InfiMed-ORBIT: Aligning LLMs on Open-Ended Complex Tasks via Rubric-Based Incremental Training 文章

arXiv:2510.15859v5 Announce Type: replace Abstract: Reinforcement learning (RL) has powered many recent breakthroughs in large language models (LLMs), especially for tasks where rewards can be computed automatically, such as code generation. However, it is less effective in open-ended medical dialogue, where feedback is ambiguous, context-dependent, and difficult to simply summarize into a single scalar signal-often requiring heavily supervised reward models and creating risks of reward hacking. Thus, we introduce ORBIT, an open-ended rubric-based incremental training framework tailored for critical medical dialogues. ORBIT integrates medical dialogue construction with dynamically generated case-conditioned rubrics that serve as adaptive guides for incremental RL.