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Navigating the Reality Gap: On-Device Continual Adaptation of ASR for Clinical Telephony

arXiv:2512.16401v5 Announce Type: replace Abstract: Automatic Speech Recognition (ASR) can significantly reduce documentation burden in clinical workflows, but standard models degrade sharply in real-world telephony settings where noisy audio, dialectal variation, and strict data residency constraints prevent cloud-based adaptation. We study this "reality gap" using Gram Vaani: a telephonic Hindi corpus spanning rural healthcare and agricultural helplines, as the closest available proxy for...

arXiv CS 8d ago