Robust Summarization of Doctor-Patient Conversations: TalTech Systems for the Beyond Transcription Challenge
Authors: Aivo Olev, Tanel Alumäe
Organizations: Tallinn University of Technology Tallinn, Estonia
Abstract
This paper describes TalTech's submissions to the Beyond Transcription Challenge (BeTraC), which requires generating SOAP notes directly from long doctor-patient conversation recordings, without intermediate transcription. After screening open-weight speech LLMs for long-audio robustness, we adapted Voxtral Mini (lightweight track) and Voxtral Small (heavyweight track) with LoRA supervised fine-tuning followed by DAPO reinforcement learning that uses the challenge metric, Open Medical Concept F1, as its reward. Our systems ranked first in both tracks, and an independent LLM-as-a-judge evaluation showed the lowest hallucination rate among all submissions, indicating that reinforcement learning against a concept-matching metric need not compromise factual reliability. We also find that fine-tuning on text transcripts transfers well to speech input and appears to improve robustness on out-of-domain real recordings.
With the advent of Large Language Models and its instruction following capabilities a promising application is the task of summarization. Within this domain of task the extractive sub-task of clinical protocolling has emerged as a topic of particular interest as it can significantly reduce the downtime and protocolling burden of health-care workers thus enabling them to focus on their core work helping humans. A further step towards automation is the direct generation of clinical notes from speech without intermediate transcripts, reducing processing time while preserving information such as coughing or other paralinguistic cues that may be lost in transcript-based systems. To this end, we present KIT's submission to this years BeTraC challenge in the lightweight track. Our main contribution is a scalable data augmentation pipeline that unifies heterogeneous medical dialogue datasets through synthetic speech generation and automatically generated SOAP supervision, enabling robust adaptation of a speech foundation model for end-to-end speech-to-SOAP generation.
After decades of use in dictation and, more recently, ambient documentation, speech is emerging as a primary modality for interacting with technology and AI in healthcare. Yet medical speech recognition remains difficult: systems must capture specialized terminology, resolve contextual ambiguity, and render measurements, abbreviations, and clinical shorthand precisely. Existing solutions are typically optimized either for general-purpose transcription or narrow dictation workflows, limiting their reliability in safety-critical settings and their usefulness for broader clinical workflows. We introduce Symphony for Speech-to-Text, a medical-grade speech recognition system for real-time streaming and batch file-based clinical use. Symphony decomposes the transcription process into specialized components for recognition, formatting, and contextual correction to optimize medical term recall while producing clinically structured text in real time and adapting across use cases. Evaluations on public benchmark and medical speech datasets show that Symphony substantially outperforms state-of-the-art systems in clinical settings while matching or exceeding them in general-domain settings, suggesting robust generalization rather than overfitting. We release a clinical benchmark dataset to support reliable validation and further progress in medical speech recognition. Symphony is available through a production-grade API for live dictation, conversational transcription, and batch audio file processing.
Large Language Models (LLMs) have brought huge improvements to Artificial Intelligence (AI), which can be applied to general-purpose tasks. However, their application to textual or spoken medical consultations is still an open research problem. This paper proposes MeDial-Speech, a novel speech dataset for training and evaluating Med-AIs that can carry out consultations with patients. It was collected in realistic environments from robot-patient and doctor-patient dialogues, contains 111+ hours of speech data (without data augmentation), and covers four health conditions: Lewy body dementia, heart failure, shoulder pain, and angina. In addition, we propose a dialogue benchmark via sentence selection (with 20 options) to evaluate three state-of-the-art LLMs: GPT-5 mini, DeepSeek-V3, and Claude Sonnet 4. Experimental results reveal that Claude Sonnet 4 is the best in sentence selection, with 71.1% accuracy using manual transcriptions and 74.7% using automatic transcriptions, and that all LLMs are highly overconfident in their probabilistic predictions, regardless of selecting correct or incorrect sentences in medical dialogues. This dataset is free of charge for non-commercial purposes at: https://huggingface.co/datasets/hcuayahu/MeDial-Speech