Challenge: Using pretrained transformer models for automatically summarizing doctor-patient conversations presents challenges . limited training data, domain shift, long and noisy transcripts, and high target summary variability are challenges compared to human annotators.
Approach: They propose a method for fine-tuning pretrained transformer models for automatically summarizing doctor-patient conversations directly from transcripts.
Outcome: The proposed method surpasses the performance of an average human annotator and the quality of previous published work for the task.

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Few-shot fine-tuning SOTA summarization models for medical dialogues (2022.naacl-srw)

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Challenge: Abstractive summarization of medical dialogues is a challenge for standard training approaches due to the paucity of suitable datasets.
Approach: They propose to use medical dialogues to generate abstractive summaries using transformer-based models with zero-shot and few-shot learning strategies.
Outcome: The proposed models were compared with a medical dialogue dataset with 143 snippets and a general domain and dialogue-specific text to assess their performance.
Efficient Few-Shot Fine-Tuning for Opinion Summarization (2022.findings-naacl)

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Challenge: Abstractive summarization models are typically pre-trained on large amounts of generic texts . large annotated datasets of reviews paired with reference summaries are not available .
Approach: They propose a few-shot method which uses adapters to store in-domain knowledge . they pre-train adapters on unannotated customer reviews and fine-tune them on annotated datasets .
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Training Dynamics for Text Summarization Models (2022.findings-acl)

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Challenge: Pre-trained language models have shown impressive results when fine-tuned on large summarization datasets.
Approach: They analyze the training dynamics for generation models, focusing on summarization . they find that a propensity to copy the input is learned early in the training process .
Outcome: The proposed model learns at different stages of fine-tuning, the authors show . they show that factual errors are learnt in later stages, but not at high-loss tokens .
Post-Training Dialogue Summarization using Pseudo-Paraphrasing (2022.findings-naacl)

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Challenge: Existing approaches to dialogue summarization use dialogue-specific features that require additional knowledge to recognize or make the models harder to tune.
Approach: They propose to post-train pretrained language models to rephrase from dialogue to narratives and fine-tune them as usual.
Outcome: The proposed approach outperforms existing models by summary quality and implementation costs.
Summary Grounded Conversation Generation (2021.findings-acl)

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Challenge: Existing datasets for conversation summarization are small due to the lack of large-scale datasets.
Approach: They propose three approaches to generate summary grounded conversations, and evaluate the generated conversations using automatic measures and human judgements.
Outcome: The proposed models can generate entire conversations with only a summary of a conversation as the input.
An Exploratory Study on Long Dialogue Summarization: What Works and What’s Next (2021.findings-emnlp)

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Challenge: Existing models for dialogue summarization focus on extracting the main events of short conversations, but real-world dialogues are difficult to train.
Approach: They propose three strategies to deal with the lengthy input problem and locate relevant information using long dialogue datasets.
Outcome: The retrieve-then-summarize pipeline models yield the best performance on three long dialogue datasets.
Evaluation of Dataset Selection for Pre-Training and Fine-Tuning Transformer Language Models for Clinical Question Answering (2020.lrec-1)

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Challenge: Existing work on EHR QA models that learn to answer questions from structured data has focused on analyzing questions or mapping questions to existing NLP based information extraction models.
Approach: They conduct 48 experiments on two clinical question answering datasets . they use open-domain and domain-specific corpora to fine-tune Transformer language models .
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Generating SOAP Notes from Doctor-Patient Conversations Using Modular Summarization Techniques (2021.acl-long)

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Challenge: Creating digital SOAP notes is burdensome and contributes to physician burnout . authors propose a pipeline to generate these notes based on transcripts of clinical conversations .
Approach: They propose a pipeline to leverage deep summarization models based on conversations between physicians and patients . they propose an algorithm that extracts important utterances relevant to each section and generates one summary sentence per cluster .
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MedicalSum: A Guided Clinical Abstractive Summarization Model for Generating Medical Reports from Patient-Doctor Conversations (2022.findings-emnlp)

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Challenge: Existing models for summarizing medical conversations do not take clinical knowledge into account and are difficult to control.
Approach: They propose a transformer-based sequence-to-sequence architecture for summarizing medical conversations by integrating medical domain knowledge from the Unified Medical Language System (UMLS).
Outcome: The proposed model achieves state-of-the-art ROUGE score improvements of 0.8-2.1 points (including 6.2% error reduction in the PE section) it incorporates medical domain knowledge from the Unified Medical Language System (UMLS).
Low-Resource Dialogue Summarization with Domain-Agnostic Multi-Source Pretraining (2021.emnlp-main)

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Challenge: Existing methods for low-resource dialogue summarization neglect the difference between dialogues and conventional articles.
Approach: They propose a multi-source pretraining paradigm to leverage external summary data . they exploit large-scale in-domain non-summary data to separate dialogue encoder and summary decoder .
Outcome: The proposed model can be used to better leverage external summary data.

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