Daily Papers

The professionalism of a human doctor in outpatient service depends on two core abilities: the ability to make accurate medical decisions and the medical consultation skill to conduct strategic, empathetic patient inquiry. Existing Large Language Models (LLMs) have achieved remarkable accuracy on medical decision-making benchmarks. However, they often lack the ability to conduct the strategic and empathetic consultation, which is essential for real-world clinical scenarios. To address this gap, we propose Doctor-R1, an AI doctor agent trained to master both of the capabilities by ask high-yield questions and conduct strategic multi-turn inquiry to guide decision-making. Our framework introduces three key components: a multi-agent interactive environment, a two-tiered reward architecture that separately optimizes clinical decision-making and communicative inquiry skills, and an experience repository to ground policy learning in high-quality prior trajectories. We evaluate Doctor-R1 on OpenAI's HealthBench and MAQuE, assessed across multi-facet metrics, such as communication quality, user experience, and task accuracy. Remarkably, Doctor-R1 surpasses state-of-the-art open-source specialized LLMs by a substantial margin with higher parameter efficiency and outperforms powerful proprietary models. Furthermore, the human evaluations show a strong preference for Doctor-R1 to generate human-preferred clinical dialogue, demonstrating the effectiveness of the framework.

Recent advances in agentic workflows have enabled the automation of tasks such as professional document generation. However, they primarily focus on textual quality, neglecting visual structure and style, which are crucial for readability and engagement. This gap arises mainly from the absence of suitable reward models to guide agentic workflows toward producing documents with stronger structural and stylistic quality. To address this, we propose DocReward, a document reward model that evaluates documents based on their structure and style. We construct a multi-domain dataset DocPair of 117K paired documents, covering 32 domains and 267 document types, each including a high- and low-professionalism document with identical content but different structure and style. This enables the model to evaluate professionalism comprehensively, and in a textual-quality-agnostic way. DocReward is trained using the Bradley-Terry loss to score documents, penalizing predictions that contradict the annotated ranking. To assess the performance of reward models, we create a test dataset containing document bundles ranked by well-educated human evaluators. Notably, DocReward outperforms GPT-4o and GPT-5 in accuracy by 30.6 and 19.4 percentage points, respectively, demonstrating its superiority over baselines. In an extrinsic evaluation of document generation, DocReward achieves a significantly higher win rate of 60.8%, compared to GPT-5's 37.7% win rate, demonstrating its utility in guiding generation agents toward producing human-preferred documents.

Large-scale language models (LLMs), such as ChatGPT, are capable of generating human-like responses for various downstream tasks, such as task-oriented dialogues and question answering. However, applying LLMs to medical domains remains challenging due to their inability to leverage domain-specific knowledge. In this study, we present the Large-scale Language Models Augmented with Medical Textbooks (LLM-AMT), which integrates authoritative medical textbooks as the cornerstone of its design, enhancing its proficiency in the specialized domain through plug-and-play modules, comprised of a Hybrid Textbook Retriever, supplemented by the Query Augmenter and the LLM Reader. Experimental evaluation on three open-domain medical question-answering tasks reveals a substantial enhancement in both the professionalism and accuracy of the LLM responses when utilizing LLM-AMT, exhibiting an improvement ranging from 11.4% to 13.2%. Despite being 100 times smaller, we found that medical textbooks as the retrieval corpus serves as a more valuable external knowledge source than Wikipedia in the medical domain. Our experiments show that textbook augmentation results in a performance improvement ranging from 9.7% to 12.2% over Wikipedia augmentation.

Training expert LLMs in domains with scarce data is difficult, often relying on multiple-choice questions (MCQs). However, standard outcome-based reinforcement learning (RL) on MCQs is risky. While it may improve accuracy, we observe it often degrades reasoning quality such as logical consistency. Existing solutions to supervise reasoning, such as large-scale Process Reward Models (PRMs), are prohibitively expensive. To address this, we propose CLARity, a cost-effective RL framework that enhances reasoning quality using only a small, general-purpose LLM. CLARity integrates a consistency-aware reward mechanism with a 2-stage refine-then-monitor training pipeline to enhance reasoning consistency, and a dynamic data reformulation strategy to to better exploit limited data. Experiments demonstrate that CLARity improves response consistency by 16.5% and accuracy by 7.5% over baselines. Human evaluations further confirm holistic improvements in coherence and professionalism. Thus, CLARity offers a generalizable solution that enables smaller models to effectively guide expert models by reasoning consistency.Our code is open sourced at: https://github.com/Infinite-set/CLARity

The composition of pre-training datasets for large language models (LLMs) remains largely undisclosed, hindering transparency and efforts to optimize data quality, a critical driver of model performance. Current data selection methods, such as natural language quality assessments, diversity-based filters, and classifier-based approaches, are limited by single-dimensional evaluation or redundancy-focused strategies. To address these gaps, we propose four dimensions to evaluate data quality: professionalism, readability, reasoning, and cleanliness. We further introduce Meta-rater,a multi-dimensional data selection method that integrates these dimensions with existing quality metrics through learned optimal weightings. Meta-rater employs proxy models to train a regression model that predicts validation loss, enabling the identification of optimal combinations of quality scores. Experiments demonstrate that Meta-rater doubles convergence speed for 1.3B parameter models and improves downstream task performance by 3.23, with advantages that scale to models as large as 7.2B parameters. Our work establishes that holistic, multi-dimensional quality integration significantly outperforms conventional single-dimension approaches, offering a scalable paradigm for enhancing pre-training efficiency and model capability. To advance future research, we release scripts, data, and models at https://github.com/opendatalab/Meta-rater.

Large language models (LLMs) hold significant potential for mental health support, capable of generating empathetic responses and simulating therapeutic conversations. However, existing LLM-based approaches often lack the clinical grounding necessary for real-world psychological counseling, particularly in explicit diagnostic reasoning aligned with standards like the DSM/ICD and incorporating diverse therapeutic modalities beyond basic empathy or single strategies. To address these critical limitations, we propose PsyLLM, the first large language model designed to systematically integrate both diagnostic and therapeutic reasoning for mental health counseling. To develop the PsyLLM, we propose a novel automated data synthesis pipeline. This pipeline processes real-world mental health posts, generates multi-turn dialogue structures, and leverages LLMs guided by international diagnostic standards (e.g., DSM/ICD) and multiple therapeutic frameworks (e.g., CBT, ACT, psychodynamic) to simulate detailed clinical reasoning processes. Rigorous multi-dimensional filtering ensures the generation of high-quality, clinically aligned dialogue data. In addition, we introduce a new benchmark and evaluation protocol, assessing counseling quality across four key dimensions: comprehensiveness, professionalism, authenticity, and safety. Our experiments demonstrate that PsyLLM significantly outperforms state-of-the-art baseline models on this benchmark.

The recently developed retrieval-augmented generation (RAG) technology has enabled the efficient construction of domain-specific applications. However, it also has limitations, including the gap between vector similarity and the relevance of knowledge reasoning, as well as insensitivity to knowledge logic, such as numerical values, temporal relations, expert rules, and others, which hinder the effectiveness of professional knowledge services. In this work, we introduce a professional domain knowledge service framework called Knowledge Augmented Generation (KAG). KAG is designed to address the aforementioned challenges with the motivation of making full use of the advantages of knowledge graph(KG) and vector retrieval, and to improve generation and reasoning performance by bidirectionally enhancing large language models (LLMs) and KGs through five key aspects: (1) LLM-friendly knowledge representation, (2) mutual-indexing between knowledge graphs and original chunks, (3) logical-form-guided hybrid reasoning engine, (4) knowledge alignment with semantic reasoning, and (5) model capability enhancement for KAG. We compared KAG with existing RAG methods in multihop question answering and found that it significantly outperforms state-of-theart methods, achieving a relative improvement of 19.6% on 2wiki and 33.5% on hotpotQA in terms of F1 score. We have successfully applied KAG to two professional knowledge Q&A tasks of Ant Group, including E-Government Q&A and E-Health Q&A, achieving significant improvement in professionalism compared to RAG methods.

The opioid crisis represents a significant moment in public health that reveals systemic shortcomings across regulatory systems, healthcare practices, corporate governance, and public policy. Analyzing how these interconnected systems simultaneously failed to protect public health requires innovative analytic approaches for exploring the vast amounts of data and documents disclosed in the UCSF-JHU Opioid Industry Documents Archive (OIDA). The complexity, multimodal nature, and specialized characteristics of these healthcare-related legal and corporate documents necessitate more advanced methods and models tailored to specific data types and detailed annotations, ensuring the precision and professionalism in the analysis. In this paper, we tackle this challenge by organizing the original dataset according to document attributes and constructing a benchmark with 400k training documents and 10k for testing. From each document, we extract rich multimodal information-including textual content, visual elements, and layout structures-to capture a comprehensive range of features. Using multiple AI models, we then generate a large-scale dataset comprising 360k training QA pairs and 10k testing QA pairs. Building on this foundation, we develop domain-specific multimodal Large Language Models (LLMs) and explore the impact of multimodal inputs on task performance. To further enhance response accuracy, we incorporate historical QA pairs as contextual grounding for answering current queries. Additionally, we incorporate page references within the answers and introduce an importance-based page classifier, further improving the precision and relevance of the information provided. Preliminary results indicate the improvements with our AI assistant in document information extraction and question-answering tasks. The dataset is available at: https://huggingface.co/datasets/opioidarchive/oida-qa

With the rapid development of digital technology, AI-driven psychological counseling has gradually become an important research direction in the field of mental health. However, existing models still have deficiencies in dialogue safety, detailed scenario handling, and lightweight deployment. To address these issues, this study proposes PsyLite, a lightweight psychological counseling large language model agent developed based on the base model InternLM2.5-7B-chat. Through a two-stage training strategy (hybrid distillation data fine-tuning and ORPO preference optimization), PsyLite enhances the model's deep-reasoning ability, psychological counseling ability, and safe dialogue ability. After deployment using Ollama and Open WebUI, a custom workflow is created with Pipelines. An innovative conditional RAG is designed to introduce crosstalk humor elements at appropriate times during psychological counseling to enhance user experience and decline dangerous requests to strengthen dialogue safety. Evaluations show that PsyLite outperforms the baseline models in the Chinese general evaluation (CEval), psychological counseling professional evaluation (CPsyCounE), and dialogue safety evaluation (SafeDialBench), particularly in psychological counseling professionalism (CPsyCounE score improvement of 47.6\%) and dialogue safety ( score improvement of 2.4\%). Additionally, the model uses quantization technology (GGUF q4\_k\_m) to achieve low hardware deployment (5GB memory is sufficient for operation), providing a feasible solution for psychological counseling applications in resource-constrained environments.

This research introduces ScoreRAG, an approach to enhance the quality of automated news generation. Despite advancements in Natural Language Processing and large language models, current news generation methods often struggle with hallucinations, factual inconsistencies, and lack of domain-specific expertise when producing news articles. ScoreRAG addresses these challenges through a multi-stage framework combining retrieval-augmented generation, consistency relevance evaluation, and structured summarization. The system first retrieves relevant news documents from a vector database, maps them to complete news items, and assigns consistency relevance scores based on large language model evaluations. These documents are then reranked according to relevance, with low-quality items filtered out. The framework proceeds to generate graded summaries based on relevance scores, which guide the large language model in producing complete news articles following professional journalistic standards. Through this methodical approach, ScoreRAG aims to significantly improve the accuracy, coherence, informativeness, and professionalism of generated news articles while maintaining stability and consistency throughout the generation process. The code and demo are available at: https://github.com/peiyun2260/ScoreRAG.

Reinforcement learning with human feedback (RLHF) fine-tunes a pretrained large language model (LLM) using user preference data, enabling it to generate content aligned with human preferences. However, due to privacy concerns, users may be reluctant to share sensitive preference data. To address this, we propose utilizing Federated Learning (FL) techniques, allowing large-scale preference collection from diverse real-world users without requiring them to transmit data to a central server. Our federated RLHF methods (i.e., FedBis and FedBiscuit) encode each client's preferences into binary selectors and aggregate them to capture common preferences. In particular, FedBiscuit overcomes key challenges, such as preference heterogeneity and reward hacking, through innovative solutions like grouping clients with similar preferences to reduce heterogeneity and using multiple binary selectors to enhance LLM output quality. To evaluate the performance of the proposed methods, we establish the first federated RLHF benchmark with a heterogeneous human preference dataset. Experimental results show that by integrating the LLM with aggregated client preferences, FedBis and FedBiscuit significantly enhance the professionalism and readability of the generated content.

Recent research on large language models (LLMs) has primarily focused on their adaptation and application in specialized domains. The application of LLMs in the medical field is mainly concentrated on tasks such as the automation of medical report generation, summarization, diagnostic reasoning, and question-and-answer interactions between doctors and patients. The challenge of becoming a good teacher is more formidable than that of becoming a good student, and this study pioneers the application of LLMs in the field of medical education. In this work, we investigate the extent to which LLMs can generate medical qualification exam questions and corresponding answers based on few-shot prompts. Utilizing a real-world Chinese dataset of elderly chronic diseases, we tasked the LLMs with generating open-ended questions and answers based on a subset of sampled admission reports across eight widely used LLMs, including ERNIE 4, ChatGLM 4, Doubao, Hunyuan, Spark 4, Qwen, Llama 3, and Mistral. Furthermore, we engaged medical experts to manually evaluate these open-ended questions and answers across multiple dimensions. The study found that LLMs, after using few-shot prompts, can effectively mimic real-world medical qualification exam questions, whereas there is room for improvement in the correctness, evidence-based statements, and professionalism of the generated answers. Moreover, LLMs also demonstrate a decent level of ability to correct and rectify reference answers. Given the immense potential of artificial intelligence in the medical field, the task of generating questions and answers for medical qualification exams aimed at medical students, interns and residents can be a significant focus of future research.

This work introduces the first benchmark for nursing value alignment, consisting of five core value dimensions distilled from international nursing codes: Altruism, Human Dignity, Integrity, Justice, and Professionalism. The benchmark comprises 1,100 real-world nursing behavior instances collected through a five-month longitudinal field study across three hospitals of varying tiers. These instances are annotated by five clinical nurses and then augmented with LLM-generated counterfactuals with reversed ethic polarity. Each original case is paired with a value-aligned and a value-violating version, resulting in 2,200 labeled instances that constitute the Easy-Level dataset. To increase adversarial complexity, each instance is further transformed into a dialogue-based format that embeds contextual cues and subtle misleading signals, yielding a Hard-Level dataset. We evaluate 23 state-of-the-art (SoTA) LLMs on their alignment with nursing values. Our findings reveal three key insights: (1) DeepSeek-V3 achieves the highest performance on the Easy-Level dataset (94.55), where Claude 3.5 Sonnet outperforms other models on the Hard-Level dataset (89.43), significantly surpassing the medical LLMs; (2) Justice is consistently the most difficult nursing value dimension to evaluate; and (3) in-context learning significantly improves alignment. This work aims to provide a foundation for value-sensitive LLMs development in clinical settings. The dataset and the code are available at https://huggingface.co/datasets/Ben012345/NurValues.