Recent advances in Large Language Models (LLMs) have brought significant improvements to various service domains, including chatbots and medical pre-consultation applications. In the healthcare domain, the most common approach for adapting LLMs to multi-turn dialogue generation is Supervised Fine-Tuning (SFT). However, datasets for SFT in tasks like medical pre-consultation typically exhibit a skewed turn-count distribution. Training on such data induces a novel failure mechanism we term **Format Inertia**, where models tend to generate repetitive, format-correct, but diagnostically uninformative questions in long medical dialogues. To mitigate this observed failure mechanism, we adopt a simple, data-centric method that rebalances the turn-count distribution of the training dataset. Experimental results show that our approach substantially alleviates Format Inertia in medical pre-consultation.

Safety is a paramount concern in clinical chatbot applications, where inaccurate or harmful responses can lead to serious consequences. Existing methods—such as guardrails and tool-calling—often fall short in addressing the nuanced demands of the clinical domain. In this paper, we introduce TACOS(Taxonomy of Comprehensive Safety for Clinical Agents), a fine-grained, 21-class taxonomy that integrates safety filtering and tool selection into a single user intent classification step. TACOS covers a wide spectrum of clinical and non-clinical queries, explicitly modeling varying safety thresholds and external tool dependencies. To validate our taxonomy, we curate a TACOS-annotated dataset and perform extensive experiments. Our results demonstrate the value of a new taxonomy specialized for clinical agent settings, and reveal valuable insights about train data distribution and pretrained knowledge of base models.

Hierarchical text classification (HTC) is a challenging problem with two key issues: utilizing structural information and mitigating label imbalance. Recently, the unit-based approach generating unit-based feature representations has outperformed the global approach focusing on a global feature representation. Nevertheless, unit-based models using BCE and ZLPR losses still face static thresholding and label imbalance challenges. Those challenges become more critical in large-scale hierarchies. This paper introduces a novel hierarchy-aware loss function for unit-based HTC models: Hierarchy-aware Biased Bound Margin (HBM) loss. HBM integrates learnable bounds, biases, and a margin to address static thresholding and mitigate label imbalance adaptively. Experimental results on benchmark datasets demonstrate the superior performance of HBM compared to competitive HTC models.