Zhang Ya

Guoxin Wang, Minyu Gao, Shuai Yang et al.

Large language models (LLMs), particularly those with reasoning capabilities, have rapidly advanced in recent years, demonstrating significant potential across a wide range of applications. However, their deployment in healthcare, especially in disease reasoning tasks, is hindered by the challenge of acquiring expert-level cognitive data. In this paper, we introduce Citrus, a medical language model that bridges the gap between clinical expertise and AI reasoning by emulating the cognitive processes of medical experts. The model is trained on a large corpus of simulated expert disease reasoning data, synthesized using a novel approach that accurately captures the decision-making pathways of clinicians. This approach enables Citrus to better simulate the complex reasoning processes involved in diagnosing and treating medical conditions. To further address the lack of publicly available datasets for medical reasoning tasks, we release the last-stage training data, including a custom-built medical diagnostic dialogue dataset. This open-source contribution aims to support further research and development in the field. Evaluations using authoritative benchmarks such as MedQA, covering tasks in medical reasoning and language understanding, show that Citrus achieves superior performance compared to other models of similar size. These results highlight Citrus potential to significantly enhance medical decision support systems, providing a more accurate and efficient tool for clinical decision-making.

Zihua Zhao, Feng Hong, Mengxi Chen et al.

The remarkable success of contrastive-learning-based multimodal models has been greatly driven by training on ever-larger datasets with expensive compute consumption. Sample selection as an alternative efficient paradigm plays an important direction to accelerate the training process. However, recent advances on sample selection either mostly rely on an oracle model to offline select a high-quality coreset, which is limited in the cold-start scenarios, or focus on online selection based on real-time model predictions, which has not sufficiently or efficiently considered the noisy correspondence. To address this dilemma, we propose a novel Differential-Informed Sample Selection (DISSect) method, which accurately and efficiently discriminates the noisy correspondence for training acceleration. Specifically, we rethink the impact of noisy correspondence on contrastive learning and propose that the differential between the predicted correlation of the current model and that of a historical model is more informative to characterize sample quality. Based on this, we construct a robust differential-based sample selection and analyze its theoretical insights. Extensive experiments on three benchmark datasets and various downstream tasks demonstrate the consistent superiority of DISSect over current state-of-the-art methods. Source code is available at: https://github.com/MediaBrain-SJTU/DISSect.

Shuyang Jiang, Yusheng Liao, Zhe Chen et al.

Medical language models face critical barriers to real-world clinical reasoning applications. However, mainstream efforts, which fall short in task coverage, lack fine-grained supervision for intermediate reasoning steps, and rely on proprietary systems, are still far from a versatile, credible and efficient language model for clinical reasoning usage. To this end, we propose \mone, a self-evolving framework that imparts robust reasoning capabilities to small, deployable models. Starting with 8,000 curated instances sampled via a curriculum strategy across five medical domains and 16 datasets, we use a small base policy model to conduct Monte Carlo Tree Search (MCTS) for constructing rule-verifiable reasoning trajectories. Self-explored reasoning trajectories ranked by node values are used to bootstrap the policy model via reinforcement fine-tuning and preference learning. Moreover, we introduce a soft dual process reward model that incorporates value dynamics: steps that degrade node value are penalized, enabling fine-grained identification of reasoning errors even when the final answer is correct. Experiments on eleven benchmarks show that \mone outperforms the previous state-of-the-art medical model by +6.45 accuracy points and surpasses 32B-scale general-purpose reasoning models by +8.57 points. Additional empirical analysis further demonstrates that \mone achieves robust and faithful reasoning behavior.