Recent multimodal large language models have shown great promise in clinical image reasoning, but existing post-training pipelines remain predominantly outcome-centric, relying on final answer correctness or sequence-level preferences. This approach suffers from sparse credit assignment, making it difficult to optimize the internal reasoning process essential for clinical applications. Our analysis reveals that cascading errors from early-stage reasoning failures are a leading cause of incorrect predictions in medical visual question answering (VQA) benchmarks. Motivated by this, we propose Medical Reasoning-aware Policy Optimization(MRPO), an RL algorithm that incorporates step-wise process rewards. When the final answer is incorrect, MRPO assigns exponentially larger penalties to tokens in earlier invalid reasoning steps, breaking failure cascades without compromising successful paths. Across three multimodal LLM backbones, MRPO consistently outperforms standard GRPO and a recent RL baseline, and on Qwen3-VL-8B-Instruct even outperforms substantially larger medical MLLMs such as HuatuoGPT-Vision-34B by 2.79 points. Moreover, MRPO reduces early-stage reasoning failures from 64.0% to 13.0%, demonstrating that targeted mitigation of cascading failures improves both reasoning quality and final answer accuracy.

While the ability of language models to elicit facts has been widely investigated, how they handle temporally changing facts remains underexplored. We discover Temporal Heads, specific attention heads that primarily handle temporal knowledge, through circuit analysis. We confirm that these heads are present across multiple models, though their specific locations may vary, and their responses differ depending on the type of knowledge and its corresponding years. Disabling these heads degrades the model’s ability to recall time-specific knowledge while maintaining its general capabilities without compromising time-invariant and question-answering performances. Moreover, the heads are activated not only numeric conditions (“In 2004”) but also textual aliases (“In the year ...”), indicating that they encode a temporal dimension beyond simple numerical representation. Furthermore, we expand the potential of our findings by demonstrating how temporal knowledge can be edited by adjusting the values of these heads.

Retrieval-augmented generation supports language models to strengthen their factual groundings by providing external contexts. However, language models often face challenges when given extensive information, diminishing their effectiveness in solving questions. Context compression tackles this issue by filtering out irrelevant information, but current methods still struggle in realistic scenarios where crucial information cannot be captured with a single-step approach. To overcome this limitation, we introduce CompAct, a novel framework that employs an active strategy to condense extensive documents without losing key information. Our experiments demonstrate that CompAct brings significant improvements in both performance and compression rate on multi-hop question-answering benchmarks. CompAct flexibly operates as a cost-efficient plug-in module with various off-the-shelf retrievers or readers, achieving exceptionally high compression rates (47x).

The recent outbreak of the novel coronavirus is wreaking havoc on the world and researchers are struggling to effectively combat it. One reason why the fight is difficult is due to the lack of information and knowledge. In this work, we outline our effort to contribute to shrinking this knowledge vacuum by creating covidAsk, a question answering (QA) system that combines biomedical text mining and QA techniques to provide answers to questions in real-time. Our system also leverages information retrieval (IR) approaches to provide entity-level answers that are complementary to QA models. Evaluation of covidAsk is carried out by using a manually created dataset called COVID-19 Questions which is based on information from various sources, including the CDC and the WHO. We hope our system will be able to aid researchers in their search for knowledge and information not only for COVID-19, but for future pandemics as well.