CDPR: Counterfactual Advantage-based Credit Assignment for Cost-Aware Sequential Medical Diagnosis

Abstract

arXiv:2608.28599v1 Announce Type: new Abstract: Clinical diagnosis is a step-by-step, cost-aware process: a physician orders examinations one at a time, observes the results, and updates the diagnosis before reaching a final conclusion. Most medical language models instead treat diagnosis as a one-pass classification task and ignore the trade-off between a test's value and its cost. We model diagnosis as a cost-aware sequential decision process and train the policy with reinforcement learning. T