Abstract:The prevailing recipe for Vision-Language-Action (VLA) models couples a pretrained VLM with a separately trained flow-matching action expert. This makes the VLM a context encoder rather than a decision-maker. We introduce G0.5, a pretrained autoregressive VLA in which a single transformer decoder emits reasoning and action tokens under a single objective. Three components make this tractable at foundation-model scale: a learnable cross-embodiment action tokenizer that maps heterogeneous robot actions into a shared vocabulary; a native chain-of-thought stream interleaving task decomposition, object grounding, and action hints with action tokens; and a visual memory module that injects multi-second history through the vision encoder. Because reasoning and action share a single set of weights, the pretrained VLM's capabilities carry over to physical behavior: the model follows instructions closely, and prompts directly steer action granularity, task horizon, and out-of-distribution scene handling without further training. Pretrained on a large collection of robot datasets together with VQA samples, G0.5 surpasses state-of-the-art models across 7 independent regimes: real-world fine-tuning on R1lite and R1pro robots (76.7\% vs.\ 53.3\% for $π_{0.5}$ and 24.4\% for GR00T-N1.7), the 2025 BEHAVIOR Challenge on 50 long-horizon household mobile manipulation tasks using a generalist policy (31.4\% vs.\ 26.3\% for $π_{0.5}$ and 26.1\% for the challenge winner), DROID post-training followed by zero-shot transfer to an unseen environment and objects (82.5\%), a language-following Pick-and-Place benchmark, LIBERO (98.9\%), RoboTwin 2.0 (93.3\%), and SimplerEnv-Bridge (87.3\%).
Abstract:Large language models (LLMs) are increasingly considered for use in clinical consultation tasks, yet most medical evaluations remain static, single-turn, or narrowly outcome-based, limiting their ability to reflect the sequential, uncertain, and interactive nature of real-world care. Here, we propose AIPatient Arena, an EHRs-grounded evaluation framework for assessing the clinical utility of LLMs across eight dimensions of clinical competence. The framework integrates EHR data into patient-specific knowledge graphs, enabling multi-turn physician-patient interactions. We applied AIPatient Arena on a primary cohort of 437 patients and two out-of-distribution validation cohorts of 119 and 67 patients. We observe that LLMs performed well in medical interview questioning skills (QS; mean scores, 4.43-4.99/5), ethical and professional conduct (ET; 4.38-4.93/5), and clarity and transparency of clinical explanations (EX; 3.80-4.72/5). Performance was moderate in information integration (II; 3.19-4.21/5) and medication safety and justification (MS; 3.13-3.78/5), but persistent weaknesses were observed in handling of ambiguous patient responses (HR; 2.57-3.32/5), information coverage (IC; 2.08-3.02/5), and diagnostic accuracy and reasoning (Dx; 2.63-3.55/5). Process-based evaluation revealed recurrent interaction failures, including repetitive questioning, omission of past medical history, and inadequate handling of uncertainty. Richer conversational context improved diagnostic reasoning but yielded limited gains in treatment planning. These findings indicate that final-answer accuracy alone is insufficient for evaluating clinical readiness and highlight the importance of assessing how models gather, interpret, and communicate information throughout a consultation. AIPatient Arena provides an EHR-grounded framework for workflow-oriented pre-deployment evaluation of medical LLMs.
Abstract:Diffusion-based vision-language-action models (dVLAs) are promising for embodied intelligence but are fundamentally limited in real-time deployment by the high latency of full inference. We propose Realtime-VLA FLASH, a speculative inference framework that eliminates most full inference calls during replanning by introducing a lightweight draft model with parallel verification via the main model's Action Expert and a phase-aware fallback mechanism that reverts to the full inference pipeline when needed. This design enables low-latency, high-frequency replanning without sacrificing reliability. Experiments show that on LIBERO, FLASH largely preserves task performance by replacing many 58.0 ms full-inference rounds with speculative rounds as fast as 7.8 ms, lowering task-level average inference latency to 19.1 ms (3.04x speedup). We additionally demonstrate effectiveness on real-world conveyor-belt sorting, highlighting its practical impact for latency-critical embodied tasks.
Abstract:Moving beyond the traditional paradigm of adapting internet-pretrained models to physical tasks, we present DM0, an Embodied-Native Vision-Language-Action (VLA) framework designed for Physical AI. Unlike approaches that treat physical grounding as a fine-tuning afterthought, DM0 unifies embodied manipulation and navigation by learning from heterogeneous data sources from the onset. Our methodology follows a comprehensive three-stage pipeline: Pretraining, Mid-Training, and Post-Training. First, we conduct large-scale unified pretraining on the Vision-Language Model (VLM) using diverse corpora--seamlessly integrating web text, autonomous driving scenarios, and embodied interaction logs-to jointly acquire semantic knowledge and physical priors. Subsequently, we build a flow-matching action expert atop the VLM. To reconcile high-level reasoning with low-level control, DM0 employs a hybrid training strategy: for embodied data, gradients from the action expert are not backpropagated to the VLM to preserve generalized representations, while the VLM remains trainable on non-embodied data. Furthermore, we introduce an Embodied Spatial Scaffolding strategy to construct spatial Chain-of-Thought (CoT) reasoning, effectively constraining the action solution space. Experiments on the RoboChallenge benchmark demonstrate that DM0 achieves state-of-the-art performance in both Specialist and Generalist settings on Table30.