The performance of an LLM agent depends on the scaffold around a frozen model. A common way to improve that scaffold is to use a coding agent as an optimizer: it reads current scores and traces and iteratively edits the source, producing a new candidate each round. Each edit is chosen according to a belief about how the environment will respond: what went wrong, and which change should help. That belief is typically implicit. It lives in the coding agent's reasoning on the current call, or remains latent in its parameters, rather than as something written down. Later calls therefore see scores and traces, but they do not use that belief. We introduce Belief-Calibrated Optimization (BCO), a method that writes that belief down as a persistent in-context document and continually revises that document as new candidates are evaluated. The resulting document is a world model: the current account of how the environment responds to edits. Added to an otherwise standard loop, BCO reaches a higher train passrate than a matched control that lacks only the world model, on five benchmarks spanning memory QA, tool-use QA, code-as-action app agents, and terminal agents. The gap remains on every held-out split, which is not used to select the candidate. After a target-model swap, in which the frozen model is replaced and the scaffold is not, the selected BCO scaffold leads on the tasks we test, except where context-window overruns leave it unfinished. An offline ablation then asks whether that gap comes from what the world model says. A fresh predictor given the accumulated document forecasts how the environment will respond more accurately than predictors given either no document or a same-form copy whose content has been falsified. The comparison indicates that the document carries reusable information in its content, not only in its form.
Recent advances in large language models are enabling autonomous clinical agents to perform increasingly complex electronic health record (EHR) modeling workflows. However, agents deployed at individual hospitals remain constrained by institution-specific data and modeling environments, while direct cross-hospital collaboration is restricted by the sensitivity of patient-level EHR data. Although federated learning (FL) provides a natural foundation for privacy-preserving collaboration, existing approaches remain predominantly model-centric, limiting federation to prediction models or their updates while overlooking the richer modeling experience accumulated by autonomous agents. To address this limitation, we propose FedEHR-Agents, an experience-centric federated agentic optimization framework for automated EHR modeling. Each hospital deploys an autonomous clinical EHR agent that performs data preprocessing and model development while refining local clinical modeling experience through historical memory, task-specific evaluation, and TextGrad-based prompt refinement. The federated server performs evidence-guided experience aggregation to integrate reliable and complementary modeling experience across heterogeneous hospitals and distills the aggregated experience into global meta-prompts for subsequent local refinement. Extensive experiments on real-world multi-hospital EHR benchmarks demonstrate that FedEHR-Agents consistently outperforms local and federated baselines across diverse clinical prediction tasks and remains robust across different federation scales and LLM backbones. These results establish clinical modeling experience as a promising collaborative object beyond conventional parameter-centric FL and point toward federated autonomous clinical intelligence.
Video world models are increasingly used as simulators for planning and embodied decision making, yet improving them at inference time introduces a subtle evaluation problem: prompts, samplers, verifiers, and selectors may evolve together, making it difficult to attribute gains or prevent held-out feedback from shaping the final policy. We introduce \scope (\emph{\scopefullname}), a framework for auditable inference-time adaptation of frozen video world models. \scope represents external controls as a typed state, updates this state only through bounded changes supported by development evidence, and freezes the resulting policy before held-out evaluation. On Physics-IQ benchmark, \scope improves over the exact frozen base by $+14.24$ (95\% CI $[+8.10,+21.23]$). Controlled ablations further identify gains from scene specification, sampling, and learned selection, while the margin over the strongest matched agentic baseline remains unresolved. Cross-backbone and prospective evaluations reveal a complementary result: useful inference-time updates exist, but their benefits do not transfer uniformly across models and settings. Together, these findings suggest that reliable inference-time adaptation requires not only better proposals, but also a principled mechanism for deciding which updates should become part of the deployed system. Code is available at https://github.com/YuhuaJiang2002/SCOPE.