Training medical personnel using standardized patients (SPs) remains a complex challenge, requiring extensive domain expertise and role-specific practice. Most research on Large Language Model (LLM)-based simulated patients focuses on improving data retrieval accuracy or adjusting prompts through human feedback. However, this focus has overlooked the critical need for patient agents to learn a standardized presentation pattern that transforms data into human-like patient responses through unsupervised simulations. To address this gap, we propose EvoPatient, a novel simulated patient framework in which a patient agent and doctor agents simulate the diagnostic process through multi-turn dialogues, simultaneously gathering experience to improve the quality of both questions and answers, ultimately enabling human doctor training. Extensive experiments on various cases demonstrate that, by providing only overall SP requirements, our framework improves over existing reasoning methods by more than 10% in requirement alignment and better human preference, while achieving an optimal balance of resource consumption after evolving over 200 cases for 10 hours, with excellent generalizability. Our system will be available at https://github.com/ZJUMAI/EvoPatient

Generative query rewrite generates reconstructed query rewrites using the conversation history while rely heavily on gold rewrite pairs that are expensive to obtain. Recently, few-shot learning is gaining increasing popularity for this task, whereas these methods are sensitive to the inherent noise due to limited data size. Besides, both attempts face performance degradation when there exists language style shift between training and testing cases. To this end, we study low-resource generative conversational query rewrite that is robust to both noise and language style shift. The core idea is to utilize massive unlabeled data to make further improvements via a contrastive co-training paradigm. Specifically, we co-train two dual models (namely Rewriter and Simplifier) such that each of them provides extra guidance through pseudo-labeling for enhancing the other in an iterative manner. We also leverage contrastive learning with data augmentation, which enables our model pay more attention on the truly valuable information than the noise. Extensive experiments demonstrate the superiority of our model under both few-shot and zero-shot scenarios. We also verify the better generalization ability of our model when encountering language style shift.