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Privileged Counterfactual Question Credit (PCQC), which uses privileged patient information during training to learn from questions never asked, is introduced, which achieves 63.10% mean diagnostic accuracy, outperforming GRPO and ATPO by 4.38 and 4.21 percentage points, respectively.
Expected-Severity-Risk (ESR) is proposed, a consequence-aware question-supervision objective that values each candidate by its expected reduction in severity-aware terminal risk, and its results support moving proactive medical dialogue beyond uncertainty reduction toward consequence-aware evidence acquisition.
PASK (Parser-Aware Structural KV Persistence), which turns parser-derived structure into layer-group-specific KV persistence decisions by using task-error sensitivity to set minimum protection floors and attention-output distortion to allocate residual KV capacity.
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