Process-Supervised Multi-Agent Reinforcement Learning for Reliable Clinical Reasoning

Clinical decision-making requires nuanced reasoning over heterogeneous evidence and traceable justifications. While recent LLM multi-agent systems (MAS) show promise, they largely optimise for outcome accuracy while overlooking process-grounded reasoning aligned with clinical standards. One critical real-world case of this is gene-disease validity curation, where experts must determine whether a gene is causally implicated in a disease by synthesising diverse biomedical evidence. We introduce an agent-as-tool reinforcement learning framework for this task with two objectives: (i) process-level supervision to ensure reasoning follows valid clinical pathways, and (ii) efficient coordination via a hierarchical multi-agent system. Our evaluation on the ClinGen dataset shows that with outcome-only rewards, MAS with a GRPO-trained Qwen3-4B supervisor agent substantially improves final outcome accuracy from 0.195 with a base model supervisor to 0.732, but results in poor process alignment (0.392 F1). Conversely, with process + outcome rewards, MAS with GRPO-trained supervisor achieves higher outcome accuracy (0.750) while significantly improving process fidelity to 0.520 F1. Our code is available at https://github.com/chaeeunlee-io/GeneDiseaseCurationAgents.

K-EXAONE Technical Report

This technical report presents K-EXAONE, a large-scale multilingual language model developed by LG AI Research. K-EXAONE is built on a Mixture-of-Experts architecture with 236B total parameters, activating 23B parameters during inference. It supports a 256K-token context window and covers six languages: Korean, English, Spanish, German, Japanese, and Vietnamese. We evaluate K-EXAONE on a comprehensive benchmark suite spanning reasoning, agentic, general, Korean, and multilingual abilities. Across these evaluations, K-EXAONE demonstrates performance comparable to open-weight models of similar size. K-EXAONE, designed to advance AI for a better life, is positioned as a powerful proprietary AI foundation model for a wide range of industrial and research applications.

Edinburgh Clinical NLP at MEDIQA-CORR 2024: Guiding Large Language Models with Hints

The MEDIQA-CORR 2024 shared task aims to assess the ability of Large Language Models (LLMs) to identify and correct medical errors in clinical notes. In this study, we evaluate the capability of general LLMs, specifically GPT-3.5 and GPT-4, to identify and correct medical errors with multiple prompting strategies. Recognising the limitation of LLMs in generating accurate corrections only via prompting strategies, we propose incorporating error-span predictions from a smaller, fine-tuned model in two ways: 1) by presenting it as a hint in the prompt and 2) by framing it as multiple-choice questions from which the LLM can choose the best correction. We found that our proposed prompting strategies significantly improve the LLM's ability to generate corrections. Our best-performing solution with 8-shot + CoT + hints ranked sixth in the shared task leaderboard. Additionally, our comprehensive analyses show the impact of the location of the error sentence, the prompted role, and the position of the multiple-choice option on the accuracy of the LLM. This prompts further questions about the readiness of LLM to be implemented in real-world clinical settings.