Daily Papers

Medical image segmentation is evolving from task-specific models toward generalizable frameworks. Recent research leverages Multi-modal Large Language Models (MLLMs) as autonomous agents, employing reinforcement learning with verifiable reward (RLVR) to orchestrate specialized tools like the Segment Anything Model (SAM). However, these approaches often rely on single-turn, rigid interaction strategies and lack process-level supervision during training, which hinders their ability to fully exploit the dynamic potential of interactive tools and leads to redundant actions. To bridge this gap, we propose MedSAM-Agent, a framework that reformulates interactive segmentation as a multi-step autonomous decision-making process. First, we introduce a hybrid prompting strategy for expert-curated trajectory generation, enabling the model to internalize human-like decision heuristics and adaptive refinement strategies. Furthermore, we develop a two-stage training pipeline that integrates multi-turn, end-to-end outcome verification with a clinical-fidelity process reward design to promote interaction parsimony and decision efficiency. Extensive experiments across 6 medical modalities and 21 datasets demonstrate that MedSAM-Agent achieves state-of-the-art performance, effectively unifying autonomous medical reasoning with robust, iterative optimization. Code is available https://github.com/CUHK-AIM-Group/MedSAM-Agent{here}.

Process-Level Reward Models (PRMs) are essential for guiding complex reasoning in large language models, yet existing PRM benchmarks cover only general domains such as mathematics, failing to address medical reasoning -- which is uniquely characterized by safety criticality, knowledge intensity, and diverse error patterns. Without a reliable medical PRM evaluation framework, we cannot quantify models' error detection capabilities in clinical reasoning, leaving their safety in real-world healthcare applications unverified. We propose MedPRMBench, the first process-level reward model benchmark for the medical domain. Built through a three-phase pipeline based on Clinical Reasoning Blueprints (CRBs), MedPRMBench systematically generates high-quality evaluation data from seven medical QA sources, covering 14 fine-grained error types across three categories (Simplicity, Soundness, and Sensitivity) with the first 4-level severity grading system to quantify clinical impact. The benchmark comprises 6{,}500 questions with 13{,}000 reasoning chains and 113{,}910 step-level labels, plus 6{,}879 questions for training. Our medical PRM baseline achieves an 87.1\% overall PRMScore -- substantially surpassing all baselines -- and serves as a plug-and-play verifier that improves downstream medical QA accuracy by 3.2--6.7 percentage points. Systematic evaluation spanning proprietary frontier models, open-source reasoning models, and medical-specialized models reveals critical weaknesses in current models' medical reasoning error detection capabilities, providing clear directions for future PRM improvement.

Large Language Models (LLMs) increasingly rely on external tools such as search engines to solve complex agentic tasks that require reasoning and external knowledge retrieval. Recently, reinforcement learning with verifiable rewards (RLVR) has demonstrated its effectiveness in advancing capabilities of LLMs by rewarding the final answers via outcome rewards. While straightforward to supervise, outcome rewards only provide sparse signals and delayed feedback, which limits their effectiveness on long trajectories. Process rewards address this by evaluating intermediate steps, providing fine-grained supervision and encouraging grounded problem solving. However, it is notoriously hard to annotate step-wise labels, especially in non-verifiable process without "golden" answers. Furthermore, step-wise judgment requires the balance between local quality with contribution to the final outcome, as optimizing towards higher process reward may not always align with better final outcomes. To address the above challenges, we introduce Principle Process Reward (PPR), an RL approach that unifies principled step-level assessment and outcome verification. We train a principle-based reward model to improve the transparency and reliability of process evaluation, and further introduce a Reward Normalization (ReNorm) strategy to calibrate outcome and process rewards. Experiment results show that PPR achieves state-of-the-art performance across a wide range of benchmarks, demonstrating its impressive robustness and generalization. Our code and model collection is available in this link.

Reinforcement Learning (RL) has emerged as a mainstream paradigm for training Mobile GUI Agents, yet it struggles with the temporal credit assignment problem inherent in long-horizon tasks. A primary challenge lies in the trade-off between reward fidelity and density: outcome reward offers high fidelity but suffers from signal sparsity, while process reward provides dense supervision but remains prone to bias and reward hacking. To resolve this conflict, we propose the Adaptive Milestone Reward (ADMIRE) mechanism. ADMIRE constructs a verifiable, adaptive reward system by anchoring trajectory to milestones, which are dynamically distilled from successful explorations. Crucially, ADMIRE integrates an asymmetric credit assignment strategy that denoises successful trajectories and scaffolds failed trajectories. Extensive experiments demonstrate that ADMIRE consistently yields over 10% absolute improvement in success rate across different base models on AndroidWorld. Moreover, the method exhibits robust generalizability, achieving strong performance across diverse RL algorithms and heterogeneous environments such as web navigation and embodied tasks.

Dense process rewards have proven a more effective alternative to the sparse outcome-level rewards in the inference-time scaling of large language models (LLMs), particularly in tasks requiring complex multi-step reasoning. While dense rewards also offer an appealing choice for the reinforcement learning (RL) of LLMs since their fine-grained rewards have the potential to address some inherent issues of outcome rewards, such as training efficiency and credit assignment, this potential remains largely unrealized. This can be primarily attributed to the challenges of training process reward models (PRMs) online, where collecting high-quality process labels is prohibitively expensive, making them particularly vulnerable to reward hacking. To address these challenges, we propose PRIME (Process Reinforcement through IMplicit rEwards), which enables online PRM updates using only policy rollouts and outcome labels through implict process rewards. PRIME combines well with various advantage functions and forgoes the dedicated reward model training phrase that existing approaches require, substantially reducing the development overhead. We demonstrate PRIME's effectiveness on competitional math and coding. Starting from Qwen2.5-Math-7B-Base, PRIME achieves a 15.1% average improvement across several key reasoning benchmarks over the SFT model. Notably, our resulting model, Eurus-2-7B-PRIME, surpasses Qwen2.5-Math-7B-Instruct on seven reasoning benchmarks with 10% of its training data.

Process Reward Models (PRMs) aim to improve multi-step reasoning in Large Language Models (LLMs) by supervising intermediate steps and identifying errors. However, building effective PRMs remains challenging due to the lack of scalable, high-quality annotations. Existing approaches rely on costly human labeling, LLM-based self-evaluation that is prone to hallucination, or Monte Carlo (MC) estimation, which infers step quality solely from rollout outcomes and often introduces noisy, misaligned supervision due to credit misattribution. These issues result in three core limitations: noisy rewards, low factual fidelity, and misalignment with step-level reasoning objectives. To address these challenges, we introduce GroundedPRM, a tree-guided and fidelity-aware framework for automatic process supervision. To reduce reward noise and enable fine-grained credit assignment, we construct structured reasoning paths via Monte Carlo Tree Search (MCTS). To eliminate hallucinated supervision, we validate each intermediate step using an external tool, providing execution-grounded correctness signals. To combine both step-level validation and global outcome assessment, we design a hybrid reward aggregation mechanism that fuses tool-based verification with MCTS-derived feedback. Finally, we format the reward signal into a rationale-enhanced, generative structure to promote interpretability and compatibility with instruction-tuned LLMs. GroundedPRM is trained on only 40K automatically labeled samples, amounting to just 10% of the data used by the best-performing PRM trained with auto-labeled supervision. Nevertheless, it achieves up to a 26% relative improvement in average performance on ProcessBench. When used for reward-guided greedy search, GroundedPRM outperforms even PRMs trained with human-labeled supervision, offering a scalable and verifiable path toward high-quality process-level reasoning.

A promising approach for improving reasoning in large language models is to use process reward models (PRMs). PRMs provide feedback at each step of a multi-step reasoning trace, potentially improving credit assignment over outcome reward models (ORMs) that only provide feedback at the final step. However, collecting dense, per-step human labels is not scalable, and training PRMs from automatically-labeled data has thus far led to limited gains. To improve a base policy by running search against a PRM or using it as dense rewards for reinforcement learning (RL), we ask: "How should we design process rewards?". Our key insight is that, to be effective, the process reward for a step should measure progress: a change in the likelihood of producing a correct response in the future, before and after taking the step, corresponding to the notion of step-level advantages in RL. Crucially, this progress should be measured under a prover policy distinct from the base policy. We theoretically characterize the set of good provers and our results show that optimizing process rewards from such provers improves exploration during test-time search and online RL. In fact, our characterization shows that weak prover policies can substantially improve a stronger base policy, which we also observe empirically. We validate our claims by training process advantage verifiers (PAVs) to predict progress under such provers, and show that compared to ORMs, test-time search against PAVs is >8% more accurate, and 1.5-5times more compute-efficient. Online RL with dense rewards from PAVs enables one of the first results with 5-6times gain in sample efficiency, and >6% gain in accuracy, over ORMs.

Process reward models (PRMs) that provide dense, step-level feedback have shown promise for reinforcement learning, yet their adoption remains limited by the need for expensive step-level annotations or ground truth references. We propose SPARK: a three-stage framework where in the first stage a generator model produces diverse solutions and a verifier model evaluates them using parallel scaling (self-consistency) and sequential scaling (meta-critique). In the second stage, we use these verification outputs as synthetic training data to fine-tune generative process reward models, which subsequently serve as reward signals during training. We show that aggregating multiple independent verifications at the step level produces training data for process reward models that surpass ground-truth outcome supervision, achieving 67.5 F1 on ProcessBench (a benchmark for identifying erroneous steps in mathematical reasoning) compared to 66.4 for reference-guided training and 61.9 for GPT-4o. In the final stage, we apply our generative PRM with chain-of-thought verification (PRM-CoT) as the reward model in RL experiments on mathematical reasoning, and introduce format constraints to prevent reward hacking. Using Qwen2.5-Math-7B, we achieve 47.4% average accuracy across six mathematical reasoning benchmarks, outperforming ground-truth-based RLVR (43.9%). Our work enables reference-free RL training that exceeds ground-truth methods, opening new possibilities for domains lacking verifiable answers or accessible ground truth.

Large language models have shown promise in clinical decision making, but current approaches struggle to localize and correct errors at specific steps of the reasoning process. This limitation is critical in medicine, where identifying and addressing reasoning errors is essential for accurate diagnosis and effective patient care. We introduce Med-PRM, a process reward modeling framework that leverages retrieval-augmented generation to verify each reasoning step against established medical knowledge bases. By verifying intermediate reasoning steps with evidence retrieved from clinical guidelines and literature, our model can precisely assess the reasoning quality in a fine-grained manner. Evaluations on five medical QA benchmarks and two open-ended diagnostic tasks demonstrate that Med-PRM achieves state-of-the-art performance, with improving the performance of base models by up to 13.50% using Med-PRM. Moreover, we demonstrate the generality of Med-PRM by integrating it in a plug-and-play fashion with strong policy models such as Meerkat, achieving over 80\% accuracy on MedQA for the first time using small-scale models of 8 billion parameters. Our code and data are available at: https://med-prm.github.io/

Process-level Reward Models (PRMs) are crucial for complex reasoning and decision-making tasks, where each intermediate step plays an important role in the reasoning process. Since language models are prone to various types of errors during the reasoning process, PRMs are required to possess nuanced capabilities for detecting various implicit error types in real-world scenarios. However, current benchmarks primarily focus on step correctness, failing to evaluate PRMs' performance systematically. To address this gap, we introduce PRMBench, a process-level benchmark specifically designed to assess the fine-grained error detection capabilities of PRMs. PRMBench comprises 6,216 carefully designed problems and 83,456 step-level labels, evaluating models across multiple dimensions, including simplicity, soundness, and sensitivity. In our experiments on 15 models, spanning both open-source PRMs and closed-source large language models prompted as critic models, we uncover significant weaknesses in current PRMs. These findings underscore the challenges inherent in process-level evaluation and highlight key directions for future research. We hope PRMBench can be a robust bench for advancing research on PRM evaluation and development.

While reinforcement learning with verifiable rewards (RLVR) has advanced LLM reasoning in structured domains like mathematics and programming, its application to general-domain reasoning tasks remains challenging due to the absence of verifiable reward signals. To this end, methods like Reinforcement Learning with Reference Probability Reward (RLPR) have emerged, leveraging the probability of generating the final answer as a reward signal. However, these outcome-focused approaches neglect crucial step-by-step supervision of the reasoning process itself. To address this gap, we introduce Probabilistic Process Supervision (P2S), a novel self-supervision framework that provides fine-grained process rewards without requiring a separate reward model or human-annotated reasoning steps. During reinforcement learning, P2S synthesizes and filters a high-quality reference reasoning chain (gold-CoT). The core of our method is to calculate a Path Faithfulness Reward (PFR) for each reasoning step, which is derived from the conditional probability of generating the gold-CoT's suffix, given the model's current reasoning prefix. Crucially, this PFR can be flexibly integrated with any outcome-based reward, directly tackling the reward sparsity problem by providing dense guidance. Extensive experiments on reading comprehension and medical Question Answering benchmarks show that P2S significantly outperforms strong baselines.

Reinforcement learning with verifiable rewards (RLVR) has emerged to be a predominant paradigm for mathematical reasoning tasks, offering stable improvements in reasoning ability. However, Outcome Reward Models (ORMs) in RLVR are too coarse-grained to distinguish flawed reasoning within correct answers or valid reasoning within incorrect answers. This lack of granularity introduces noisy and misleading gradients significantly and hinders further progress in reasoning process quality. While Process Reward Models (PRMs) offer fine-grained guidance for intermediate steps, they frequently suffer from inaccuracies and are susceptible to reward hacking. To resolve this dilemma, we introduce PRocess cOnsistency Filter (PROF), an effective data process curation method that harmonizes noisy, fine-grained process rewards with accurate, coarse-grained outcome rewards. Rather than naively blending PRM and ORM in the objective function (arXiv:archive/2506.18896), PROF leverages their complementary strengths through consistency-driven sample selection. Our approach retains correct responses with higher averaged process values and incorrect responses with lower averaged process values, while maintaining positive/negative training sample balance. Extensive experiments demonstrate that our method not only consistently improves the final accuracy over 4% compared to the blending approaches, but also strengthens the quality of intermediate reasoning steps. Codes and training recipes are available at https://github.com/Chenluye99/PROF.

Process Reward Modeling (PRM) is critical for complex reasoning and decision-making tasks where the accuracy of intermediate steps significantly influences the overall outcome. Existing PRM approaches, primarily framed as classification problems, employ cross-entropy loss to independently evaluate each step's correctness. This method can lead to suboptimal reward distribution and does not adequately address the interdependencies among steps. To address these limitations, we introduce the Process Q-value Model (PQM), a novel framework that redefines PRM in the context of a Markov Decision Process. PQM optimizes Q-value rankings based on a novel comparative loss function, enhancing the model's ability to capture the intricate dynamics among sequential decisions. This approach provides a more granular and theoretically grounded methodology for process rewards. Our extensive empirical evaluations across various sampling policies, language model backbones, and multi-step reasoning benchmarks show that PQM outperforms classification-based PRMs. The effectiveness of the comparative loss function is highlighted in our comprehensive ablation studies, confirming PQM's practical efficacy and theoretical advantage.

Multimodal large language models (MLLMs) hold significant potential in medical applications, including disease diagnosis and clinical decision-making. However, these tasks require highly accurate, context-sensitive, and professionally aligned responses, making reliable reward models and judges critical. Despite their importance, medical reward models (MRMs) and judges remain underexplored, with no dedicated benchmarks addressing clinical requirements. Existing benchmarks focus on general MLLM capabilities or evaluate models as solvers, neglecting essential evaluation dimensions like diagnostic accuracy and clinical relevance. To address this, we introduce Med-RewardBench, the first benchmark specifically designed to evaluate MRMs and judges in medical scenarios. Med-RewardBench features a multimodal dataset spanning 13 organ systems and 8 clinical departments, with 1,026 expert-annotated cases. A rigorous three-step process ensures high-quality evaluation data across six clinically critical dimensions. We evaluate 32 state-of-the-art MLLMs, including open-source, proprietary, and medical-specific models, revealing substantial challenges in aligning outputs with expert judgment. Additionally, we develop baseline models that demonstrate substantial performance improvements through fine-tuning.

Process-supervised reward models serve as a fine-grained function that provides detailed step-wise feedback to model responses, facilitating effective selection of reasoning trajectories for complex tasks. Despite its advantages, evaluation on PRMs remains less explored, especially in the multimodal domain. To address this gap, this paper first benchmarks current vision large language models (VLLMs) as two types of reward models: output reward models (ORMs) and process reward models (PRMs) on multiple vision-language benchmarks, which reveal that neither ORM nor PRM consistently outperforms across all tasks, and superior VLLMs do not necessarily yield better rewarding performance. To further advance evaluation, we introduce ViLBench, a vision-language benchmark designed to require intensive process reward signals. Notably, OpenAI's GPT-4o with Chain-of-Thought (CoT) achieves only 27.3% accuracy, indicating the benchmark's challenge for current VLLMs. Lastly, we preliminarily showcase a promising pathway towards bridging the gap between general VLLMs and reward models -- by collecting 73.6K vision-language process reward data using an enhanced tree-search algorithm, our 3B model is able to achieve an average improvement of 3.3% over standard CoT and up to 2.5% compared to its untrained counterpart on ViLBench by selecting OpenAI o1's generations. We release the implementations at https://ucsc-vlaa.github.io/ViLBench with our code, model, and data.

We propose Process-Aware Policy Optimization (PAPO), a method that integrates process-level evaluation into Group Relative Policy Optimization (GRPO) through decoupled advantage normalization, to address two limitations of existing reward designs. Outcome reward models (ORM) evaluate only final-answer correctness, treating all correct responses identically regardless of reasoning quality, and gradually lose the advantage signal as groups become uniformly correct. Process reward models (PRM) offer richer supervision, but directly using PRM scores causes reward hacking, where models exploit verbosity to inflate scores while accuracy collapses. PAPO resolves both by composing the advantage from an outcome component Aout, derived from ORM and normalized over all responses, and a process component Aproc, derived from a rubric-based PRM and normalized exclusively among correct responses. This decoupled design ensures that Aout anchors training on correctness while Aproc differentiates reasoning quality without distorting the outcome signal. Experiments across multiple model scales and six benchmarks demonstrate that PAPO consistently outperforms ORM, reaching 51.3% vs.\ 46.3% on OlympiadBench while continuing to improve as ORM plateaus and declines.

Process Reward Models (PRMs) provide step-level feedback for reasoning, but current PRMs usually output only a single reward score for each step. Downstream methods must therefore treat imperfect step-level reward predictions as reliable decision signals, with no indication of when these predictions should be trusted. We propose BetaPRM, a distributional PRM that predicts both a step-level success probability and the reliability of that prediction. Given step-success supervision from Monte Carlo continuations, BetaPRM learns a Beta belief that explains the observed number of successful continuations through a Beta-Binomial likelihood, rather than regressing to the finite-sample success ratio as a point target. This learned reliability signal indicates when a step reward should be trusted, enabling downstream applications to distinguish reliable rewards from uncertain ones. As one application, we introduce Adaptive Computation Allocation (ACA) for PRM-guided Best-of-N reasoning. ACA uses the learned reliability signal to stop when a high-reward solution is reliable and to spend additional computation on uncertain candidate prefixes. Experiments across four backbones and four reasoning benchmarks show that BetaPRM improves PRM-guided Best-of-N selection while preserving standard step-level error detection. Built on this signal, ACA improves the accuracy--token tradeoff over fixed-budget Best-of-16, reducing token usage by up to 33.57% while improving final-answer accuracy.

Reasoning is an essential capacity for large language models (LLMs) to address complex tasks, where the identification of process errors is vital for improving this ability. Recently, process-level reward models (PRMs) were proposed to provide step-wise rewards that facilitate reinforcement learning and data production during training and guide LLMs toward correct steps during inference, thereby improving reasoning accuracy. However, existing benchmarks of PRMs are text-based and focus on error detection, neglecting other scenarios like reasoning search. To address this gap, we introduce MPBench, a comprehensive, multi-task, multimodal benchmark designed to systematically assess the effectiveness of PRMs in diverse scenarios. MPBench employs three evaluation paradigms, each targeting a specific role of PRMs in the reasoning process: (1) Step Correctness, which assesses the correctness of each intermediate reasoning step; (2) Answer Aggregation, which aggregates multiple solutions and selects the best one; and (3) Reasoning Process Search, which guides the search for optimal reasoning steps during inference. Through these paradigms, MPBench makes comprehensive evaluations and provides insights into the development of multimodal PRMs.

Reinforcement learning (RL) has become a promising paradigm for optimizing Retrieval-Augmented Generation (RAG) in complex reasoning tasks. However, traditional outcome-based RL approaches often suffer from reward sparsity and inefficient credit assignment, as coarse-grained scalar rewards fail to identify specific erroneous steps within long-horizon trajectories. This ambiguity frequently leads to "process hallucinations", where models reach correct answers through flawed logic or redundant retrieval steps. Although recent process-aware approaches attempt to mitigate this via static preference learning or heuristic reward shaping, they often lack the on-policy exploration capabilities required to decouple step-level credit from global outcomes. To address these challenges, we propose ProRAG, a process-supervised reinforcement learning framework designed to integrate learned step-level supervision into the online optimization loop. Our framework consists of four stages: (1) Supervised Policy Warmup to initialize the model with a structured reasoning format; (2) construction of an MCTS-based Process Reward Model (PRM) to quantify intermediate reasoning quality; (3) PRM-Guided Reasoning Refinement to align the policy with fine-grained process preferences; and (4) Process-Supervised Reinforcement Learning with a dual-granularity advantage mechanism. By aggregating step-level process rewards with global outcome signals, ProRAG provides precise feedback for every action. Extensive experiments on five multi-hop reasoning benchmarks demonstrate that ProRAG achieves superior overall performance compared to strong outcome-based and process-aware RL baselines, particularly on complex long-horizon tasks, validating the effectiveness of fine-grained process supervision. The code and model are available at https://github.com/lilinwz/ProRAG.

Recent work on reinforcement learning with verifiable rewards (RLVR) has shown that large language models (LLMs) can be substantially improved using outcome-level verification signals, such as unit tests for code or exact-match checks for mathematics. In parallel, process supervision has long been explored as a way to shape the intermediate reasoning behaviour of LLMs, but existing approaches rely on neural judges to score chain-of-thought steps, leaving them vulnerable to opacity, bias, and reward hacking. To address this gap, we introduce Verifiable Process Reward Models (VPRMs), a reinforcement-learning framework in which intermediate reasoning steps are checked by deterministic, rule-based verifiers. We apply VPRMs to risk-of-bias assessment for medical evidence synthesis, a domain where guideline-defined criteria and rule-based decision paths enable programmatic verification of reasoning traces. Across multiple datasets, we find that VPRMs generate reasoning that adheres closely to domain rules and achieve substantially higher coherence between step-level decisions and final labels. Results show that VPRMs achieve up to 20% higher F1 than state-of-the-art models and 6.5% higher than verifiable outcome rewards, with substantial gains in evidence grounding and logical coherence.

While online Reinforcement Learning has emerged as a crucial technique for aligning flow matching models with human preferences, current approaches are hindered by inefficient exploration during training rollouts. Relying on undirected stochasticity and sparse outcome rewards, these methods struggle to discover high-reward samples, resulting in data-inefficient and slow optimization. To address these limitations, we propose Euphonium, a novel framework that steers generation via process reward gradient guided dynamics. Our key insight is to formulate the sampling process as a theoretically principled Stochastic Differential Equation that explicitly incorporates the gradient of a Process Reward Model into the flow drift. This design enables dense, step-by-step steering toward high-reward regions, advancing beyond the unguided exploration in prior works, and theoretically encompasses existing sampling methods (e.g., Flow-GRPO, DanceGRPO) as special cases. We further derive a distillation objective that internalizes the guidance signal into the flow network, eliminating inference-time dependency on the reward model. We instantiate this framework with a Dual-Reward Group Relative Policy Optimization algorithm, combining latent process rewards for efficient credit assignment with pixel-level outcome rewards for final visual fidelity. Experiments on text-to-video generation show that Euphonium achieves better alignment compared to existing methods while accelerating training convergence by 1.66x.

Reinforcement learning (RL) has emerged as a promising paradigm for enhancing image editing and text-to-image (T2I) generation. However, current reward models, which act as critics during RL, often suffer from hallucinations and assign noisy scores, inherently misguiding the optimization process. In this paper, we present FIRM (Faithful Image Reward Modeling), a comprehensive framework that develops robust reward models to provide accurate and reliable guidance for faithful image generation and editing. First, we design tailored data curation pipelines to construct high-quality scoring datasets. Specifically, we evaluate editing using both execution and consistency, while generation is primarily assessed via instruction following. Using these pipelines, we collect the FIRM-Edit-370K and FIRM-Gen-293K datasets, and train specialized reward models (FIRM-Edit-8B and FIRM-Gen-8B) that accurately reflect these criteria. Second, we introduce FIRM-Bench, a comprehensive benchmark specifically designed for editing and generation critics. Evaluations demonstrate that our models achieve superior alignment with human judgment compared to existing metrics. Furthermore, to seamlessly integrate these critics into the RL pipeline, we formulate a novel "Base-and-Bonus" reward strategy that balances competing objectives: Consistency-Modulated Execution (CME) for editing and Quality-Modulated Alignment (QMA) for generation. Empowered by this framework, our resulting models FIRM-Qwen-Edit and FIRM-SD3.5 achieve substantial performance breakthroughs. Comprehensive experiments demonstrate that FIRM mitigates hallucinations, establishing a new standard for fidelity and instruction adherence over existing general models. All of our datasets, models, and code have been publicly available at https://firm-reward.github.io.

In precision medicine, quantitative multi-omic features, topological context, and textual biological knowledge play vital roles in identifying disease-critical signaling pathways and targets. Existing pipelines capture only part of these-numerical omics ignore topological context, text-centric LLMs lack quantitative grounded reasoning, and graph-only models underuse node semantics and the generalization of LLMs-limiting mechanistic interpretability. Although Process Reward Models (PRMs) aim to guide reasoning in LLMs, they remain limited by unreliable intermediate evaluation, and vulnerability to reward hacking with computational cost. These gaps motivate integrating quantitative multi-omic signals, topological structure with node annotations, and literature-scale text via LLMs, using subgraph reasoning as the principle bridge linking numeric evidence, topological knowledge and language context. Therefore, we propose GALAX (Graph Augmented LAnguage model with eXplainability), an innovative framework that integrates pretrained Graph Neural Networks (GNNs) into Large Language Models (LLMs) via reinforcement guided by a Graph Process Reward Model (GPRM), which generates disease-relevant subgraphs in a step-wise manner initiated by an LLM and iteratively evaluated by a pretrained GNN, enabling process-level supervision without explicit intermediate reasoning annotations. As an application, we also introduced Target-QA, a benchmark combining CRISPR-identified targets, multi-omic profiles, and biomedical graph knowledge across diverse cancer cell lines, which enables GNN pretraining for supervising step-wise graph construction and supports long-context reasoning over text-numeric graphs (TNGs), providing a scalable and biologically grounded framework for explainable, reinforcement-guided subgraph reasoning toward reliable and interpretable target and pathway discovery in precision medicine.

While reinforcement learning for large language model alignment has progressed rapidly in recent years, transferring these paradigms to high-stakes medical question answering reveals a fundamental paradigm mismatch. Reinforcement Learning from Human Feedback relies on preference annotations that are prohibitively expensive and often fail to reflect the absolute correctness of medical facts. Reinforcement Learning from Verifiable Rewards lacks effective automatic verifiers and struggles to handle complex clinical contexts. Meanwhile, medical alignment requires the simultaneous optimization of correctness, safety, and compliance, yet multi-objective heterogeneous reward signals are prone to scale mismatch and optimization conflicts.To address these challenges, we propose a robust medical alignment paradigm. We first construct a holistic multi-dimensional medical alignment matrix that decomposes alignment objectives into four categories: fundamental capabilities, expert knowledge, online feedback, and format specifications. Within each category, we establish a closed loop of where observable metrics inform attributable diagnosis, which in turn drives optimizable rewards, thereby providing fine-grained, high-resolution supervision signals for subsequent iterative optimization. To resolve gradient domination and optimization instability problem caused by heterogeneous signals, we further propose a unified optimization mechanism. This mechanism employs Reference-Frozen Normalization to align reward scales and implements a Tri-Factor Adaptive Dynamic Weighting strategy to achieve collaborative optimization that is weakness-oriented, risk-prioritized, and redundancy-reducing. Experimental results demonstrate the effectiveness of our proposed paradigm in real-world medical scenario evaluations, establishing a new paradigm for complex alignment in vertical domains.

Complex multi-step reasoning tasks, such as solving mathematical problems or generating code, remain a significant hurdle for even the most advanced large language models (LLMs). Verifying LLM outputs with an Outcome Reward Model (ORM) is a standard inference-time technique aimed at enhancing the reasoning performance of LLMs. However, this still proves insufficient for reasoning tasks with a lengthy or multi-hop reasoning chain, where the intermediate outcomes are neither properly rewarded nor penalized. Process supervision addresses this limitation by assigning intermediate rewards during the reasoning process. To date, the methods used to collect process supervision data have relied on either human annotation or per-step Monte Carlo estimation, both prohibitively expensive to scale, thus hindering the broad application of this technique. In response to this challenge, we propose a novel divide-and-conquer style Monte Carlo Tree Search (MCTS) algorithm named OmegaPRM for the efficient collection of high-quality process supervision data. This algorithm swiftly identifies the first error in the Chain of Thought (CoT) with binary search and balances the positive and negative examples, thereby ensuring both efficiency and quality. As a result, we are able to collect over 1.5 million process supervision annotations to train a Process Reward Model (PRM). Utilizing this fully automated process supervision alongside the weighted self-consistency algorithm, we have enhanced the instruction tuned Gemini Pro model's math reasoning performance, achieving a 69.4\% success rate on the MATH benchmark, a 36\% relative improvement from the 51\% base model performance. Additionally, the entire process operates without any human intervention, making our method both financially and computationally cost-effective compared to existing methods.

Despite recent advances in AI, the development of systems capable of executing complex, multi-step reasoning tasks involving multiple tools remains a significant challenge. Current benchmarks fall short in capturing the real-world complexity of tool-use reasoning, where verifying the correctness of not only the final answer but also the intermediate steps is important for evaluation, development, and identifying failures during inference time. To bridge this gap, we introduce ToolComp, a comprehensive benchmark designed to evaluate multi-step tool-use reasoning. ToolComp is developed through a collaboration between models and human annotators, featuring human-edited/verified prompts, final answers, and process supervision labels, allowing for the evaluation of both final outcomes and intermediate reasoning. Evaluation across six different model families demonstrates the challenging nature of our dataset, with the majority of models achieving less than 50% accuracy. Additionally, we generate synthetic training data to compare the performance of outcome-supervised reward models (ORMs) with process-supervised reward models (PRMs) to assess their ability to improve complex tool-use reasoning as evaluated by ToolComp. Our results show that PRMs generalize significantly better than ORMs, achieving a 19% and 11% improvement in rank@1 accuracy for ranking base and fine-tuned model trajectories, respectively. These findings highlight the critical role of process supervision in both the evaluation and training of AI models, paving the way for more robust and capable systems in complex, multi-step tool-use tasks.

Large reasoning models (LRMs) have recently shown promise in solving complex math problems when optimized with Reinforcement Learning (RL). But conventional approaches rely on outcome-only rewards that provide sparse feedback, resulting in inefficient optimization process. In this work, we investigate the function of process reward models (PRMs) to accelerate the RL training for LRMs. We propose a novel intrinsic signal-driven generative process evaluation mechanism operating at the thought level to address major bottlenecks in RL-based training. Specifically, instead of requiring PRMs to know how to solve problems, our method uses intrinsic signals in solutions to judge stepwise correctness and aggregate contiguous correct/incorrect steps into coherent 'thought' units. This structured, thought-level rewards enable more reliable credit assignment by reducing ambiguity in step segmentation and alleviating reward hacking. We further introduce a capability-adaptive reward mechanism that dynamically balances exploration and exploitation based on the LRM's current proficiency, guiding learning without stifling creative trial-and-error. These innovations are integrated into a new off-policy RL algorithm, TP-GRPO, which extends grouped proximal optimization with process-based rewards and improves training efficiency. Experiments on 1.5B and 7B parameter LRMs demonstrate that our method achieves higher problem-solving accuracy with significantly fewer training samples than outcome-only reward baselines. The results validate that well-structured process rewards can substantially accelerate LRM optimization in math reasoning tasks. Code is available at https://github.com/cs-holder/tp_grpo.

Different from its counterpart outcome reward models (ORMs), which evaluate the entire responses, a process reward model (PRM) scores a reasoning trajectory step by step, providing denser and more fine grained rewards. However, training a PRM requires labels annotated at every intermediate step, presenting significant challenges for both manual and automatic data collection. This paper aims to address this challenge. Both theoretically and empirically, we show that an implicit PRM can be obtained at no additional cost, by simply training an ORM on the cheaper response-level labels. The only assumption is to parameterize the outcome reward as the log-likelihood ratios of the policy and reference models, which can be optimized regardless of the specific choice of loss objectives. In experiments, we instantiate our implicit PRMs with various objectives and evaluate their performance on MATH. We show that our implicit PRM outperforms a strong MCTS-based baseline \'a la Math-Shepherd using less than 1/38 of the training data. Its performance can be further improved with majority voting. We further find that scaling up instructions and responses benefits our implicit PRM, and the latter brings a larger gain. Particularly, we find that our implicit PRM, when instantiated with the cross-entropy (CE) loss, is more data-efficient and can keep improving generation models even when trained with only one response per instruction, the setup that suffers from extreme data scarcity and imbalance. Further, instructions should be relevant to downstream tasks while the diversity of responses does not bring gains. Surprisingly, training on extra Math-Shepherd step labels brings no further improvements to our implicit PRM trained on only outcome data. We hope that our work will encourage a rethinking of PRM training approaches and contribute to making training PRMs more accessible.

Large language models (LLMs) inevitably make mistakes when performing step-by-step mathematical reasoning. Process Reward Models (PRMs) have emerged as a promising solution by evaluating each reasoning step. However, existing PRMs typically output evaluation scores directly, limiting both learning efficiency and evaluation accuracy, which is further exacerbated by the scarcity of annotated data. To address these issues, we propose Reasoning-Driven Process Reward Modeling (R-PRM). First, we leverage stronger LLMs to generate seed data from limited annotations, effectively bootstrapping our model's reasoning capabilities and enabling comprehensive step-by-step evaluation. Second, we further enhance performance through preference optimization, without requiring additional annotated data. Third, we introduce inference-time scaling to fully harness the model's reasoning potential. Extensive experiments demonstrate R-PRM's effectiveness: on ProcessBench and PRMBench, it surpasses strong baselines by 11.9 and 8.5 points in F1 scores, respectively. When applied to guide mathematical reasoning, R-PRM achieves consistent accuracy improvements of over 8.5 points across six challenging datasets. Further analysis reveals that R-PRM exhibits more comprehensive evaluation and stronger generalization capabilities, thereby highlighting its significant potential.

Large language models for mathematical reasoning are typically trained with outcome-based rewards, which credit only the final answer. In our experiments, we observe that this paradigm is highly susceptible to reward hacking, leading to a substantial overestimation of a model's reasoning ability. This is evidenced by a high incidence of false positives - solutions that reach the correct final answer through an unsound reasoning process. Through a systematic analysis with human verification, we establish a taxonomy of these failure modes, identifying patterns like Miracle Steps - abrupt jumps to a correct output without a valid preceding derivation. Probing experiments suggest a strong association between these Miracle Steps and memorization, where the model appears to recall the answer directly rather than deriving it. To mitigate this systemic issue, we introduce the Rubric Reward Model (RRM), a process-oriented reward function that evaluates the entire reasoning trajectory against problem-specific rubrics. The generative RRM provides fine-grained, calibrated rewards (0-1) that explicitly penalize logical flaws and encourage rigorous deduction. When integrated into a reinforcement learning pipeline, RRM-based training consistently outperforms outcome-only supervision across four math benchmarks. Notably, it boosts Verified Pass@1024 on AIME2024 from 26.7% to 62.6% and reduces the incidence of Miracle Steps by 71%. Our work demonstrates that rewarding the solution process is crucial for building models that are not only more accurate but also more reliable.

Existing reinforcement learning strategies based on outcome supervision have proven effective in enhancing the performance of large language models(LLMs) for code generation. While reinforcement learning based on process supervision has shown great promise in handling multi-step reasoning tasks, its effectiveness in code generation remains largely underexplored and underjustified. The primary obstacle stems from the resource-intensive nature of constructing high-quality process-supervised data, which demands substantial human expertise and computational resources. In response to this challenge, we propose a "statement mutation/refactoring-compile and execution verification" strategy: mutating and refactoring code line-by-line through a teacher model, and utilizing compiler execution results to automatically label each line, resulting in line-by-line process-supervised data, which is pivotal for training a process-supervised reward model. The trained reward model is then integrated into the PRLCoder framework, followed by experimental validation on several benchmarks. Experimental results demonstrate that process-supervised reinforcement learning significantly surpasses methods relying solely on outcome supervision. Notably, in tackling complex code generation tasks, process-supervised reinforcement learning shows a clear advantage, ensuring both the integrity of the code generation process and the correctness of the generation results.

The primary obstacle for applying reinforcement learning (RL) to real-world robotics is the design of effective reward functions. While recently learning-based Process Reward Models (PRMs) are a promising direction, they are often hindered by two fundamental limitations: their reward models lack step-aware understanding and rely on single-view perception, leading to unreliable assessments of fine-grained manipulation progress; and their reward shaping procedures are theoretically unsound, often inducing a semantic trap that misguides policy optimization. To address these, we introduce Dopamine-Reward, a novel reward modeling method for learning a general-purpose, step-aware process reward model from multi-view inputs. At its core is our General Reward Model (GRM), trained on a vast 3,400+ hour dataset, which leverages Step-wise Reward Discretization for structural understanding and Multi-Perspective Reward Fusion to overcome perceptual limitations. Building upon Dopamine-Reward, we propose Dopamine-RL, a robust policy learning framework that employs a theoretically-sound Policy-Invariant Reward Shaping method, which enables the agent to leverage dense rewards for efficient self-improvement without altering the optimal policy, thereby fundamentally avoiding the semantic trap. Extensive experiments across diverse simulated and real-world tasks validate our approach. GRM achieves state-of-the-art accuracy in reward assessment, and Dopamine-RL built on GRM significantly improves policy learning efficiency. For instance, after GRM is adapted to a new task in a one-shot manner from a single expert trajectory, the resulting reward model enables Dopamine-RL to improve the policy from near-zero to 95% success with only 150 online rollouts (approximately 1 hour of real robot interaction), while retaining strong generalization across tasks. Project website: https://robo-dopamine.github.io

Reward models (RMs) provide critical feedback signals for LLM post-training, notably in reinforced fine-tuning (RFT) and reinforcement learning (RL) pipelines. However, current reward evaluation relies on heterogeneous criteria such as rule-based verifiers, ground-truth references, procedural checklists, and complex rubrics, where a unified mechanism to integrate all types of evidence remains unexplored. To this end, we propose Skill Reward Model (Skill-RM), a unified framework that reformulates reward modeling as the execution of a reusable Reward-Evaluation Skill. By treating reward computation as a structured agentic task, Skill-RM provides a consistent interface to orchestrate heterogeneous resources, dynamically selecting and aggregating evidence tailored to the specific requirements of each input. This approach enables the reward model to move beyond static evaluation, ensuring consistency and transparency across diverse tasks. Extensive experiments on reward benchmarks and downstream applications, including best-of-N selection and reinforcement learning, demonstrate that Skill-RM consistently outperforms traditional judge baselines. Our findings suggest that Skill-RM not only provides a unified solution for reward modeling but also achieves superior performance through the strategic and dynamic orchestration of evidence. The code is at https://github.com/Qwen-Applications/Skill-RM.

Reinforcement Learning (RL) with unit test feedback has enhanced large language models (LLMs) code generation, but relies on sparse rewards provided only after complete code evaluation, limiting learning efficiency and incremental improvements. When generated code fails all unit tests, no learning signal is received, hindering progress on complex tasks. To address this, we propose a Process Reward Model (PRM) that delivers dense, line-level feedback on code correctness during generation, mimicking human code refinement and providing immediate guidance. We explore various strategies for training PRMs and integrating them into the RL framework, finding that using PRMs both as dense rewards and for value function initialization significantly boosts performance. Our approach increases our in-house LLM's pass rate from 28.2% to 29.8% on LiveCodeBench and from 31.8% to 35.8% on our internal benchmark. Our experimental results highlight the effectiveness of PRMs in enhancing RL-driven code generation, especially for long-horizon scenarios.

Reasoning in knowledge-intensive domains remains challenging as intermediate steps are often not locally verifiable: unlike math or code, evaluating step correctness may require synthesizing clues across large external knowledge sources. As a result, subtle errors can propagate through reasoning traces, potentially never to be detected. Prior work has proposed process reward models (PRMs), including retrieval-augmented variants, but these methods operate post hoc, scoring completed trajectories, which prevents their integration into dynamic inference procedures. Here, we introduce Process Reward Agents (PRA), a test-time method for providing domain-grounded, online, step-wise rewards to a frozen policy. In contrast to prior retrieval-augmented PRMs, PRA enables search-based decoding to rank and prune candidate trajectories at every generation step. Experiments on multiple medical reasoning benchmarks demonstrate that PRA consistently outperforms strong baselines, achieving 80.8% accuracy on MedQA with Qwen3-4B, a new state of the art at the 4B scale. Importantly, PRA generalizes to unseen frozen policy models ranging from 0.5B to 8B parameters, improving their accuracy by up to 25.7% without any policy model updates. More broadly, PRA suggests a paradigm in which frozen reasoners are decoupled from domain-specific reward modules, allowing the deployment of new backbones in complex domains without retraining.

Recent studies show that Large Language Models (LLMs) achieve strong reasoning capabilities through supervised fine-tuning or reinforcement learning. However, a key approach, the Process Reward Model (PRM), suffers from reward hacking, making it unreliable in identifying the best intermediate steps. In this paper, we propose a novel reward model approach, Hierarchical Reward Model (HRM), which evaluates both individual and consecutive reasoning steps from fine-grained and coarse-grained level. HRM performs better in assessing reasoning coherence and self-reflection, particularly when the previous reasoning step is incorrect. Furthermore, to address the inefficiency of autonomous generating PRM training data via Monte Carlo Tree Search (MCTS), we introduce a lightweight and effective data augmentation strategy called Hierarchical Node Compression (HNC) based on node merging (combining two consecutive reasoning steps into one step) in the tree structure. This approach diversifies MCTS results for HRM with negligible computational overhead, enhancing label robustness by introducing noise. Empirical results on the PRM800K dataset demonstrate that HRM, in conjunction with HNC, achieves superior stability and reliability in evaluation compared to PRM. Furthermore, cross-domain evaluations on MATH500 and GSM8K confirm HRM's superior generalization and robustness across diverse reasoning tasks. The code for all experiments will be released at https: //github.com/tengwang0318/hierarchial_reward_model.

Process Reward Models (PRMs) emerge as a promising approach for process supervision in mathematical reasoning of Large Language Models (LLMs), which aim to identify and mitigate intermediate errors in the reasoning processes. However, the development of effective PRMs faces significant challenges, particularly in data annotation and evaluation methodologies. In this paper, through extensive experiments, we demonstrate that commonly used Monte Carlo (MC) estimation-based data synthesis for PRMs typically yields inferior performance and generalization compared to LLM-as-a-judge and human annotation methods. MC estimation relies on completion models to evaluate current-step correctness, leading to inaccurate step verification. Furthermore, we identify potential biases in conventional Best-of-N (BoN) evaluation strategies for PRMs: (1) The unreliable policy models generate responses with correct answers but flawed processes, leading to a misalignment between the evaluation criteria of BoN and the PRM objectives of process verification. (2) The tolerance of PRMs of such responses leads to inflated BoN scores. (3) Existing PRMs have a significant proportion of minimum scores concentrated on the final answer steps, revealing the shift from process to outcome-based assessment in BoN Optimized PRMs. To address these challenges, we develop a consensus filtering mechanism that effectively integrates MC estimation with LLM-as-a-judge and advocates a more comprehensive evaluation framework that combines response-level and step-level metrics. Based on the mechanisms, we significantly improve both model performance and data efficiency in the BoN evaluation and the step-wise error identification task. Finally, we release a new state-of-the-art PRM that outperforms existing open-source alternatives and provides practical guidelines for future research in building process supervision models.

Process supervision, i.e., evaluating each step, is critical for complex large language model (LLM) reasoning and test-time searching with increased inference compute. Existing approaches, represented by process reward models (PRMs), primarily focus on rewarding signals up to the current step, exhibiting a one-directional nature and lacking a mechanism to model the distance to the final target. To address this problem, we draw inspiration from the A* algorithm, which states that an effective supervisory signal should simultaneously consider the incurred cost and the estimated cost for reaching the target. Building on this key insight, we introduce BiRM, a novel process supervision model that not only evaluates the correctness of previous steps but also models the probability of future success. We conduct extensive experiments on mathematical reasoning tasks and demonstrate that BiRM provides more precise evaluations of LLM reasoning steps, achieving an improvement of 3.1% on Gaokao2023 over PRM under the Best-of-N sampling method. Besides, in search-based strategies, BiRM provides more comprehensive guidance and outperforms ORM by 5.0% and PRM by 3.8% respectively on MATH-500.

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.

Process reward models (PRMs) have proven effective for test-time scaling of Large Language Models (LLMs) on challenging reasoning tasks. However, reward hacking issues with PRMs limit their successful application in reinforcement fine-tuning. In this paper, we identify the main cause of PRM-induced reward hacking: the canonical summation-form credit assignment in reinforcement learning (RL), which defines the value as cumulative gamma-decayed future rewards, easily induces LLMs to hack steps with high rewards. To address this, we propose PURE: Process sUpervised Reinforcement lEarning. The key innovation of PURE is a min-form credit assignment that formulates the value function as the minimum of future rewards. This method significantly alleviates reward hacking by limiting the value function range and distributing advantages more reasonably. Through extensive experiments on 3 base models, we show that PRM-based approaches enabling min-form credit assignment achieve comparable reasoning performance to verifiable reward-based methods within only 30% steps. In contrast, the canonical sum-form credit assignment collapses training even at the beginning! Additionally, when we supplement PRM-based fine-tuning with just 10% verifiable rewards, we further alleviate reward hacking and produce the best fine-tuned model based on Qwen2.5-Math-7B in our experiments, achieving 82.5% accuracy on AMC23 and 53.3% average accuracy across 5 benchmarks. Moreover, we summarize the observed reward hacking cases and analyze the causes of training collapse. Code and models are available at https://github.com/CJReinforce/PURE.

Medical care follows complex clinical pathways that extend beyond isolated physician-patient encounters, emphasizing decision-making and transitions between different stages. Current benchmarks focusing on static exams or isolated dialogues inadequately evaluate large language models (LLMs) in dynamic clinical scenarios. We introduce CP-Env, a controllable agentic hospital environment designed to evaluate LLMs across end-to-end clinical pathways. CP-Env simulates a hospital ecosystem with patient and physician agents, constructing scenarios ranging from triage and specialist consultation to diagnostic testing and multidisciplinary team meetings for agent interaction. Following real hospital adaptive flow of healthcare, it enables branching, long-horizon task execution. We propose a three-tiered evaluation framework encompassing Clinical Efficacy, Process Competency, and Professional Ethics. Results reveal that most models struggle with pathway complexity, exhibiting hallucinations and losing critical diagnostic details. Interestingly, excessive reasoning steps can sometimes prove counterproductive, while top models tend to exhibit reduced tool dependency through internalized knowledge. CP-Env advances medical AI agents development through comprehensive end-to-end clinical evaluation. We provide the benchmark and evaluation tools for further research and development at https://github.com/SPIRAL-MED/CP_ENV.

Objective. Clinical AI documentation systems require evaluation methodologies that are clinically valid, economically viable, and sensitive to iterative changes. Methods requiring expert review per scoring instance are too slow and expensive for safe, iterative deployment. We present a case-specific, clinician-authored rubric methodology for clinical AI evaluation and examine whether LLM-generated rubrics can approximate clinician agreement. Materials and Methods. Twenty clinicians authored 1,646 rubrics for 823 clinical cases (736 real-world, 87 synthetic) across primary care, psychiatry, oncology, and behavioral health. Each rubric was validated by confirming that an LLM-based scoring agent consistently scored clinician-preferred outputs higher than rejected ones. Seven versions of an EHR-embedded AI agent for clinicians were evaluated across all cases. Results. Clinician-authored rubrics discriminated effectively between high- and low-quality outputs (median score gap: 82.9%) with high scoring stability (median range: 0.00%). Median scores improved from 84% to 95%. In later experiments, clinician-LLM ranking agreement (tau: 0.42-0.46) matched or exceeded clinician-clinician agreement (tau: 0.38-0.43), attributable to both ceiling compression and LLM rubric improvement. Discussion. This convergence supports incorporating LLM rubrics alongside clinician-authored ones. At roughly 1,000 times lower cost, LLM rubrics enable substantially greater evaluation coverage, while continued clinical authorship grounds evaluation in expert judgment. Ceiling compression poses a methodological challenge for future inter-rater agreement studies. Conclusion. Case-specific rubrics offer a path for clinical AI evaluation that preserves expert judgment while enabling automation at three orders lower cost. Clinician-authored rubrics establish the baseline against which LLM rubrics are validated.

Process reward models (PRMs) offer fine-grained, step-level evaluations that facilitate deeper reasoning processes in large language models (LLMs), proving effective in complex tasks like mathematical reasoning. However, developing PRMs is challenging due to the high cost and limited scalability of human-annotated data. Synthetic data from Monte Carlo (MC) estimation is a promising alternative but suffers from a high noise ratio, which can cause overfitting and hinder large-scale training. In this work, we conduct a preliminary study on the noise distribution in synthetic data from MC estimation, identifying that annotation models tend to both underestimate and overestimate step correctness due to limitations in their annotation capabilities. Building on these insights, we propose Self-Denoising Monte Carlo Annotation (SCAN), an efficient data synthesis and noise-tolerant learning framework. Our key findings indicate that: (1) Even lightweight models (e.g., 1.5B parameters) can produce high-quality annotations through a self-denoising strategy, enabling PRMs to achieve superior performance with only 6% the inference cost required by vanilla MC estimation. (2) With our robust learning strategy, PRMs can effectively learn from this weak supervision, achieving a 39.2 F1 score improvement (from 19.9 to 59.1) in ProcessBench. Despite using only a compact synthetic dataset, our models surpass strong baselines, including those trained on large-scale human-annotated datasets such as PRM800K. Furthermore, performance continues to improve as we scale up the synthetic data, highlighting the potential of SCAN for scalable, cost-efficient, and robust PRM training.

The integration of large language models (LLMs) into medical practice holds transformative potential, yet their real-world clinical utility remains limited by critical alignment challenges: (1) a disconnect between static evaluation benchmarks and dynamic clinical cognitive needs, (2) difficulties in adapting to evolving, multi-source medical standards, and (3) the inability of conventional reward models to capture nuanced, multi-dimensional medical quality criteria. To address these gaps, we propose MR-RML (Multidimensional Rubric-oriented Reward Model Learning) via GPRC (Geometric Projection Reference Constraints), a novel alignment framework that integrates medical standards into a structured "Dimensions-Scenarios-Disciplines" matrix to guide data generation and model optimization. MR-RML introduces three core innovations: (1) a "Dimensions-Scenarios-Disciplines" medical standard system that embeds domain standards into the full training pipeline; (2) an independent multi-dimensional reward model that decomposes evaluation criteria, shifting from real-time rubric-based scoring to internalized reward modeling for improved consistency and cost-efficiency; (3) geometric projection reference constraints that transform medical cognitive logic into mathematical regularization, aligning scoring gradients with clinical reasoning and enabling synthetic data-driven training. Through extensive evaluations on the authoritative medical benchmark Healthbench, our method yields substantial performance gains over the base LLM Qwen-32B (45% on the full subset and 85% on Hard subset, respectively). It achieves a SOTA among open-source LLMs with scores of 62.7 (full subset) and 44.7 (hard subset), while also outperforming the majority of closed-source models.

Real-world clinical diagnosis is a complex process in which the doctor is required to obtain information from both interaction with the patient and conducting medical exams. Additionally, the doctor needs to adapt to different patient personas, as well as noisy and incomplete information that can happen at any time during the process. However, existing benchmarks for medical LLMs and methods for automatic diagnosis largely simplify this process by reducing it to single-turn question answering, noise-free conversations, or sequential exam making, etc., ignoring the interactive and uncertain nature of clinical diagnosis. In this paper, we aim to address this gap by formalizing clinical diagnosis as a Partially Observable Markov Decision Process (POMDP) with three action types: questioning the patient, ordering medical exams as tool calls, and issuing a diagnosis. We also introduce a systematic noise model comprising seven patient noise types and three exam noise types. Using our proposed environment, we train an effective diagnosis agent, MedExAgent, through a two-stage pipeline that first performs supervised finetuning on synthetic conversations structured after the Calgary-Cambridge model for clinical interviews, and then applies DAPO to optimize a composite reward capturing diagnostic accuracy, tool call quality, and exam cost including financial cost and patient discomfort. Through extensive experiments and ablation studies, we demonstrate that MedExAgent achieves diagnostic performance comparable to larger models while maintaining cost-efficient examination strategies.

Process Reward Models (PRMs) provide step-level supervision that improves the reliability of reasoning in large language models. While PRMs have been extensively studied in text-based domains, their extension to Vision Language Models (VLMs) remains limited. Existing Vision-Language PRMs (VL-PRMs) rely on Monte Carlo Tree Search (MCTS) for data construction, which can often produce noisy supervision signals and limit generalization across tasks. In this work, we aim to elucidate the design space of VL-PRMs by exploring diverse strategies for dataset construction, training, and test-time scaling. First, we introduce a hybrid data synthesis framework that combines MCTS with judgments from a strong VLM, producing more accurate step-level labels. Second, we propose perception-focused supervision, enabling our PRM to explicitly detect errors at the visual grounding stage of reasoning. Third, we systematically evaluate multiple test-time scaling strategies, showing that our PRMs can reliably guide VLMs toward more accurate solutions. Our experiments covering five diverse multimodal benchmarks (MMMU, PuzzleVQA, AlgoPuzzleVQA, MathVista, and MathVision) reveal several key insights: (i) VL-PRMs when used as Outcome Reward Models (ORMs) during test-time scaling (TTS) can outperform VL-PRM guided process step selection, (ii) smaller VL-PRMs can match or even surpass larger ones in detecting process errors, (iii) VL-PRMs uncover latent reasoning abilities in stronger VLM backbones, (iv) perception-level supervision leads to significant gains in test-time scaling, and (v) TTS performance of different policies improve on advanced math reasoning datasets despite not training VL-PRMs on such datasets. We hope our work will motivate further research and support the advancement of VLMs.

Outcome-reward reinforcement learning (RL) has proven effective at improving the reasoning capabilities of large language models (LLMs). However, standard RL assigns credit only at the level of the final answer, penalizing entire reasoning traces when the outcome is incorrect and uniformly reinforcing all steps when it is correct. As a result, correct intermediate steps may be discouraged in failed traces, while spurious steps may be reinforced in successful ones. We refer to this failure mode as the problem of credit assignment. While a natural remedy is to train a process reward model, accurately optimizing such models to identify corrective reasoning steps remains challenging. We introduce Intervention Training (InT), a training paradigm in which the model performs fine-grained credit assignment on its own reasoning traces by proposing short, targeted corrections that steer trajectories toward higher reward. Using reference solutions commonly available in mathematical reasoning datasets and exploiting the fact that verifying a model-generated solution is easier than generating a correct one from scratch, the model identifies the first error in its reasoning and proposes a single-step intervention to redirect the trajectory toward the correct solution. We then apply supervised fine-tuning (SFT) to the on-policy rollout up to the point of error concatenated with the intervention, localizing error to the specific step that caused failure. We show that the resulting model serves as a far better initialization for RL training. After running InT and subsequent fine-tuning with RL, we improve accuracy by nearly 14% over a 4B-parameter base model on IMO-AnswerBench, outperforming larger open-source models such as gpt-oss-20b.

Large language models have demonstrated remarkable capabilities in complex mathematical reasoning tasks, but they inevitably generate errors throughout multi-step solutions. Process-level Reward Models (PRMs) have shown great promise by providing supervision and evaluation at each intermediate step, thereby effectively improving the models' reasoning abilities. However, training effective PRMs requires high-quality process reward data, yet existing methods for constructing such data are often labour-intensive or inefficient. In this paper, we propose an uncertainty-driven framework for automated process reward data construction, encompassing both data generation and annotation processes for PRMs. Additionally, we identify the limitations of both majority vote and PRMs, and introduce two generic uncertainty-aware output aggregation methods: Hybrid Majority Reward Vote and Weighted Reward Frequency Vote, which combine the strengths of majority vote with PRMs. Extensive experiments on ProcessBench, MATH, and GSMPlus show the effectiveness and efficiency of the proposed PRM data construction framework, and demonstrate that the two output aggregation methods further improve the mathematical reasoning abilities across diverse PRMs. The code and data will be publicly available at https://github.com/Jiuzhouh/UnPRM.

Reinforcement Learning from Verifiable Rewards (RLVR) has emerged as a powerful paradigm for enhancing the complex reasoning capabilities of Large Reasoning Models. However, standard outcome-based supervision suffers from a critical limitation that penalizes trajectories that are largely correct but fail due to several missteps as heavily as completely erroneous ones. This coarse feedback signal causes the model to discard valuable largely correct rollouts, leading to a degradation in rollout diversity that prematurely narrows the exploration space. Process Reward Models have demonstrated efficacy in providing reliable step-wise verification for test-time scaling, naively integrating these signals into RLVR as dense rewards proves ineffective.Prior methods attempt to introduce off-policy guided whole-trajectory replacement that often outside the policy model's distribution, but still fail to utilize the largely correct rollouts generated by the model itself and thus do not effectively mitigate the narrowing of the exploration space. To address these issues, we propose SCOPE (Step-wise Correction for On-Policy Exploration), a novel framework that utilizes Process Reward Models to pinpoint the first erroneous step in suboptimal rollouts and applies fine-grained, step-wise off-policy rectification. By applying precise refinement on partially correct rollout, our method effectively salvages partially correct trajectories and increases diversity score by 13.5%, thereby sustaining a broad exploration space. Extensive experiments demonstrate that our approach establishes new state-of-the-art results, achieving an average accuracy of 46.6% on math reasoning and exhibiting robust generalization with 53.4% accuracy on out-of-distribution reasoning tasks.

Process Reward Models (PRMs) have emerged as a promising approach to enhance the reasoning quality of Large Language Models (LLMs) by assigning fine-grained scores to intermediate reasoning steps within a solution trajectory. However, existing PRMs predominantly adopt a unidirectional left-to-right (L2R) evaluation paradigm, which limits their ability to leverage global context, making it challenging to verify the consistency of earlier steps based on later ones. In light of these challenges, we propose a novel bidirectional evaluation paradigm, named Bidirectional Process Reward Model (BiPRM). BiPRM seamlessly incorporates a parallel right-to-left (R2L) evaluation stream alongside the conventional L2R flow, enabling later reasoning steps to help assess earlier ones in real time. Notably, the built-in R2L evaluation is implemented solely through prompt modifications that reverse the original reasoning trajectory, without any additional parameters or inference latency introduced. This ensures BiPRM remains both efficient and broadly compatible with existing PRM studies. We conduct extensive experiments on two mathematical reasoning benchmarks using samples generated by three different policy models. Our method, BiPRM, is evaluated across three backbones and three distinct PRM objectives. Across all settings, BiPRM consistently outperforms unidirectional baselines, achieving up to a 31.9% improvement in stepwise reward evaluation. Generally, our results highlight BiPRM's effectiveness, robustness, and general applicability, offering a promising new direction for process-based reward modeling.

Process Reward Models (PRMs) have emerged as a promising framework for supervising intermediate reasoning in large language models (LLMs), yet existing PRMs are primarily trained on general or Science, Technology, Engineering, and Mathematics (STEM) domains and fall short in domain-specific contexts such as finance, where reasoning is more structured, symbolic, and sensitive to factual and regulatory correctness. We introduce Fin-PRM, a domain-specialized, trajectory-aware PRM tailored to evaluate intermediate reasoning steps in financial tasks. Fin-PRM integrates step-level and trajectory-level reward supervision, enabling fine-grained evaluation of reasoning traces aligned with financial logic. We apply Fin-PRM in both offline and online reward learning settings, supporting three key applications: (i) selecting high-quality reasoning trajectories for distillation-based supervised fine-tuning, (ii) providing dense process-level rewards for reinforcement learning, and (iii) guiding reward-informed Best-of-N inference at test time. Experimental results on financial reasoning benchmarks, including CFLUE and FinQA, demonstrate that Fin-PRM consistently outperforms general-purpose PRMs and strong domain baselines in trajectory selection quality. Downstream models trained with Fin-PRM yield substantial improvements with baselines, with gains of 12.9\% in supervised learning, 5.2\% in reinforcement learning, and 5.1\% in test-time performance. These findings highlight the value of domain-specialized reward modeling for aligning LLMs with expert-level financial reasoning. Our project resources will be available at https://github.com/aliyun/qwen-dianjin.

In recent years, large language models have greatly improved in their ability to perform complex multi-step reasoning. However, even state-of-the-art models still regularly produce logical mistakes. To train more reliable models, we can turn either to outcome supervision, which provides feedback for a final result, or process supervision, which provides feedback for each intermediate reasoning step. Given the importance of training reliable models, and given the high cost of human feedback, it is important to carefully compare the both methods. Recent work has already begun this comparison, but many questions still remain. We conduct our own investigation, finding that process supervision significantly outperforms outcome supervision for training models to solve problems from the challenging MATH dataset. Our process-supervised model solves 78% of problems from a representative subset of the MATH test set. Additionally, we show that active learning significantly improves the efficacy of process supervision. To support related research, we also release PRM800K, the complete dataset of 800,000 step-level human feedback labels used to train our best reward model.

Process Reward Models (PRMs) have achieved remarkable success in augmenting the reasoning capabilities of Large Language Models (LLMs) within static domains such as mathematics. However, their potential in dynamic data analysis tasks remains underexplored. In this work, we first present a empirical study revealing that general-domain PRMs struggle to supervise data analysis agents. Specifically, they fail to detect silent errors, logical flaws that yield incorrect results without triggering interpreter exceptions, and erroneously penalize exploratory actions, mistaking necessary trial-and-error exploration for grounding failures. To bridge this gap, we introduce DataPRM, a novel environment-aware generative process reward model that (1) can serve as an active verifier, autonomously interacting with the environment to probe intermediate execution states and uncover silent errors, and (2) employs a reflection-aware ternary reward strategy that distinguishes between correctable grounding errors and irrecoverable mistakes. We design a scalable pipeline to construct over 8K high-quality training instances for DataPRM via diversity-driven trajectory generation and knowledge-augmented step-level annotation. Experimental results demonstrate that DataPRM improves downstream policy LLMs by 7.21% on ScienceAgentBench and 11.28% on DABStep using Best-of-N inference. Notably, with only 4B parameters, DataPRM outperforms strong baselines, and exhibits robust generalizability across diverse Test-Time Scaling strategies. Furthermore, integrating DataPRM into Reinforcement Learning yields substantial gains over outcome-reward baselines, achieving 78.73% on DABench and 64.84% on TableBench, validating the effectiveness of process reward supervision. Code is available at https://github.com/zjunlp/DataMind.

Process Reward Model (PRM) is widely used in the post-training of Large Language Model (LLM) because it can perform fine-grained evaluation of the reasoning steps of generated content. However, most PRMs lack long-term reasoning and deep thinking capabilities. On the other hand, although a few works have tried to introduce Chain-of-Thought capability into PRMs, the annotation cost of CoT-PRM data is too expensive to play a stable role in various tasks. To address the above challenges, we propose VRPRM, a process reward model via visual reasoning, and design an efficient two-stage training strategy. Experimental results show that using only 3.6K CoT-PRM SFT data and 50K non-CoT PRM RL training data, VRPRM can surpass the non-thinking PRM with a total data volume of 400K and achieved a relative performance improvement of up to 118\% over the base model in the BoN experiment. This result confirms that the proposed combined training strategy can achieve higher quality reasoning capabilities at a lower data annotation cost, thus providing a new paradigm for PRM training with more efficient data utilization.

Retrieval-Augmented Generation (RAG) systems for Large Language Models (LLMs) hold promise in knowledge-intensive tasks but face limitations in complex multi-step reasoning. While recent methods have integrated RAG with chain-of-thought reasoning or test-time search using Process Reward Models (PRMs), these approaches encounter challenges such as a lack of explanations, bias in PRM training data, early-step bias in PRM scores, and insufficient post-training optimization of reasoning potential. To address these issues, we propose Retrieval-Augmented Reasoning through Trustworthy Process Rewarding (ReARTeR), a framework that enhances RAG systems' reasoning capabilities through post-training and test-time scaling. At test time, ReARTeR introduces Trustworthy Process Rewarding via a Process Reward Model for accurate scalar scoring and a Process Explanation Model (PEM) for generating natural language explanations, enabling step refinement. During post-training, it utilizes Monte Carlo Tree Search guided by Trustworthy Process Rewarding to collect high-quality step-level preference data, optimized through Iterative Preference Optimization. ReARTeR addresses three core challenges: (1) misalignment between PRM and PEM, tackled through off-policy preference learning; (2) bias in PRM training data, mitigated by balanced annotation methods and stronger annotations for challenging examples; and (3) early-step bias in PRM, resolved through a temporal-difference-based look-ahead search strategy. Experimental results on multi-step reasoning benchmarks demonstrate significant improvements, underscoring ReARTeR's potential to advance the reasoning capabilities of RAG systems.

Reinforcement learning (RL) has emerged as a powerful framework for improving the reasoning capabilities of large language models (LLMs). However, most existing RL approaches rely on sparse outcome rewards, which fail to credit correct intermediate steps in partially successful solutions. Process reward models (PRMs) offer fine-grained step-level supervision, but their scores are often noisy and difficult to evaluate. As a result, recent PRM benchmarks focus on a more objective capability: detecting the first incorrect step in a reasoning path. However, this evaluation target is misaligned with how PRMs are typically used in RL, where their step-wise scores are treated as raw rewards to maximize. To bridge this gap, we propose Verifiable Prefix Policy Optimization (VPPO), which uses PRMs only to localize the first error during RL. Given an incorrect rollout, VPPO partitions the trajectory into a verified correct prefix and an erroneous suffix based on the first error, rewarding the former while applying targeted penalties only after the detected mistake. This design yields stable, interpretable learning signals and improves credit assignment. Across multiple reasoning benchmarks, VPPO consistently outperforms sparse-reward RL and prior PRM-guided baselines on both Pass@1 and Pass@K.

Reinforcement learning (RL) with rule-based rewards has demonstrated strong potential in enhancing the reasoning and generalization capabilities of vision-language models (VLMs) and large language models (LLMs), while reducing computational overhead. However, its application in medical imaging remains underexplored. Existing reinforcement fine-tuning (RFT) approaches in this domain primarily target closed-ended visual question answering (VQA), limiting their applicability to real-world clinical reasoning. In contrast, open-ended medical VQA better reflects clinical practice but has received limited attention. While some efforts have sought to unify both formats via semantically guided RL, we observe that model-based semantic rewards often suffer from reward collapse, where responses with significant semantic differences receive similar scores. To address this, we propose ARMed (Adaptive Reinforcement for Medical Reasoning), a novel RL framework for open-ended medical VQA. ARMed first incorporates domain knowledge through supervised fine-tuning (SFT) on chain-of-thought data, then applies reinforcement learning with textual correctness and adaptive semantic rewards to enhance reasoning quality. We evaluate ARMed on six challenging medical VQA benchmarks. Results show that ARMed consistently boosts both accuracy and generalization, achieving a 32.64% improvement on in-domain tasks and an 11.65% gain on out-of-domain benchmarks. These results highlight the critical role of reward discriminability in medical RL and the promise of semantically guided rewards for enabling robust and clinically meaningful multimodal reasoning.

Score Distillation Sampling (SDS) has emerged as an effective technique for leveraging 2D diffusion priors for tasks such as text-to-3D generation. While powerful, SDS struggles with achieving fine-grained alignment to user intent. To overcome this, we introduce RewardSDS, a novel approach that weights noise samples based on alignment scores from a reward model, producing a weighted SDS loss. This loss prioritizes gradients from noise samples that yield aligned high-reward output. Our approach is broadly applicable and can extend SDS-based methods. In particular, we demonstrate its applicability to Variational Score Distillation (VSD) by introducing RewardVSD. We evaluate RewardSDS and RewardVSD on text-to-image, 2D editing, and text-to-3D generation tasks, showing significant improvements over SDS and VSD on a diverse set of metrics measuring generation quality and alignment to desired reward models, enabling state-of-the-art performance. Project page is available at https://itaychachy. github.io/reward-sds/.

Large Language Models (LLMs) are prone to hallucination, especially during multi-hop and reasoning-intensive tasks such as mathematical problem solving. While Outcome Reward Models verify only final answers, Process Reward Models (PRMs) score each intermediate step to steer generation toward coherent solutions. We introduce PathFinder-PRM, a novel hierarchical, error-aware discriminative PRM that first classifies math and consistency errors at each step, then combines these fine-grained signals to estimate step correctness. To train PathFinder-PRM, we construct a 400K-sample dataset by enriching the human-annotated PRM800K corpus and RLHFlow Mistral traces with three-dimensional step-level labels. On PRMBench, PathFinder-PRM achieves a new state-of-the-art PRMScore of 67.7, outperforming the prior best (65.5) while using 3 times less data. When applied to reward guided greedy search, our model yields prm@8 48.3, a +1.5 point gain over the strongest baseline. These results demonstrate that decoupled error detection and reward estimation not only boost fine-grained error detection but also substantially improve end-to-end, reward-guided mathematical reasoning with greater data efficiency.

Medical language models (MLMs) have become pivotal in advancing medical natural language processing. However, prior models that rely on pre-training or supervised fine-tuning often exhibit low data efficiency and limited practicality in real-world clinical applications. While OpenAIs O1 highlights test-time scaling in mathematics, attempts to replicate this approach in medicine typically distill responses from GPT-series models to open-source models, focusing primarily on multiple-choice tasks. This strategy, though straightforward, neglects critical concerns like data privacy and realistic deployment in clinical settings. In this work, we present a deployable, small-scale medical language model, \mone, designed for long-chain reasoning in clinical tasks using a self-evolution paradigm. Starting with a seed dataset of around 8,000 instances spanning five domains and 16 datasets, we prompt a base policy model to perform Monte Carlo Tree Search (MCTS) to construct verifiable reasoning chains. Each reasoning step is assigned an evolution rollout value, allowing verified trajectories to train the policy model and the reward model. During inference, the policy model generates multiple responses, and the reward model selects the one with the highest reward score. Experiments on eleven evaluation datasets demonstrate that \mone outperforms prior open-source models by 2 points, with the addition of the reward model further boosting performance (sim13 points), surpassing GPT-4o-mini. Code and data are available at https://github.com/pixas/MedSSS.

Objective: The reading level of health educational materials significantly influences the understandability and accessibility of the information, particularly for minoritized populations. Many patient educational resources surpass the reading level and complexity of widely accepted standards. There is a critical need for high-performing text simplification models in health information to enhance dissemination and literacy. This need is particularly acute in cancer education, where effective prevention and screening education can substantially reduce morbidity and mortality. Methods: We introduce Simplified Digestive Cancer (SimpleDC), a parallel corpus of cancer education materials tailored for health text simplification research, comprising educational content from the American Cancer Society, Centers for Disease Control and Prevention, and National Cancer Institute. Utilizing SimpleDC alongside the existing Med-EASi corpus, we explore Large Language Model (LLM)-based simplification methods, including fine-tuning, reinforcement learning (RL), reinforcement learning with human feedback (RLHF), domain adaptation, and prompt-based approaches. Our experimentation encompasses Llama 2 and GPT-4. A novel RLHF reward function is introduced, featuring a lightweight model adept at distinguishing between original and simplified texts, thereby enhancing the model's effectiveness with unlabeled data. Results: Fine-tuned Llama 2 models demonstrated high performance across various metrics. Our innovative RLHF reward function surpassed existing RL text simplification reward functions in effectiveness. The results underscore that RL/RLHF can augment fine-tuning, facilitating model training on unlabeled text and improving performance.

Current Large Language Models (LLMs) exhibit significant limitations, notably in structured, interpretable, and verifiable medical reasoning, alongside practical deployment challenges related to computational resources and data privacy. This report focused on the development of WiNGPT-3.0, the 32-billion parameter LLMs, engineered with the objective of enhancing its capacity for medical reasoning and exploring its potential for effective integration within healthcare IT infrastructures. The broader aim is to advance towards clinically applicable models. The approach involved a multi-stage training pipeline tailored for general, medical, and clinical reasoning. This pipeline incorporated supervised fine-tuning (SFT) and reinforcement learning (RL), leveraging curated Long Chain-of-Thought (CoT) datasets, auxiliary reward models, and an evidence-based diagnostic chain simulation. WiNGPT-3.0 demonstrated strong performance: specific model variants achieved scores of 66.6 on MedCalc and 87.1 on MedQA-USMLE. Furthermore, targeted training improved performance on a clinical reasoning task from a baseline score of 58.1 to 62.5. These findings suggest that reinforcement learning, even when applied with a limited dataset of only a few thousand examples, can enhance medical reasoning accuracy. Crucially, this demonstration of RL's efficacy with limited data and computation paves the way for more trustworthy and practically deployable LLMs within clinical workflows and health information infrastructures.

Reinforcement Learning with Verifiable Rewards (RLVR) has improved the reasoning abilities of Large Language Models (LLMs) by using rule-based binary feedback, helping to mitigate reward hacking. However, current RLVR methods typically treat whole responses as single actions, assigning the same reward to every token. This coarse-grained feedback hampers precise credit assignment, making it hard for models to identify which reasoning steps lead to success or failure, and often results in suboptimal policies and inefficient learning. Methods like PPO provide credit assignment through value estimation, but often yield inaccurate and unverifiable signals due to limited sampling. On the other hand, methods using Process Reward Models can provide step-by-step judgments for each reasoning step, but they require high-quality process supervision labels and are time-consuming when applied in online reinforcement learning (RL). To overcome these limitations, we introduce a simple but efficient method Credit Assignment Policy Optimization (CAPO). Given a reasoning response rollout from the policy model, CAPO directly leverages an off-the-shelf, general-purpose LLM as a Generative Process Reward Model (LLM-as-GenPRM) to generate all step-wise critique by one pass, thereby providing verifiable token-level rewards to refine the tokens that were originally assigned identical rule-based rewards. This enables more fine-grained credit assignment in an effective way. Furthermore, to enhance the accuracy and robustness of CAPO, we employ voting mechanisms that scale with the number of generated critiques. Extensive experiments using different backbones like Llama and Qwen models and in different sizes show that CAPO consistently outperforms supervised learning-based and RL-based fine-tuning methods across six challenging mathematical benchmarks and three out-of-domain benchmarks.

Multimodal Large Language Models (MLLMs) demonstrate remarkable capabilities but often struggle with complex, multi-step mathematical reasoning, where minor errors in visual perception or logical deduction can lead to complete failure. While Process Reward Models (PRMs) offer step-by-step supervision, existing multimodal PRMs are limited to being binary verifiers that can identify but not correct errors, offering little explanatory power. To address these deficiencies, we introduce the Generative Multimodal Process Reward Model (GM-PRM), a novel paradigm that transforms the PRM from a passive judge into an active reasoning collaborator. Instead of a simple scalar score, GM-PRM provides a fine-grained, interpretable analysis of each reasoning step, evaluating its step intent, visual alignment, and logical soundness. More critically, GM-PRM is trained to generate a corrected version of the first erroneous step it identifies. This unique corrective capability enables our new test-time inference strategy, Refined Best-of-N (Refined-BoN). This framework actively enhances solution quality by using the PRM's generated correction to guide the policy model toward a more promising reasoning trajectory, thereby improving the diversity and correctness of the solution pool. We demonstrate that GM-PRM achieves state-of-the-art results on multiple multimodal math benchmarks, significantly boosting policy model performance with remarkable data efficiency, requiring only a 20K-sample training dataset. Our code will be released upon acceptance.

In this paper, we propose R^3: Learning Reasoning through Reverse Curriculum Reinforcement Learning (RL), a novel method that employs only outcome supervision to achieve the benefits of process supervision for large language models. The core challenge in applying RL to complex reasoning is to identify a sequence of actions that result in positive rewards and provide appropriate supervision for optimization. Outcome supervision provides sparse rewards for final results without identifying error locations, whereas process supervision offers step-wise rewards but requires extensive manual annotation. R^3 overcomes these limitations by learning from correct demonstrations. Specifically, R^3 progressively slides the start state of reasoning from a demonstration's end to its beginning, facilitating easier model exploration at all stages. Thus, R^3 establishes a step-wise curriculum, allowing outcome supervision to offer step-level signals and precisely pinpoint errors. Using Llama2-7B, our method surpasses RL baseline on eight reasoning tasks by 4.1 points on average. Notebaly, in program-based reasoning on GSM8K, it exceeds the baseline by 4.2 points across three backbone models, and without any extra data, Codellama-7B + R^3 performs comparable to larger models or closed-source models.

The reliability of large language models (LLMs) during test-time scaling is often assessed with external verifiers or reward models that distinguish correct reasoning from flawed logic. Prior work generally assumes that process reward models (PRMs), which score every intermediate reasoning step, outperform outcome reward models (ORMs) that assess only the final answer. This view is based mainly on evidence from narrow, math-adjacent domains. We present the first unified evaluation of four reward model variants, discriminative ORM and PRM (\DisORM, \DisPRM) and generative ORM and PRM (\GenORM, \GenPRM), across 14 diverse domains. Contrary to conventional wisdom, we find that (i) \DisORM performs on par with \DisPRM, (ii) \GenPRM is not competitive, and (iii) overall, \GenORM is the most robust, yielding significant and consistent gains across every tested domain. We attribute this to PRM-style stepwise scoring, which inherits label noise from LLM auto-labeling and has difficulty evaluating long reasoning trajectories, including those involving self-correcting reasoning. Our theoretical analysis shows that step-wise aggregation compounds errors as reasoning length grows, and our empirical observations confirm this effect. These findings challenge the prevailing assumption that fine-grained supervision is always better and support generative outcome verification for multi-domain deployment. We publicly release our code, datasets, and checkpoints at https://github.com/db-Lee/Multi-RM{\small\texttt{https://github.com/db-Lee/Multi-RM}} to facilitate future research in multi-domain settings.

Reward models have been increasingly critical for improving the reasoning capability of LLMs. Existing research has shown that a well-trained reward model can substantially improve model performances at inference time via search. However, the potential of reward models during RL training time still remains largely under-explored. It is currently unclear whether these reward models can provide additional training signals to enhance the reasoning capabilities of LLMs in RL training that uses sparse success rewards, which verify the correctness of solutions. In this work, we evaluate popular reward models for RL training, including the Outcome-supervised Reward Model (ORM) and the Process-supervised Reward Model (PRM), and train a collection of LLMs for math problems using RL by combining these learned rewards with success rewards. Surprisingly, even though these learned reward models have strong inference-time performances, they may NOT help or even hurt RL training, producing worse performances than LLMs trained with the success reward only. Our analysis reveals that an LLM can receive high rewards from some of these reward models by repeating correct but unnecessary reasoning steps, leading to a severe reward hacking issue. Therefore, we introduce two novel reward refinement techniques, including Clipping and Delta. The key idea is to ensure the accumulative reward of any reasoning trajectory is upper-bounded to keep a learned reward model effective without being exploited. We evaluate our techniques with multiple reward models over a set of 1.5B and 7B LLMs on MATH and GSM8K benchmarks and demonstrate that with a carefully designed reward function, RL training without any additional supervised tuning can improve all the evaluated LLMs, including the state-of-the-art 7B LLM Qwen2.5-Math-7B-Instruct on MATH and GSM8K benchmarks.

Recent advances in large language models (LLMs) have significantly improved performance on the Text-to-SQL task by leveraging their powerful reasoning capabilities. To enhance accuracy during the reasoning process, external Process Reward Models (PRMs) can be introduced during training and inference to provide fine-grained supervision. However, if misused, PRMs may distort the reasoning trajectory and lead to suboptimal or incorrect SQL generation. To address this challenge, we propose Reward-SQL, a framework that systematically explores how to incorporate PRMs into the Text-to-SQL reasoning process effectively. Our approach follows a "cold start, then PRM supervision" paradigm. Specifically, we first train the model to decompose SQL queries into structured stepwise reasoning chains using common table expressions (Chain-of-CTEs), establishing a strong and interpretable reasoning baseline. Then, we investigate four strategies for integrating PRMs, and find that combining PRM as an online training signal (e.g.,GRPO) with PRM-guided inference (e.g., best-of-N sampling) yields the best results. Empirically, on the BIRD benchmark, Reward-SQL enables models supervised by PRM (7B) to achieve a 13.1% performance gain across various guidance strategies. Notably, our GRPO-aligned policy model based on Qwen2.5-Coder-7B-Instruct achieves 68.9% accuracy on the BIRD development set, outperforming all baseline methods under the same model size. These results demonstrate the effectiveness of Reward-SQL in leveraging reward-based supervision for Text-to-SQL reasoning.

Improving the multi-step reasoning ability of Large Language Models (LLMs) is a critical yet challenging task. The dominant paradigm, outcome-supervised reinforcement learning (RLVR), rewards only correct final answers, often propagating flawed reasoning and suffering from sparse reward signals. While process-level reward models (PRMs) provide denser, step-by-step feedback, they lack generalizability and interpretability, requiring task-specific segmentation of the reasoning process. To this end, we propose the Dimension-level Reward Model (DRM), a new supervision framework that bridges the gap between these two approaches. DRM evaluates the quality of a reasoning process along three fundamental, complementary, and interpretable dimensions: Confidence for uncertainty calibration, Relevance for semantic alignment, and Coherence for logical consistency. Together, these dimensions capture aspects beyond final answer correctness and enable interpretable assessment without requiring ground truth answers. Experimental results show that DRM provides effective supervision signals, guides the optimization of LLMs and enhances their reasoning ability. In particular, DRM-supervised training achieves consistent gains on both in-distribution and out-of-distribution open-domain tasks, including mathematics, question answering, code execution, and puzzles. Our findings demonstrate that multidimensional supervision of the reasoning process can improve the generalized reasoning ability of LLMs beyond the training distribution.

Vision-Language Models (VLM) can support clinicians by analyzing medical images and engaging in natural language interactions to assist in diagnostic and treatment tasks. However, VLMs often exhibit "hallucinogenic" behavior, generating textual outputs not grounded in contextual multimodal information. This challenge is particularly pronounced in the medical domain, where we do not only require VLM outputs to be accurate in single interactions but also to be consistent with clinical reasoning and diagnostic pathways throughout multi-turn conversations. For this purpose, we propose a new alignment algorithm that uses symbolic representations of clinical reasoning to ground VLMs in medical knowledge. These representations are utilized to (i) generate GPT-4-guided visual instruction tuning data at scale, simulating clinician-VLM conversations with demonstrations of clinical reasoning, and (ii) create an automatic reward function that evaluates the clinical validity of VLM generations throughout clinician-VLM interactions. Our algorithm eliminates the need for human involvement in training data generation or reward model construction, reducing costs compared to standard reinforcement learning with human feedback (RLHF). We apply our alignment algorithm to develop Dr-LLaVA, a conversational VLM finetuned for analyzing bone marrow pathology slides, demonstrating strong performance in multi-turn medical conversations.

Process Reward Models (PRMs) are crucial for guiding Large Language Models (LLMs) in complex scenarios by providing dense reward signals. However, existing PRMs primarily rely on heuristic approaches, which struggle with cross-domain generalization. While LLM-as-judge has been proposed to provide generalized rewards, current research has focused mainly on feedback results, overlooking the meaningful guidance embedded within the text. Additionally, static and coarse-grained evaluation criteria struggle to adapt to complex process supervision. To tackle these challenges, we propose Dynamic and Generalizable Process Reward Modeling (DG-PRM), which features a reward tree to capture and store fine-grained, multi-dimensional reward criteria. DG-PRM dynamically selects reward signals for step-wise reward scoring. To handle multifaceted reward signals, we pioneeringly adopt Pareto dominance estimation to identify discriminative positive and negative pairs. Experimental results show that DG-PRM achieves stunning performance on prevailing benchmarks, significantly boosting model performance across tasks with dense rewards. Further analysis reveals that DG-PRM adapts well to out-of-distribution scenarios, demonstrating exceptional generalizability.

We introduce MediX-R1, an open-ended Reinforcement Learning (RL) framework for medical multimodal large language models (MLLMs) that enables clinically grounded, free-form answers beyond multiple-choice formats. MediX-R1 fine-tunes a baseline vision-language backbone with Group Based RL and a composite reward tailored for medical reasoning: an LLM-based accuracy reward that judges semantic correctness with a strict YES/NO decision, a medical embedding-based semantic reward to capture paraphrases and terminology variants, and lightweight format and modality rewards that enforce interpretable reasoning and modality recognition. This multi-signal design provides stable, informative feedback for open-ended outputs where traditional verifiable or MCQ-only rewards fall short. To measure progress, we propose a unified evaluation framework for both text-only and image+text tasks that uses a Reference-based LLM-as-judge in place of brittle string-overlap metrics, capturing semantic correctness, reasoning, and contextual alignment. Despite using only sim51K instruction examples, MediX-R1 achieves excellent results across standard medical LLM (text-only) and VLM (image + text) benchmarks, outperforming strong open-source baselines and delivering particularly large gains on open-ended clinical tasks. Our results demonstrate that open-ended RL with comprehensive reward signals and LLM-based evaluation is a practical path toward reliable medical reasoning in multimodal models. Our trained models, curated datasets and source code are available at https://medix.cvmbzuai.com

Reward-guided search methods have demonstrated strong potential in enhancing tool-using agents by effectively guiding sampling and exploration over complex action spaces. As a core design, those search methods utilize process reward models (PRMs) to provide step-level rewards, enabling more fine-grained monitoring. However, there is a lack of systematic and reliable evaluation benchmarks for PRMs in tool-using settings. In this paper, we introduce ToolPRMBench, a large-scale benchmark specifically designed to evaluate PRMs for tool-using agents. ToolPRMBench is built on top of several representative tool-using benchmarks and converts agent trajectories into step-level test cases. Each case contains the interaction history, a correct action, a plausible but incorrect alternative, and relevant tool metadata. We respectively utilize offline sampling to isolate local single-step errors and online sampling to capture realistic multi-step failures from full agent rollouts. A multi-LLM verification pipeline is proposed to reduce label noise and ensure data quality. We conduct extensive experiments across large language models, general PRMs, and tool-specialized PRMs on ToolPRMBench. The results reveal clear differences in PRM effectiveness and highlight the potential of specialized PRMs for tool-using. Code and data will be released at https://github.com/David-Li0406/ToolPRMBench.

Large language models (LLMs) are increasingly trained with reinforcement learning (RL) as autonomous agents that reason and act over long horizons in interactive environments. However, sparse and sometimes unverifiable rewards make temporal credit assignment extremely challenging. Recent work attempts to integrate process supervision into agent learning but suffers from biased annotation, reward hacking, high-variance from overly fine-grained signals or failtures when state overlap is rare. We therefore introduce Online Process Reward Learning (OPRL), a general credit-assignment strategy for agentic RL that integrates seamlessly with standard on-policy algorithms without relying on additional rollouts or explicit step labels. In OPRL, we optimize an implicit process reward model (PRM) alternately with the agent's policy to transform trajectory preferences into implicit step rewards through a trajectory-based DPO objective. These step rewards are then used to compute step-level advantages, which are combined with episode-level advantages from outcome rewards for policy update, creating a self-reinforcing loop. Theoretical findings guarantee that the learned step rewards are consistent with trajectory preferences and act as potential-based shaping rewards, providing bounded gradients to stabilize training. Empirically, we evaluate OPRL on three distinct agent benmarks, including WebShop and VisualSokoban, as well as open-ended social interactions with unverfiable rewards in SOTOPIA. Crucially, OPRL shows superior performance over frontier LLMs and strong RL baselines across domains, achieving state-of-the-art results with higher sample-efficiency and lower variance during training. Further analysis also demonstrates the efficient exploration by OPRL using fewer actions, underscoring its potential for agentic learning in real-world scenarios.

Recent methodologies in LLM self-training mostly rely on LLM generating responses and filtering those with correct output answers as training data. This approach often yields a low-quality fine-tuning training set (e.g., incorrect plans or intermediate reasoning). In this paper, we develop a reinforced self-training approach, called ReST-MCTS*, based on integrating process reward guidance with tree search MCTS* for collecting higher-quality reasoning traces as well as per-step value to train policy and reward models. ReST-MCTS* circumvents the per-step manual annotation typically used to train process rewards by tree-search-based reinforcement learning: Given oracle final correct answers, ReST-MCTS* is able to infer the correct process rewards by estimating the probability this step can help lead to the correct answer. These inferred rewards serve dual purposes: they act as value targets for further refining the process reward model and also facilitate the selection of high-quality traces for policy model self-training. We first show that the tree-search policy in ReST-MCTS* achieves higher accuracy compared with prior LLM reasoning baselines such as Best-of-N and Tree-of-Thought, within the same search budget. We then show that by using traces searched by this tree-search policy as training data, we can continuously enhance the three language models for multiple iterations, and outperform other self-training algorithms such as ReST^EM and Self-Rewarding LM.

Background: Agent skills are increasingly deployed as modular, reusable capability units in AI agent systems. Medical research agent skills require safeguards beyond general-purpose evaluation, including scientific integrity, methodological validity, reproducibility, and boundary safety. This study developed and preliminarily evaluated a domain-specific audit framework for medical research agent skills, with a focus on reliability against expert review. Methods: We developed MedSkillAudit (skill-auditor@1.0), a layered framework assessing skill release readiness before deployment. We evaluated 75 skills across five medical research categories (15 per category). Two experts independently assigned a quality score (0-100), an ordinal release disposition (Production Ready / Limited Release / Beta Only / Reject), and a high-risk failure flag. System-expert agreement was quantified using ICC(2,1) and linearly weighted Cohen's kappa, benchmarked against the human inter-rater baseline. Results: The mean consensus quality score was 72.4 (SD = 13.0); 57.3% of skills fell below the Limited Release threshold. MedSkillAudit achieved ICC(2,1) = 0.449 (95% CI: 0.250-0.610), exceeding the human inter-rater ICC of 0.300. System-consensus score divergence (SD = 9.5) was smaller than inter-expert divergence (SD = 12.4), with no directional bias (Wilcoxon p = 0.613). Protocol Design showed the strongest category-level agreement (ICC = 0.551); Academic Writing showed a negative ICC (-0.567), reflecting a structural rubric-expert mismatch. Conclusions: Domain-specific pre-deployment audit may provide a practical foundation for governing medical research agent skills, complementing general-purpose quality checks with structured audit workflows tailored to scientific use cases.

Recent advances have shown success in eliciting strong reasoning abilities in multimodal large language models (MLLMs) through rule-based reinforcement learning (RL) with outcome rewards. However, this paradigm typically lacks supervision over the thinking process leading to the final outcome.As a result, the model may learn sub-optimal reasoning strategies, which can hinder its generalization ability. In light of this, we propose SophiaVL-R1, as an attempt to add reward signals for the thinking process in this paradigm. To achieve this, we first train a thinking reward model that evaluates the quality of the entire thinking process. Given that the thinking reward may be unreliable for certain samples due to reward hacking, we propose the Trust-GRPO method, which assigns a trustworthiness weight to the thinking reward during training. This weight is computed based on the thinking reward comparison of responses leading to correct answers versus incorrect answers, helping to mitigate the impact of potentially unreliable thinking rewards. Moreover, we design an annealing training strategy that gradually reduces the thinking reward over time, allowing the model to rely more on the accurate rule-based outcome reward in later training stages. Experiments show that our SophiaVL-R1 surpasses a series of reasoning MLLMs on various benchmarks (e.g., MathVisita, MMMU), demonstrating strong reasoning and generalization capabilities. Notably, our SophiaVL-R1-7B even outperforms LLaVA-OneVision-72B on most benchmarks, despite the latter having 10 times more parameters. All code, models, and datasets are made publicly available at https://github.com/kxfan2002/SophiaVL-R1.

In this paper, we focus on the task of conditional image generation, where an image is synthesized according to user instructions. The critical challenge underpinning this task is ensuring both the fidelity of the generated images and their semantic alignment with the provided conditions. To tackle this issue, previous studies have employed supervised perceptual losses derived from pre-trained models, i.e., reward models, to enforce alignment between the condition and the generated result. However, we observe one inherent shortcoming: considering the diversity of synthesized images, the reward model usually provides inaccurate feedback when encountering newly generated data, which can undermine the training process. To address this limitation, we propose an uncertainty-aware reward modeling, called Ctrl-U, including uncertainty estimation and uncertainty-aware regularization, designed to reduce the adverse effects of imprecise feedback from the reward model. Given the inherent cognitive uncertainty within reward models, even images generated under identical conditions often result in a relatively large discrepancy in reward loss. Inspired by the observation, we explicitly leverage such prediction variance as an uncertainty indicator. Based on the uncertainty estimation, we regularize the model training by adaptively rectifying the reward. In particular, rewards with lower uncertainty receive higher loss weights, while those with higher uncertainty are given reduced weights to allow for larger variability. The proposed uncertainty regularization facilitates reward fine-tuning through consistency construction. Extensive experiments validate the effectiveness of our methodology in improving the controllability and generation quality, as well as its scalability across diverse conditional scenarios. Code will soon be available at https://grenoble-zhang.github.io/Ctrl-U-Page/.

Training large language models to reason with search engines via reinforcement learning is hindered by a fundamental credit assignment problem: existing methods such as Search-R1 provide only a sparse outcome reward after an entire multi-step trajectory, making it infeasible to attribute success or failure to individual reasoning and retrieval decisions. Process-reward methods like StepSearch alleviate this by introducing step-level supervision, but rely on heuristic rewards such as TF-IDF overlap with gold documents, and still sample k complete trajectories per example, retaining high gradient variance. We propose SLATE, a framework built on two complementary ideas: (1) truncated step-level sampling, which generates k trajectories that share a common prefix and differ only at the next step, and (2) dense LLM-as-judge rewards, which replace heuristic scoring with a capable LLM evaluator that assesses the quality of each reasoning step, search query, and answer, providing richer and more reliable supervision. We theoretically prove that under the same dense reward structure, truncated sampling reduces the variance of advantage estimates by up to a factor of T compared to full-trajectory sampling for T-step trajectories, yielding lower-variance, better-targeted policy gradients. Experiments on seven QA benchmarks confirm that SLATE consistently outperforms both sparse-reward and process-reward baselines, with the largest gains on harder multi-hop tasks and smaller models.

Multimodal Large Language Models (MLLMs) have achieved impressive performances in mathematical reasoning, yet they remain vulnerable to visual hallucinations and logical inconsistencies that standard outcome-based supervision fails to mitigate. While Process Reward Models (PRMs) promise step-by-step verification, current approaches typically operate as scalar scorers or generative critics that suffer from sycophancy, blindly validating the flawed hypotheses rather than grounding them in visual reality. To bridge this gap, we introduce TIM-PRM (Tool-Integrated Multimodal PRM), a novel agentic framework that transforms verification from a passive classification task into an active, tool-augmented investigation. TIM-PRM is trained to explicitly plan verification strategies and utilizes a mechanism of Independent Question Asking to query evidence via external tools, effectively decoupling verification from the reasoning context to eliminate confirmation bias. We instantiate this method by curating a high-quality dataset of tool-integrated verification trajectories. Extensive experiments on VisualProcessBench demonstrate that our 8B parameter model surpasses existing open-source multimodal PRMs, significantly outperforming much larger models like Qwen2.5-72B and InternVL-78B, while offering interpretable insights into the verification process.

Process Reward Models (PRMs) are a powerful mechanism for steering large language model reasoning by providing fine-grained, step-level supervision. However, this effectiveness comes at a significant cost: PRMs require expert annotations for every reasoning step, making them costly and difficult to scale. Here, we propose a method for training unsupervised PRMs (uPRM) that requires no human supervision, neither at the level of step-by-step annotations nor through ground-truth verification of final answers. The key idea behind our approach is to define a scoring function, derived from LLM next-token probabilities, that jointly assesses candidate positions of first erroneous steps across a batch of reasoning trajectories. We demonstrate the effectiveness of uPRM across diverse scenarios: (i) uPRM achieves up to 15% absolute accuracy improvements over the LLM-as-a-Judge in identifying first erroneous steps on the ProcessBench dataset; (ii) as a verifier for test-time scaling, uPRM performs comparably to supervised PRMs and outperforms the majority voting baseline by up to 6.9%, and (iii) when used as a reward signal in reinforcement learning, uPRM enables more robust policy optimization throughout training compared to a supervised PRM trained using ground-truth labels. Overall, our results open a path toward scalable reward modeling for complex reasoning tasks.

Process Reward Models (PRMs) have recently emerged as a powerful framework for enhancing the reasoning capabilities of large reasoning models (LRMs), particularly in the context of test-time scaling (TTS). However, their potential for supervising LRMs on tabular reasoning domains remains underexplored. Through detailed empirical analyses, we identify that existing PRMs, though widely adopted for supervising text-only reasoning steps, struggle with table-specific operations such as sub-table retrieval and schema interaction, leading to critical performance bottlenecks. To address this limitation, we propose TaTToo, a novel table-grounded PRM framework that (i) reasons explicitly over tabular reasoning steps and (ii) integrates tool-based verification to provide precise reward supervision. Concretely, we first design a scalable data curation pipeline that constructs over 60k high-quality step-level annotations by integrating table verification rationales with tool-based executions. Building on the collected data, we train TaTToo with a dual-stage paradigm: cold-start supervised fine-tuning to capture tool-use reasoning patterns, followed by reinforcement learning with tool-grounded reward shaping to align our model with table-based verification. We provide a comprehensive evaluation of the policy improvement induced by our newly designed PRM. Across 5 challenging tabular reasoning benchmarks covering numerical reasoning, fact-checking, and data analysis, TaTToo improves downstream policy LRMs by 30.9% at inference, surpasses strong PRM baselines such as Qwen-2.5-Math-PRM-72B with only 8B parameters, and demonstrates strong generalizability across diverse TTS strategies.

In mental health counseling, a variety of earlier studies have focused on dialogue modeling. However, most of these studies give limited to no emphasis on the quality of interaction between a patient and a therapist. The therapeutic bond between a patient and a therapist directly correlates with effective mental health counseling. It involves developing the patient's trust on the therapist over the course of counseling. To assess the therapeutic bond in counseling, we introduce trust as a therapist-assistive metric. Our definition of trust involves patients' willingness and openness to express themselves and, consequently, receive better care. We conceptualize it as a dynamic trajectory observable through textual interactions during the counseling. To facilitate trust modeling, we present MENTAL-TRUST, a novel counseling dataset comprising manual annotation of 212 counseling sessions with first-of-its-kind seven expert-verified ordinal trust levels. We project our problem statement as an ordinal classification task for trust quantification and propose a new benchmark, TrustBench, comprising a suite of classical and state-of-the-art language models on MENTAL-TRUST. We evaluate the performance across a suite of metrics and lay out an exhaustive set of findings. Our study aims to unfold how trust evolves in therapeutic interactions.

Despite the critical role of reward models (RMs) in reinforcement learning from human feedback (RLHF), current state-of-the-art open RMs perform poorly on most existing evaluation benchmarks, failing to capture the spectrum of nuanced and sophisticated human preferences. Even approaches that incorporate advanced training techniques have not yielded meaningful performance improvements. We hypothesize that this brittleness stems primarily from limitations in preference datasets, which are often narrowly scoped, synthetically labeled, or lack rigorous quality control. To address these challenges, we present a large-scale preference dataset comprising 40 million preference pairs, named SynPref-40M. To enable data curation at scale, we design a human-AI synergistic two-stage pipeline that leverages the complementary strengths of human annotation quality and AI scalability. In this pipeline, humans provide verified annotations, while large language models perform automatic curation based on human guidance. Training on this preference mixture, we introduce Skywork-Reward-V2, a suite of eight reward models ranging from 0.6B to 8B parameters, trained on a carefully curated subset of 26 million preference pairs from SynPref-40M. We demonstrate that Skywork-Reward-V2 is versatile across a wide range of capabilities, including alignment with human preferences, objective correctness, safety, resistance to stylistic biases, and best-of-N scaling, achieving state-of-the-art performance across seven major reward model benchmarks. Ablation studies confirm that the effectiveness of our approach stems not only from data scale but also from high-quality curation. The Skywork-Reward-V2 series represents substantial progress in open reward models, highlighting the untapped potential of existing preference datasets and demonstrating how human-AI curation synergy can unlock significantly higher data quality.

Reward models are used throughout the post-training of language models to capture nuanced signals from preference data and provide a training target for optimization across instruction following, reasoning, safety, and more domains. The community has begun establishing best practices for evaluating reward models, from the development of benchmarks that test capabilities in specific skill areas to others that test agreement with human preferences. At the same time, progress in evaluation has not been mirrored by the effectiveness of reward models in downstream tasks -- simpler direct alignment algorithms are reported to work better in many cases. This paper introduces RewardBench 2, a new multi-skill reward modeling benchmark designed to bring new, challenging data for accuracy-based reward model evaluation -- models score about 20 points on average lower on RewardBench 2 compared to the first RewardBench -- while being highly correlated with downstream performance. Compared to most other benchmarks, RewardBench 2 sources new human prompts instead of existing prompts from downstream evaluations, facilitating more rigorous evaluation practices. In this paper, we describe our benchmark construction process and report how existing models perform on it, while quantifying how performance on the benchmark correlates with downstream use of the models in both inference-time scaling algorithms, like best-of-N sampling, and RLHF training algorithms like proximal policy optimization.

As large language model agents tackle increasingly complex long-horizon tasks, effective post-training becomes critical. Prior work faces fundamental challenges: outcome-only rewards fail to precisely attribute credit to intermediate steps, estimated step-level rewards introduce systematic noise, and Monte Carlo sampling approaches for step reward estimation incur prohibitive computational cost. Inspired by findings that only a small fraction of high-entropy tokens drive effective RL for reasoning, we propose Critical Step Optimization (CSO), which focuses preference learning on verified critical steps, decision points where alternate actions demonstrably flip task outcomes from failure to success. Crucially, our method starts from failed policy trajectories rather than expert demonstrations, directly targeting the policy model's weaknesses. We use a process reward model (PRM) to identify candidate critical steps, leverage expert models to propose high-quality alternatives, then continue execution from these alternatives using the policy model itself until task completion. Only alternatives that the policy successfully executes to correct outcomes are verified and used as DPO training data, ensuring both quality and policy reachability. This yields fine-grained, verifiable supervision at critical decisions while avoiding trajectory-level coarseness and step-level noise. Experiments on GAIA-Text-103 and XBench-DeepSearch show that CSO achieves 37% and 26% relative improvement over the SFT baseline and substantially outperforms other post-training methods, while requiring supervision at only 16% of trajectory steps. This demonstrates the effectiveness of selective verification-based learning for agent post-training.

Reward models are key in reinforcement learning from human feedback (RLHF) systems, aligning the model behavior with human preferences. Particularly in the math domain, there have been plenty of studies using reward models to align policies for improving reasoning capabilities. Recently, as the importance of reward models has been emphasized, RewardBench is proposed to understand their behavior. However, we figure out that the math subset of RewardBench has different representations between chosen and rejected completions, and relies on a single comparison, which may lead to unreliable results as it only see an isolated case. Therefore, it fails to accurately present the robustness of reward models, leading to a misunderstanding of its performance and potentially resulting in reward hacking. In this work, we introduce a new design for reliable evaluation of reward models, and to validate this, we construct RewardMATH, a benchmark that effectively represents the robustness of reward models in mathematical reasoning tasks. We demonstrate that the scores on RewardMATH strongly correlate with the results of optimized policy and effectively estimate reward overoptimization, whereas the existing benchmark shows almost no correlation. The results underscore the potential of our design to enhance the reliability of evaluation, and represent the robustness of reward model. We make our code and data publicly available.

Large language models (LLMs) are increasingly proposed as clinical agents, yet static, single-turn benchmarks cannot capture how a model dynamically delivers care across an encounter: gathering information, planning treatment, and adapting longitudinal management across successive patient states. Medical education has long addressed an analogous challenge through standardized patients (SPs): trained actors who consistently portray clinical cases, enabling realistic practice and objective, scripted assessment. Here we introduce MedSP1000, an SP-derived interactive benchmark for clinical-agent evaluation, including 1,638 SP cases with 24,602 trajectory-level peer-reviewed rubrics. MedSP1000 converts peer-reviewed SP teaching cases into executable scenarios with defined SP case scripts, clinical environment contexts, and human-validated structured rubric. In each simulation evaluation run, a clinical agent interacts in closed loop with a patient agent and an environment controller, and its behaviour is scored throughout the encounter against expert criteria specified in the original materials. Applying MedSP1000 to a range of general-purpose and medically specialized LLMs, we find that performance on static benchmarks does not reliably translate to such educational scenarios. The best-performing model, GPT-5.5, completes only 60.4% of expert-defined rubric items, whereas the strongest medically specialized model reaches 40.0%; increasing test-time compute produces no measurable gain. These results suggest that current LLMs, including agentic systems tuned for medicine, are not yet reliable enough to be safely integrated into actual clinical practice. More broadly, MedSP1000 shows how process-level, SP-style evaluation can reveal clinically relevant failure modes that single-turn benchmarks miss.

Despite significant progress, Vision-Language Models (VLMs) still struggle with complex visual reasoning, where multi-step dependencies cause early errors to cascade through the reasoning chain. Existing post-training paradigms are limited: Supervised Fine-Tuning (SFT) relies on costly step-level annotations, while Reinforcement Learning with Verifiable Rewards (RLVR) methods like GRPO provide only sparse, outcome-level feedback, hindering stable optimization. We introduce PROPA (Process-level Reasoning Optimization with interleaved Policy Alignment), a novel framework that integrates Monte Carlo Tree Search (MCTS) with GRPO to generate dense, process-level rewards and optimize reasoning at each intermediate step without human annotations. To overcome the cold-start problem, PROPA interleaves GRPO updates with SFT, enabling the model to learn from both successful and failed reasoning trajectories. A Process Reward Model (PRM) is further trained to guide inference-time search, aligning the test-time search with the training signal. Across seven benchmarks and four VLM backbones, PROPA consistently outperforms both SFT- and RLVR-based baselines. It achieves up to 17.0% gains on in-domain tasks and 21.0% gains on out-of-domain tasks compared to existing state-of-the-art, establishing a strong reasoning and generalization capability for visual reasoning tasks. The code isavailable at: https://github.com/YanbeiJiang/PROPA.

Benefiting from pre-trained text-to-image (T2I) diffusion models, real-world image super-resolution (Real-ISR) methods can synthesize rich and realistic details. However, due to the inherent stochasticity of T2I models, different noise inputs often lead to outputs with varying perceptual quality. Although this randomness is sometimes seen as a limitation, it also introduces a wider perceptual quality range, which can be exploited to improve Real-ISR performance. To this end, we introduce Direct Perceptual Preference Optimization for Real-ISR (DP^2O-SR), a framework that aligns generative models with perceptual preferences without requiring costly human annotations. We construct a hybrid reward signal by combining full-reference and no-reference image quality assessment (IQA) models trained on large-scale human preference datasets. This reward encourages both structural fidelity and natural appearance. To better utilize perceptual diversity, we move beyond the standard best-vs-worst selection and construct multiple preference pairs from outputs of the same model. Our analysis reveals that the optimal selection ratio depends on model capacity: smaller models benefit from broader coverage, while larger models respond better to stronger contrast in supervision. Furthermore, we propose hierarchical preference optimization, which adaptively weights training pairs based on intra-group reward gaps and inter-group diversity, enabling more efficient and stable learning. Extensive experiments across both diffusion- and flow-based T2I backbones demonstrate that DP^2O-SR significantly improves perceptual quality and generalizes well to real-world benchmarks.

Reinforcement learning from human feedback (RLHF) has emerged as a powerful technique to make large language models (LLMs) easier to use and more effective. A core piece of the RLHF process is the training and utilization of a model of human preferences that acts as a reward function for optimization. This approach, which operates at the intersection of many stakeholders and academic disciplines, remains poorly understood. RLHF reward models are often cited as being central to achieving performance, yet very few descriptors of capabilities, evaluations, training methods, or open-source models exist. Given this lack of information, further study and transparency is needed for learned RLHF reward models. In this paper, we illustrate the complex history of optimizing preferences, and articulate lines of inquiry to understand the sociotechnical context of reward models. In particular, we highlight the ontological differences between costs, rewards, and preferences at stake in RLHF's foundations, related methodological tensions, and possible research directions to improve general understanding of how reward models function.

Long-horizon robotic manipulation requires dense feedback that reflects how a task advances through its procedural stages, not merely whether the final outcome is successful. Existing reward models often rely on trajectory-level success labels or time-based interpolation, which can conflate elapsed time with true task progress and therefore fail to capture unfinished steps, stagnation, and failure states. We present ProcVLM, a progress-aware vision-language model that learns procedure-grounded progress as a dense reward signal for manipulation. Rather than deriving progress from terminal outcomes or temporal proxies, ProcVLM grounds progress estimation in procedural structure and intra-stage visual change, and further adopts a reasoning-before-estimation paradigm that infers the remaining atomic actions before estimating task progress. Specifically, we construct this supervision by synthesizing frame-level subtask-semantic annotations, assigning progress budgets according to subtask structure, and distributing each budget based on intra-subtask visual change. To train ProcVLM at scale, we build a standardized procedural supervision synthesis pipeline and construct ProcCorpus-60M from 30 embodied datasets with 60M annotated frames, from which we derive ProcVQA for procedure-aware pretraining, with progress estimation as the central task alongside action segmentation and future planning. Experiments on ProcVQA and reward-model benchmarks show that ProcVLM improves embodied procedural reasoning and yields more discriminative trajectory-internal progress estimates than representative baselines, supporting its use as a dense reward model for downstream reward-guided policy optimization. Project page: https://procvlm.github.io/

Where do learning signals come from when there is no ground truth in post-training? We propose turning exploration into supervision through Compute as Teacher (CaT), which converts the model's own exploration at inference-time into reference-free supervision by synthesizing a single reference from a group of parallel rollouts and then optimizing toward it. Concretely, the current policy produces a group of rollouts; a frozen anchor (the initial policy) reconciles omissions and contradictions to estimate a reference, turning extra inference-time compute into a teacher signal. We turn this into rewards in two regimes: (i) verifiable tasks use programmatic equivalence on final answers; (ii) non-verifiable tasks use self-proposed rubrics-binary, auditable criteria scored by an independent LLM judge, with reward given by the fraction satisfied. Unlike selection methods (best-of-N, majority, perplexity, or judge scores), synthesis may disagree with the majority and be correct even when all rollouts are wrong; performance scales with the number of rollouts. As a test-time procedure, CaT improves Gemma 3 4B, Qwen 3 4B, and Llama 3.1 8B (up to +27% on MATH-500; +12% on HealthBench). With reinforcement learning (CaT-RL), we obtain further gains (up to +33% and +30%), with the trained policy surpassing the initial teacher signal.

Reward Models (RMs) are critical for improving generation models via Reinforcement Learning (RL), yet the RM scaling paradigm in visual generation remains largely unexplored. It primarily due to fundamental limitations in existing approaches: CLIP-based RMs suffer from architectural and input modality constraints, while prevalent Bradley-Terry losses are fundamentally misaligned with the next-token prediction mechanism of Vision-Language Models (VLMs), hindering effective scaling. More critically, the RLHF optimization process is plagued by Reward Hacking issue, where models exploit flaws in the reward signal without improving true quality. To address these challenges, we introduce RewardDance, a scalable reward modeling framework that overcomes these barriers through a novel generative reward paradigm. By reformulating the reward score as the model's probability of predicting a "yes" token, indicating that the generated image outperforms a reference image according to specific criteria, RewardDance intrinsically aligns reward objectives with VLM architectures. This alignment unlocks scaling across two dimensions: (1) Model Scaling: Systematic scaling of RMs up to 26 billion parameters; (2) Context Scaling: Integration of task-specific instructions, reference examples, and chain-of-thought (CoT) reasoning. Extensive experiments demonstrate that RewardDance significantly surpasses state-of-the-art methods in text-to-image, text-to-video, and image-to-video generation. Crucially, we resolve the persistent challenge of "reward hacking": Our large-scale RMs exhibit and maintain high reward variance during RL fine-tuning, proving their resistance to hacking and ability to produce diverse, high-quality outputs. It greatly relieves the mode collapse problem that plagues smaller models.

This paper introduces the Opus Workflow Evaluation Framework, a probabilistic-normative formulation for quantifying Workflow quality and efficiency. It integrates notions of correctness, reliability, and cost into a coherent mathematical model that enables direct comparison, scoring, and optimization of Workflows. The framework combines the Opus Workflow Reward, a probabilistic function estimating expected performance through success likelihood, resource usage, and output gain, with the Opus Workflow Normative Penalties, a set of measurable functions capturing structural and informational quality across Cohesion, Coupling, Observability, and Information Hygiene. It supports automated Workflow assessment, ranking, and optimization within modern automation systems such as Opus and can be integrated into Reinforcement Learning loops to guide Workflow discovery and refinement. In this paper, we introduce the Opus Workflow Reward model that formalizes Workflow success as a probabilistic expectation over costs and outcomes. We define measurable Opus Workflow Normative Penalties capturing structural, semantic, and signal-related properties of Workflows. Finally, we propose a unified optimization formulation for identifying and ranking optimal Workflows under joint Reward-Penalty trade-offs.

We introduce Agent Process Reward Models (AgentPRM), a simple and scalable framework for training LLM agents to continually improve through interactions. AgentPRM follows a lightweight actor-critic paradigm, using Monte Carlo rollouts to compute reward targets and optimize policies. It requires minimal modifications to existing RLHF pipelines, making it easy to integrate at scale. Beyond AgentPRM, we propose InversePRM, which learns process rewards directly from demonstrations without explicit outcome supervision. We also explore key challenges and opportunities, including exploration, process reward shaping, and model-predictive reasoning. We evaluate on ALFWorld benchmark, show that small 3B models trained with AgentPRM and InversePRM outperform strong GPT-4o baselines, and analyze test-time scaling, reward hacking, and more. Our code is available at: https://github.com/sanjibanc/agent_prm.

Search agents powered by large language models can autonomously decompose queries, retrieve information, and synthesize answers through multi-step reasoning. However, the rapid growth of training methods has outpaced controlled comparison: existing works differ in retrieval corpora, reward designs, and training protocols, making it unclear what actually drives improvements. We present a controlled empirical study that isolates three under-explored dimensions of search agent training. First, we identify a critical data-coverage issue in the widely used Wikipedia 2018 corpus and show that correcting it alone yields larger gains than the differences between training algorithms. Second, we systematically compare outcome-based and process-based reward methods across three base models, finding that the simplest outcome-based approach achieves competitive or superior performance in most settings, and that process-level credit assignment can over-correct agent behavior. Third, we analyze training data diversity, off-policy data utilization, and search budget scaling, distilling practical guidelines for training effective search agents. Our code is available at https://github.com/YiboZhao624/SearchAgentReview.

Large language models have achieved strong performance on medical reasoning benchmarks, yet their deployment in clinical settings demands rigorous verification to ensure factual accuracy. While reward models offer a scalable approach for reasoning trace verification, existing methods face two limitations: they produce only scalar reward values without explicit justification, and they rely on single-pass retrieval that precludes adaptive knowledge access as verification unfolds. We introduce method, an agentic framework that addresses these limitations by training medical reasoning verifiers to iteratively query external medical corpora during evaluation. Our approach combines tool-augmented verification with an iterative reinforcement learning paradigm that requires only trace-level supervision, alongside an adaptive curriculum mechanism that dynamically adjusts training data distribution. Across four medical reasoning benchmarks, method achieves substantial gains over existing methods, improving MedQA accuracy by 23.5% and MedXpertQA by 32.0% relative to the base generator in particular. Crucially, method demonstrates an 8times reduction in sampling budget requirement compared to prior reward model baselines. These findings establish that grounding verification in dynamically retrieved evidence offers a principled path toward more reliable medical reasoning systems.

Large language models (LLMs) have shown promise in performing complex multi-step reasoning, yet they continue to struggle with mathematical reasoning, often making systematic errors. A promising solution is reinforcement learning (RL) guided by reward models, particularly those focusing on process rewards, which score each intermediate step rather than solely evaluating the final outcome. This approach is more effective at guiding policy models towards correct reasoning trajectories. In this work, we propose an entropy-regularized process reward model (ER-PRM) that integrates KL-regularized Markov Decision Processes (MDP) to balance policy optimization with the need to prevent the policy from shifting too far from its initial distribution. We derive a novel reward construction method based on the theoretical results. Our theoretical analysis shows that we could derive the optimal reward model from the initial policy sampling. Our empirical experiments on the MATH and GSM8K benchmarks demonstrate that ER-PRM consistently outperforms existing process reward models, achieving 1% improvement on GSM8K and 2-3% improvement on MATH under best-of-N evaluation, and more than 1% improvement under RLHF. These results highlight the efficacy of entropy-regularization in enhancing LLMs' reasoning capabilities.

Extending Reinforcement Learning with Verifiable Rewards (RLVR) to real-world tasks often requires balancing objective and subjective evaluation criteria. However, many such tasks lack a single, unambiguous ground truth-making it difficult to define reliable reward signals for post-training language models. While traditional preference-based methods offer a workaround, they rely on opaque reward functions that are difficult to interpret and prone to spurious correlations. We introduce Rubrics as Rewards (RaR), a framework that uses structured, checklist-style rubrics as interpretable reward signals for on-policy training with GRPO. Our best RaR method yields up to a 28% relative improvement on HealthBench-1k compared to simple Likert-based approaches, while matching or surpassing the performance of reward signals derived from expert-written references. By treating rubrics as structured reward signals, we show that RaR enables smaller-scale judge models to better align with human preferences and sustain robust performance across model scales.

Acute poly-substance intoxication requires rapid, life-saving decisions under substantial uncertainty, as clinicians must rely on incomplete ingestion details and nonspecific symptoms. Effective diagnostic reasoning in this chaotic environment requires fusing unstructured, non-medical narratives (e.g. paramedic scene descriptions and unreliable patient self-reports or known histories), with structured medical data like vital signs. While Large Language Models (LLMs) show potential for processing such heterogeneous inputs, they struggle in this setting, often underperforming simple baselines that rely solely on patient histories. To address this, we present DeToxR (Decision-support for Toxicology with Reasoning), the first adaptation of Reinforcement Learning (RL) to emergency toxicology. We design a robust data-fusion engine for multi-label prediction across 14 substance classes based on an LLM finetuned with Group Relative Policy Optimization (GRPO). We optimize the model's reasoning directly using a clinical performance reward. By formulating a multi-label agreement metric as the reward signal, the model is explicitly penalized for missing co-ingested substances and hallucinating absent poisons. Our model significantly outperforms its unadapted base LLM counterpart and supervised baselines. Furthermore, in a clinical validation study, the model indicates a clinical advantage by outperforming an expert toxicologist in identifying the correct poisons (Micro-F1: 0.644 vs. 0.473). These results demonstrate the potential of RL-aligned LLMs to synthesize unstructured pre-clinical narratives and structured medical data for decision support in high-stakes environments.

While recent advances have boosted LM proficiency in linguistic benchmarks, LMs consistently struggle to reason correctly on complex tasks like mathematics. We turn to Reinforcement Learning from Human Feedback (RLHF) as a method with which to shape model reasoning processes. In particular, we explore two reward schemes, outcome-supervised reward models (ORMs) and process-supervised reward models (PRMs), to optimize for logical reasoning. Our results show that the fine-grained reward provided by PRM-based methods enhances accuracy on simple mathematical reasoning (GSM8K) while, unexpectedly, reducing performance in complex tasks (MATH). Furthermore, we show the critical role reward aggregation functions play in model performance. Providing promising avenues for future research, our study underscores the need for further exploration into fine-grained reward modeling for more reliable language models.

Reward feedback learning (ReFL) has proven effective for aligning image generation with human preferences. However, its extension to video generation faces significant challenges. Existing video reward models rely on vision-language models designed for pixel-space inputs, confining ReFL optimization to near-complete denoising steps after computationally expensive VAE decoding. This pixel-space approach incurs substantial memory overhead and increased training time, and its late-stage optimization lacks early-stage supervision, refining only visual quality rather than fundamental motion dynamics and structural coherence. In this work, we show that pre-trained video generation models are naturally suited for reward modeling in the noisy latent space, as they are explicitly designed to process noisy latent representations at arbitrary timesteps and inherently preserve temporal information through their sequential modeling capabilities. Accordingly, we propose Process Reward Feedback Learning~(PRFL), a framework that conducts preference optimization entirely in latent space, enabling efficient gradient backpropagation throughout the full denoising chain without VAE decoding. Extensive experiments demonstrate that PRFL significantly improves alignment with human preferences, while achieving substantial reductions in memory consumption and training time compared to RGB ReFL.

The deployment of large language models (LLMs) in mental health and other sensitive domains raises urgent questions about ethical reasoning, fairness, and responsible alignment. Yet, existing benchmarks for moral and clinical decision-making do not adequately capture the unique ethical dilemmas encountered in mental health practice, where confidentiality, autonomy, beneficence, and bias frequently intersect. To address this gap, we introduce Ethical Reasoning in Mental Health (EthicsMH), a pilot dataset of 125 scenarios designed to evaluate how AI systems navigate ethically charged situations in therapeutic and psychiatric contexts. Each scenario is enriched with structured fields, including multiple decision options, expert-aligned reasoning, expected model behavior, real-world impact, and multi-stakeholder viewpoints. This structure enables evaluation not only of decision accuracy but also of explanation quality and alignment with professional norms. Although modest in scale and developed with model-assisted generation, EthicsMH establishes a task framework that bridges AI ethics and mental health decision-making. By releasing this dataset, we aim to provide a seed resource that can be expanded through community and expert contributions, fostering the development of AI systems capable of responsibly handling some of society's most delicate decisions.

Providing effective treatment and making informed clinical decisions are essential goals of modern medicine and clinical care. We are interested in simulating disease dynamics for clinical decision-making, leveraging recent advances in large generative models. To this end, we introduce the Medical World Model (MeWM), the first world model in medicine that visually predicts future disease states based on clinical decisions. MeWM comprises (i) vision-language models to serve as policy models, and (ii) tumor generative models as dynamics models. The policy model generates action plans, such as clinical treatments, while the dynamics model simulates tumor progression or regression under given treatment conditions. Building on this, we propose the inverse dynamics model that applies survival analysis to the simulated post-treatment tumor, enabling the evaluation of treatment efficacy and the selection of the optimal clinical action plan. As a result, the proposed MeWM simulates disease dynamics by synthesizing post-treatment tumors, with state-of-the-art specificity in Turing tests evaluated by radiologists. Simultaneously, its inverse dynamics model outperforms medical-specialized GPTs in optimizing individualized treatment protocols across all metrics. Notably, MeWM improves clinical decision-making for interventional physicians, boosting F1-score in selecting the optimal TACE protocol by 13%, paving the way for future integration of medical world models as the second readers.

Recent advancements in large language models (LLMs) have been driven by their emergent reasoning capabilities, particularly through long chain-of-thought (CoT) prompting, which enables thorough exploration and deliberation. Despite these advances, long-CoT LLMs often exhibit suboptimal reasoning behaviors, such as overthinking and excessively protracted reasoning chains, which can impair performance. In this paper, we analyze reasoning processes through an optimization lens, framing CoT as a gradient descent procedure where each reasoning step constitutes an update toward problem resolution. Building on this perspective, we introduce RePro (Rectifying Process-level Reward), a novel approach to refine LLM reasoning during post-training. RePro defines a surrogate objective function to assess the optimization process underlying CoT, utilizing a dual scoring mechanism to quantify its intensity and stability. These scores are aggregated into a composite process-level reward, seamlessly integrated into reinforcement learning with verifiable rewards (RLVR) pipelines to optimize LLMs. Extensive experiments across multiple reinforcement learning algorithms and diverse LLMs, evaluated on benchmarks spanning mathematics, science, and coding, demonstrate that RePro consistently enhances reasoning performance and mitigates suboptimal reasoning behaviors.

Radiology report generation (RRG) has attracted significant attention due to its potential to reduce the workload of radiologists. Current RRG approaches are still unsatisfactory against clinical standards. This paper introduces a novel RRG method, LM-RRG, that integrates large models (LMs) with clinical quality reinforcement learning to generate accurate and comprehensive chest X-ray radiology reports. Our method first designs a large language model driven feature extractor to analyze and interpret different regions of the chest X-ray image, emphasizing specific regions with medical significance. Next, based on the large model's decoder, we develop a multimodal report generator that leverages multimodal prompts from visual features and textual instruction to produce the radiology report in an auto-regressive way. Finally, to better reflect the clinical significant and insignificant errors that radiologists would normally assign in the report, we introduce a novel clinical quality reinforcement learning strategy. It utilizes the radiology report clinical quality (RadCliQ) metric as a reward function in the learning process. Extensive experiments on the MIMIC-CXR and IU-Xray datasets demonstrate the superiority of our method over the state of the art.

Large language models (LLMs) are often sycophantic, prioritizing agreement with their users over accurate or objective statements. This problematic behavior becomes more pronounced during reinforcement learning from human feedback (RLHF), an LLM fine-tuning stage intended to align model outputs with human values. Instead of increasing accuracy and reliability, the reward model learned from RLHF often rewards sycophancy. We develop a linear probing method to identify and penalize markers of sycophancy within the reward model, producing rewards that discourage sycophantic behavior. Our experiments show that constructing and optimizing against this surrogate reward function reduces sycophantic behavior in multiple open-source LLMs. Our results suggest a generalizable methodology for reducing unwanted LLM behaviors that are not sufficiently disincentivized by RLHF fine-tuning.

Post-training alignment of video generation models with human preferences is a critical goal. Developing effective Reward Models (RMs) for this process faces significant methodological hurdles. Current data collection paradigms, reliant on in-prompt pairwise annotations, suffer from labeling noise. Concurrently, the architectural design of VLM-based RMs, particularly their output mechanisms, remains underexplored. Furthermore, RM is susceptible to reward hacking in post-training. To mitigate these limitations, we propose SoliReward, a systematic framework for video RM training. Our framework first sources high-quality, cost-efficient data via single-item binary annotations, then constructs preference pairs using a cross-prompt pairing strategy. Architecturally, we employ a Hierarchical Progressive Query Attention mechanism to enhance feature aggregation. Finally, we introduce a modified BT loss that explicitly accommodates win-tie scenarios. This approach regularizes the RM's score distribution for positive samples, providing more nuanced preference signals to alleviate over-focus on a small number of top-scoring samples. Our approach is validated on benchmarks evaluating physical plausibility, subject deformity, and semantic alignment, demonstrating improvements in direct RM evaluation metrics and in the efficacy of post-training on video generation models. Code and benchmark will be publicly available.

Reinforcement Learning (RL) serves as a potent paradigm for enhancing reasoning capabilities in Large Language Models (LLMs), yet standard outcome-based approaches often suffer from reward sparsity and inefficient credit assignment. In this paper, we propose a novel framework designed to provide continuous reward signals, which introduces a Step-wise Marginal Information Gain (MIG) mechanism that quantifies the intrinsic value of reasoning steps against a Monotonic Historical Watermark, effectively filtering out training noise. To ensure disentangled credit distribution, we implement a Decoupled Masking Strategy, applying process-oriented rewards specifically to the chain-of-thought (CoT) and outcome-oriented rewards to the full completion. Additionally, we incorporate a Dual-Gated SFT objective to stabilize training with high-quality structural and factual signals. Extensive experiments across textual and multi-modal benchmarks (e.g., MATH, Super-CLEVR) demonstrate that our approach consistently outperforms baselines such as GRPO in both sample efficiency and final accuracy. Furthermore, our model exhibits superior out-of-distribution robustness, demonstrating promising zero-shot transfer capabilities to unseen and challenging reasoning tasks.

Developing 3D vision-language models with robust clinical reasoning remains a challenge due to the inherent complexity of volumetric medical imaging, the tendency of models to overfit superficial report patterns, and the lack of interpretability-aware reward designs. In this paper, we propose Med3D-R1, a reinforcement learning framework with a two-stage training process: Supervised Fine-Tuning (SFT) and Reinforcement Learning (RL). During SFT stage, we introduce a residual alignment mechanism to bridge the gap between high-dimensional 3D features and textual embeddings, and an abnormality re-weighting strategy to emphasize clinically informative tokens and reduce structural bias in reports. In RL stage, we redesign the consistency reward to explicitly promote coherent, step-by-step diagnostic reasoning. We evaluate our method on medical multiple-choice visual question answering using two 3D diagnostic benchmarks, CT-RATE and RAD-ChestCT, where our model attains state-of-the-art accuracies of 41.92\% on CT-RATE and 44.99\% on RAD-ChestCT. These results indicate improved abnormality diagnosis and clinical reasoning and outperform prior methods on both benchmarks. Overall, our approach holds promise for enhancing real-world diagnostic workflows by enabling more reliable and transparent 3D medical vision-language systems.

Recent years have seen considerable advancements in multi-step reasoning with Large Language Models (LLMs). The previous studies have elucidated the merits of integrating feedback or search mechanisms during model inference to improve the reasoning accuracy. The Process-Supervised Reward Model (PRM), typically furnishes LLMs with step-by-step feedback during the training phase, akin to Proximal Policy Optimization (PPO) or reject sampling. Our objective is to examine the efficacy of PRM in the inference phase to help discern the optimal solution paths for multi-step tasks such as mathematical reasoning and code generation. To this end, we propose a heuristic greedy search algorithm that employs the step-level feedback from PRM to optimize the reasoning pathways explored by LLMs. This tailored PRM demonstrated enhanced results compared to the Chain of Thought (CoT) on mathematical benchmarks like GSM8K and MATH. Additionally, to explore the versatility of our approach, we develop a novel method to automatically generate step-level reward dataset for coding tasks and observed similar improved performance in the code generation tasks. Thus highlighting the robust nature of our reward-model-based approach to inference for reasoning tasks.

We introduce VisualPRM, an advanced multimodal Process Reward Model (PRM) with 8B parameters, which improves the reasoning abilities of existing Multimodal Large Language Models (MLLMs) across different model scales and families with Best-of-N (BoN) evaluation strategies. Specifically, our model improves the reasoning performance of three types of MLLMs and four different model scales. Even when applied to the highly capable InternVL2.5-78B, it achieves a 5.9-point improvement across seven multimodal reasoning benchmarks. Experimental results show that our model exhibits superior performance compared to Outcome Reward Models and Self-Consistency during BoN evaluation. To facilitate the training of multimodal PRMs, we construct a multimodal process supervision dataset VisualPRM400K using an automated data pipeline. For the evaluation of multimodal PRMs, we propose VisualProcessBench, a benchmark with human-annotated step-wise correctness labels, to measure the abilities of PRMs to detect erroneous steps in multimodal reasoning tasks. We hope that our work can inspire more future research and contribute to the development of MLLMs. Our model, data, and benchmark are released in https://internvl.github.io/blog/2025-03-13-VisualPRM/.

Process Reward Models (PRMs) are rapidly becoming the backbone of LLM reasoning pipelines, yet we demonstrate that state-of-the-art PRMs are systematically exploitable under adversarial optimization pressure. To address this, we introduce a three-tiered diagnostic framework that applies increasing adversarial pressure to quantify these vulnerabilities. Static perturbation analysis uncovers a fluency-logic dissociation: high invariance to surface-level style changes reward changes <0.1, yet inconsistent detection of logically-corrupted reasoning, with different models failing on different attack types. Adversarial optimization demonstrates that gradient-based attacks inflate rewards on invalid trajectories, with reward landscapes exhibiting wide, exploitable peaks. RL-induced reward hacking exposes the critical failure mode: policies trained on AIME problems achieve near-perfect PRM rewards (>0.9), while ground-truth accuracy remains low (below 4%), with 43% of reward gains attributable to stylistic shortcuts. These findings reveal that current PRMs function as fluency detectors rather than reasoning verifiers, creating systematic blind spots that undermine their use as training signals. We release PRM-BiasBench and a diagnostic toolkit to enable robustness evaluation before deployment. The code and dataset are available at https://github.com/SqueezeAILab/reward-under-attack.

Reward models (RMs) are crucial for the training and inference-time scaling up of large language models (LLMs). However, existing reward models primarily focus on human preferences, neglecting verifiable correctness signals which have shown strong potential in training LLMs. In this paper, we propose agentic reward modeling, a reward system that combines reward models with verifiable correctness signals from different aspects to provide reliable rewards. We empirically implement a reward agent, named RewardAgent, that combines human preference rewards with two verifiable signals: factuality and instruction following, to provide more reliable rewards. We conduct comprehensive experiments on existing reward model benchmarks and inference time best-of-n searches on real-world downstream tasks. RewardAgent significantly outperforms vanilla reward models, demonstrating its effectiveness. We further construct training preference pairs using RewardAgent and train an LLM with the DPO objective, achieving superior performance on various NLP benchmarks compared to conventional reward models. Our codes are publicly released to facilitate further research (https://github.com/THU-KEG/Agentic-Reward-Modeling).

Tool-using agents based on Large Language Models (LLMs) excel in tasks such as mathematical reasoning and multi-hop question answering. However, in long trajectories, agents often trigger excessive and low-quality tool calls, increasing latency and degrading inference performance, making managing tool-use behavior challenging. In this work, we conduct entropy-based pilot experiments and observe a strong positive correlation between entropy reduction and high-quality tool calls. Building on this finding, we propose using entropy reduction as a supervisory signal and design two reward strategies to address the differing needs of optimizing tool-use behavior. Sparse outcome rewards provide coarse, trajectory-level guidance to improve efficiency, while dense process rewards offer fine-grained supervision to enhance performance. Experiments across diverse domains show that both reward designs improve tool-use behavior: the former reduces tool calls by 72.07% compared to the average of baselines, while the latter improves performance by 22.27%. These results position entropy reduction as a key mechanism for enhancing tool-use behavior, enabling agents to be more adaptive in real-world applications.

Recent advancements in diffusion and flow-matching models have demonstrated remarkable capabilities in high-fidelity image synthesis. A prominent line of research involves reward-guided guidance, which steers the generation process during inference to align with specific objectives. However, leveraging this reward-guided approach to the task of image editing, which requires preserving the semantic content of the source image while enhancing a target reward, is largely unexplored. In this work, we introduce a novel framework for training-free, reward-guided image editing. We formulate the editing process as a trajectory optimal control problem where the reverse process of a diffusion model is treated as a controllable trajectory originating from the source image, and the adjoint states are iteratively updated to steer the editing process. Through extensive experiments across distinct editing tasks, we demonstrate that our approach significantly outperforms existing inversion-based training-free guidance baselines, achieving a superior balance between reward maximization and fidelity to the source image without reward hacking.

Clinical LLMs are often scaled by increasing model size, context length, retrieval complexity, or inference-time compute, with the implicit expectation that higher accuracy implies safer behavior. This assumption is incomplete in medicine, where a few confident, high-risk, or evidence-contradicting errors can matter more than average benchmark performance. We introduce SaFE-Scale, a framework for measuring how clinical LLM safety changes across model scale, evidence quality, retrieval strategy, context exposure, and inference-time compute. To instantiate this framework, we introduce RadSaFE-200, a Radiology Safety-Focused Evaluation benchmark of 200 multiple-choice questions with clinician-defined clean evidence, conflict evidence, and option-level labels for high-risk error, unsafe answer, and evidence contradiction. We evaluated 34 locally deployed LLMs across six deployment conditions: closed-book prompting (zero-shot), clean evidence, conflict evidence, standard RAG, agentic RAG, and max-context prompting. Clean evidence produced the strongest improvement, increasing mean accuracy from 73.5% to 94.1%, while reducing high-risk error from 12.0% to 2.6%, contradiction from 12.7% to 2.3%, and dangerous overconfidence from 8.0% to 1.6%. Standard RAG and agentic RAG did not reproduce this safety profile: agentic RAG improved accuracy over standard RAG and reduced contradiction, but high-risk error and dangerous overconfidence remained elevated. Max-context prompting increased latency without closing the safety gap, and additional inference-time compute produced only limited gains. Worst-case analysis showed that clinically consequential errors concentrated in a small subset of questions. Clinical LLM safety is therefore not a passive consequence of scaling, but a deployment property shaped by evidence quality, retrieval design, context construction, and collective failure behavior.

The success of Reinforcement Learning from Human Feedback (RLHF) critically depends on the quality of the reward model. While this quality is primarily evaluated through accuracy, it remains unclear whether accuracy fully captures what makes a reward model an effective teacher. We address this question from an optimization perspective. First, we prove that regardless of how accurate a reward model is, if it induces low reward variance, then the RLHF objective suffers from a flat landscape. Consequently, even a perfectly accurate reward model can lead to extremely slow optimization, underperforming less accurate models that induce higher reward variance. We additionally show that a reward model that works well for one language model can induce low reward variance, and thus a flat objective landscape, for another. These results establish a fundamental limitation of evaluating reward models solely based on accuracy or independently of the language model they guide. Experiments using models of up to 8B parameters corroborate our theory, demonstrating the interplay between reward variance, accuracy, and reward maximization rate. Overall, our findings highlight that beyond accuracy, a reward model needs to induce sufficient variance for efficient optimization.

While large language models (LLMs) achieve near-perfect scores on medical licensing exams, these evaluations inadequately reflect the complexity and diversity of real-world clinical practice. We introduce MedHELM, an extensible evaluation framework for assessing LLM performance for medical tasks with three key contributions. First, a clinician-validated taxonomy spanning 5 categories, 22 subcategories, and 121 tasks developed with 29 clinicians. Second, a comprehensive benchmark suite comprising 35 benchmarks (17 existing, 18 newly formulated) providing complete coverage of all categories and subcategories in the taxonomy. Third, a systematic comparison of LLMs with improved evaluation methods (using an LLM-jury) and a cost-performance analysis. Evaluation of 9 frontier LLMs, using the 35 benchmarks, revealed significant performance variation. Advanced reasoning models (DeepSeek R1: 66% win-rate; o3-mini: 64% win-rate) demonstrated superior performance, though Claude 3.5 Sonnet achieved comparable results at 40% lower estimated computational cost. On a normalized accuracy scale (0-1), most models performed strongly in Clinical Note Generation (0.73-0.85) and Patient Communication & Education (0.78-0.83), moderately in Medical Research Assistance (0.65-0.75), and generally lower in Clinical Decision Support (0.56-0.72) and Administration & Workflow (0.53-0.63). Our LLM-jury evaluation method achieved good agreement with clinician ratings (ICC = 0.47), surpassing both average clinician-clinician agreement (ICC = 0.43) and automated baselines including ROUGE-L (0.36) and BERTScore-F1 (0.44). Claude 3.5 Sonnet achieved comparable performance to top models at lower estimated cost. These findings highlight the importance of real-world, task-specific evaluation for medical use of LLMs and provides an open source framework to enable this.