arXiv:2607. 27304v1 Announce Type: new Abstract: Medical vision-language models (VLMs) generate chain-of-thought (CoT) reasoning before answering clinical questions, but whether this reasoning causally influences predictions remains unclear.
arXiv:2604. 14888v3 Announce Type: replace-cross Abstract: Recent advances in vision language models (VLMs) offer reasoning capabilities, yet how these unfold and integrate visual and textual information remains unclear.
arXiv:2607. 16303v1 Announce Type: cross Abstract: Medical Vision-Language Models (Med-VLMs) require reliable reasoning from fine-grained visual evidence, yet existing models can produce plausible clinical answers by relying on language priors or medical templates rather than truly attending to diagnosis-critical regions.
The paper introduces MedTraj, a framework that constructs, evaluates, and optimizes multi‑step reasoning trajectories for medical AI agents. It parses each trajectory into observations, evidence, numbered steps, and a conclusion, scoring them on coherence, evidence support, hallucination, completeness, and traceability. Experiments on CareQA, PubMedQA, and CECMed show that incorporating quality‑weighted trajectory context improves reasoning coherence and correctness while significantly reducing hallucinations.
arXiv:2608.28623v1 Announce Type: cross Abstract: Large multimodal reasoning models (LMRMs) are getting increasingly capable, primarily through generating explicit chain-of-thought reasoning before a...
arXiv:2608.28623v2 Announce Type: replace-cross Abstract: Large multimodal reasoning models (LMRMs) are increasingly capable, largely through generating explicit chain-of-thought reasoning before ans...
The paper investigates how misleading context—specifically fabricated evidence and bare assertions—affects large language models’ medical question‑answering performance. Experiments on MedMisBench show that models are more prone to adopt answers based on assertions than fabricated evidence, and that these misleading cues are often disclosed in reasoning traces but rarely in final responses. A monitor that reads open reasoning traces can detect most corrupted decisions, whereas monitoring only responses is less effective.
arXiv:2608.01017v2 Announce Type: replace-cross Abstract: Large language models can answer a medical question correctly and still abandon that answer when a user pushes back. We study this failure as...
The paper introduces Gated Activation Steering, an inference-time intervention that jointly mitigates hallucination and sycophancy in medical question answering. By learning separate steering directions from contrastive clinical pairs and applying them to specific attention heads, the method uses behavior‑specific gates to intervene only when needed. Experiments on EHR‑based clinical questions show that the 4‑billion‑parameter model with gated steering outperforms its unsteered counterpart and rivals larger models in resisting user pressure.
arXiv:2607. 29062v1 Announce Type: new Abstract: Model capabilities have improved in large part due to scaling chain of thought.
arXiv:2603. 05167v2 Announce Type: replace-cross Abstract: Large language models (LLMs) are increasingly used as judges of chain-of-thought (CoT) reasoning, yet it remains unclear whether they can reliably assess process faithfulness rather than merely answer plausibility.
LiteMedCoT-VL is a parameter‑efficient pipeline that transfers chain‑of‑thought reasoning from a 235B teacher model to a 2B student model using LoRA fine‑tuning on explanation‑enriched data. The approach enables a compact vision‑language model to perform medical visual question answering without relying on image captions, achieving 64.9% accuracy on the PMC‑VQA benchmark—an 11‑point improvement over the zero‑shot Qwen3‑VL‑4B baseline. Visual grounding analysis confirms that the model bases its predictions on image content rather than textual priors.
arXiv:2603. 28387v2 Announce Type: replace Abstract: Trustworthy clinical AI requires that performance gains reflect genuine evidence integration rather than surface-level artifacts.