{"paper":{"title":"Navigating the Reality Gap: On-Device Continual Adaptation of ASR for Clinical Telephony","license":"http://arxiv.org/licenses/nonexclusive-distrib/1.0/","headline":"","cross_cats":[],"primary_cat":"cs.CL","authors_text":"Aditya Bansal, Adityasinh Solanki, Darshil Chauhan, Dhruv Kumar, Kanav Kapoor, Pratik Narang, Ritvik Jain, Vansh Patel","submitted_at":"2025-12-18T10:56:27Z","abstract_excerpt":"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 clinical speech under strict on-device constraints. We show that a robust multilingual model (IndicWav2Vec) degrades from 11.59\\% WER on standard clean Hind"},"claims":{"count":0,"items":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2512.16401","kind":"arxiv","version":5},"verdict":{"id":null,"model_set":{},"created_at":null,"strongest_claim":"","one_line_summary":"","pipeline_version":null,"weakest_assumption":"","pith_extraction_headline":""},"integrity":{"clean":true,"summary":{"advisory":0,"critical":0,"by_detector":{},"informational":0},"endpoint":"/pith/2512.16401/integrity.json","findings":[],"available":true,"detectors_run":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938"},"references":{"count":0,"sample":[],"resolved_work":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57","internal_anchors":0},"formal_canon":{"evidence_count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"author_claims":{"count":0,"strong_count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"builder_version":"pith-number-builder-2026-05-17-v1"}