The standard post-training recipe for large reasoning models, supervised fine-tuning followed by reinforcement learning (SFT-then-RL), may limit the benefits of the RL stage: while SFT imitates expert demonstrations, it often causes overconfidence and reduces generation diversity, leaving RL with a narrowed solution space to explore. Adding entropy regularization during SFT is not a cure-all; it tends to flatten token distributions toward uniformity, increasing entropy without improving meaningful exploration capability. In this paper, we propose CurioSFT, an entropy-preserving SFT method designed to enhance exploration capabilities through intrinsic curiosity. It consists of (a) Self-Exploratory Distillation, which distills the model toward a self-generated, temperature-scaled teacher to encourage exploration within its capability; and (b) Entropy-Guided Temperature Selection, which adaptively adjusts distillation strength to mitigate knowledge forgetting by amplifying exploration at reasoning tokens while stabilizing factual tokens. Extensive experiments on mathematical reasoning tasks demonstrate that, in SFT stage, CurioSFT outperforms the vanilla SFT by 2.5 points on in-distribution tasks and 2.9 points on out-of-distribution tasks. We also verify that exploration capabilities preserved during SFT successfully translate into concrete gains in RL stage, yielding an average improvement of 5.0 points. Code is available at https://github.com/HaoooWang/CurioSFT.

While large language models show promise in medical applications, achieving expert-level clinical reasoning efficiently remains challenging due to the need for massive amounts of manually labeled data and large-scale models. To address this challenge, we propose Clinical-Oriented Reinforcement Learning (CORL), the first fully open-source, end-to-end reinforcement learning training pipeline in the clinical reasoning domain, incorporating a Reasoning-Oriented Data Strategy (RODS) based on topological synthesis, CoT cold-start, and two-stage reinforcement learning. Through CORL, we trained the Fleming-R1 series of models. Among them, Fleming-R1-7B significantly outperforms models of comparable size while approaching or even surpassing certain 32B and 72B models. Fleming-R1-32B achieves near-parity with GPT-4o and outperforms the strongest open-source alternatives up to 671B in MedXpertQA. This demonstrates that in clinical reasoning field, a meticulously designed training pipeline holds greater importance than scaling model size alone. Data and Models are available at https://github.com/UbiquantAI/Fleming-R1 and https://huggingface.co/collections/IQuestLab/fleming.