Stabilizing Hard-Negative Preference Optimization for Medical LLMs

Kazuma Kobayashi, Yosuke Yamagishi, Ryota Shibaki, Azusa Sakai, Takashi Kodama, Lin Gu, Irene Li, Yuki Arase, Akiko Aizawa, Sadao Kurohashi


Abstract
Hard-negative preference optimization should improve support for ground-truth preferred responses while limiting drift from the reference model. In Japanese medical instruction tuning, we find that standard DPO and IPO improve the preferred–dispreferred gap but can leave preferred-response likelihood below the reference model and induce growing sequence-level KL divergence. Motivated by this failure-mode analysis, we propose a stabilized IPO objective that combines preferred-response anchoring with explicit KL control. Ablations show that positive anchoring improves preferred-response support, while KL control suppresses reference-model drift; their combination preserves anchoring gains while further reducing drift. These results suggest that reliable medical preference optimization benefits from both preferred-response anchoring and drift control.
Anthology ID:
2026.findings-emnlp.716
Volume:
Findings of the Association for Computational Linguistics: EMNLP 2026
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Hung-Yi Lee, Sunipa Dev, Jessy Li, Desmond Elliott
Venue:
Findings
SIG:
SIGDAT
Publisher:
Association for Computational Linguistics
Note:
Pages:
15038–15063
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URL:
https://aclanthology.org/2026.findings-emnlp.716/
DOI:
Bibkey:
Cite (ACL):
Kazuma Kobayashi, Yosuke Yamagishi, Ryota Shibaki, Azusa Sakai, Takashi Kodama, Lin Gu, Irene Li, Yuki Arase, Akiko Aizawa, and Sadao Kurohashi. 2026. Stabilizing Hard-Negative Preference Optimization for Medical LLMs. In Findings of the Association for Computational Linguistics: EMNLP 2026, pages 15038–15063, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Stabilizing Hard-Negative Preference Optimization for Medical LLMs (Kobayashi et al., Findings 2026)
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PDF:
https://aclanthology.org/2026.findings-emnlp.716.pdf