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Paper · arXiv

Medical Reasoning with Large Language Models: A Survey and MR-Bench

Large language models (LLMs) have achieved strong performance on medical exam-style tasks, motivating growing interest in their deployment in real-world clinical settings. However, clinical decision-making is inherently safety-critical, context-dependent, and conducted under evolving evidence. In such situations, reliable LLM performance depends not on factual recall alone, but on robust medical reasoning. In this work, we present a comprehensive review of medical reasoning with LLMs. Grounded in cognitive theories of clinical reasoning, we conceptualize medical reasoning as an iterative process of abduction, deduction, and induction, and organize existing methods into seven major technic...

AuthorsXiaohan Ren, Chenxiao Fan, Wenyin Ma et al.
Primary categorycs.CL
Published17 March 2026
Last updated at source17 March 2026
cs.CLcs.AI
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