- Clinical-R1: Empowering Large Language Models for Faithful and Comprehensive Reasoning with Clinical Objective Relative Policy Optimization Recent advances in large language models (LLMs) have shown strong reasoning capabilities through large-scale pretraining and post-training reinforcement learning, demonstrated by DeepSeek-R1. However, current post-training methods, such as Grouped Relative Policy Optimization (GRPO), mainly reward correctness, which is not aligned with the multi-dimensional objectives required in high-stakes fields such as medicine, where reasoning must also be faithful and comprehensive. We introduce Clinical-Objective Relative Policy Optimization (CRPO), a scalable, multi-objective, verifiable reinforcement learning method designed to align LLM post-training with clinical reasoning principles. CRPO integrates rule-based and verifiable reward signals that jointly optimize accuracy, faithfulness, and comprehensiveness without relying on human annotation. To demonstrate its effectiveness, we train Clinical-R1-3B, a 3B-parameter model for clinical reasoning. The experiments on three benchmarks demonstrate that our CRPO substantially improves reasoning on truthfulness and completeness over standard GRPO while maintaining comfortable accuracy enhancements. This framework provides a scalable pathway to align LLM reasoning with clinical objectives, enabling safer and more collaborative AI systems for healthcare while also highlighting the potential of multi-objective, verifiable RL methods in post-training scaling of LLMs for medical domains. 9 authors · Nov 29
- GRPO++: Enhancing Dermatological Reasoning under Low Resource Settings Vision-Language Models (VLMs) show promise in medical image analysis, yet their capacity for structured reasoning in complex domains like dermatology is often limited by data scarcity and the high computational cost of advanced training techniques. To address these challenges, we introduce DermIQ-VLM, a VLM developed through a multi-stage, resource-efficient methodology designed to emulate a dermatologist's diagnostic process. Our primary contribution is a modified version of Grouped Relative Policy Optimization (GRPO), called GRPO++, which stabilizes the powerful but data-intensive GRPO framework. Our proposed training pipeline first employs GRPO++ for reasoning-oriented disease recognition, followed by supervised fine-tuning for conversational ability. To mitigate factual errors introduced during this step, we then align the model using Direct Preference Optimization (DPO), leveraging a Knowledge Graph-based system as a scalable proxy for expert preference. A preliminary evaluation on a curated dermatological dataset demonstrates that our proposed methodology yields notable performance gains over standard fine-tuning approaches. These findings validate the potential of our pipeline as a feasible pathway for developing specialized, reliable VLMs in resource-constrained environments. 4 authors · Sep 23
89 Tree Search for LLM Agent Reinforcement Learning Recent advances in reinforcement learning (RL) have significantly enhanced the agentic capabilities of large language models (LLMs). In long-term and multi-turn agent tasks, existing approaches driven solely by outcome rewards often suffer from the problem of sparse supervision. To address the challenge, we propose Tree-based Group Relative Policy Optimization (Tree-GRPO), a grouped agent RL method based on tree search, where each tree node represents the complete agent interaction step. By sharing common prefixes, the tree search sampling increases the number of rollouts achievable within a fixed budget of tokens or tool calls. Moreover, we find that the tree-structured trajectory naturally allows the construction of step-wise process supervised signals even using only the outcome reward. Based on this, Tree-GRPO estimates the grouped relative advantages both on intra-tree and inter-tree levels. Through theoretical analysis, we demonstrate that the objective of intra-tree level group relative policy optimization is equivalent to that of step-level direct preference learning. Experiments across 11 datasets and 3 types of QA tasks demonstrate the superiority of the proposed tree-based RL over the chain-based RL method. 6 authors · Sep 25 3
4 Prefix Grouper: Efficient GRPO Training through Shared-Prefix Forward Group Relative Policy Optimization (GRPO) enhances policy learning by computing gradients from relative comparisons among candidate outputs that share a common input prefix. Despite its effectiveness, GRPO introduces substantial computational overhead when processing long shared prefixes, which must be redundantly encoded for each group member. This inefficiency becomes a major scalability bottleneck in long-context learning scenarios. We propose Prefix Grouper, an efficient GRPO training algorithm that eliminates redundant prefix computation via a Shared-Prefix Forward strategy. In particular, by restructuring self-attention into two parts, our method enables the shared prefix to be encoded only once, while preserving full differentiability and compatibility with end-to-end training. We provide both theoretical and empirical evidence that Prefix Grouper is training-equivalent to standard GRPO: it yields identical forward outputs and backward gradients, ensuring that the optimization dynamics and final policy performance remain unchanged. Empirically, our experiments confirm that Prefix Grouper achieves consistent results while significantly reducing the computational cost of training, particularly in long-prefix scenarios. The proposed method is fully plug-and-play: it is compatible with existing GRPO-based architectures and can be seamlessly integrated into current training pipelines as a drop-in replacement, requiring no structural modifications and only minimal changes to input construction and attention computation. Prefix Grouper enables the use of larger group sizes under the same computational budget, thereby improving the scalability of GRPO to more complex tasks and larger models. Code is now available at https://github.com/johncaged/PrefixGrouper 8 authors · Jun 5 2