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This research demonstrates a robust method for generating medical SOAP notes directly from audio recordings by combining open-weight speech LLMs with DAPO reinforcement learning tuned against specific clinical metrics. The study confirms that optimizing models using concept-matching rewards can significantly reduce hallucinations in long-form dialogue without sacrificing factual reliability, marking a key advancement in direct-to-note AI systems.
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Robust Summarization of Doctor-Patient Conversations: TalTech Systems for the Beyond Transcription Challenge

arXiv2 min read

arXiv:2607.17230v1 Announce Type: new 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.

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.

Computation and Language (cs.CL); Audio and Speech Processing (eess.AS)

arXiv:2607.17230 [cs.CL]

(or arXiv:2607.17230v1 [cs.CL] for this version)

https://doi.org/10.48550/arXiv.2607.17230 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 220 words

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