arXiv subjects

Juncheng Wu

Publications and source records attributed to Juncheng Wu.

At least 19 recordsLinked to original sources

arXiv2026

AISPA: User-Centric System Prompt Auditing for Large Language Model Applications

System prompts are instructions configured by developers to govern the behaviors of foundation models in AI applications. They are used throughout commercial AI products, but are rarely disclosed to the public or regulators, creating a serious trust and accountability gap in the wide deployment of AI systems. In this paper, we introduce Artificial Intelligence System Prompt Assurance (AISPA), a user-centric framework for systematically auditing system prompts in AI systems. AISPA examines specific parts of a system prompt and evaluates them along eight dimensions that matter to users. We then use this framework to review 3,249 instructions from system prompts in 88 commercial AI products, classifying each instruction as either protective (of users) or problematic. Our audit surfaces four core findings. First, system prompt design varies substantially across products and developers, with some organizations averaging over 60 protective instructions per product while others average fewer than 5. Second, protective instructions are widely adopted but shallow in scope: 98.9% of products contain at least one, yet only 24% cover all eight dimensions of the AISPA taxonomy. Third, system prompts have grown steadily longer and more protective of users, suggesting that user protection is becoming a more visible concern in commercial prompt design. Fourth, despite this progress, problematic instructions remain pervasive: roughly 40% of products contain at least one instruction that works against user interests, and protective and problematic instructions frequently coexist within the same prompt. Our findings highlight the need for greater transparency, standardization, and independent oversight for system prompts in commercial AI products.

cs.AI↗

arXiv2026

VisualClaw: A Real-Time, Personalized Agent for the Physical World

Vision language models are serving as general-purpose interfaces for complex multimodal tasks. However, deployment still faces three gaps: VLMs typically incur high latency and cost when processing dense video frames and long prompts, the agent scaffold remains static after deployment, and standard video-QA benchmarks do not test whether agents can use visual evidence inside tool-using workspaces. We present VisualClaw, a self-evolving multimodal agent built around two principles. First, hybrid encoding reduces deployment cost by filtering less informative streaming frames with a cascaded gate and compressing the text skill bank through hot/cold top-k injection. Second, skill evolution lets the agent learn from failures: retrieved memories condition an evolver as direct concatenated context or as guided evidence, producing skill-bank updates that help future questions. Across 4 video-QA benchmarks with 2 VLMs, VisualClaw cuts per-question API cost by an average -98% versus full-frame upload and by -25.9% over the offline uniform 8 frame baseline, while boosting accuracy in most settings, e.g., an average +3.85% and a peak +15.80% on EgoSchema with Gemini 3 Flash. To address the gap, we curate VisualClawArena, a 200-scenario multimodal agentic benchmark built through a strict five-stage pipeline; models must use video evidence, documents, dynamic updates, and executable checks inside a workspace. On VisualClawArena, the same framework with computer-use agent backends improves macro accuracy by +2.9% for Codex (GPT-5.5) and +3.2% for Claude Code (Sonnet 4.6) over no-evolution baselines, with a -9.5% cost reduction compared to the uniform-sampled baseline. These properties make VisualClaw a natural fit for edge applications, where the cascade reduces a 1-hour streaming session from ~3,600 API uploads down to only 5-20 calls and the self-evolution makes it a perfect personalized assistant.

cs.CV↗

arXiv2026

Harness Updating Is Not Harness Benefit: Disentangling Evolution Capabilities in Self-Evolving LLM Agents

LLM agents are increasingly deployed as systems built around editable external harnesses, including prompts, skills, memories and tools, that shape task execution without changing model parameters. Harness self-evolution adapts such agents by updating these harnesses from execution evidence. Yet it remains unclear whether a model's base capability in task-solving predicts its capabilities in harness self-evolution: which models produce useful harness updates, and which actually benefit from them? We analyze two harness self-evolution capabilities: (i) harness-updating, the capability to produce useful persistent harness updates from execution evidence; (ii) harness-benefit, the capability to benefit from updated harnesses during task solving. Our analysis reveals two findings. First, harness-updating is flat in base capability: models from different capability tiers produce harness updates that lead to surprisingly similar gains; even Qwen3.5-9B's updates yield gains comparable to those of Claude Opus~4.6. Second, harness-benefit is non-monotonic in base capability: weak-tier models benefit little from updated harnesses, mid-tier models benefit most, and strong-tier models benefit less than mid-tier. We trace low gains at the weak tier to two failure modes: weak-tier models may fail to activate relevant harness artifacts, or activate them but fail to follow them faithfully. These findings suggest investing capability budget in the task-solving agent rather than the evolver, and targeting harness invocation and long-horizon instruction following in agent training. Our source code is publicly available at https://github.com/A-EVO-Lab/a-evolve/tree/release/harness-evolution.

cs.AI↗

arXiv2026

ClinSeekAgent: Automating Multimodal Evidence Seeking for Agentic Clinical Reasoning

Large language models (LLMs) and agentic systems have shown promise for clinical decision support, but existing works largely assume that evidence has already been curated and handed to the model. Real-world clinical workflows instead require agents to actively seek, iteratively plan, and synthesize multimodal evidence from heterogeneous sources. In this paper, we introduce ClinSeekAgent, an automated agentic framework for dynamic multimodal evidence seeking that shifts the paradigm from passive evidence consumption to active evidence acquisition. Given only a clinical query and access to raw data sources, ClinSeekAgent gathers evidence by querying medical knowledge bases, navigating raw EHRs, and invoking medical imaging tools; refines its hypotheses as new information emerges; and integrates the collected evidence into grounded clinical decisions. ClinSeekAgent serves both as an inference-time agent for frontier LLMs and as a training-time pipeline for distilling high-quality agent trajectories into compact open-source models. To validate its inference-time effectiveness, we construct ClinSeek-Bench, which pairs Curated Input reasoning from fixed pre-selected evidence with Automated Evidence-Seeking over raw clinical data. On text-only EHR tasks, ClinSeekAgent improves Claude Opus 4.6 from 60.0 to 63.2 overall F1 and MiniMax M2.5 from 43.1 to 47.3, with positive risk-prediction gains in 7 out of 9 evaluated host models. On multimodal tasks, ClinSeekAgent improves Claude Opus 4.6 from 47.5 to 62.6 (+15.1); all evaluated models improve across the three CXR-related task groups. We further validate ClinSeekAgent as a training pipeline by distilling agentic evidence-seeking trajectories into ClinSeek-35B-A3B, which achieves 34.0 average F1 on existing AgentEHR-Bench, improving over its Qwen3.5-35B-A3B baseline by +11.9 points and approaching Claude Opus 4.6.

cs.CL↗

arXiv2026

From Seeing to Thinking: Decoupling Perception and Reasoning Improves Post-Training of Vision-Language Models

Recent advances in vision-language models (VLMs) emphasize long chain-of-thought reasoning; yet, we find that their performance on visual tasks is primarily limited by a lack of visual perception as opposed to reasoning itself. In this work, we systematically study the interplay between perception and reasoning in VLM post-training by decomposing their capabilities into three separate training stages: visual perception, visual reasoning, and textual reasoning, incorporating specialized training data. We demonstrate that visual perception (a) requires targeted optimization with specialized data; (b) serves as a fundamental scaffold that should be solidified through staged training before refining visual reasoning; and (c) is more effectively learned via RL than caption-based SFT. Our experiments across multiple VLMs demonstrate that staged training consistently improves both visual perception and reasoning performance over merged training. Notably, models trained with our approach achieve 1.5% higher reasoning accuracy with 20.8% shorter reasoning traces, suggesting that superior perception reduces the need for excessive reasoning. Furthermore, we show that this capability-based staging represents a new curriculum dimension orthogonal to traditional difficulty-based curricula, and combining both yields further additive gains. Our staged-training models achieve superior performance among open-weight VLMs, establishing advanced results on several visual math and perception (e.g., +5.2% on WeMath and +3.7% on RealWorldQA) tasks compared with the base counterpart.

cs.CL↗

arXiv2026

Chasing the Public Score: User Pressure and Evaluation Exploitation in Coding Agent Workflows

Frontier coding agents are increasingly used in workflows where users supervise progress primarily through repeated improvement of a public score, namely the reported score on a public evaluation file with labels in the workspace, rather than through direct inspection of the agent's intermediate outputs. We study whether multi-round user pressure to improve that score induces public score exploitation: behavior that raises the public score through shortcuts without improving hidden private evaluation. We begin with a preliminary single-script tabular classification task, where GPT-5.4 and Claude Opus 4.6 both exploit label information within 10 rounds of user-agent interaction. We then build AgentPressureBench, a 34-task machine-learning repository benchmark spanning three input modalities, and collect 1326 multi-round trajectories from 13 coding agents. On our benchmark, we observe 403 exploitative runs, spanning across all tasks. We also find that stronger models have higher exploitation rates, supported by a significant Spearman rank correlation of 0.77. Our ablation experiments show that higher user pressure leads to earlier exploitation, reducing the average first exploit round by 15.6 rounds (i.e., 19.67 to 4.08). As a mitigation, adding explicit anti-exploit wordings in prompt mostly eliminates exploitation (100% to 8.3%). We hope that our work can bring attention to more careful use of coding agents workflow, and developing more robust coding agents under user pressure. Our project page is at https://ucsc-vlaa.github.io/AgentPressureBench .

cs.CL↗

arXiv2026

Your Agent, Their Asset: A Real-World Safety Analysis of OpenClaw

OpenClaw, the most widely deployed personal AI agent in early 2026, operates with full local system access and integrates with sensitive services such as Gmail, Stripe, and the filesystem. While these broad privileges enable high levels of automation and powerful personalization, they also expose a substantial attack surface that existing sandboxed evaluations fail to capture. To address this gap, we present the first real-world safety evaluation of OpenClaw and introduce the CIK taxonomy, which unifies an agent's persistent state into three dimensions, i.e., Capability, Identity, and Knowledge, for safety analysis. Our evaluations cover 12 attack scenarios on a live OpenClaw instance across four backbone models (Claude Sonnet 4.5, Opus 4.6, Gemini 3.1 Pro, and GPT-5.4). The results show that poisoning any single CIK dimension increases the average attack success rate from 24.6% to 64-74%, with even the most robust model exhibiting more than a threefold increase over its baseline vulnerability. We further assess three CIK-aligned defense strategies alongside a file-protection mechanism; however, the strongest defense still yields a 63.8% success rate under Capability-targeted attacks, while file protection blocks 97% of malicious injections but also prevents legitimate updates. Taken together, these findings show that the vulnerabilities are inherent to the agent architecture, necessitating more systematic safeguards to secure personal AI agents. Our project page is https://ucsc-vlaa.github.io/CIK-Bench.

cs.CR↗

arXiv2026

EntropyPrune: Matrix Entropy Guided Visual Token Pruning for Multimodal Large Language Models

Multimodal large language models (MLLMs) incur substantial inference cost due to the processing of hundreds of visual tokens per image. Although token pruning has proven effective for accelerating inference, determining when and where to prune remains largely heuristic. Existing approaches typically rely on static, empirically selected layers, which limit interpretability and transferability across models. In this work, we introduce a matrix-entropy perspective and identify an "Entropy Collapse Layer" (ECL), where the information content of visual representations exhibits a sharp and consistent drop, which provides a principled criterion for selecting the pruning stage. Building on this observation, we propose EntropyPrune, a novel matrix-entropy-guided token pruning framework that quantifies the information value of individual visual tokens and prunes redundant ones without relying on attention maps. Moreover, to enable efficient computation, we exploit the spectral equivalence of dual Gram matrices, reducing the complexity of entropy computation and yielding up to a 64x theoretical speedup. Extensive experiments on diverse multimodal benchmarks demonstrate that EntropyPrune consistently outperforms state-of-the-art pruning methods in both accuracy and efficiency. On LLaVA-1.5-7B, our method achieves a 68.2% reduction in FLOPs while preserving 96.0% of the original performance. Furthermore, EntropyPrune generalizes effectively to high-resolution and video-based models, highlighting the strong robustness and scalability in practical MLLM acceleration. The code will be publicly available at https://github.com/YahongWang1/EntropyPrune.

cs.CV↗

arXiv2025

When Token Pruning is Worse than Random: Understanding Visual Token Information in VLLMs

Vision Large Language Models (VLLMs) incur high computational costs due to their reliance on hundreds of visual tokens to represent images. While token pruning offers a promising solution for accelerating inference, this paper, however, identifies a key observation: in deeper layers (e.g., beyond the 20th), existing training-free pruning methods perform no better than random pruning. We hypothesize that this degradation is caused by \textbf{``vanishing token information''}, where visual tokens progressively lose their salience with increasing network depth. To validate this hypothesis, we quantify a token's information content by measuring the change in the model output probabilities upon its removal. Using this proposed metric, our analysis of the information of visual tokens across layers reveals three key findings: (1) As layers deepen, the information of visual tokens gradually becomes uniform and eventually vanishes at an intermediate layer, which we term as ``information horizon", beyond which the visual tokens become redundant; (2) The position of this horizon is not static; it extends deeper for visually intensive tasks, such as Optical Character Recognition (OCR), compared to more general tasks like Visual Question Answering (VQA); (3) This horizon is also strongly correlated with model capacity, as stronger VLLMs (e.g., Qwen2.5-VL) employ deeper visual tokens than weaker models (e.g., LLaVA-1.5). Based on our findings, we show that simple random pruning in deep layers efficiently balances performance and efficiency. Moreover, integrating random pruning consistently enhances existing methods. Using DivPrune with random pruning achieves state-of-the-art results, maintaining 96.9\% of Qwen-2.5-VL-7B performance while pruning 50\% of visual tokens. The code is available at https://github.com/YahongWang1/Information-Horizon.

cs.CV↗

arXiv2025

STAR-1: Safer Alignment of Reasoning LLMs with 1K Data

This paper introduces STAR-1, a high-quality, just-1k-scale safety dataset specifically designed for large reasoning models (LRMs) like DeepSeek-R1. Built on three core principles -- diversity, deliberative reasoning, and rigorous filtering -- STAR-1 aims to address the critical needs for safety alignment in LRMs. Specifically, we begin by integrating existing open-source safety datasets from diverse sources. Then, we curate safety policies to generate policy-grounded deliberative reasoning samples. Lastly, we apply a GPT-4o-based safety scoring system to select training examples aligned with best practices. Experimental results show that fine-tuning LRMs with STAR-1 leads to an average 40% improvement in safety performance across four benchmarks, while only incurring a marginal decrease (e.g., an average of 1.1%) in reasoning ability measured across five reasoning tasks. Extensive ablation studies further validate the importance of our design principles in constructing STAR-1 and analyze its efficacy across both LRMs and traditional LLMs. Our project page is https://ucsc-vlaa.github.io/STAR-1.

cs.CL↗

arXiv2025

MedVLThinker: Simple Baselines for Multimodal Medical Reasoning

Large Reasoning Models (LRMs) have introduced a new paradigm in AI by enabling models to ``think before responding" via chain-of-thought reasoning. However, the absence of open and reproducible recipes for building reasoning-centric medical LMMs hinders community-wide research, analysis, and comparison. In this paper, we present MedVLThinker, a suite of simple yet strong baselines. Our fully open recipe consists of: (1) systematic data curation for both text-only and image-text medical data, filtered according to varying levels of reasoning difficulty, and (2) two training paradigms: Supervised Fine-Tuning (SFT) on distilled reasoning traces and Reinforcement Learning with Verifiable Rewards (RLVR) based on final answer correctness. Across extensive experiments on the Qwen2.5-VL model family (3B, 7B) and six medical QA benchmarks, we find that RLVR consistently and significantly outperforms SFT. Additionally, under the RLVR framework, a key, counter-intuitive finding is that training on our curated text-only reasoning data provides a more substantial performance boost than training on multimodal image-text data. Our best open 7B model, trained using the RLVR recipe on text-only data, establishes a new state-of-the-art on existing public VQA benchmarks, surpassing all previous open-source medical LMMs. Furthermore, scaling our model to 32B achieves performance on par with the proprietary GPT-4o. We release all curated data, models, and code to provide the community with a strong, open foundation for future research in multimodal medical reasoning.

cs.CV↗

arXiv2025

MedTrinity-25M: A Large-scale Multimodal Dataset with Multigranular Annotations for Medicine

This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities with multigranular annotations for more than 65 diseases. These multigranular annotations encompass both global information, such as modality and organ detection, and local information like ROI analysis, lesion texture, and region-wise correlations. Unlike the existing multimodal datasets, which are limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and textual annotations in the form of image-ROI-description triplets without the need for any paired text descriptions. Specifically, data from over 30 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular textual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. We propose LLaVA-Tri by pretraining LLaVA on MedTrinity-25M, achieving state-of-the-art performance on VQA-RAD, SLAKE, and PathVQA, surpassing representative SOTA multimodal large language models. Furthermore, MedTrinity-25M can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain. We will make our dataset available.

cs.CV↗

arXiv2025

SCING:Towards More Efficient and Robust Person Re-Identification through Selective Cross-modal Prompt Tuning

Recent advancements in adapting vision-language pre-training models like CLIP for person re-identification (ReID) tasks often rely on complex adapter design or modality-specific tuning while neglecting cross-modal interaction, leading to high computational costs or suboptimal alignment. To address these limitations, we propose a simple yet effective framework named Selective Cross-modal Prompt Tuning (SCING) that enhances cross-modal alignment and robustness against real-world perturbations. Our method introduces two key innovations: Firstly, we proposed Selective Visual Prompt Fusion (SVIP), a lightweight module that dynamically injects discriminative visual features into text prompts via a cross-modal gating mechanism. Moreover, the proposed Perturbation-Driven Consistency Alignment (PDCA) is a dual-path training strategy that enforces invariant feature alignment under random image perturbations by regularizing consistency between original and augmented cross-modal embeddings. Extensive experiments are conducted on several popular benchmarks covering Market1501, DukeMTMC-ReID, Occluded-Duke, Occluded-REID, and P-DukeMTMC, which demonstrate the impressive performance of the proposed method. Notably, our framework eliminates heavy adapters while maintaining efficient inference, achieving an optimal trade-off between performance and computational overhead. The code will be released upon acceptance.

cs.CV↗

arXiv2025

More Thinking, Less Seeing? Assessing Amplified Hallucination in Multimodal Reasoning Models

Test-time compute has empowered multimodal large language models to generate extended reasoning chains, yielding strong performance on tasks such as multimodal math reasoning. However, this improved reasoning ability often comes with increased hallucination: as generations become longer, models tend to drift away from image-grounded content and rely more heavily on language priors. Attention analysis shows that longer reasoning chains lead to reduced focus on visual inputs, which contributes to hallucination. To systematically study this phenomenon, we introduce RH-AUC, a metric that quantifies how a model's perception accuracy changes with reasoning length, allowing us to evaluate whether the model preserves visual grounding during reasoning. We also release RH-Bench, a diagnostic benchmark that spans a variety of multimodal tasks, designed to assess the trade-off between reasoning ability and hallucination. Our analysis reveals that (i) larger models typically achieve a better balance between reasoning and perception, and (ii) this balance is influenced more by the types and domains of training data than by its overall volume. These findings underscore the importance of evaluation frameworks that jointly consider both reasoning quality and perceptual fidelity.

cs.CL↗

arXiv2025

Knowledge or Reasoning? A Close Look at How LLMs Think Across Domains

Recent advances in reasoning-enhanced Large Language Models such as OpenAI-o1/3 and DeepSeek-R1 have significantly improved performance on complex tasks. However, the quality and transparency of their internal reasoning processes remain underexplored. This work moves beyond the final-answer accuracy and investigates step-by-step reasoning in the medical and mathematical domains by explicitly decomposing the thinking trajectories into two parts: knowledge and reasoning. Specifically, we introduce a fine-grained evaluation framework that judges: (1) the correctness of knowledge used (measured by Knowledge Index (KI)) and (2) the quality of reasoning (measured by Information Gain (InfoGain)). Using this framework, we study R1-distilled and base Qwen models trained with supervised fine-tuning (SFT) and/or reinforcement learning (RL) in the medical and math domains. Three intriguing findings emerge: (1) The general reasoning abilities in R1-distilled models do not transfer effectively to the medical domain through either SFT or RL. (2) SFT raises final-answer accuracy in both domains, but often at the cost of reasoning quality: InfoGain drops by 38.9% on average compared with untrained models; In the medical domain, however, SFT remains crucial because domain knowledge is indispensable. (3) RL enhances medical reasoning by pruning inaccurate or irrelevant knowledge from reasoning paths, thereby improving both reasoning accuracy and knowledge correctness.

cs.CL↗

arXiv2025

MedFrameQA: A Multi-Image Medical VQA Benchmark for Clinical Reasoning

Real-world clinical practice demands multi-image comparative reasoning, yet current medical benchmarks remain limited to single-frame interpretation. We present MedFrameQA, the first benchmark explicitly designed to test multi-image medical VQA through educationally-validated diagnostic sequences. To construct this dataset, we develop a scalable pipeline that leverages narrative transcripts from medical education videos to align visual frames with textual concepts, automatically producing 2,851 high-quality multi-image VQA pairs with explicit, transcript-grounded reasoning chains. Our evaluation of 11 advanced MLLMs (including reasoning models) exposes severe deficiencies in multi-image synthesis, where accuracies mostly fall below 50% and exhibit instability across varying image counts. Error analysis demonstrates that models often treat images as isolated instances, failing to track pathological progression or cross-reference anatomical shifts. MedFrameQA provides a rigorous standard for evaluating the next generation of MLLMs in handling complex, temporally grounded medical narratives.

cs.CV↗

arXiv2025

MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs

Medical tasks such as diagnosis and treatment planning require precise and complex reasoning, particularly in life-critical domains. Unlike mathematical reasoning, medical reasoning demands meticulous, verifiable thought processes to ensure reliability and accuracy. However, there is a notable lack of datasets that provide transparent, step-by-step reasoning to validate and enhance the medical reasoning ability of AI models. To bridge this gap, we introduce MedReason, a large-scale high-quality medical reasoning dataset designed to enable faithful and explainable medical problem-solving in large language models (LLMs). We utilize a structured medical knowledge graph (KG) to convert clinical QA pairs into logical chains of reasoning, or ``thinking paths'', which trace connections from question elements to answers via relevant KG entities. Each path is validated for consistency with clinical logic and evidence-based medicine. Our pipeline generates detailed reasoning for various medical questions from 7 medical datasets, resulting in a dataset of 32,682 question-answer pairs, each with detailed, step-by-step explanations. Experiments demonstrate that fine-tuning with our dataset consistently boosts medical problem-solving capabilities, achieving significant gains of up to 7.7% for DeepSeek-Ditill-8B. Our top-performing model, MedReason-8B, outperforms the Huatuo-o1-8B, a state-of-the-art medical reasoning model, by up to 4.2% on the clinical benchmark MedBullets. We also engage medical professionals from diverse specialties to assess our dataset's quality, ensuring MedReason offers accurate and coherent medical reasoning. Our data, models, and code is available at https://github.com/UCSC-VLAA/MedReason.

cs.CL↗

arXiv2025

m1: Unleash the Potential of Test-Time Scaling for Medical Reasoning with Large Language Models

Test-time scaling has emerged as a powerful technique for enhancing the reasoning capabilities of large language models. However, its effectiveness in medical reasoning remains uncertain, as the medical domain fundamentally differs from mathematical tasks in terms of knowledge representation and decision-making processes. In this paper, we provide the first comprehensive investigation of test-time scaling for medical reasoning and present m1, a simple yet effective approach that increases a model's medical reasoning capability at inference. Our evaluation across diverse medical tasks demonstrates that test-time scaling consistently enhances medical reasoning, enabling lightweight fine-tuned models under 10B parameters to establish new state-of-the-art performance, while our 32B model rivals previous 70B-scale medical LLMs. However, we identify an optimal reasoning token budget of approximately 4K, beyond which performance may degrade due to overthinking. Budget forcing, which extends test-time computation through iterative prompts, helps models double-check answers but does not necessarily improve the overall medical QA performance and, in some cases, even introduces errors into previously correct responses. Our case-by-case analysis identifies insufficient medical knowledge as a key bottleneck that prevents further performance gains through test-time scaling. We find that increasing data scale, improving data quality, and expanding model capacity consistently enhance medical knowledge grounding, enabling continued performance improvements, particularly on challenging medical benchmarks where smaller models reach saturation. These findings underscore fundamental differences between medical and mathematical reasoning in LLMs, highlighting that enriched medical knowledge, other than increased reasoning depth alone, is essential for realizing the benefits of test-time scaling.

cs.CL↗