Agent skills have become an important mechanism for equipping language-model agents with reusable procedural knowledge. However, providing skills alone does not guarantee that current models can effectively identify, apply, and coordinate them. To improve skill-use capabilities, we introduce SKT, a verified data synthesis pipeline that constructs skill-grounded tasks and executable trajectories from large collections of agent skills. SKT selects suitable single-skill and multi-skill configurations, synthesizes tasks through rule-based and agent-based verification with feedback-guided repair, and retains only successful trajectories that substantially use every required skill. Using 2,000 public skills, SKT produces 4,000 task packages and 27,164 verified trajectories. Based on the same pipeline and a disjoint test pool, we further construct SkillEval, a held-out executable benchmark for evaluating skill use. Experiments across diverse models, benchmarks, and agent harnesses show that supervised fine-tuning on SKT-generated trajectories consistently improves skill-use performance. Verification ablations, cross-harness evaluation, and scaling experiments further demonstrate that these gains depend on high-quality supervision, extend beyond a single agent interface, and increase with broader skill coverage. Together, these results establish verified data synthesis as an effective and scalable approach for skill-use training.
Zelin Tan, Yiqun Zhang, Hao Li et al.· 0 citations
Musculoskeletal diseases are among the leading causes of disability and drive the greatest global need for rehabilitation. Because recovery, remodelling and degeneration of bones, joints and related tissues unfold over months to years, care requires longitudinal management rather than isolated decisions. Clinicians must repeatedly integrate evolving patient evidence, medical knowledge and stage-specific functional goals, yet evidence is often fragmented across visits, departments and hospital systems, disrupting continuous, individualised management. Here we report OrthoPilot, a clinical artificial intelligence (AI) system powered by a large language model (LLM) that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal care. It autonomously retrieves real-time imaging, laboratory, pathology and order data and translates evolving patient states into evidence-based decisions from admission diagnosis through rehabilitation planning. We established a specialist-validated benchmark from real-world electronic health records (EHRs) spanning 1,000 disease codes. In a full-pathway reader study against 81 orthopaedic physicians, OrthoPilot outperformed experts with 25 years of experience in diagnostic reasoning, clinical decision-making and management planning. This advantage generalised across 60 external clinical centres, where OrthoPilot surpassed all evaluated intelligent systems. In a prospective physician decision-making study of 1,870 complex cases, OrthoPilot improved full-chain management success by 10.6%. In a randomised deployment involving 8,240 inpatients, integration into routine care increased cumulative cases per bed by 9.7% and improved patient-reported access to health information. These results move clinical AI from predicting isolated events toward executing longitudinal management across complete musculoskeletal care pathways.
Wenjie Li, Yu-Jie Zhang, Fanrui Zhang et al.· 0 citations
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