# Med-CoReasoner: Reducing Language Disparities in Medical Reasoning via Language-Informed Co-Reasoning

arXiv: https://arxiv.org/abs/2601.08267 · HTML: https://mlsanity.com/paper/2601.08267/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 32 of its 63 references that are in the map.
- First posted on arXiv 13 Jan 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 30 of 32)

- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [Distilling the Knowledge in a Neural Network](https://mlsanity.com/paper/1503.02531/) (2015)
- [Qwen3 Technical Report](https://mlsanity.com/paper/2505.09388/) (2025)
- [DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learning](https://mlsanity.com/paper/2501.12948/) (2025)
- [Self-Consistency Improves Chain of Thought Reasoning in Language Models](https://mlsanity.com/paper/2203.11171/) (2022)
- [GPT-4o System Card](https://mlsanity.com/paper/2410.21276/) (2024)
- [Gemma 2: Improving Open Language Models at a Practical Size](https://mlsanity.com/paper/2408.00118/) (2024)
- [OpenAI o1 System Card](https://mlsanity.com/paper/2412.16720/) (2024)
- [M3-Embedding: Multi-Linguality, Multi-Functionality, Multi-Granularity Text Embeddings Through Self-Knowledge Distillation](https://mlsanity.com/paper/2402.03216/) (2024)
- [DeepSeek-V3.2: Pushing the Frontier of Open Large Language Models](https://mlsanity.com/paper/2512.02556/) (2025)
- [Language Models are Multilingual Chain-of-Thought Reasoners](https://mlsanity.com/paper/2210.03057/) (2022)
- [MedGemma Technical Report](https://mlsanity.com/paper/2507.05201/) (2025)
- [BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domains](https://mlsanity.com/paper/2402.10373/) (2024)
- [A Survey on Knowledge Distillation of Large Language Models](https://mlsanity.com/paper/2402.13116/) (2024)
- [MedXpertQA: Benchmarking Expert-Level Medical Reasoning and Understanding](https://mlsanity.com/paper/2501.18362/) (2025)
- [MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs](https://mlsanity.com/paper/2504.00993/) (2025)
- [HEAD-QA: A Healthcare Dataset for Complex Reasoning](https://mlsanity.com/paper/1906.04701/) (2019)
- [MMLU-ProX: A Multilingual Benchmark for Advanced Large Language Model Evaluation](https://mlsanity.com/paper/2503.10497/) (2025)
- [Do Multilingual LLMs Think In English?](https://mlsanity.com/paper/2502.15603/) (2025)
- [MAPO: Advancing Multilingual Reasoning through Multilingual Alignment-as-Preference Optimization](https://mlsanity.com/paper/2401.06838/) (2024)
- [Evaluating GPT-4 and ChatGPT on Japanese Medical Licensing Examinations](https://mlsanity.com/paper/2303.18027/) (2023)
- [TxAgent: An AI Agent for Therapeutic Reasoning Across a Universe of Tools](https://mlsanity.com/paper/2503.10970/) (2025)
- [MedCaseReasoning: Evaluating and learning diagnostic reasoning from clinical case reports](https://mlsanity.com/paper/2505.11733/) (2025)
- [A Preliminary Study of o1 in Medicine: Are We Closer to an AI Doctor?](https://mlsanity.com/paper/2409.15277/) (2024)
- [Language Matters: How Do Multilingual Input and Reasoning Paths Affect Large Reasoning Models?](https://mlsanity.com/paper/2505.17407/) (2025)
- [Could Thinking Multilingually Empower LLM Reasoning?](https://mlsanity.com/paper/2504.11833/) (2025)
- [Why Do Multilingual Reasoning Gaps Emerge in Reasoning Language Models?](https://mlsanity.com/paper/2510.27269/) (2025)
- [Cross-lingual Collapse: How Language-Centric Foundation Models Shape Reasoning in Large Language Models](https://mlsanity.com/paper/2506.05850/) (2025)
- [Pushing on Multilingual Reasoning Models with Language-Mixed Chain-of-Thought](https://mlsanity.com/paper/2510.04230/) (2025)
- [DoctorRAG: Medical RAG Fusing Knowledge with Patient Analogy through Textual Gradients](https://mlsanity.com/paper/2505.19538/) (2025)

## Built on by (most cited first, 2 of 2)

- [Process Reward Agents for Steering Knowledge-Intensive Reasoning](https://mlsanity.com/paper/2604.09482/) (2026)
- [HealMed: Multilingual Evaluation of Large Language Models in Medicine](https://mlsanity.com/paper/2608.19981/) (2026)

## Abstract (arXiv)

While reasoning-enhanced large language models perform strongly on English medical tasks, a persistent multilingual gap remains, with substantially weaker reasoning in local languages, limiting equitable global medical deployment. To bridge this gap, we introduce Med-CoReasoner, a language-informed co-reasoning framework that elicits parallel English and local-language reasoning, abstracts them into structured concepts, and integrates local clinical knowledge into an English logical scaffold via concept-level alignment and retrieval. This design combines the structural robustness of English reasoning with the practice-grounded expertise encoded in local languages. To evaluate multilingual medical reasoning beyond multiple-choice settings, we construct MultiMed-X, a benchmark covering seven languages with expert-annotated long-form question answering and natural language inference tasks, comprising 350 instances per language. Experiments across three benchmarks show that Med-CoReasoner improves multilingual reasoning performance by an average of 5%, with particularly substantial gains in low-resource languages. Moreover, model distillation and expert evaluation analysis further confirm that Med-CoReasoner produces clinically sound and culturally grounded reasoning traces.