Despite steady progress, text entry in Extended Reality (XR) often remains slower and more effortful than typing on a physical keyboard or touchscreen. We explore a simple idea: use gaze to swipe through a virtual keyboard for the fast, low-effort where and a manual pinch held throughout the swipe for the when, extending and validating it through a series of user studies. We first show that a basic version including a low-latency decoder with spatiotemporal Dynamic Time Warping and fixation filtering outperforms selecting individual keys sequentially, either by finger tapping each or gazing at each while pinching. We then add mid-swipe prediction and in-gesture cancellation, improving words per minute (WPM) without hurting accuracy. We show that this approach is faster and more preferred than previous gaze-swipe approaches, finger tapping with prediction, or hand swiping with the same additions. Furthermore, a seven-day, 30-session study demonstrates sustained learning, with peak performance reaching 64.7 WPM.

Recent advances in clinical AI have enabled remarkable progress across many clinical domains. However, existing benchmarks and models are primarily limited to a small set of modalities and tasks, which hinders the development of large-scale multimodal methods that can make holistic assessments of patient health and well-being. To bridge this gap, we introduce Clinical Large-scale Integrative Multimodal Benchmark (CLIMB), a comprehensive clinical benchmark unifying diverse clinical data across imaging, language, temporal, and graph modalities. CLIMB comprises 4.51 million patient samples totaling 19.01 terabytes distributed across 2D imaging, 3D video, time series, graphs, and multimodal data. Through extensive empirical evaluation, we demonstrate that multitask pretraining significantly improves performance on understudied domains, achieving up to 29% improvement in ultrasound and 23% in ECG analysis over single-task learning. Pretraining on CLIMB also effectively improves models’ generalization capability to new tasks, and strong unimodal encoder performance translates well to multimodal performance when paired with task-appropriate fusion strategies. Our findings provide a foundation for new architecture designs and pretraining strategies to adavance clinical AI research. Code is released at https://github.com/DDVD233/climb.