Recent advances in Retrieval-Augmented Generation enable LLMs to ground outputs in clinical evidence, but connections to external databases create the risk of contextual leakage, where unique combinations of medical details enable patient re-identification without explicit identifiers. Existing healthcare benchmarks emphasize accuracy while overlooking this risk. To fill this gap, we present MedPriv-Bench, the first benchmark for jointly evaluating privacy preservation and clinical utility in medical open-ended question answering. Our framework utilizes a multi-agent, human-in-the-loop pipeline to synthesize sensitive medical contexts and clinically relevant queries that create realistic privacy pressure. We also establish an automated evaluation protocol using a fine-tuned RoBERTa-NLI model, which achieved an instance-level F₁-score of 75.3%, sensitivity of 90.7%, and an average inference time of 0.056 s per sample against human annotations. Across nine LLMs and three privacy-preserving methods, we observed a pervasive privacy-utility trade-off. Relative to unprotected Med42-v2-8B (utility 3.87/5; leakage 72.8%), supervised fine-tuning improved utility to 4.25 and reduced leakage to 38.9%, whereas local differential privacy reduced leakage to 20.5% but lowered utility to 3.03. These results demonstrate the need for domain-specific benchmarks to validate medical AI systems in privacy-sensitive settings.

Execution failures are common in daily life when individuals perform procedural tasks, such as cooking or handicrafts making. Retrieving relevant procedural documents that align closely with both the content of steps and the overall execution sequence can help correct these failures with fewer modifications. However, existing retrieval methods, which primarily focus on declarative knowledge, often neglect the execution sequence structures inherent in procedural documents. To tackle this challenge, we introduce a new dataset Procedural Questions, and propose a retrieval model Graph-Fusion Procedural Document Retriever (GFPDR) which integrates procedural graphs with document representations. Extensive experiments demonstrate the effectiveness of GFPDR, highlighting its superior performance in procedural document retrieval compared to existing models.