arXiv:2601.07344v1 Announce Type: cross Abstract: Recent advances in medical multi-modal models focus on specialized image analysis like dermatology, pathology, or radiology. However, they do not fully capture the complexity of real-world clinical diagnostics, which involve heterogeneous inputs and require ongoing contextual understanding during patient-physician interactions. To bridge this gap, we introduce PulseMind, a new family of multi-modal diagnostic models that integrates a systematically curated dataset, a comprehensive evaluation benchmark, and a tailored training framework. Specifically, we first construct a diagnostic dataset, MediScope, which comprises 98,000 real-world multi-turn consultations and 601,500 medical images, spanning over 10 major clinical departments and more than 200 sub-specialties. Then, to better reflect the requirements of real-world clinical diagnosis, we develop the PulseMind Benchmark, a multi-turn diagnostic consultation benchmark with a four-dimensional evaluation protocol comprising proactiveness, accuracy, usefulness, and language quality. Finally, we design a training framework tailored for multi-modal clinical diagnostics, centered around a core component named Comparison-based Reinforcement Policy Optimization (CRPO). Compared to absolute score rewards, CRPO uses relative preference signals from multi-dimensional com-parisons to provide stable and human-aligned training guidance. Extensive experiments demonstrate that PulseMind achieves competitive performance on both the diagnostic consultation benchmark and public medical benchmarks.

arXiv:2501.10484v5 Announce Type: replace-cross Abstract: Recent advances in Large Language Models (LLMs) have enabled human-like responses across various tasks, raising questions about their ethical decision-making capabilities and potential biases. This study systematically evaluates how nine popular LLMs (both open-source and closed-source) respond to ethical dilemmas involving protected attributes. Across 50,400 trials spanning single and intersectional attribute combinations in four dilemma scenarios (protective vs. harmful), we assess models' ethical preferences, sensitivity, stability, and clustering patterns. Results reveal significant biases in protected attributes in all models, with differing preferences depending on model type and dilemma context. Notably, open-source LLMs show stronger preferences for marginalized groups and greater sensitivity in harmful scenarios, while closed-source models are more selective in protective situations and tend to favor mainstream groups. We also find that ethical behavior varies across dilemma types: LLMs maintain consistent patterns in protective scenarios but respond with more diverse and cognitively demanding decisions in harmful ones. Furthermore, models display more pronounced ethical tendencies under intersectional conditions than in single-attribute settings, suggesting that complex inputs reveal deeper biases. These findings highlight the need for multi-dimensional, context-aware evaluation of LLMs' ethical behavior and offer a systematic evaluation and approach to understanding and addressing fairness in LLM decision-making.

arXiv:2510.23595v3 Announce Type: replace Abstract: Reinforcement Learning (RL) has demonstrated significant potential in enhancing the reasoning capabilities of large language models (LLMs). However, the success of RL for LLMs heavily relies on human-curated datasets and verifiable rewards, which limit their scalability and generality. Recent Self-Play RL methods, inspired by the success of the paradigm in games and Go, aim to enhance LLM reasoning capabilities without human-annotated data. However, their methods primarily depend on a grounded environment for feedback (e.g., a Python interpreter or a game engine); extending them to general domains remains challenging. To address these challenges, we propose Multi-Agent Evolve (MAE), a framework that enables LLMs to self-evolve in solving diverse tasks, including mathematics, reasoning, and general knowledge Q&A. The core design of MAE is based on a triplet of interacting agents (Proposer, Solver, Judge) that are instantiated from a single LLM, and applies reinforcement learning to optimize their behaviors. The Proposer generates questions, the Solver attempts solutions, and the Judge evaluates both while co-evolving. Experiments on Qwen2.5-3B-Instruct demonstrate that MAE achieves an average improvement of 4.54% on multiple benchmarks. These results highlight MAE as a scalable, data-efficient method for enhancing the general reasoning abilities of LLMs with minimal reliance on human-curated supervision.

arXiv:2510.24551v1 Announce Type: new Abstract: Generative Artificial Intelligence (GenAI) is taking the world by storm. It promises transformative opportunities for advancing and disrupting existing practices, including healthcare. From large language models (LLMs) for clinical note synthesis and conversational assistance to multimodal systems that integrate medical imaging, electronic health records, and genomic data for decision support, GenAI is transforming the practice of medicine and the delivery of healthcare, such as diagnosis and personalized treatments, with great potential in reducing the cognitive burden on clinicians, thereby improving overall healthcare delivery. However, GenAI deployment in healthcare requires an in-depth understanding of healthcare tasks and what can and cannot be achieved. In this paper, we propose a data-centric paradigm in the design and deployment of GenAI systems for healthcare. Specifically, we reposition the data life cycle by making the medical data ecosystem as the foundational substrate for generative healthcare systems. This ecosystem is designed to sustainably support the integration, representation, and retrieval of diverse medical data and knowledge. With effective and efficient data processing pipelines, such as semantic vector search and contextual querying, it enables GenAI-powered operations for upstream model components and downstream clinical applications. Ultimately, it not only supplies foundation models with high-quality, multimodal data for large-scale pretraining and domain-specific fine-tuning, but also serves as a knowledge retrieval backend to support task-specific inference via the agentic layer. The ecosystem enables the deployment of GenAI for high-quality and effective healthcare delivery.

arXiv:2510.23595v2 Announce Type: replace Abstract: Reinforcement Learning (RL) has demonstrated significant potential in enhancing the reasoning capabilities of large language models (LLMs). However, the success of RL for LLMs heavily relies on human-curated datasets and verifiable rewards, which limit their scalability and generality. Recent Self-Play RL methods, inspired by the success of the paradigm in games and Go, aim to enhance LLM reasoning capabilities without human-annotated data. However, their methods primarily depend on a grounded environment for feedback (e.g., a Python interpreter or a game engine); extending them to general domains remains challenging. To address these challenges, we propose Multi-Agent Evolve (MAE), a framework that enables LLMs to self-evolve in solving diverse tasks, including mathematics, reasoning, and general knowledge Q&A. The core design of MAE is based on a triplet of interacting agents (Proposer, Solver, Judge) that are instantiated from a single LLM, and applies reinforcement learning to optimize their behaviors. The Proposer generates questions, the Solver attempts solutions, and the Judge evaluates both while co-evolving. Experiments on Qwen2.5-3B-Instruct demonstrate that MAE achieves an average improvement of 4.54% on multiple benchmarks. These results highlight MAE as a scalable, data-efficient method for enhancing the general reasoning abilities of LLMs with minimal reliance on human-curated supervision.