MedReflect: Teaching Medical LLMs to Self-Improve via Reflective Correction

Fuente: arXiv
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Main Authors: Huang, Yue, Chen, Yanyuan, Xu, Dexuan, Zhao, Chenzhuo, Yue, Weihua, Huang, Yu
Format: Preprint
Published: 2025
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author Huang, Yue
Chen, Yanyuan
Xu, Dexuan
Zhao, Chenzhuo
Yue, Weihua
Huang, Yu
author_facet Huang, Yue
Chen, Yanyuan
Xu, Dexuan
Zhao, Chenzhuo
Yue, Weihua
Huang, Yu
contents Medical problem-solving demands expert knowledge and intricate reasoning. Recent studies of large language models (LLMs) attempt to ease this complexity by introducing external knowledge verification through retrieval-augmented generation or by training on reasoning datasets. However, these approaches suffer from drawbacks such as retrieval overhead and high annotation costs, and they heavily rely on substituted external assistants to reach limited performance in medical field. In this paper, we introduce MedReflect, a generalizable framework designed to inspire LLMs with a physician-like reflective thinking mode. MedReflect generates a single-pass reflection chain that includes initial hypothesis generation, self-questioning, self-answering and decision refinement. This self-verified and self-reflective nature releases large language model's latent capability in medical problem-solving without external retrieval or heavy annotation. We demonstrate that MedReflect enables cost-efficient medical dataset construction. With only a minimal subset of randomly sampled training examples and lightweight fine-tuning, this approach achieves notable absolute accuracy improvements across a series of medical benchmarks while significantly cutting annotation requirements. Our results provide evidence that LLMs can learn to solve specialized medical problems via self-reflection and self-improvement, reducing reliance on external supervision and extensive task-specific fine-tuning data.
format Preprint
id arxiv_https___arxiv_org_abs_2510_03687
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedReflect: Teaching Medical LLMs to Self-Improve via Reflective Correction
Huang, Yue
Chen, Yanyuan
Xu, Dexuan
Zhao, Chenzhuo
Yue, Weihua
Huang, Yu
Computation and Language
Artificial Intelligence
Medical problem-solving demands expert knowledge and intricate reasoning. Recent studies of large language models (LLMs) attempt to ease this complexity by introducing external knowledge verification through retrieval-augmented generation or by training on reasoning datasets. However, these approaches suffer from drawbacks such as retrieval overhead and high annotation costs, and they heavily rely on substituted external assistants to reach limited performance in medical field. In this paper, we introduce MedReflect, a generalizable framework designed to inspire LLMs with a physician-like reflective thinking mode. MedReflect generates a single-pass reflection chain that includes initial hypothesis generation, self-questioning, self-answering and decision refinement. This self-verified and self-reflective nature releases large language model's latent capability in medical problem-solving without external retrieval or heavy annotation. We demonstrate that MedReflect enables cost-efficient medical dataset construction. With only a minimal subset of randomly sampled training examples and lightweight fine-tuning, this approach achieves notable absolute accuracy improvements across a series of medical benchmarks while significantly cutting annotation requirements. Our results provide evidence that LLMs can learn to solve specialized medical problems via self-reflection and self-improvement, reducing reliance on external supervision and extensive task-specific fine-tuning data.
title MedReflect: Teaching Medical LLMs to Self-Improve via Reflective Correction
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2510.03687