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Paper · arXiv

Constructing and Evaluating Clinical Reasoning Trajectories for Medical Agent

Evaluation of medical artificial intelligence agents remains predominantly answer-centric, assessing only the correctness of final outputs while overlooking the quality of intermediate reasoning. In clinical settings, however, a correct answer reached through fabricated evidence or incoherent logic is as dangerous as an incorrect one. We propose MedTraj, a framework that treats reasoning trajectories as critical objects for construction, evaluation, and optimization. The pipeline generates structured multi-step clinical reasoning chains from medical diagnosis sources. Each trajectory is then parsed into clinical observations, evidence, numbered reasoning steps, and a final conclusion, and...

AuthorsYunqi Zhu, Wen Tang, Jinghao Niu et al.
Primary categorycs.AI
Published4 September 2026
Last updated at source15 October 2026
cs.AI
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