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

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 clinical speech under strict on-device constraints. We show that a robust multilingual model (IndicWav2Vec) degrades from 11.59\% WER on standard clean Hindi to \textbf{41.71\% WER} on this proxy telephony data. We evaluate a progression of on-device adaptation regimes under realistic constraints, from full fine-tuning to parameter-efficient LoRA and stream-based continual learning, across multiple baselines, datasets, and seeds.