The Sound of Healthcare: Improving Medical Transcription ASR Accuracy with Large Language Models
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Abstract (arXiv)
In the rapidly evolving landscape of medical documentation, transcribing clinical dialogues accurately is increasingly paramount. This study explores the potential of Large Language Models (LLMs) to enhance the accuracy of Automatic Speech Recognition (ASR) systems in medical transcription. Utilizing the PriMock57 dataset, which encompasses a diverse range of primary care consultations, we apply advanced LLMs to refine ASR-generated transcripts. Our research is multifaceted, focusing on improvements in general Word Error Rate (WER), Medical Concept WER (MC-WER) for the accurate transcription of essential medical terms, and speaker diarization accuracy. Additionally, we assess the role of LLM post-processing in improving semantic textual similarity, thereby preserving the contextual integrity of clinical dialogues. Through a series of experiments, we compare the efficacy of zero-shot and Chain-of-Thought (CoT) prompting techniques in enhancing diarization and correction accuracy. Our findings demonstrate that LLMs, particularly through CoT prompting, not only improve the diarization accuracy of existing ASR systems but also achieve state-of-the-art performance in this domain. This improvement extends to more accurately capturing medical concepts and enhancing the overall semantic coherence of the transcribed dialogues. These findings illustrate the dual role of LLMs in augmenting ASR outputs and independently excelling in transcription tasks, holding significant promise for transforming medical ASR systems and leading to more accurate and reliable patient records in healthcare settings.
Key facts. Cited by 17 papers in the map (data through 7 Oct 2026). Builds on 33 of its 59 references that are in the map. First posted on arXiv 12 Feb 2024.
Builds on
33 of 59 references.
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Citing papers per year: 2024: 6; 2025: 3; 2026: 8.
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- 2024LLM-based speaker diarization correction: A generalizable approachcited by 8
- 2024From Text to Multimodality: Exploring the Evolution and Impact of Large Language Models in Medical Practicecited by 8
- 2024Performant ASR Models for Medical Entities in Accented Speechcited by 7
- 2024AG-LSEC: Audio Grounded Lexical Speaker Error Correctioncited by 3
- 2025Enhancing Dialogue Annotation with Speaker Characteristics Leveraging a Frozen LLMcited by 3
- 2024SilVar: Speech Driven Multimodal Model for Reasoning Visual Question Answering and Object Localizationcited by 2
- 2025SEAL: Speaker Error Correction using Acoustic-conditioned Large Language Modelscited by 1
- 2026Lost in Transcription: How Speech-to-Text Errors Derail Code Understandingcited by 1
- 2024Searching for Best Practices in Medical Transcription with Large Language Modelcited by 0
- 2025Preserving Privacy, Increasing Accessibility, and Reducing Cost: An On-Device Artificial Intelligence Model for Medical Transcription and Note Generationcited by 0
- 2026Iterative LLM-based improvement for French Clinical Interview Transcription and Speaker Diarizationcited by 0
- 2026Evaluating a Multi-Agent Voice-Enabled Smart Speaker for Care Homes: A Safety-Focused Frameworkcited by 0
5 more
- 2026Evaluating Fine-Tuned LLM Model For Medical Transcription With Small Low-Resource Languages Validated Datasetcited by 0
- 2026A Dataset of Robot-Patient and Doctor-Patient Medical Dialogues for Spoken Language Processing Taskscited by 0
- 2026Understanding Multilingual Medical ASR Adaptation Through Layer-Wise Analysiscited by 0
- 2026Mitigating Speaker Leakage in Cascaded Multi-talker ASR with Diarization-based Transcript Correctioncited by 0
- 2026MedWER: A Reproducible, Model-Free Evaluation Protocol for Medical Speech Recognitioncited by 0
- 2026MedWER: A Reproducible, Model-Free Evaluation Protocol for Medical Speech Recognition4 Sep 2026
- 2026Mitigating Speaker Leakage in Cascaded Multi-talker ASR with Diarization-based Transcript Correction23 Aug 2026
- 2026Understanding Multilingual Medical ASR Adaptation Through Layer-Wise Analysis19 Aug 2026
- 2026A Dataset of Robot-Patient and Doctor-Patient Medical Dialogues for Spoken Language Processing Tasks26 May 2026
- 2026Evaluating Fine-Tuned LLM Model For Medical Transcription With Small Low-Resource Languages Validated Dataset25 Mar 2026
- 2026Evaluating a Multi-Agent Voice-Enabled Smart Speaker for Care Homes: A Safety-Focused Framework24 Mar 2026
- 2026Iterative LLM-based improvement for French Clinical Interview Transcription and Speaker Diarization16 Feb 2026
- 2026Lost in Transcription: How Speech-to-Text Errors Derail Code Understanding20 Jan 2026
- 2025Enhancing Dialogue Annotation with Speaker Characteristics Leveraging a Frozen LLM6 Aug 2025
- 2025Preserving Privacy, Increasing Accessibility, and Reducing Cost: An On-Device Artificial Intelligence Model for Medical Transcription and Note Generation3 Jul 2025
- 2025SEAL: Speaker Error Correction using Acoustic-conditioned Large Language Models14 Jan 2025
- 2024SilVar: Speech Driven Multimodal Model for Reasoning Visual Question Answering and Object Localization21 Dec 2024
5 more
- 2024Searching for Best Practices in Medical Transcription with Large Language Model4 Oct 2024
- 2024From Text to Multimodality: Exploring the Evolution and Impact of Large Language Models in Medical Practice14 Sep 2024
- 2024AG-LSEC: Audio Grounded Lexical Speaker Error Correction25 Jun 2024
- 2024Performant ASR Models for Medical Entities in Accented Speech18 Jun 2024
- 2024LLM-based speaker diarization correction: A generalizable approach7 Jun 2024
- 2024LLM-based speaker diarization correction: A generalizable approachcited by 8
- 2024From Text to Multimodality: Exploring the Evolution and Impact of Large Language Models in Medical Practicecited by 8
- 2024Performant ASR Models for Medical Entities in Accented Speechcited by 7
- 2024AG-LSEC: Audio Grounded Lexical Speaker Error Correctioncited by 3
- 2025Enhancing Dialogue Annotation with Speaker Characteristics Leveraging a Frozen LLMcited by 3
- 2025SEAL: Speaker Error Correction using Acoustic-conditioned Large Language Modelscited by 1
- 2026Lost in Transcription: How Speech-to-Text Errors Derail Code Understandingcited by 1
- 2024Searching for Best Practices in Medical Transcription with Large Language Modelcited by 0
- 2025Preserving Privacy, Increasing Accessibility, and Reducing Cost: An On-Device Artificial Intelligence Model for Medical Transcription and Note Generationcited by 0
- 2026Iterative LLM-based improvement for French Clinical Interview Transcription and Speaker Diarizationcited by 0
- 2026Evaluating a Multi-Agent Voice-Enabled Smart Speaker for Care Homes: A Safety-Focused Frameworkcited by 0
- 2026Evaluating Fine-Tuned LLM Model For Medical Transcription With Small Low-Resource Languages Validated Datasetcited by 0
12 most cited of 16 All 16 (JSON)
- 2026MedWER: A Reproducible, Model-Free Evaluation Protocol for Medical Speech Recognition4 Sep 2026
- 2026Mitigating Speaker Leakage in Cascaded Multi-talker ASR with Diarization-based Transcript Correction23 Aug 2026
- 2026Understanding Multilingual Medical ASR Adaptation Through Layer-Wise Analysis19 Aug 2026
- 2026A Dataset of Robot-Patient and Doctor-Patient Medical Dialogues for Spoken Language Processing Tasks26 May 2026
- 2026Evaluating Fine-Tuned LLM Model For Medical Transcription With Small Low-Resource Languages Validated Dataset25 Mar 2026
- 2026Evaluating a Multi-Agent Voice-Enabled Smart Speaker for Care Homes: A Safety-Focused Framework24 Mar 2026
- 2026Iterative LLM-based improvement for French Clinical Interview Transcription and Speaker Diarization16 Feb 2026
- 2026Lost in Transcription: How Speech-to-Text Errors Derail Code Understanding20 Jan 2026
- 2025Enhancing Dialogue Annotation with Speaker Characteristics Leveraging a Frozen LLM6 Aug 2025
- 2025Preserving Privacy, Increasing Accessibility, and Reducing Cost: An On-Device Artificial Intelligence Model for Medical Transcription and Note Generation3 Jul 2025
- 2025SEAL: Speaker Error Correction using Acoustic-conditioned Large Language Models14 Jan 2025
- 2024Searching for Best Practices in Medical Transcription with Large Language Model4 Oct 2024
12 newest of 16 All 16 (JSON)
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- 2023Improving Medical Speech-to-Text Accuracy with Vision-Language Pre-training Model
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