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Robust Summarization of Doctor-Patient Conversations: TalTech Systems for the Beyond Transcription Challenge

TalTech systems ranked first in both tracks of the Beyond Transcription Challenge (BeTraC), generating SOAP notes directly from long doctor-patient conversation recordings without intermediate transcription. The team adapted Voxtral Mini (lightweight track) and Voxtral Small (heavyweight track) with LoRA supervised fine-tuning and DAPO reinforcement learning using the Open Medical Concept F1 metric as reward, achieving the lowest hallucination rate among all submissions. The findings show that reinforcement learning against a concept-matching metric need not compromise factual reliability and that fine-tuning on text transcripts transfers well to speech input.

read1 min views2 publishedJul 21, 2026

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.

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