Gen Li
Publications
PACT: Learning Diverse Diagnostic Strategies via Privileged Synthesis and Branch Consensus
Clinical diagnosis requires flexible use of multiple reasoning paradigms under incomplete patient information. Existing LLM-based medical agents show strong medical reasoning ability, but single-paradigm or naively mixed dialogue supervision makes these paradigms difficult to learn without interference. We propose \textbf{PACT} (Periodic Anchor Consensus Training), a framework that couples supervised multi-paradigm dialogue synthesis with consensus-based Branch training. At the data level, \textbf{DPS} (Doctor-Patient-Supervisor) uses complete electronic medical records (EMRs) for quality control while keeping the doctor agent restricted to patient-visible information. This produces validated dialogues under four diagnostic reasoning paradigms without leaking hidden clinical answers. At the training level, PACT trains one paradigm-specific LoRA Branch per paradigm and periodically aggregates Branches into a shared Anchor through sign consensus. We further construct a dynamic multi-turn Chinese medical diagnosis benchmark for interactive consultation. Experiments show that PACT achieves state-of-the-art performance among compared proprietary, medical-specialized, and task-adapted baselines on diagnostic outcome and consultation-process metrics.
Mosaic: Multimodal Jailbreak against Closed-Source VLMs via Multi-View Ensemble Optimization
Vision-Language Models (VLMs) are powerful but remain vulnerable to multimodal jailbreak attacks. Existing attacks mainly rely on either explicit visual prompt attacks or gradient-based adversarial optimization. While the former is easier to detect, the latter produces subtle perturbations that are less perceptible, but is usually optimized and evaluated under homogeneous open-source surrogate-target settings, leaving its effectiveness on commercial closed-source VLMs under heterogeneous settings unclear. To examine this issue, we study different surrogate-target settings and observe a consistent gap between homogeneous and heterogeneous settings, a phenomenon we term surrogate dependency. Motivated by this finding, we propose Mosaic, a Multi-view ensemble optimization framework for multimodal jailbreak against closed-source VLMs, which alleviates surrogate dependency under heterogeneous surrogate-target settings by reducing over-reliance on any single surrogate model and visual view. Specifically, Mosaic incorporates three core components: a Text-Side Transformation module, which perturbs refusal-sensitive lexical patterns; a Multi-View Image Optimization module, which updates perturbations under diverse cropped views to avoid overfitting to a single visual view; and a Surrogate Ensemble Guidance module, which aggregates optimization signals from multiple surrogate VLMs to reduce surrogate-specific bias. Extensive experiments on safety benchmarks demonstrate that Mosaic achieves state-of-the-art Attack Success Rate and Average Toxicity against commercial closed-source VLMs.