Yuetian Du, Yucheng Wang, Zhenyuan Chen +9cs.CV cs.AI
Reinforcement Fine-Tuning (RFT) has enabled medical Multimodal Large Language Models (MLLMs) to produce Chain-of-Thought (CoT) reasoning for visual question answering, yet these models suffer from $\textit{confidence miscalibration}$---a systematic gap between expressed certainty and actual diagnostic accuracy that undermines clinical trust. We propose $\textbf{CARE}$, a $\textbf{C}$onfidence-$\textbf{A}$ware medical $\textbf{RE}$asoning framework that jointly optimizes accuracy and calibration through a dual-stage pipeline. First, a scalable Medical-CoT synthesis provides structured cold-start data for Supervised Fine-Tuning. Second, Group Relative Policy Optimization (GRPO) with a novel $\textbf{Confidence-Aware Reward (CAR)}$ mechanism ties the model's confidence to diagnostic correctness within the reward signal. Across three Medical VQA benchmarks, $\textbf{CARE}$ achieves the highest diagnostic accuracy while obtaining the lowest Expected Calibration Error and Hallucination Rate, establishing a foundation for trustworthy clinical decision support. Our code is available at https://github.com/anotherbricki/CARE.
Vision-language models (VLMs) are increasingly deployed on consumer hardware where input images are degraded by compression, camera shake, and poor lighting. In such settings, a reliable uncertainty signal matters more than raw accuracy, because it determines when a system should defer rather than answer. We evaluate two small open-weight VLMs -- Qwen2-VL-2B-Instruct and SmolVLM-Instruct -- across six realistic photographic degradations at three severity levels, comparing two confidence signals: the confidence the model states in natural language, and the model's own mean token probability over its generated answer. Across 3,800 predictions, we find a large and consistent gap. Verbalized confidence in Qwen2-VL is almost constant (mean 0.87-0.90 across all conditions) and detects its own errors at chance level (AUROC 0.39-0.75, typically ~0.50), while internal token probability from the same model separates correct from incorrect answers with AUROC 0.92-0.99. In SmolVLM, verbalized confidence proved largely unobtainable: across three prompt templates, only one of five pilot attempts produced a parseable confidence value, while internal probability again yielded above-chance error detection (AUROC 0.54-0.92). Both models fail in the same place: under severe underexposure, accuracy collapses (0.99->0.22 for Qwen2-VL, 0.97->0.42 for SmolVLM) while both confidence signals barely move, and internal error-detection falls to chance. We conclude that small VLMs encode usable self-knowledge that their verbalized output does not express, that internal probability is therefore the better deferral signal in constrained deployment, and that neither signal should be trusted under severe low-light conditions.
We present our submission to the QANTA 2026 shared challenge at the ICML 2026 Workshop on Efficient Multimodal Question Answering (EMM-QA). Quanta evaluates multimodal quizbowl systems that answer pyramid-style questions from incrementally revealed text and accompanying images while operating under realistic efficiency constraints. The challenge consists of two distinct tasks: Tossup questions, which require deciding when to answer under uncertainty, and Bonus questions, which emphasize accurate answer selection and human adoption. To address these differing objectives, we develop a task-specific two-agent architecture. Our Tossup agent utilizes a GPT-4o-mini-class model (referred to as GPT-4.1-mini in the competition logs) with confidence-calibrated answering and a domain-specific numeric reasoning policy that reduces overconfident predictions from isolated quantitative clues. Our Bonus agent uses GPT-4o-class model (referred to as GPT-4.1) with leadin-aware reasoning, structured relational reasoning, and multimodal evidence integration to improve exact answer selection. Rather than relying on a retrieval pipeline or model ensembles, our approach emphasizes efficient reasoning policies and confidence calibration within a hosted-only environment. Our system achieved the highest overall leaderboard score of 0.402, including a Tossup score of 0.238 and a Bonus Effect score of 0.164. The results demonstrate that lightweight, task-specific reasoning strategies can provide strong performance on resource-constrained multimodal question answering benchmarks.
Video reasoning language models implicitly assume that every input frame is equally reliable. This leads to what we term the Blind Trust Problem: under realistic perturbations such as motion blur, glare, or occlusion, frontier video reasoning models can suffer 15-30%p accuracy drops on real-world embodied benchmarks, while remaining unaware that their visual evidence has been degraded. To address this challenge, we propose Robust-TO, an agentic video understanding framework that explicitly integrates per-frame trustworthiness into every stage of reasoning. Robust-TO organizes heterogeneous visual perception tools under a unified evidence interface. Each tool receives a sub-query derived from the original question and a set of trustworthy frames selected by the reliability-relevance score. It returns evidence in a shared format: a concrete prediction (e.g., a bounding box, motion trajectory, recognized text, or action label), temporal grounding, and a calibrated reliability score. During reasoning, these calibrated scores guide evidence weighting in a three-tier synthesis process (high/medium/low) and define a confidence-cost GRPO reward that jointly optimizes correctness, evidence reliability, and efficiency. On two video reasoning benchmarks spanning eight tasks, Robust-TO achieves 56.4% average accuracy on clean inputs, surpassing the strongest open-source baseline by 10.6%p and outperforming Gemini-2.5-Pro (46.2%). Under five realistic corruption types, Robust-TO maintains 54.3% average accuracy, 5.8%p above the strongest open-source baseline, while exhibiting the smallest clean-to-corrupted accuracy drop among all compared methods.