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:2606. 28692v1 Announce Type: new Abstract: Treatment reasoning underpins every therapeutic decision, integrating disease context, comorbidities, medications, contraindications, and evolving biomedical knowledge to select an appropriate therapy.
By Shanghua Gao, Ayush Noori, Richard Zhu, Curtis Ginder, Zhenglun Kong, Xiaorui Su, Justin Kauffman, Benjamin S. Glicksberg, Joshua Lampert, Ankit Sakhuja, Ashwin Sawant, ATHENA-R1 Evaluation Consortium, David A. Clifton, Noa Dagan, Ran Balicer, Marinka Zitnik
MInTRL (Minimal Intervention Reinforcement Learning) expands exploration in on-policy reinforcement learning by inserting sparse, local corrections into rollouts via a judge-intervention policy. These interventions replace erroneous suffixes and immediately return control to the main policy, allowing the agent to explore beyond its natural trajectory while maintaining on-policy data. The method uses a sequence-level advantage-regression objective, avoiding importance sampling, and demonstrates superior performance on math and code benchmarks compared to standard on-policy and off-policy baselines.
By Mingyu Chen, Yefan Tao, Gerald Friedland, Xuezhou Zhang, Chris Kong
The paper introduces DeToxR, a reinforcement‑learning‑enhanced large language model designed to support decision making in acute toxicology cases. It fuses unstructured narratives from paramedics and patients with structured vital‑sign data to predict co‑ingested substances across 14 classes. In preliminary validation, DeToxR outperforms baseline models, achieving higher micro‑F1 and recall scores for poison identification.
By Nico Oberl\"ander, David Bani-Harouni, Tobias Zellner, Nassir Navab, Florian Eyer, Matthias Keicher
The paper introduces an evidence ladder for evaluating reinforcement learning (RL) in healthcare, outlining stages from problem formulation to lifecycle monitoring. It argues that success in historical data does not guarantee real‑world improvement and highlights assumptions and failure modes at each rung. The authors propose reporting practices to support cumulative evaluation and emphasize that RL should be tested as an intervention within a dynamic sociotechnical system.
By Yunfan Zhao
arXiv:2608.20909v1 Announce Type: new
Abstract: Offline RL methods commonly jointly train the actor and critic, where the critic is used to guide the actor toward higher-value actions. This coupled l...
By Xuyao Lin, Yixiang Shan, Jinru Duan, Tao Yang, Xinyu Zhao, Runyu Lei, Yiming Zhao, Jiaxin Fan, Zongbao Feng, Peng Jia
Recent offline reinforcement learning (RL) studies report policies that outperform physician decisions on clinical outcomes. We conduct a systematic, partially crossed evaluation of five offline RL al...
arXiv:2608.30442v1 Announce Type: new
Abstract: Recent offline reinforcement learning (RL) studies report policies that outperform physician decisions on clinical outcomes. We conduct a systematic, p...
By Kihun Rhee
arXiv:2609.21859v1 Announce Type: new
Abstract: Nearly 90% of drugs entering clinical development ultimately fail, despite billions of dollars in investment. Pharmaceutical companies therefore rely o...
By Jiacheng Lin, Zifeng Wang, Zheng Chen, Erick Scott, Ziwei Yang, Fanyang Yu, Sheng Zhong, Jimeng Sun
arXiv:2607. 21419v1 Announce Type: new Abstract: In long-horizon LLM agent reinforcement learning, weak policies often repeat similar failures, producing uninformative rollout trajectories and limiting effective policy optimization.
By Yipeng Shi, Zhipeng Ma, Yue Wang, Qitai Tan, Yang Li, Peng Chen, Zhengzhou Zhu
arXiv:2605. 31014v2 Announce Type: replace Abstract: Multi-omics data provide complementary molecular characterizations of disease phenotypes and play an important role in disease diagnosis and subtype classification in precision medicine.
By Nan Mu, Yangfan Xiao, Ling Wang, Xiaoning Li, Yue Kang, Chen Zhao
arXiv:2606. 19481v1 Announce Type: new Abstract: Offline reinforcement learning (ORL) offers the potential to improve the quality of clinical decision-making using historical electronic health record (EHR) data.
By Thomas Frost, Steve Harris