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Dec 25

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
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Nov 29

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