CARE: Causally-Aligned Reasoning Exploration for Medical Large Language Models proposes a new framework to improve medical reasoning in LLMs. It introduces two key conditions—Causal Sufficiency and Proximal Learnability—to curate high-quality training trajectories, using agreement-based self-verification and dynamic entropy bounds. Experiments on medical multimodal and text-only benchmarks show that CARE outperforms competitors, reducing incorrect reasoning and enhancing training stability.
By Yucheng Zhou, Peng Luo, Qianning Wang, Chengzhong Xu, Jianbing Shen
arXiv:2608.22622v1 Announce Type: cross
Abstract: Clinical decision-making relies on identifying relevant patient information to guide diagnosis and treatment, a challenge that is especially difficul...
By Miguel Contreras, Scott Siegel, Subhash Nerella, Jessica Sena, Jiaqing Zhang, Heng Sun, Hruday Tej Akkaladevi, Peiyu Lu, Jordan Rosen, Sumit Kapoor, Sasank Desaraju, Grace R. Thompson, Jacob Purcell, Michael Petrauskis, Philip KW. Hong, Meghan Brennan, Sarah Chrabaszcz, Tierra Smith, Ronnie Ren, Michel S. Kabbash, Ceyhun Haziroglu, Rushi Patel, Gabriel Gomez, Charlotte Chaiklin, Randy Leung, Kenneth N. John, Whitman Wiggins, Philip Kayser, Vincent Bird, Maria Bruzzone, Tyler J. Loftus, Azra Bihorac, Parisa Rashidi
arXiv:2609.24480v1 Announce Type: cross
Abstract: Deploying Large Language Models (LLMs) in healthcare requires robust performance across two complementary dimensions - diagnostic reasoning: the conv...
By Kalash Shah, Kunal Singh, Snehan J, Shreyas Singh
arXiv:2609.39566v1 Announce Type: new
Abstract: Foundation models can serve as clinical agents through tool-use harnesses. However, conventional medical benchmarks assess reasoning over preselected e...
By Minye Shao, Chaohui Yu, Yixuan Wu, Fan Wang, Ling Shao, Yang Long
arXiv:2606. 02802v1 Announce Type: new Abstract: Large language models (LLMs) exhibit strong natural-language reasoning abilities for clinical decision support, but struggle to effectively model structured longitudinal electronic health records (EHRs).
By Bo-Hong Wang, Baicheng Peng, Ruilin Wang, Jun Bai, Ziyang Song, Yue Li
arXiv:2609.22161v1 Announce Type: cross
Abstract: Medical large language models are commonly trained on mixtures of didactic data (e.g., textbooks) and clinical data (e.g., patient records), yet how...
By Yuzheng Fan, Haochun Wang, Sendong Zhao, Xiao Han, Ming Ma, Bing Qin
REFINE is a framework that refines medical concept representations by creating patient‑specific temporal graphs from a global text‑attributed knowledge graph. It uses a reinforcement learning policy to allocate a personalized graph expansion budget for each observed code, then processes the resulting graph with a heterogeneous GNN and a frozen LLM that refines representations via graph‑aware soft prompts. Experiments on MIMIC‑III and MIMIC‑IV demonstrate that REFINE consistently improves various EHR prediction backbones, surpasses strong baselines, and shows robust gains across ablation studies, KG selection, and data insufficiency scenarios.
By Mohsen Nayebi Kerdabadi, Arya Hadizadeh Moghaddam, Dongjie Wang, Zijun Yao
arXiv:2606. 05994v1 Announce Type: new Abstract: Medical knowledge graphs (MKGs) infused with clinical knowledge have been increasingly used to model electronic health records (EHRs) to support interpretable predictions in healthcare domain.
By Thummaluru Siddartha Reddy, Vempalli Naga Sai Saketh, Yash Punjabi, Mahesh Chandran
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
GLoC-EHR is a multimodal language model that processes electronic health records by combining a fixed-size global memory of the entire patient trajectory with a local memory of selected events. It generates hospital-course summaries and masked concept descriptions, then is fine‑tuned to cite evidence before answering clinical questions, using group relative policy optimization to reward correct, evidence‑supported responses. On MIMIC‑IV outcome tasks, GLoC‑EHR achieves the highest macro AUROC among compared models when answering directly, and maintains strong performance with evidence‑cited reasoning while adding distinct supported findings from the local memory.
By Chaiho Shin, Kwangsoo Kim
AgenticRag‑R1 is a reinforcement‑learning framework that integrates reasoning, retrieval, and memory through a stack and fine‑grained action space. It uses hierarchical action‑aware rewards and an information‑aware trajectory rejection strategy to support long‑horizon learning. Experiments on multi‑hop, open‑domain, and agentic reasoning benchmarks show that AgenticRag‑R1 outperforms strong baselines and produces robust, interpretable, memory‑aware reasoning behaviors.
By Xinke Jiang, Yue Fang, Zhibang Yang, Jiaran Gao, Zhixin Zhang, Tao Feng, Rihong Qiu, Wentao Zhang, Hongxin Ding, Ruizhe Zhang, Yongxin Xu, Yuheng Huang, Xu Chu, Junfeng Zhao, Yasha Wang
arXiv:2510.15144v4 Announce Type: replace
Abstract: Simulating human reasoning in open-ended tasks has long been a central aspiration in AI and cognitive science. While large language models now appr...
By Chance Jiajie Li, Zhenze Mo, Yuhan Tang, Ao Qu, Jiayi Wu, Kaiya Ivy Zhao, Yulu Gan, Jie Fan, Jiangbo Yu, Hang Jiang, Paul Pu Liang, Jinhua Zhao, Luis Alberto Alonso Pastor, Kent Larson