Automated Scoring of Communication Skills in Physician-Patient Interaction: Balancing Performance and Scalability

Saed Rezayi, Le An Ha, Yiyun Zhou, Andrew Houriet, Angelo D’Addario, Peter Baldwin, Polina Harik, Ann King, Victoria Yaneva


Abstract
This paper presents an automated scoring approach for a formative assessment tool aimed at helping learner physicians enhance their communication skills through simulated patient interactions. The system evaluates transcribed learner responses by detecting key communicative behaviors, such as acknowledgment, empathy, and clarity. Built on an adapted version of the ACTA scoring framework, the model achieves a mean binary F1 score of 0.94 across 8 clinical scenarios. A central contribution of this work is the investigation of how to balance scoring accuracy with scalability. We demonstrate that synthetic training data offers a promising path toward reducing reliance on large, annotated datasets—making automated scoring more accurate and scalable.
Anthology ID:
2025.bea-1.66
Volume:
Proceedings of the 20th Workshop on Innovative Use of NLP for Building Educational Applications (BEA 2025)
Month:
July
Year:
2025
Address:
Vienna, Austria
Editors:
Ekaterina Kochmar, Bashar Alhafni, Marie Bexte, Jill Burstein, Andrea Horbach, Ronja Laarmann-Quante, Anaïs Tack, Victoria Yaneva, Zheng Yuan
Venues:
BEA | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
891–897
Language:
URL:
https://preview.aclanthology.org/acl25-workshop-ingestion/2025.bea-1.66/
DOI:
Bibkey:
Cite (ACL):
Saed Rezayi, Le An Ha, Yiyun Zhou, Andrew Houriet, Angelo D’Addario, Peter Baldwin, Polina Harik, Ann King, and Victoria Yaneva. 2025. Automated Scoring of Communication Skills in Physician-Patient Interaction: Balancing Performance and Scalability. In Proceedings of the 20th Workshop on Innovative Use of NLP for Building Educational Applications (BEA 2025), pages 891–897, Vienna, Austria. Association for Computational Linguistics.
Cite (Informal):
Automated Scoring of Communication Skills in Physician-Patient Interaction: Balancing Performance and Scalability (Rezayi et al., BEA 2025)
Copy Citation:
PDF:
https://preview.aclanthology.org/acl25-workshop-ingestion/2025.bea-1.66.pdf