In hospital workflows, electronic health records (EHRs) are often noisy, and may not contain the evidence needed to confirm events or measurements referenced in a clinical query. Even when database retrieval succeeds, clinical agents can overlook such discrepancies and return plausible but unsupported answers. We intro …
Reinforcement learning with a verifiable reward (RLVR) offers a scalable approach to training language-model agents, yet sparse outcome rewards can leave early training with little signal for policy improvement. We identify an On-Policy Acceleration Phenomenon: in our main comparisons, RLVR initialized with on-policy d …
A correct diagnosis reached from insufficient or misleading evidence can pose a clinical hazard, yet outcome-based accuracy may reward such lucky guesses. We call this mismatch between diagnostic decisions and the value of available evidence Evidence-Value Misalignment (EVM). To disentangle evidential grounding indepen …