arXiv AI

Reinforcement Learning for Evidence-Seeking Diagnostic Reasoning with Large Language Models

arXiv:2607. 02983v1 Announce Type: new Abstract: Recent reasoning-centric Large Language Models (LLMs) have made significant strides, yet they predominantly operate on a passive-inference pattern that assumes complete information.

arXiv AI
Jun 9

From Conflict to Consensus: Boosting Medical Reasoning via Multi-Round Agentic RAG

arXiv:2603. 03292v3 Announce Type: replace-cross Abstract: Large Language Models (LLMs) exhibit high reasoning capacity in medical question-answering, but their tendency to produce hallucinations and outdated knowledge poses critical risks in healthcare fields.

By Wenhao Wu, Zhentao Tang, Yafu Li, Shixiong Kai, Mingxuan Yuan, Zhenhong Sun, Chunlin Chen, Zhi Wang
arXiv Machine Learning
Jun 4

Good Reasoning Makes Good Demonstrations: Implicit Reasoning Quality Supervision via In-Context Reinforcement Learning

arXiv:2603. 09803v2 Announce Type: replace Abstract: Reinforcement Learning with Verifiable Rewards (RLVR) improves reasoning in large language models but treats all correct solutions equally, potentially reinforcing flawed traces that arrive at correct answers by chance.

By Tiehua Mei, Minxuan Lv, Leiyu Pan, Zhenpeng Su, Hongru Hou, Hengrui Chen, Ao Xu, Deqing Yang
arXiv AI
Aug 5

HERO: Hierarchical Evidential Reasoning Optimization for Radiology Report Generation via Reason-then-Summarize

arXiv:2601. 03321v3 Announce Type: replace-cross Abstract: Multimodal Large Language Models (MLLMs) have substantially advanced Radiology Report Generation (RRG), yet aligning them through reinforcement learning (RL) remains challenging due to heterogeneous medical supervision.

By Kun Zhao, Guodong Liu, Hui Ji, Siyuan Dai, Pan Wang, Jifeng Song, Chenghua Lin, Liang Zhan, Haoteng Tang
arXiv AI
Jul 21

Enhancing LLMs' Clinical Reasoning with Real-World Data from a Nationwide Sepsis Registry

arXiv:2505. 02722v2 Announce Type: replace Abstract: Although large language models (LLMs) have demonstrated impressive reasoning capabilities across general domains, their effectiveness in real-world clinical practice remains limited.

By Junu Kim, Chaeeun Shim, Sungjin Park, Su Yeon Lee, Gee Young Suh, Chae-Man Lim, Seong Jin Choi, Song Mi Moon, Kyoung-Ho Song, Eu Suk Kim, Hong Bin Kim, Sejoong Kim, Chami Im, Dong-Wan Kang, Yong Soo Kim, Hee-Joon Bae, Sung Yoon Lim, Han-Gil Jeong, Edward Choi
arXiv AI
Aug 10

ResidencyRL: Reinforcement Learning in Simulated Clinical Environments

arXiv:2608. 07418v1 Announce Type: new Abstract: In medical education, physicians convert academic knowledge into clinical expertise through residency: years of training across thousands of encounters, with diverse sources of feedback and progressively greater autonomy.

By Valentin Li\'{e}vin, Samuel Schmidgall, Tim Strother, Alex Bijamov, Akshay Goel, Anil Palepu, Chunjong Park, Vahid Balazadeh, Min Woo Sun, Marius Guerard, Justin Chen, Dave Steiner, Vikram Dhillon, Ibrahim Azar, Akhil Mehta, Nicholas Spetsieris, Shilpan Shah, Maen Abdelrahim, Amit Dahiya, Yun Liu, Katherine Chou, Yossi Matias, Avinatan Hassidim, Dale R. Webster, Quoc V. Le, Raia Hadsell, Joelle Barral, Carey Radebaugh, Aleksandra Faust, Shekoofeh Azizi, Mike Schaekermann, Po-Hsuan Cameron Chen, Tao Tu, David Racz, Lin Yang
arXiv AI
Jul 1

Evo-PI: Aligning Medical Reasoning via Evolving Principle-Guided Supervision

arXiv:2606. 31800v1 Announce Type: new Abstract: Despite recent progress, the reasoning capabilities of large multimodal language models (MLLMs) remain fundamentally constrained by static supervision, where fixed prompts, rules, or reward models provide non-adaptive guidance throughout training.

By Xianda Zheng, Huan Gao, Meng-Fen Chiang, Michael Witbrock, Kaiqi Zhao, Shangyang Li
arXiv AI
Jul 1

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning

arXiv:2606. 31825v1 Announce Type: cross Abstract: Recent multimodal large language models have shown great promise in clinical image reasoning, but existing post-training pipelines remain predominantly outcome-centric, relying on final answer correctness or sequence-level preferences.

By Junha Jung, Minbyul Jeong, Suhyeon Lim, Sungwook Jung, Jaehoon Yun, Taeyun Roh, Mujeen Sung, Jaewoo Kang
arXiv Machine Learning
Aug 12

Reinforcement Learning-based Semi-supervised Knowledge Distillation with LLM-as-a-Judge

arXiv:2604. 02621v2 Announce Type: replace-cross Abstract: Reinforcement Learning (RL) substantially improves the reasoning capabilities of language models, but most existing RL fine-tuning approaches rely entirely on ground-truth verifiable rewards and thus labeled datasets with verifiable answers.

By Yiyang Shen, Lifu Tu, Weiran Wang