Computer-use agents could automate repetitive screen-based clinical work, but their reliability in medical graphical user interfaces remains largely unvalidated. Existing benchmarks focus on general web or desktop tasks and underrepresent medical software, which requires domain knowledge, exhibits markedly different UI design from mainstream applications, lacks public testing environments, and demands safety validation beyond task completion. We introduce MedCUA-Bench, an interactive benchmark for clinical computer-use agents. It covers 18 clinical scenarios across 10 medical domains, reconstructed from real product manuals and open-source medical systems to capture authentic clinical interfaces while avoiding licensing and privacy constraints. Each task ships with paired intent- and step-level goals to disentangle clinical reasoning from UI execution, and is evaluated by a deterministic checker over task completion and five clinical safety dimensions. Across 23 agents, the best closed-source model reaches 54.2% strict success, while all models remain below 9% on the real OpenEMR. Open-source agents average only 2.5%, with the best reaching 16.2%. MedCUA-Bench exposes the gap between current agents and reliable clinical software use, providing a reproducible testbed for future research. Code: https://github.com/Jia7878/MedCUA-BenchMark.

The performance of large language models (LLMs) is significantly influenced by the quality of the prompts provided. In response, researchers have developed enormous prompt engineering strategies aimed at modifying the prompt text to enhance task performance. In this paper, we introduce a novel technique termed position engineering, which offers a more efficient way to guide large language models. Unlike prompt engineering, which requires substantial effort to modify the text provided to LLMs, position engineering merely involves altering the positional information in the prompt without modifying the text itself. We have evaluated position engineering in two widely-used LLM scenarios: retrieval-augmented generation (RAG) and in-context learning (ICL). Our findings show that position engineering substantially improves upon the baseline in both cases. Position engineering thus represents a promising new strategy for exploiting the capabilities of large language models.