MedCalc-R1: Knowledge-Guided Reward Framework for Medical Mathematical Reasoning
Authors: Haotian Wang, Lian Yan, Xingzhi Yao, Fanshu Meng, Ye He, Jingchi Jiang, Yi Guan
Organizations: Harbin Institute of Technology
Abstract
In Reinforcement Learning with Verifiable Rewards (RLVR) frameworks for mathematical reasoning tasks, floating-point results are typically evaluated using a tolerance-based reward. However, this strategy suffers from challenges such as difficulty in threshold calibration, unstable training dynamics, and limited accuracy, especially in clinical scenarios. To address these limitations, we propose a knowledge-guided hybrid reward framework (\textsc{MedCalc-R1}). Specifically, we introduce a knowledge verification reward mechanism that enforces explicit generation of computational formulas, which are further validated by an external verifier to enhance interpretability and reasoning reliability. Furthermore, we design a hybrid soft-hard reward scheme combining a hard constraint based on clinical safety thresholds with a soft, precision-sensitive reward that progressively guides learning within the acceptable range. Experimental results demonstrate that our method significantly outperforms existing baselines in both reasoning accuracy and generalization capability, validating the effectiveness and applicability in safety-critical domains.
Reinforcement Learning from Verifiable Rewards (RLVR) has become the dominant approach for improving mathematical reasoning in large language models, yet current methods reduce each correct rollout to a single reward bit, ignoring the geometric structure shared among their hidden states. Investigating this structure, we find that at the anchor token (the position immediately before the answer marker), correct rollouts converge naturally because they must produce the same answer (cosine similarity ~0.84), yet each retains residual variance from its unique reasoning path. Encouraging full alignment at this point pushes the model to extract a unified "correct decision" representation, reducing sensitivity to which reasoning path was taken. Based on this observation, we propose Hidden-Align, an auxiliary loss function that aligns the last-layer hidden states of correct rollouts at the anchor token during RL training, with zero overhead in both training and inference. On eight mathematical reasoning benchmarks, Hidden-Align improves average pass@1 over the DAPO baseline by 3.8, 6.2, and 5.4 percentage points on Qwen3-1.7B, 4B, and 14B respectively, with consistent pass@k gains across all three scales, supported by ablations on loss type, anchor position, layer depth, and loss weight.
Reinforcement learning has emerged as an effective paradigm for enhancing the mathematical reasoning capabilities of large language models. Among existing policy optimization methods, Proximal Policy Optimization (PPO) remains particularly appealing because its learned critic can, in principle, provide token-level credit assignment. However, in mathematical reasoning tasks characterized by long reasoning horizons and sparse outcome rewards, reliable token-level credit assignment remains challenging. The standard critic often fails to accurately evaluate intermediate reasoning states, resulting in noisy advantage estimates and suboptimal policy updates. In this paper, we propose ReDiPPO, a Reference-guided and Discrepancy-aware PPO framework for mathematical reasoning. ReDiPPO introduces a reference-guided critic that uses reference answers as training-time privileged signals to provide more accurate value estimation. Meanwhile, it retains a standard critic and quantifies the token-level reference-standard discrepancy between the standard value estimate and the reference-guided value estimate. This discrepancy serves as an indicator of difficult reasoning states and is used to reweight the corresponding token-level advantages during PPO optimization. Extensive experiments on diverse mathematical reasoning benchmarks demonstrate that ReDiPPO improves value-estimation accuracy and consistently outperforms strong policy optimization baselines, including PPO, DAPO, and GSPO, in final reasoning performance. Our code is available on https://github.com/cii030/ReDiPPO.
Reinforcement learning with verifiable rewards (RLVR) has become a leading paradigm for improving the reasoning ability of large language models through outcome-based supervision. However, verifiable rewards frequently become uninformative at the group level: when all sampled traces of a given prompt receive identical rewards, group-relative advantage estimation provides no gradient signal, even though the traces may differ substantially in reasoning quality. We propose Reasoning Arena, an adaptive training framework that routes such non-diverse reward groups to a judge system instead of discarding them. Beyond examining the final answer, Reasoning Arena constructs trace tournaments, where reasoning traces are compared head-to-head to expose finer-grained preferences within the group, converting reasoning quality into rich relative reward signals. To make reward estimation efficient, rather than exhaustively comparing every pair, each new trace is evaluated against a small, dynamically updated pool of previously generated traces as anchors to efficiently establish a relative ranking. We then fit a Bradley-Terry model on the incomplete comparison graph, enabling scalable RL integration without quadratic pairwise comparisons. Empirical results demonstrate that Reasoning Arena consistently outperforms the RLVR baseline by 7.6% on average in competition mathematics and coding benchmarks. By converting otherwise wasted zero-advantage samples into useful gradient updates, our method accelerates training by 27% to 41%, saving nearly 50% of generation compute, and substantially improves overall reasoning performance.