Performative prediction aims to model scenarios where predictive outcomes subsequently influence the very systems they target.

Clinical decision-making routinely demands reasoning over heterogeneous data, yet existing multimodal language models (MLLMs) remain largely vision-centric and fail to generalize across clinical specialties. To bridge this gap, we introduce QoQ-Med-7B/32B, the first open generalist clinical foundation model that jointly reasons across medical images, time-series signals, and text reports. QoQ-Med is trained with Domain-aware Relative Policy Optimization (DRPO), a novel reinforcement-learning objective that hierarchically scales normalized rewards according to domain rarity and modality difficulty, mitigating performance imbalance caused by skewed clinical data distributions. Trained on 2.61 million instruction tuning pairs spanning 9 clinical domains, we show that DRPO training boosts diagnostic performance by 43% in macro-F1 on average across all visual domains as compared to other critic-free training methods like GRPO. Furthermore, with QoQ-Med trained on intensive segmentation data, it is able to highlight salient regions related to the diagnosis, with an IoU 10x higher than open models while reaching the performance of OpenAI o4-mini. To foster reproducibility and downstream research, we release (i) the full model weights, (ii) the modular training pipeline, and (iii) all intermediate reasoning traces at https://github.com/DDVD233/QoQ_Med.

Performative prediction aims to model scenarios where predictive outcomes subsequently influence the very systems they target.

Recent large reasoning models (LRMs) driven by reinforcement learning algorithms (e.g., GRPO) have achieved remarkable performance on challenging reasoning tasks. However, these models suffer from overthinking, generating unnecessarily long and redundant reasoning even for simple questions, which substantially increases computational cost and response latency. While existing methods incorporate length rewards to GRPO to promote concise reasoning, they incur significant performance degradation. We identify the root cause: when rewards for correct but long rollouts are penalized, GRPO's group-relative advantage function can assign them negative advantages, actively discouraging valid reasoning. To overcome this, we propose Decoupled Reward Policy Optimization (DRPO), a novel framework that decouples the length-based learning signal of correct rollouts from incorrect ones. DRPO ensures that reward signals for correct rollouts are normalized solely within the positive group, shielding them from interference by negative samples. The DRPO's objective is grounded in integrating an optimized positive data distribution, which maximizes length-based rewards under a KL regularization, into a discriminative objective. We derive a closed-form solution for this distribution, enabling efficient computation of the objective and its gradients using only on-policy data and importance weighting. Of independent interest, this formulation is general and can incorporate other preference rewards of positive data beyond length. Experiments on mathematical reasoning tasks demonstrate DRPO's significant superiority over six efficient reasoning baselines. Notably, with a 1.5B model, our method achieves 77\% length reduction with only 1.1\% performance loss on simple questions like GSM8k dataset, while the follow-up baseline sacrifices 4.3\% for 68\% length reduction.

Performative prediction aims to model scenarios where predictive outcomes subsequently influence the very systems they target. The pursuit of a performative optimum (PO)--minimizing performative risk--is generally reliant on modeling of the distribution map, which characterizes how a deployed ML model alters the data distribution. Unfortunately, inevitable misspecification of the distribution map can lead to a poor approximation of the true PO. To address this issue, we introduce a novel framework of distributionally robust performative prediction and study a new solution concept termed as distributionally robust performative optimum (DRPO). We show provable guarantees for DRPO as a robust approximation to the true PO when the nominal distribution map is different from the actual one.

Performative prediction aims to model scenarios where predictive outcomes subsequently influence the very systems they target. The pursuit of a performative optimum (PO) -- minimizing performative risk -- is generally reliant on modeling of the distribution map, which characterizes how a deployed ML model alters the data distribution. Unfortunately, inevitable misspecification of the distribution map can lead to a poor approximation of the true PO. To address this issue, we introduce a novel framework of distributionally robust performative prediction and study a new solution concept termed as distributionally robust performative optimum (DRPO). We show provable guarantees for DRPO as a robust approximation to the true PO when the nominal distribution map is different from the actual one. Moreover, distributionally robust performative prediction can be reformulated as an augmented performative prediction problem, enabling efficient optimization. The experimental results demonstrate that DRPO offers potential advantages over traditional PO approach when the distribution map is misspecified at either micro- or macro-level.

Aligning Large Language Models (LLMs) traditionally relies on costly training and human preference annotations. Self-alignment seeks to reduce these expenses by enabling models to align themselves. To further lower costs and achieve alignment without any expensive tuning or annotations, we introduce a new tuning-free approach for self-alignment, Dynamic Rewarding with Prompt Optimization (DRPO). Our approach leverages a search-based optimization framework that allows LLMs to iteratively self-improve and craft the optimal alignment instructions, all without additional training or human intervention. The core of DRPO is a dynamic rewarding mechanism, which identifies and rectifies model-specific alignment weaknesses, allowing LLMs to adapt efficiently to diverse alignment challenges. Empirical evaluations on eight recent LLMs, both open- and closed-sourced, demonstrate that DRPO significantly enhances alignment performance, with base models outperforming their SFT/RLHF-tuned counterparts. Moreover, the prompts automatically optimized by DRPO surpass those curated by human experts, further validating the effectiveness of our approach. Our findings highlight the great potential of current LLMs to achieve adaptive self-alignment through inference-time optimization, complementing tuning-based alignment methods.

Federated Reinforcement Learning (FRL) has been deemed as a promising solution for intelligent decision-making in the era of Artificial Internet of Things. However, existing FRL approaches often entail repeated interactions with the environment during local updating, which can be prohibitively expensive or even infeasible in many real-world domains. To overcome this challenge, this paper proposes a novel offline federated policy optimization algorithm, named $\texttt{DRPO}$, which enables distributed agents to collaboratively learn a decision policy only from private and static data without further environmental interactions. $\texttt{DRPO}$ leverages dual regularization, incorporating both the local behavioral policy and the global aggregated policy, to judiciously cope with the intrinsic two-tier distributional shifts in offline FRL. Theoretical analysis characterizes the impact of the dual regularization on performance, demonstrating that by achieving the right balance thereof, $\texttt{DRPO}$ can effectively counteract distributional shifts and ensure strict policy improvement in each federative learning round. Extensive experiments validate the significant performance gains of $\texttt{DRPO}$ over baseline methods.

Safe reinforcement learning (RL) that solves constraint-satisfactory policies provides a promising way to the broader safety-critical applications of RL in real-world problems such as robotics. Among all safe RL approaches, model-based methods reduce training time violations further due to their high sample efficiency. However, lacking safety robustness against the model uncertainties remains an issue in safe model-based RL, especially in training time safety. In this paper, we propose a distributional reachability certificate (DRC) and its Bellman equation to address model uncertainties and characterize robust persistently safe states. Furthermore, we build a safe RL framework to resolve constraints required by the DRC and its corresponding shield policy. We also devise a line search method to maintain safety and reach higher returns simultaneously while leveraging the shield policy. Comprehensive experiments on classical benchmarks such as constrained tracking and navigation indicate that the proposed algorithm achieves comparable returns with much fewer constraint violations during training.