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.
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:2604. 06684v2 Announce Type: replace Abstract: Clinical reasoning over electronic health records (EHRs) is a fundamental yet challenging task in modern healthcare.
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...
Rationale-Guided Policy Optimization (RGPO) is a reinforcement‑learning framework that adaptively uses ground‑truth rationale information to scaffold a language model’s reasoning process. Instead of treating reference solutions as fixed imitation targets, RGPO temporarily incorporates rationales to help the model generate better responses, then reverts to unguided learning with higher‑reward, model‑generated solutions. Experiments in both language‑only and vision‑language tasks show that RGPO consistently outperforms RLVR baselines, with ablation studies confirming that adaptive rationale guidance is a key factor in its success.
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.
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...
The paper introduces Stable-MM-R1, a framework that stabilizes reinforcement learning for multimodal reasoning by addressing training instability and entropy collapse. It proposes Potential‑Aware Query Mining (PAQM) to filter data toward high‑potential samples and Hybrid Stratified Replay (HSR) to restructure batches using path entropy and reward stratification, reusing stability anchors and hard negatives. The method demonstrates superior performance on complex reasoning tasks compared to strong baselines.
arXiv:2609.16660v1 Announce Type: new Abstract: Test-time reinforcement learning adapts a model on its own unlabeled test set using majority-vote pseudo-labels and has shown strong results in mathema...
arXiv:2604. 09482v2 Announce Type: replace Abstract: Reasoning in knowledge-intensive domains remains challenging as intermediate steps are often not locally verifiable: unlike math or code, evaluating step correctness may require synthesizing clues across large external knowledge sources.
The paper proposes a reinforcement learning (RL) fine‑tuning framework for electronic health record (EHR) foundation models, treating them as generative policies over patient trajectories. By framing clinical prediction tasks such as hospital readmission as event‑conditioned, time‑windowed reasoning problems and designing time‑aware, rollout‑sensitive rewards, the authors show that RL fine‑tuning consistently outperforms pre‑trained backbones and strong baselines. The approach enables smaller models to surpass larger pre‑trained models in data‑limited settings, induces positive transfer across tasks, and produces trajectories with stronger structural and semantic alignment to ground truth, improving downstream utility.
arXiv:2610.08327v1 Announce Type: new Abstract: Large language models (LLMs) have shown promise in medical question answering and clinical reasoning, yet their improvement remains constrained by stat...
arXiv:2610.17426v1 Announce Type: cross Abstract: Clinical decision-making is a sequential process of information collection, clinical inference, and forecasting under partial observability, often wi...