arXiv:2610.17690v1 Announce Type: new
Abstract: Medical multimodal reasoning models are typically trained on teacher-generated rationales, discarding the valid reasoning in students' own failed traje...
By Xiaoliang Wang, Zhuo Chen, Chuanyang Zheng, Quanbin Wang, Jiangwei Lao, Yingao Liu, Jiajia Liu, Jinming Cao, Honglin Lin, Zhihong Lu, Hao Jin, Jian Wang, Lijun Wu
arXiv:2603.10359v2 Announce Type: replace
Abstract: Distilling reasoning capabilities from Large Reasoning Models (LRMs) into smaller models is typically constrained by the limitations of rejection s...
By Wenjing Zhang, Jiangze Yan, Jieyun Huang, Yi Shen, Shuming Shi, Ping Chen, Ning Wang, Zhaoxiang Liu, Kai Wang, Shiguo Lian
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.
By Yunqi Zhu, Wensheng Zhang, Xuebing Yang
arXiv:2610.03515v1 Announce Type: new
Abstract: On-policy self-distillation (OPSD) uses reference solutions as privileged hindsight to supervise student-generated reasoning trajectories. However, ref...
By Chenglei Shen, Haoyang Yao, Weijie Yu, Song Jin, Xiao Zhang, Jun Xu
arXiv:2610.16713v1 Announce Type: cross
Abstract: Teacher rationales can help a smaller model answer health professions questions, but they can also reinforce errors. We examined when they help and h...
By Tiago Martinelli, Jo\~ao Paulo Papa, Adriano Jos\'e Pereira
arXiv:2610.03176v1 Announce Type: new
Abstract: We study hindsight-guided distillation for rare disease diagnosis on ZebraMap: a 1.5B student is fine-tuned on chain-of-thought traces from a 8B teache...
By Aarav Singh, Animesh Pathak, Navyansh Singh
The paper introduces MedQA-MM, a benchmark that exposes shortcut reasoning in medical multimodal multiple-choice questions. By auditing prompts, images, and modalities, the authors show that models often rely on textual cues rather than visual evidence, with full-input accuracy at 62.63% but only 5.21% when restricted to text. The study highlights the need for route-level evidence to validate true medical image reasoning.
By Benlu Wang, Yifan Zhang, Jiaqing Yu, Chin Siang Ong, Juncheng Huang, Zhuohao Li, Zhenyu Zhang, Arman Cohan, Hong Yu, Zonghai Yao
arXiv:2606. 31825v1 Announce Type: cross Abstract: Recent multimodal large language models have shown great promise in clinical image reasoning, but existing post-training pipelines remain predominantly outcome-centric, relying on final answer correctness or sequence-level preferences.
By Junha Jung, Minbyul Jeong, Suhyeon Lim, Sungwook Jung, Jaehoon Yun, Taeyun Roh, Mujeen Sung, Jaewoo Kang
arXiv:2608. 10827v1 Announce Type: cross Abstract: Medical visual agents can use tools to inspect images and retrieve external knowledge, but indiscriminate tool use may introduce noisy or misleading evidence.
By Shengzhi Wang, Jun Yang, Kai Wu, Xiaozhong Ji, Yiwen Ye, Ziyang Chen, Mingliang Xiong, Wen Fang, Mingqing Liu, Mengyuan Xu, Miaoxuan Shan, Caiyan Liu, Bin He, Qingwen Liu
arXiv:2610.15239v1 Announce Type: new
Abstract: Most benchmarks for large language models in medicine are built from licensing examinations and theoretical questions. The few that draw on real clinic...
By Anurag Sharma, Aditya Sharma, Sapna Baalwan
arXiv:2608.21864v1 Announce Type: cross
Abstract: The current progress of Clinical Vision Large Language Models (C-VLLMs) has substantially improved digital diagnostics, still these frameworks often...
By Md Asaduzzaman Jabin, Zihao Wu, Tianming Liu
arXiv:2609.39566v1 Announce Type: new
Abstract: Foundation models can serve as clinical agents through tool-use harnesses. However, conventional medical benchmarks assess reasoning over preselected e...
By Minye Shao, Chaohui Yu, Yixuan Wu, Fan Wang, Ling Shao, Yang Long