Multi-modal learning combining medical images and clinical text is promising for disease diagnosis. However, standard multi-modal training leads to shortcut learning: models exploit the easier modality (e.g., diagnostic cues in text) while neglecting harder-to-learn features (e.g., subtle visual patterns). We propose UniMod, a framework that mitigates shortcut learning by requiring each modality to predict the diagnosis on its own. It supervises image-only, text-only, and multi-modal classification simultaneously, so each modality must extract diagnostic features. We add cross-modality alignment for knowledge transfer and within-modality supervised contrastive alignment over same-diagnosis patients. On Harvard-Glaucoma, UniMod reaches 0.850 AUC, outperforming OGM-GE and Gradient Blending by 1.6-1.8%; on CheXpert Plus, it reaches 0.966 AUC, surpassing them by over 5%. UniMod also extends to 5-class multi-label diagnosis without architectural change, improving mean AUC by 0.097 over CGGM.
Human visual reasoning typically follows a coarse-to-fine attention process, starting from global scene understanding and gradually focusing on question-relevant regions. However, multimodal large language models may deviate from this pattern due to attention drift and the underutilization of visual evidence, which can lead to hallucinations. To mitigate these issues, this study proposes a Dual-Indicator Guided Contrastive Alignment (DICA), which tracks two information-theoretic indicators during inference: Visual Attention Entropy (VAE), which reflects the concentration of visual attention, and Output Image Correlation (OIC), which measures the dependence of generated outputs on the visual input. An abnormal increase in VAE or a decrease in OIC corresponds to different failure modes, which trigger targeted contrastive alignment to restore visual grounding. Experimental results across multiple benchmarks demonstrate that DICA consistently outperforms existing approaches and substantially reduces hallucinations, highlighting the effectiveness of indicator-driven intervention in improving multimodal inference reliability. The code is publicly available at https://github.com/BGWH123/DICA/.