Zhaoyang Jiang
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2026
Better Accuracies, Worse Reasoning: A Step-Level Audit of Medical Chain-of-Thought Distillation
The paper demonstrates that while distilling large language models for medical QA can significantly improve final answer accuracy, this gain often comes at the cost of factual accuracy and detailed reasoning within the generated thought trace.
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cs.AIRecentMay 27, 2026
Better Accuracies, Worse Reasoning: A Step-Level Audit of Medical Chain-of-Thought Distillation
Zhaoyang Jiang, Xuanqi Peng, Fei Teng, Zhizhong Fu +4 more
The paper demonstrates that while distilling large language models for medical QA can significantly improve final answer accuracy, this gain often comes at the cost of factual accuracy and detailed re…
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