI) literacy levels among library professionals employing a quantitative approach consisting of 92 surveys of LIS professionals in the United Arab Emirates (UAE). Findings of the study reveal ed the presence of strong cognitive competencies, while there were gaps observed in behavioral and normative competencies, especially related to AI biases, AI - powered learning, and ethical considerations. There was a disconnect observed between the perceiv ed importance of AI skills and the effectiveness of the current training programs. Introduction Generative AI has created massive disruption in all sectors, such as manufacturing, services, agriculture, medicine, and education, and has transformed a range of operations and services. Libraries are transforming and gearing up to harness the power of AI, which can enhance efficiency, accessibility, and personalization of services; thereby reshaping the traditional library landscape. This transformation has been observed in several of the traditional library services as AI is automating routine tasks such as cataloguing and classification of collections, and enhancing search functionalities and information retrieval, thereby creating a much more accurate and organized library system while librarians have more time to focus on intellectually stimulating act ivities (Preethi, 2024). There is a race to integrate AI into library services at a global level, and this has presented both opportunities and challenges in terms of AI literacy among library professionals. AI literacy involves understanding of AI tools, their applications, and ethical considerations surrounding their use.


AI & Data Competencies: Scaffolding holistic AI literacy in Higher Education

Kennedy, Kathleen, Gupta, Anuj

arXiv.org Artificial Intelligence

This chapter introduces the AI & Data Acumen Learning Outcomes Framework, a comprehensive tool designed to guide the integration of AI literacy across higher education. Developed through a collaborative process, the framework defines key AI and data-related competencies across four proficiency levels and seven knowledge dimensions. It provides a structured approach for educators to scaffold student learning in AI, balancing technical skills with ethical considerations and sociocultural awareness. The chapter outlines the framework's development process, its structure, and practical strategies for implementation in curriculum design, learning activities, and assessment. We address challenges in implementation and future directions for AI education. By offering a roadmap for developing students' holistic AI literacy, this framework prepares learners to leverage generative AI capabilities in both academic and professional contexts.


The Integration of Artificial Intelligence in Undergraduate Medical Education in Spain: Descriptive Analysis and International Perspectives

Janeiro, Ana Enériz, Pereira, Karina Pitombeira, Mayol, Julio, Crespo, Javier, Carballo, Fernando, Cabello, Juan B., Ramos-Casals, Manel, Corbacho, Bibiana Pérez, Turnes, Juan

arXiv.org Artificial Intelligence

AI is transforming medical practice and redefining the competencies that future healthcare professionals need to master. Despite international recommendations, the integration of AI into Medicine curricula in Spain had not been systematically evaluated until now. A cross-sectional study (July-September 2025) including Spanish universities offering the official degree in Medicine, according to the 'Register of Universities, Centers and Degrees (Registro de Universidades, Centros y Títulos RUCT)'. Curricula and publicly available institutional documentation were reviewed to identify courses and competencies related to AI in the 2025-2026 academic year. The analysis was performed using descriptive statistics. Of the 52 universities analyzed, ten (19.2%) offer specific AI courses, whereas 36 (69.2%) include no related content. Most of the identified courses are elective, with a credit load ranging from three to six ECTS, representing on average 1.17% of the total 360 credits of the degree. The University of Jaén is the only institution offering a compulsory course with AI content. The territorial analysis reveals marked disparities: Andalusia leads with 55.5% of its universities incorporating AI training, while several communities lack any initiative in this area. The integration of AI into the medical degree in Spain is incipient, fragmented, and uneven, with a low weight in ECTS. The limited training load and predominance of elective courses restrict the preparation of future physicians to practice in a healthcare environment increasingly mediated by AI. The findings support the establishment of minimum standards and national monitoring of indicators.


The Spark Effect: On Engineering Creative Diversity in Multi-Agent AI Systems

Doudkin, Alexander, Voelker, Anton, von Borries, Friedrich

arXiv.org Artificial Intelligence

Creative services teams increasingly rely on large language models (LLMs) to accelerate ideation, yet production systems often converge on homogeneous outputs that fail to meet brand or artistic expectations. Art of X developed persona-conditioned LLM agents -- internally branded as "Sparks" and instantiated through a library of role-inspired system prompts -- to intentionally diversify agent behaviour within a multi-agent workflow. This white paper documents the problem framing, experimental design, and quantitative evidence behind the Spark agent programme. Using an LLM-as-a-judge protocol calibrated against human gold standards, we observe a mean diversity gain of +4.1 points (on a 1-10 scale) when persona-conditioned Spark agents replace a uniform system prompt, narrowing the gap to human experts to 1.0 point. We also surface evaluator bias and procedural considerations for future deployments.


AI in Computational Thinking Education in Higher Education: A Systematic Literature Review

Rahimi, Ebrahim, Maathuis, Clara

arXiv.org Artificial Intelligence

Computational Thinking (CT) is a key skill set for students in higher education to thrive and adapt to an increasingly technology-driven future and workplace. While research on CT education has gained remarkable momentum in K12 over the past decade, it has remained under-explored in higher education, leaving higher education teachers with an insufficient overview, knowledge, and support regarding CT education. The proliferation and adoption of artificial intelligence (AI) by educational institutions have demonstrated promising potential to support instructional activities across many disciplines, including CT education. However, a comprehensive overview outlining the various aspects of integrating AI in CT education in higher education is lacking. To mitigate this gap, we conducted this systematic literature review study. The focus of our study is to identify initiatives applying AI in CT education within higher education and to explore various educational aspects of these initiatives, including the benefits and challenges of AI in CT education, instructional strategies employed, CT components covered, and AI techniques and models utilized. This study provides practical and scientific contributions to the CT education community, including an inventory of AI-based initiatives for CT education useful to educators, an overview of various aspects of integrating AI into CT education such as its benefits and challenges (e.g., AI potential to reshape CT education versus its potential to diminish students creativity) and insights into new and expanded perspectives on CT in light of AI (e.g., the decoding approach alongside the coding approach to CT).