Aligning Clinical Needs and AI Capabilities: A Survey on LLMs for Medical Reasoning

Large language models (LLMs) have emerged as important tools in healthcare, showing growing potential for clinical reasoning and patient care. This survey examines recent progress in medical LLMs, focusing on reasoning applications and requirements. We present a dual-view approach that connects clinical practice with computational methods. On the clinical side, we establish a five-level competency scheme following Miller's Pyramid, progressing from knowledge recall to dynamic case management. On the computational side, we link deductive, inductive, and abductive reasoning patterns to common medical goals and tasks. We also introduce a benchmark dataset spanning five levels of medical reasoning capability and report results on 18 state-of-the-art models, revealing that medical specialist models excel in diagnosis-centric tasks while general models lead in decision support and dialogue. We conclude by discussing current progress and open challenges, including data limitations, hallucination, and grounding issues, and outline directions toward safer, more reliable, and workflow-ready systems.

Mixture of Debaters: Learn to Debate at Architectural Level in Multi-Agent Reasoning

Existing multi-agent debate frameworks suffer from two critical limitations: they rely on static architectures where agent roles and coordination patterns are fixed at design time, and they require instantiating multiple model copies, incurring substantial computational overhead. We propose Mixture of Debaters (MoD), a unified framework that enables dynamic self-debate within a single model by leveraging the Mixture-of-Experts paradigm. We address three key challenges in adapting MoE for dialectical reasoning: (1) dual-routing that decouples role allocation from process flow, dynamically determining when to debate versus when to synthesize; (2) momentum switching that smooths token-level routing with local context, reducing expert-switch jitter; and (3) unified self-debate that encapsulates diverse debating personas into lightweight expert modules, eliminating inter-agent communication while preserving behavioral diversity. Extensive experiments on multimodal benchmarks demonstrate that MoD outperforms both single-model baselines and conventional multi-agent systems, achieving superior accuracy with 3.7x lower latency and 87% reduction in token consumption.The source code can be accessed at https://github.com/YongLD/MoD.