Challenge: Large language models (LLMs) can generate fluent clinical text, but ensuring that such outputs are clinically grounded and useful for downstream modeling remains challenging.
Approach: They propose a disease-agnostic framework for generating privacy-preserving, clinically faithful synthetic EHR narratives.
Outcome: The proposed framework produces context-aware, symptom-rich sentences that more closely reflect real-world clinical documentation.

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RecordTwin: Towards Creating Safe Synthetic Clinical Corpora (2025.findings-acl)

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Challenge: Existing methods to generate high-quality synthetic corpus from clinical documents require learning from the original clinical documents.
Approach: They propose a method to generate synthetic corpus from clinical documents using a large language model.
Outcome: The proposed method generates synthetic documents from in-hospital clinical documents.
High-Quality Medical Dialogue Synthesis for Improving EMR Generation (2025.emnlp-industry)

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Challenge: Existing methods for generating EMRs from doctor-patient dialogues produce rigid and repetitive dialogues.
Approach: They propose a framework that integrates Intent Graph Planning, Dual-Agent Simulation and Rule-Reward Quality Control to generate realistic doctor-patient dialogues.
Outcome: The proposed framework significantly enhances realism, diversity and downstream EMR quality, reducing physician editing efforts.
Synthetic Doctor-Patient Dialogue Generation for Robust Medical ASR: A Scalable Pipeline for Vocabulary Expansion and Privacy Preservation (2026.eacl-industry)

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Challenge: Existing ASR models struggle with high word error rates (WER) on clinical vocabulary, especially medication names.
Approach: They propose to generate doctor-patient dialogues in both text and audio formats using a curated set of over 124,000 medical terms.
Outcome: The proposed pipeline generated over 1 billion audios with ground truth transcriptions.
Can Synthetic Text Help Clinical Named Entity Recognition? A Study of Electronic Health Records in French (2023.eacl-main)

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Challenge: In sensitive domains, the sharing of corpora is restricted due to confidentiality, copyrights or trade secrets.
Approach: They use auto-regressive neural models to generate a clinical case corpus annotated with clinical entities and evaluate it for a named entity recognition task.
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Generating Synthetic Free-text Medical Records with Low Re-identification Risk using Masked Language Modeling (2025.naacl-srw)

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Challenge: Existing methods to generate medical records using Causal Language Modelling are limited due to privacy concerns.
Approach: They propose a method for generating medical records using Masked Language Modelling using Causal language models.
Outcome: The proposed method produces high-quality synthetic data with a re-identification risk of only 3.5% and a patient recall of 96%.
Two Directions for Clinical Data Generation with Large Language Models: Data-to-Label and Label-to-Data (2023.findings-emnlp)

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Challenge: Large language models (LLMs) can generate natural language texts for various domains and tasks, but their potential for clinical text mining is under-explored.
Approach: They propose a pragmatic taxonomy for AD sign and symptom progression based on expert knowledge and train a system to detect AD-related signs and symptoms from EHRs.
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Publicly Shareable Clinical Large Language Model Built on Synthetic Clinical Notes (2024.findings-acl)

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Challenge: Clinical notes are an extensive repository of information specific to individual patients.
Approach: They create synthetic large-scale clinical notes using publicly available case reports extracted from biomedical literature and train a clinical large language model, Asclepius.
Outcome: The proposed model outperforms several other models and is supported by detailed evaluations conducted by GPT-4 and medical professionals.
HealthAlignSumm : Utilizing Alignment for Multimodal Summarization of Code-Mixed Healthcare Dialogues (2024.findings-emnlp)

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Challenge: Collaboration between doctors and AI scientists is leading to personalized models to stream-line healthcare tasks and improve productivity.
Approach: They propose to use alignment techniques to combine a doctor-patient dialogue with a visual component of the BART model.
Outcome: The proposed model in-tegrates visual components with the BART ar-chitecture.
PromptEHR: Conditional Electronic Healthcare Records Generation with Prompt Learning (2022.emnlp-main)

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Challenge: Existing methods for generating longitudinal multimodal EHRs are limited due to privacy concerns.
Approach: They propose to generate longitudinal multimodal EHRs by unconditional generation or longitudinal inference . existing methods generate single-modal E HRs by conditional generation or by longitudinal inferment .
Outcome: The proposed method is more flexible and controllable than existing methods and is more cost-effective than existing ones.
Data-Constrained Synthesis of Training Data for De-Identification (2025.acl-long)

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Challenge: sensitive domains lack widely available datasets due to privacy risks . recent studies have focused on evaluating the privacy of the synthetic text .
Approach: They domain-adapt LLMs to clinical domain and generate synthetic clinical texts . they then generate NER models that can be annotated with tags for PII .
Outcome: The proposed model performs better than the original model using smaller datasets.

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