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Acknowledgements Financial support from the Economic Development and Innovation Operative Program GINOP-2.3.2-15-2016-00012 is gratefully acknowledged
We tested (i) the unmodified codebase (Original), (ii) a prompt-engineered MedAssist version that frames the system as a physician assistant and adds prompts and few-shot exemplars to restrict hallucinations, available for AgentClinic tasks (iii) a prompt-engineered MedAssist_Tool version, which further encourages tool use when clinical uncertainty arises, available for AgentClinic tasks, and (iv) vOpenManus , which incorporates a custom medical-vision tool for multimodal AgentClinic and HLE tasks while otherwise mirroring MedAssist-Tool

Adapted from Big Easy Seafood Okra Gumbo in Emerils New New Orleans Cooking. Ingredients 2 tablespoons olive oil 1/2 cup chopped onion 1/4 cup chopped celery 1/4 cup chopped green bell pepper 1/4 cup chopped red bell pepper 1/2 jalapeo, chopped 1/2 tablespoon salt 1/4 teaspoon freshly ground black pepper 1/2 cup seeded and chopped Italian plum tomatoes 2 tablespoons minced garlic 1 tablespoon minced shallots 2 quarts fish stock (store-bought or frozen) 1/2 pound sea bass, cut into 1-inch cubes, skin removed 1 teaspoon Worcestershire sauce 1/2 teaspoon Crystal Hot Sauce (available at Dugazon) 6 bay leaves, fresh or dried 1 tablespoon minced fresh basil 1 teaspoon minced fresh oregano 1 teaspoon fresh thyme leaves 12 fresh okra, sliced 1 teaspoon cornstarch 2 teaspoons Tony Chacheres Cajun Seasoning (available at Dugazon) 1/2 pound peeled medium shrimp (Guidos fresh Gulf shrimp is a favorite) 2 to 4 cups cooked white rice 1 cup chopped green onions Equipment Large soup or stock pot Wooden spoon Rice cooker or saucepan Soup or gumbo spoons Preparation The cooking times are important to the texture and flavor of the finished gumbo

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