A dual clinical-computational taxonomy for medical LLM reasoning plus a five-level 5k-sample benchmark showing specialists excel at diagnosis and general models at decision support/dialogue.
Med-U1: Incentivizing Unified Medical Reasoning in LLMs via Large-scale Reinforcement Learning
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abstract
Medical Question-Answering (QA) encompasses a broad spectrum of tasks, including multiple choice questions (MCQ), open-ended text generation, and complex computational reasoning. Despite this variety, a unified framework for delivering high-quality medical QA has yet to emerge. Although recent progress in reasoning-augmented large language models (LLMs) has shown promise, their ability to achieve comprehensive medical understanding is still largely unexplored. In this paper, we present Med-U1, a unified framework for robust reasoning across medical QA tasks with diverse output formats, ranging from MCQs to complex generation and computation tasks. Med-U1 employs pure large-scale reinforcement learning with mixed rule-based binary reward functions, incorporating a length penalty to manage output verbosity. With multi-objective reward optimization, Med-U1 directs LLMs to produce concise and verifiable reasoning chains. Empirical results reveal that Med-U1 significantly improves performance across multiple challenging Med-QA benchmarks, surpassing even larger specialized and proprietary models. Furthermore, Med-U1 demonstrates robust generalization to out-of-distribution (OOD) tasks. Extensive analysis presents insights into training strategies, reasoning chain length control, and reward design for medical LLMs. Our code is available here.
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cs.AI 2representative citing papers
Physician oversight reveals high error rates in LLM-generated labels for a clinical benchmark and demonstrates that corrected labels improve both evaluation accuracy and downstream model training.
citing papers explorer
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Aligning Clinical Needs and AI Capabilities: A Survey on LLMs for Medical Reasoning
A dual clinical-computational taxonomy for medical LLM reasoning plus a five-level 5k-sample benchmark showing specialists excel at diagnosis and general models at decision support/dialogue.
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Scalable Stewardship of an LLM-Assisted Clinical Benchmark with Physician Oversight
Physician oversight reveals high error rates in LLM-generated labels for a clinical benchmark and demonstrates that corrected labels improve both evaluation accuracy and downstream model training.