Zhichao Yang
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.
Fast and Effective On-policy Distillation from Reasoning Prefixes
On-policy distillation (OPD), which samples trajectories from the student model and supervises them with a teacher at the token level, avoids relying solely on verifiable terminal rewards and can yield better generalization than off-policy distillation. However, OPD requires expensive on-the-fly sampling of the student policy during training, which substantially increases training cost, especially for long responses. Our initial analysis shows that, during OPD, training signals are often concentrated in the prefix of each output, and that even a short teacher-generated prefix can significantly help the student produce the correct answer. Motivated by these observations, we propose a simple yet effective modification of OPD: we apply the distillation objective only to prefixes of student-generated outputs and terminate each sampling early during distillation. Experiments on a suite of AI-for-Math and out-of-domain benchmarks show that on-policy prefix distillation matches the performance of full OPD while reducing training FLOP by 2x-47x.
Health-SCORE: Towards Scalable Rubrics for Improving Health-LLMs
Rubrics are essential for evaluating open-ended LLM responses, especially in safety-critical domains such as healthcare. However, creating high-quality and domain-specific rubrics typically requires significant human expertise time and development cost, making rubric-based evaluation and training difficult to scale. In this work, we introduce Health-SCORE, a generalizable and scalable rubric-based training and evaluation framework that substantially reduces rubric development costs without sacrificing performance. We show that Health-SCORE provides two practical benefits beyond standalone evaluation: it can be used as a structured reward signal to guide reinforcement learning with safety-aware supervision, and it can be incorporated directly into prompts to improve response quality through in-context learning. Across open-ended healthcare tasks, Health-SCORE achieves evaluation quality comparable to human-created rubrics while significantly lowering development effort, making rubric-based evaluation and training more scalable.