Physiological and Semantic Patterns in Medical Teams Using an Intelligent Tutoring System
Xiaoshan Huang, Conrad Borchers, Jiayi Zhang, Susanne P. Lajoie · Mar 31, 2026 · Citations: 0
How to use this paper page
Coverage: RecentUse this page to decide whether the paper is strong enough to influence an eval design. It summarizes the abstract plus available structured metadata. If the signal is thin, use it as background context and compare it against stronger hub pages before making protocol choices.
Best use
Background context only
Metadata: RecentTrust level
Low
Signals: RecentWhat still needs checking
Extraction flags indicate low-signal or possible false-positive protocol mapping.
Signal confidence: 0.15
Abstract
Effective collaboration requires teams to manage complex cognitive and emotional states through Socially Shared Regulation of Learning (SSRL). Physiological synchrony (i.e., longitudinal alignment in physiological signals) can indicate these states, but is hard to interpret on its own. We investigate the physiological and conversational dynamics of four medical dyads diagnosing a virtual patient case using an intelligent tutoring system. Semantic shifts in dialogue were correlated with transient physiological synchrony peaks. We also coded utterance segments for SSRL and derived cosine similarity using sentence embeddings. The results showed that activating prior knowledge featured significantly lower semantic similarity than simpler task execution. High physiological synchrony was associated with lower semantic similarity, suggesting that such moments involve exploratory and varied language use. Qualitative analysis triangulated these synchrony peaks as ``pivotal moments'': successful teams synchronized during shared discovery, while unsuccessful teams peaked during shared uncertainty. This research advances human-centered AI by demonstrating how biological signals can be fused with dialogues to understand critical moments in problem solving.