# Retrieval-Augmented Generation of Pediatric Speech-Language Pathology vignettes: A Proof-of-Concept Study

arXiv: https://arxiv.org/abs/2511.08600 · HTML: https://mlsanity.com/paper/2511.08600/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and biomedical RAG, one of 15 directions in Retrieval-augmented generation.
- Builds on 7 of its 56 references that are in the map.
- First posted on arXiv 1 Nov 2025.

## Placed in

- Retrieval-augmented generation / [Medical and biomedical RAG](https://mlsanity.com/rag/medical-and-biomedical-rag/)

## Builds on (most cited first, 7 of 7)

- [A Survey of Large Language Models](https://mlsanity.com/paper/2303.18223/) (2023)
- [Retrieval-Augmented Generation for Large Language Models: A Survey](https://mlsanity.com/paper/2312.10997/) (2023)
- [Large Language Models Are Human-Level Prompt Engineers](https://mlsanity.com/paper/2211.01910/) (2022)
- [A Prompt Pattern Catalog to Enhance Prompt Engineering with ChatGPT](https://mlsanity.com/paper/2302.11382/) (2023)
- [A Systematic Survey of Prompt Engineering in Large Language Models: Techniques and Applications](https://mlsanity.com/paper/2402.07927/) (2024)
- [Gradio: Hassle-Free Sharing and Testing of ML Models in the Wild](https://mlsanity.com/paper/1906.02569/) (2019)
- [Controlled Text Generation as Continuous Optimization with Multiple Constraints](https://mlsanity.com/paper/2108.01850/) (2021)

## Abstract (arXiv)

Clinical vignettes are essential educational tools in speech-language pathology (SLP), but manual creation is time-intensive. While general-purpose large language models (LLMs) can generate text, they lack domain-specific knowledge, leading to hallucinations and requiring extensive expert revision. This study presents a proof-of-concept system integrating retrieval-augmented generation (RAG) with curated knowledge bases to generate pediatric SLP case materials. A multi-model RAG-based system was prototyped integrating curated domain knowledge with engineered prompt templates, supporting five commercial (GPT-4o, Claude 3.5 Sonnet, Gemini 2.5 Pro) and open-source (Llama 3.2, Qwen 2.5-7B) LLMs. Seven test scenarios spanning diverse disorder types and grade levels were systematically designed. Generated cases underwent automated quality assessment using a multi-dimensional rubric evaluating structural completeness, internal consistency, clinical appropriateness, and IEP goal/session note quality. This proof-of-concept demonstrates technical feasibility for RAG-augmented generation of pediatric SLP vignettes. Commercial models showed marginal quality advantages, but open-source alternatives achieved acceptable performance, suggesting potential for privacy-preserving institutional deployment. Integration of curated knowledge bases enabled content generation aligned with professional guidelines. Extensive validation through expert review, student pilot testing, and psychometric evaluation is required before educational or research implementation. Future applications may extend to clinical decision support, automated IEP goal generation, and clinical reflection training.