Medical conversations offer insights into clinical communication often absent from Electronic Health Records. However, developing reliable clinical Natural Language Processing (NLP) models is hampered by the scarcity of domain-specific datasets, as clinical data are typically inaccessible due to privacy and ethical constraints. To address these challenges, we present a pipeline for generating synthetic Dutch medical dialogues using a Dutch fine-tuned Large Language Model, with real medical conversations serving as linguistic and structural reference. The generated dialogues were evaluated through quantitative metrics and qualitative review by native speakers and medical practitioners. Quantitative analysis revealed strong lexical variety and overly regular turn-taking, suggesting scripted rather than natural conversation flow. Qualitative review produced slightly below-average scores, with raters noting issues in domain specificity and natural expression. The limited correlation between quantitative and qualitative results highlights that numerical metrics alone cannot fully capture linguistic quality. Our findings demonstrate that generating synthetic Dutch medical dialogues is feasible but requires domain knowledge and carefully structured prompting to balance naturalness and structure in conversation. This work provides a foundation for expanding Dutch clinical NLP resources through ethically generated synthetic data.

Reliable and interpretable automated assessment of second-language (L2) speech remains a central challenge, as large speech-language models (SpeechLLMs) often struggle to align with the nuanced variability of human raters. To address this, we introduce a rubric-guided reasoning framework that explicitly encodes multi-aspect human assessment criteria: accuracy, fluency, and prosody, while calibrating model uncertainty to capture natural rating variability. We fine-tune the Qwen2-Audio-7B-Instruct model using multi-rater human judgments and develop an uncertainty-calibrated regression approach supported by conformal calibration for interpretable confidence intervals. Our Gaussian uncertainty modeling and conformal calibration approach achieves the strongest alignment with human ratings, outperforming regression and classification baselines. The model reliably assesses fluency and prosody while highlighting the inherent difficulty of assessing accuracy. Together, these results demonstrate that rubric-guided, uncertainty-calibrated reasoning offers a principled path toward trustworthy and explainable SpeechLLM-based speech assessment.

We propose a method to combine the hybrid Kaldi-based Automatic Speech Recognition (ASR) system with the end-to-end wav2vec 2.0 XLS-R ASR using confidence measures. Our research is focused on the low-resource Irish language. Given the limited available open-source resources, neither the standalone hybrid ASR nor the end-to-end ASR system can achieve optimal performance. By applying the Recognizer Output Voting Error Reduction (ROVER) technique, we illustrate how ensemble learning could facilitate mutual error correction between both ASR systems. This paper outlines the strategies for merging the hybrid Kaldi ASR model and the end-to-end XLS-R model with the help of confidence scores. Although contemporary state-of-the-art end-to-end ASR models face challenges related to prediction overconfidence, we utilize Renyi’s entropy-based confidence approach, tuned with temperature scaling, to align it with the Kaldi ASR confidence. Although there was no significant difference in the Word Error Rate (WER) between the hybrid and end-to-end ASR, we could achieve a notable reduction in WER after ensembling through ROVER. This resulted in an almost 14% Word Error Rate Reduction (WERR) on our primary test set and an approximately 20% WERR on other noisy and imbalanced test data.