Scott Sanner
Publications
Social Chain of Thought: A Multi-Agent Architecture Grounded in Medical Differential Diagnosis Methodology
Medical diagnostic reasoning is a high-impact use case for LLMs that carries significant implications for the health and wellbeing of users. When OpenAI (2026) reports that more than 5% of ChatGPT messages globally are healthcare-related, the transparency of these systems becomes a serious design concern. This is especially true for complex cases, where differential diagnosis often requires integrating multiple forms of specialist reasoning. Existing work has proposed multi-agent approaches to medical diagnosis, but it remains unclear when such systems are needed, why they help, and where they outperform monolithic inference. We introduce Social Chain of Thought (SCoT),a multi-round pipeline for medical differential diagnosis that structures multi-agent interaction as a deliberative framework for collabora. tive LLM reasoning. Evaluating SCoT against single-agent baselines, one-agent pipeline ablations, and best-of-n scaling, we show that its recall advantage is not reproduced by monolithic inference alone. SCoT is most successful in the hardest diagnostic cases, where multiple rounds of specialist conversation help recover ground-truth diagnoses and converge on a higher-recall differential.
Semantic XPath: Structured Agentic Memory Access for Conversational AI
Conversational AI (ConvAI) agents increasingly maintain structured memory to support long-term, task-oriented interactions. In-context memory approaches append the growing history to the model input, which scales poorly under context-window limits. RAG-based methods retrieve request-relevant information, but most assume flat memory collections and ignore structure. We propose Semantic XPath, a tree-structured memory module to access and update structured conversational memory. Semantic XPath improves performance over flat-RAG baselines by 176.7% while using only 9.1% of the tokens required by in-context memory. We also introduce SemanticXPath Chat, an end-to-end ConvAI demo system that visualizes the structured memory and query execution details. Overall, this paper demonstrates a candidate for the next generation of long-term, task-oriented ConvAI systems built on structured memory.