Skip to main content

tt-opd-medical-agent-training

Turn-level Truncated On-Policy Distillation (TT-OPD) methodology for training multi-turn medical AI agents via reinforcement learning. Addresses multi-turn collapse, response length explosion, and tool-use erosion in clinical dialogue. Use when training medical AI agents, RL-based dialogue systems, or multi-turn agentic systems where sparse terminal rewards cause training instability.

Jump to install

Source facts

Repository
hiyenwong/ai_collection
Last source activity
June 4, 2026 at 13:32
Detected SKILL.md language
English
Stars
2
Forks
0

Install options

The review-first prompt is selected by default. You can switch to a direct command or download a local copy.

Review the source files

Read SKILL.md and any companion files shown by SkillsMP before deciding whether to install.

Showing SKILL.md

SKILL.md
Source instructions · Read-only preview
name
tt-opd-medical-agent-training
description
Turn-level Truncated On-Policy Distillation (TT-OPD) methodology for training multi-turn medical AI agents via reinforcement learning. Addresses multi-turn collapse, response length explosion, and tool-use erosion in clinical dialogue. Use when training medical AI agents, RL-based dialogue systems, or multi-turn agentic systems where sparse terminal rewards cause training instability.
# TT-OPD: Turn-level Truncated On-Policy Distillation ## Problem Multi-turn agentic structures in RL training collapse into verbose single-turn monologues, with response length explosion and tool-use frequency erosion. Root cause: misalignment between sparse terminal rewards and sequential clinical trajectories. ## Core Mechanism ### Self-Distillation Architecture 1. Maintain a teacher model updated via gradient-free EMA (Exponential Moving Average) 2. Apply dense, outcome-aware KL regularization at every conversation turn 3. Leverage outcome-privileged information unavailable at inference time ### Key Steps 1. Initialize student and teacher models from same base 2. For each turn in multi-turn dialogue: - Compute turn-level reward signal (not just terminal) - Apply KL divergence between student output and teacher output - Weight KL by outcome quality (privileged signal) - Update student; update teacher via EMA of student weights 3. Monitor tool-use frequency as stability metric ## When to Use - Training multi-turn dialogue agents with RL - Clinical/medical AI agent training environments - Any agentic system where GRPO/vanilla RL causes length explosion - Systems requiring sustained tool-use across conversation turns ## Pitfalls - Vanilla GRPO achieves strong final accuracy but suffers training instability - Monitor response length oscillations as early warning of collapse - Outcome-privileged information must be available during training only - EMA update rate critically affects convergence speed ## Verification - Tool-use frequency should remain stable across training - Response length should not monotonically increase - Performance on held-out benchmarks should improve steadily
View on GitHub