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This research addresses a critical gap in long-context audio reasoning by releasing a synthetic dataset of 8,800 doctor-patient conversations generated entirely with open-weight models. The study provides controlled evaluation metrics for SOAP note generation, revealing that cascaded approaches currently offer performance advantages comparable to end-to-end systems after recent corrections.
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Generating Synthetic Doctor-Patient Conversations for Long-form Audio Summarization

arXiv2 min read

arXiv:2604.06138v2 Announce Type: replace-cross Abstract: Long-context audio reasoning is underserved in both training data and evaluation. Existing benchmarks target short-context tasks, and the open-ended generation tasks most relevant to long-context reasoning pose well-known challenges for automatic evaluation. We propose a synthetic data generation pipeline designed to serve both as a training resource and as a controlled evaluation environment, and instantiate it for first-visit doctor-patient conversations with SOAP note generation as the task. The pipeline has three stages, persona-driven dialogue generation, multi-speaker audio synthesis with overlap/pause modeling, room acoustics, and sound events, and LLM-based reference SOAP note production, built entirely on open-weight models. We release 8,800 synthetic conversations with 1.3k hours of corresponding audio and reference notes. Evaluating current open-weight systems, we find that cascaded approaches still substantially outperform end-to-end models.

Abstract:Long-context audio reasoning is underserved in both training data and evaluation. Existing benchmarks target short-context tasks, and the open-ended generation tasks most relevant to long-context reasoning pose well-known challenges for automatic evaluation. We propose a synthetic data generation pipeline designed to serve both as a training resource and as a controlled evaluation environment, and instantiate it for first-visit doctor-patient conversations with SOAP note generation as the task. The pipeline has three stages, persona-driven dialogue generation, multi-speaker audio synthesis with overlap/pause modeling, room acoustics, and sound events, and LLM-based reference SOAP note production, built entirely on open-weight models. We release 8,800 synthetic conversations with 1.3k hours of corresponding audio and reference notes. Evaluating current open-weight systems, we find that cascaded approaches still substantially outperform end-to-end models.

Published at Interspeech 2026. v2 is the published version; results were corrected after a bug fix: end-to-end and cascaded systems now perform comparably (per-claim hallucination 32% vs. 22-24%)

Sound (cs.SD); Artificial Intelligence (cs.AI)

arXiv:2604.06138 [cs.SD]

(or arXiv:2604.06138v2 [cs.SD] for this version)

Proc. Interspeech 2026, 4384-4389

https://doi.org/10.21437/Interspeech.2026-2901 DOI(s) linking to related resources

Full text under the publisher's open licence · 176 words

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