@inproceedings{li-etal-2026-medcoach,
    title = "{M}ed{C}oach: Enhancing Medical Reasoning in {LLM}s via Knowledge Graph-Augmented Chain-of-Thought Distillation",
    author = "Li, Chuan  and
      Lyu, Ye  and
      Wang, Chengyu  and
      Fan, Mingyuan  and
      Chen, Cen",
    editor = "Liakata, Maria  and
      Moreira, Viviane P.  and
      Zhang, Jiajun  and
      Jurgens, David",
    booktitle = "Findings of the {A}ssociation for {C}omputational {L}inguistics: {ACL} 2026",
    month = jul,
    year = "2026",
    address = "San Diego, California, United States",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/ingest-acl/2026.findings-acl.1683/",
    pages = "33724--33743",
    ISBN = "979-8-89176-395-1",
    abstract = "Despite the advanced capabilities of Large Language Models (LLMs), training specialized reasoning models for the medical domain remains a significant challenge due to the scarcity of high-quality, large-scale Chain-of-Thought (CoT) data. Moreover, the intermediate reasoning steps in teacher-generated CoT data can be redundant and noisy, leading models to acquire spurious patterns and resulting in suboptimal performance. To address these issues, we propose MedCoach, a novel framework that introduces a dedicated coach role to guide the student model through question decomposition, thereby smoothing its learning curve in medical reasoning. The framework employs a curriculum-oriented warm-up on simplified sub-questions, facilitating domain adaptation before advancing to complex long-chain reasoning. To ensure the fidelity of the intermediate chain-of-thought signals, we augment this phase with medical knowledge graphs to suppress factual drift and mitigate reasoning noise at a granular level.Subsequently, we introduce a targeted factual perturbation mechanism to foster fine-grained discrimination between valid fact utilization and subtle factual misapplications. Extensive experiments across diverse benchmarks demonstrate notable improvements over existing methods, validating the effectiveness of MedCoach."
}