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PharmaSim-Switch (Supplementary Materials)

This repository contains supplementary resources for the study:

Structuring versus Problematizing: How LLM-based Agents Scaffold Learning in Diagnostic Reasoning

Citation

Güreş, F. B., Nazaretsky, T., Neshaei, S. P., & Käser, T. (2025). Structuring versus Problematizing: How LLM-based Agents Scaffold Learning in Diagnostic Reasoning. In Proceedings of the 16th International Learning Analytics and Knowledge Conference (LAK ’26). ACM. https://doi.org/10.1145/3785022.3785105

It includes the full prompt set used in the LLM-driven scaffolding system, as well as visual summaries of statistical analyses and behavioral metrics reported in the paper.


Contents

RQ1: Prompts.xlsx

Contains the complete set of prompt templates used by the AI agents in the two scaffolding conditions:

  • Structuring-heavy scaffolding
    Guided, supportive, and highly structured mentoring prompts.

  • Problematizing-heavy scaffolding
    Reflective, inquiry-based prompts encouraging learners to reason through uncertainty.

How the prompts are organized

  • Prompts are grouped by interaction state in the learning sequence
    (e.g., General Instructions, Data Collection, Data Interpretation).
  • Prompts are provided in both English and German.
  • General Instructions remain constant throughout the session.
  • State-specific prompts dynamically switch based on learner progress, reflecting the study’s state-machine design.

Pretest Conceptual Knowledge.pdf

A short pretest measuring learners’ baseline conceptual knowledge before interacting with the system.


RQ2: Mixed Linear Models for Strategy Learning Outcomes.png

A visual summary of mixed-effects statistical models analyzing learning gains across three diagnostic reasoning strategies:

  • Checklist Strategy
  • Interpersonal Strategy
  • Possible Causes Strategy

RQ3: Surface Level Metrics.png

A descriptive and inferential comparison of engagement-related surface-level behavioral metrics between the two scaffolding conditions, including:

  • switch ratios (client ↔ pharmacist)
  • discussion duration
  • utterance counts and word counts
  • turn ratios
  • interaction density

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