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To Reason or Not to: Selective Chain-of-Thought in Medical Question Answering

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.
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Learning Transferability: A Two-Stage Reinforcement Learning Approach for Enhancing Quadruped Robots' Performance in U-Shaped Stair Climbing

arXiv:2602.14473v1 Announce Type: cross Abstract: Quadruped robots are employed in various scenarios in building construction. However, autonomous stair climbing across different indoor staircases remains a major challenge for robot dogs to complete building construction tasks. In this project, we employed a two-stage end-to-end deep reinforcement learning (RL) approach to optimize a robot's performance on U-shaped stairs. The training robot-dog modality, Unitree Go2, was first trained to climb stairs on Isaac Lab's pyramid-stair terrain, and then to climb a U-shaped indoor staircase using the learned policies. This project explores end-to-end RL methods that enable robot dogs to autonomously climb stairs. The results showed (1) the successful goal reached for robot dogs climbing U-shaped stairs with a stall penalty, and (2) the transferability from the policy trained on U-shaped stairs to deployment on straight, L-shaped, and spiral stair terrains, and transferability from other stair models to deployment on U-shaped terrain.
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