ReasonXL: Shifting LLM Reasoning Language Without Sacrificing Performance

Despite advances in multilingual capabilities, most large language models (LLMs) remain English-centric in their training and, crucially, in their production of reasoning traces. Even when tasked with non-English problems, these models predominantly reason in English, creating a fundamental mismatch for non-English usage scenarios. We address this disparity directly with three contributions. (i) We introduce ReasonXL, the first large-scale parallel corpus of cross-domain reasoning traces spanning five European languages (English, German, French, Italian, and Spanish), with over two million aligned samples per language, each comprising prompts, reasoning traces, and final outputs, enabling direct supervision of language-specific reasoning. (ii) Using ReasonXL, we demonstrate that LLMs can be adapted to reason entirely in a desired target language, using a simple two-stage pipeline of supervised fine-tuning (SFT) followed by reinforcement learning with verifiable rewards (RLVR). The resulting models match or exceed baseline performance, with minimal loss in general knowledge and broadly preserved cross-lingual transfer. (iii) We conduct an extensive representational analysis of the adaptation and find a clear functional division across model depth: early layers contain an activation bottleneck that causally determines language identity, while upper layers concentrate the weight and activation changes driven by adaptation. We further find that RLVR achieves greater behavioral divergence from the base model with smaller parameter updates than SFT, suggesting a more efficient representational rerouting despite much smaller weight updates.

"Where does it hurt?" -- Dataset and Study on Physician Intent Trajectories in Doctor Patient Dialogues

In a doctor-patient dialogue, the primary objective of physicians is to diagnose patients and propose a treatment plan. Medical doctors guide these conversations through targeted questioning to efficiently gather the information required to provide the best possible outcomes for patients. To the best of our knowledge, this is the first work that studies physician intent trajectories in doctor-patient dialogues. We use the `Ambient Clinical Intelligence Benchmark' (Aci-bench) dataset for our study. We collaborate with medical professionals to develop a fine-grained taxonomy of physician intents based on the SOAP framework (Subjective, Objective, Assessment, and Plan). We then conduct a large-scale annotation effort to label over 5000 doctor-patient turns with the help of a large number of medical experts recruited using Prolific, a popular crowd-sourcing platform. This large labeled dataset is an important resource contribution that we use for benchmarking the state-of-the-art generative and encoder models for medical intent classification tasks. Our findings show that our models understand the general structure of medical dialogues with high accuracy, but often fail to identify transitions between SOAP categories. We also report for the first time common trajectories in medical dialogue structures that provide valuable insights for designing `differential diagnosis' systems. Finally, we extensively study the impact of intent filtering for medical dialogue summarization and observe a significant boost in performance. We make the codes and data, including annotation guidelines, publicly available at https://github.com/DATEXIS/medical-intent-classification.