arXiv:2602.20130v1 Announce Type: cross Abstract: Objective: To improve the efficiency of medical question answering (MedQA) with large language models (LLMs) by avoiding unnecessary reasoning while maintaining accuracy. Methods: We propose Selective Chain-of-Thought (Selective CoT), an inference-time strategy that first predicts whether a question requires reasoning and generates a rationale only when needed. Two open-source LLMs (Llama-3.1-8B and Qwen-2.5-7B) were evaluated on four biomedical QA benchmarks-HeadQA, MedQA-USMLE, MedMCQA, and PubMedQA. Metrics included accuracy, total generated tokens, and inference time. Results: Selective CoT reduced inference time by 13-45% and token usage by 8-47% with minimal accuracy loss ($\leq$4\%). In some model-task pairs, it achieved both higher accuracy and greater efficiency than standard CoT. Compared with fixed-length CoT, Selective CoT reached similar or superior accuracy at substantially lower computational cost. Discussion: Selective CoT dynamically balances reasoning depth and efficiency by invoking explicit reasoning only when beneficial, reducing redundancy on recall-type questions while preserving interpretability. Conclusion: Selective CoT provides a simple, model-agnostic, and cost-effective approach for medical QA, aligning reasoning effort with question complexity to enhance real-world deployability of LLM-based clinical systems.

arXiv:2510.22876v3 Announce Type: replace-cross Abstract: Speculative decoding must produce outputs distribution identical to standard autoregressive generation-this output equivalence is not an optimization target but the defining criterion of valid speculative decoding. We demonstrate that all existing batch speculative decoding implementations violate this fundamental requirement, producing corrupted outputs ranging from repetitive tokens to gibberish. These failures stem from the ragged tensor problem: sequences in the same batch accept different numbers of draft tokens, desynchronizing position IDs, attention masks, and KV-cache state. We present the first authentic batch speculative decoding framework. We (1) formalize the synchronization invariants that valid batch speculative decoding must satisfy, (2) present EQSPEC, the first algorithm that guarantees output equivalence, and analyze its cost structure to show that alignment overhead grows superlinearly and consumes up to 40\% of computation, and (3) introduce EXSPEC, which reduces this overhead through cross-batch scheduling that dynamically groups same-length sequences. On SpecBench across Vicuna-7B/68M, Qwen3-8B/0.6B, and GLM-4-9B/0.6B pairs, our methods achieve up to 3x throughput improvement at batch size 8 while maintaining algorithmic correctness. Our methods achieve 95\% decoding-equivalence, with residual divergence attributable to floating-point non-determinism in GPU inference, not the synchronization failures that cause near-zero equivalence of prior methods. Our code is available at https://github.com/eBay/spec_dec.