Gen Li

Yue Guo, Fanfu Wang, Jianwei Lv et al.

Clinical Decision Support Systems (CDSSs) provide reasoning and inquiry guidance for physicians, yet they face notable challenges, including high maintenance costs and low generalization capability. Recently, Large Language Models (LLMs) have been widely adopted in healthcare due to their extensive knowledge reserves, retrieval, and communication capabilities. While LLMs show promise and excel at medical benchmarks, their diagnostic reasoning and inquiry skills are constrained. To mitigate this issue, we propose (1) Clinical Diagnostic Reasoning Data (CDRD) structure to capture abstract clinical reasoning logic, and a pipeline for its construction, and (2) the Dr. Assistant, a clinical diagnostic model equipped with clinical reasoning and inquiry skills. Its training involves a two-stage process: SFT, followed by RL with a tailored reward function. We also introduce a benchmark to evaluate both diagnostic reasoning and inquiry. Our experiments demonstrate that the Dr. Assistant outperforms open-source models and achieves competitive performance to closed-source models, providing an effective solution for clinical diagnostic inquiry guidance.

Yuchen Jiao, Jiin Woo, Gen Li et al.

Average-reward reinforcement learning offers a principled framework for long-term decision-making by maximizing the mean reward per time step. Although Q-learning is a widely used model-free algorithm with established sample complexity in discounted and finite-horizon Markov decision processes (MDPs), its theoretical guarantees for average-reward settings remain limited. This work studies a simple but effective Q-learning algorithm for average-reward MDPs with finite state and action spaces under the weakly communicating assumption, covering both single-agent and federated scenarios. For the single-agent case, we show that Q-learning with carefully chosen parameters achieves sample complexity $\widetilde{O}\left(\frac{|\mathcal{S}||\mathcal{A}|\|h^{\star}\|_{\mathsf{sp}}^3}{\varepsilon^3}\right)$, where $\|h^{\star}\|_{\mathsf{sp}}$ is the span norm of the bias function, improving previous results by at least a factor of $\frac{\|h^{\star}\|_{\mathsf{sp}}^2}{\varepsilon^2}$. In the federated setting with $M$ agents, we prove that collaboration reduces the per-agent sample complexity to $\widetilde{O}\left(\frac{|\mathcal{S}||\mathcal{A}|\|h^{\star}\|_{\mathsf{sp}}^3}{M\varepsilon^3}\right)$, with only $\widetilde{O}\left(\frac{\|h^{\star}\|_{\mathsf{sp}}}{\varepsilon}\right)$ communication rounds required. These results establish the first federated Q-learning algorithm for average-reward MDPs, with provable efficiency in both sample and communication complexity.