Gyouk Chu
Publications
TRIAGE: Dialectical Reasoning for Explainable Risk Prediction on Irregularly Sampled Medical Time Series with LLMs
Clinical early warning systems built on electronic health records, in which clinical observations are recorded as irregularly sampled medical time series (ISMTS), must deliver both calibrated risk scores for patient triage and interpretable rationales that clinicians can verify. Large Language Models (LLMs) have been explored for this task, yet they collapse graded clinical risk into overconfident binary predictions. This risk polarization undermines both calibration and cross-patient comparability. To address this, we propose TRIAGE, a framework that trains an LLM to generate dialectical reasoning over competing clinical outcomes by eliciting outcome-specific rationales. This dialectical formulation mitigates risk polarization, enabling a single LLM to yield continuous risk scores grounded in explicit clinical reasoning. Evaluated on three ISMTS benchmarks, TRIAGE achieves an average AUPRC improvement of 3.3% and reduces calibration error by 81% compared to the competitive baselines. An LLM-as-a-judge assessment further shows that our rationales surpass post-hoc explanations from the baseline by 20% in clinical reasoning quality. The source code is available at https://github.com/HyeongWon-Jang/TRIAGE .
Discounted Beta--Bernoulli Reward Estimation for Sample-Efficient Reinforcement Learning with Verifiable Rewards
Reinforcement learning with verifiable rewards (RLVR) has emerged as an effective post-training paradigm for improving the reasoning capabilities of large language models. However, existing group-based RLVR methods often suffer from severe sample inefficiency. This inefficiency stems from reliance on point estimation of rewards from a small number of rollouts, leading to high estimation variance, variance collapse, and ineffective utilization of generated responses. In this work, we reformulate RLVR from a statistical estimation perspective by modeling rewards as samples drawn from a policy-induced distribution and casting advantage computation as the problem of estimating the reward distribution from finite data. Building on this view, we propose Discounted Beta--Bernoulli (DBB) reward estimation, which leverages historical reward statistics for the non-stationary distribution. Although biased, the resulting estimator exhibits reduced and stable variance, theoretically avoids estimated variance collapse, and achieves lower mean squared error than standard point estimation. Extensive experiments across six in-distribution and three out-of-distribution reasoning benchmarks demonstrate that GRPO with DBB consistently outperforms naive GRPO, achieving average Acc@8 improvements of 3.22/2.42 points in-distribution and 12.49/6.92 points out-of-distribution on the 1.7B and 8B models, respectively, without additional computational cost or memory usage.