arXiv:2601.18496cs.AI2026-01ACL被引 5

让医疗大模型更准地找证据、做判断,避免乱用工具和重复搜索。

DEEPMED: Building a Medical DeepResearch Agent via Multi-hop Med-Search Data and Turn-Controlled Agentic Training & Inference

论文配图:DEEPMED: Building a Medical DeepResearch Agent via Multi-hop Med-Search Data and Turn-Controlled Agentic Training & Inference
图 1 · 摘自论文原文
  • 用多跳医学搜索数据训练,让模型学会在临床语境中查找并理解证据。
  • 引入惩罚机制控制工具调用次数,减少噪声干扰,平均提升9.79%准确率。
  • 适合医疗智能问答、临床决策支持系统等需要可靠推理的场景。

医疗推理模型受限于参数化知识,易遗忘或幻觉。深度研究(DeepResearch, DR)模型依赖可验证证据,在通用领域表现优异,但直接用于医疗领域提升有限。原因在于任务特性和工具使用扩展性不足:医疗问题需在知识密集的临床背景下解读证据,而通用DR模型虽能检索信息,却缺乏临床推理能力,导致‘找到但用不了’;此外,盲目增加工具调用会引入噪声上下文,引发敏感医疗推理中断及重复错误路径搜索。为此,我们提出DeepMed。数据层面,采用多跳医学搜索问答合成方法,支持DR范式在医疗场景落地;训练层面,引入难度感知的回合惩罚机制,抑制工具调用过度增长;推理层面,引入监控器,在有限步数内验证假设,防止上下文腐化。在七个医疗基准测试中,DeepMed相比基线模型平均提升9.79%,优于更大规模的医疗推理与深度研究模型。

原文摘要 · Abstract (English)

Medical reasoning models remain constrained by parametric knowledge and are thus susceptible to forgetting and hallucinations. DeepResearch (DR) models ground outputs in verifiable evidence from tools and perform strongly in general domains, but their direct transfer to medical field yields relatively limited gains. We attribute this to two gaps: task characteristic and tool-use scaling. Medical questions require evidence interpretation in a knowledge-intensive clinical context; while general DR models can retrieve information, they often lack clinical-context reasoning and thus "find it but fail to use it," leaving performance limited by medical abilities. Moreover, in medical scenarios, blindly scaling tool-call can inject noisy context, derailing sensitive medical reasoning and prompting repetitive evidence-seeking along incorrect paths. Therefore, we propose DeepMed. For data, we deploy a multi-hop med-search QA synthesis method supporting the model to apply the DR paradigm in medical contexts. For training, we introduce a difficulty-aware turn-penalty to suppress excessive tool-call growth. For inference, we bring a monitor to help validate hypotheses within a controlled number of steps and avoid context rot. Overall, on seven medical benchmarks, DeepMed improves its base model by 9.79\% on average and outperforms larger medical reasoning and DR models.

医疗AI深度研究工具调用推理优化

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