🩺 Parakeet-TDT-0.6B English Medical πŸ‡¬πŸ‡§

A fine-tune of nvidia/parakeet-tdt-0.6b-v3 on the English subset of MultiMed mixed with Common Voice 17 English (train + validation). The mix is the trick: it pushes the model toward medical vocabulary (TAVI, intervertebral disc herniation, drug names, dosing instructions) while keeping the everyday English it already knew.

Outputs cased English text with punctuation. Drop-in for the base Parakeet: same NeMo API, same long-form support, same timestamps.

πŸ”₯ Quick start

pip install nemo_toolkit[asr]
import nemo.collections.asr as nemo_asr

asr = nemo_asr.models.ASRModel.from_pretrained("yuriyvnv/parakeet-tdt-0.6b-EN-Medical")
print(asr.transcribe(["audio.wav"])[0].text)

πŸ“Š Results

One model, one training mix (MultiMed-en train + Common Voice 17-en train + validation, concatenated and shuffled per epoch β€” same .nemo for every row below). The two rows are the same checkpoint evaluated on two different held-out test sets: one in-domain (medical) and one out-of-domain (general English). Neither test set was seen during training.

The zero-shot column is the unmodified nvidia/parakeet-tdt-0.6b-v3, measured on the same test set with the same evaluator. All numbers are normalized (lowercase + strip punctuation), the standard protocol used by the MultiMed paper and the Open ASR Leaderboard, so they are directly comparable to other published results.

Test set (held out) Samples Zero-shot WER Fine-tuned WERΒΉ Ξ” WER Zero-shot CER Fine-tuned CERΒΉ
🩺 MultiMed English (test) 7,567 19.22 14.31 -4.91 (-25.5%) 14.16 10.37
πŸ—£οΈ Common Voice 17 EN (test) 16,393 8.58 9.11 +0.53 (+6.2%) 4.01 4.10

For reference, the MultiMed paper's best published result is Whisper-Small multilingual fine-tune at 16.62% WER (arXiv 2409.14074, Table 6). This model beats that by 2.31 absolute / 14% relative, at 0.6B params.

ΒΉ Both fine-tuned numbers are this single model β€” the one trained on the MultiMed-en + CV17-en mix.

Two things worth noting:

  • 🎯 Medical: 25% relative WER reduction on MultiMed-en test (19.22% β†’ 14.31%), beating the published MultiMed paper SOTA at 0.6B params.
  • πŸ›‘οΈ General English is essentially preserved. On CV17-en test the same model lands at 9.11% WER vs the base Parakeet's 8.58% β€” a +0.53 absolute / +6.2% relative change. That's the total cost of medical specialisation. A previous medical-only version of this model (trained on MultiMed alone, no CV) scored 13.53% normalized WER on CV17-en β€” a real catastrophic-forgetting hit. Including CV17-en in the training mix is what made the trade-off this cheap.

πŸ› οΈ Training

Property Value
Base model nvidia/parakeet-tdt-0.6b-v3
Architecture FastConformer-TDT (~600M params)
Training data CV17-en (train + validation) + MultiMed-en (train), concatenated, shuffled per-epoch
Total train clips ~1.07M (CV17-en ~97.5% / MultiMed-en ~2.5%)
Validation MultiMed-en eval (~2,816 clips) β€” drives early stopping
Optimiser AdamW (Ξ²=0.9/0.98, weight decay 1e-3)
Learning rate 5e-5 (cosine annealing, min 1e-6)
Warmup 10% of total steps
Batch size 32
Precision bf16-mixed
Gradient clipping 1.0
Max clip duration 30 s
Early stopping val_wer plateau, patience 10
Best epoch 31 (val WER 22.84%)
Hardware Single NVIDIA H100

The natural CV17:MultiMed ratio (~97.5% : ~2.5%) means each batch of 32 contains on average ~0.8 medical clips and the rest general English β€” strong CV gradient keeps the base distribution intact while medical clips slowly steer the model into the clinical domain.

🎯 Intended use

  • Transcription of English medical speech: clinical consultations, surgical procedures, patient narratives, medical podcasts, healthcare interviews.
  • A drop-in replacement for nvidia/parakeet-tdt-0.6b-v3 in pipelines targeting medical English β€” picks up clinical vocabulary without breaking general transcription.

πŸ“š Training data

πŸ™ Acknowledgements

  • NVIDIA NeMo team for releasing Parakeet-TDT-0.6B-v3 and the NeMo toolkit.
  • Khai Le-Duc and the MultiMed authors for releasing the MultiMed multilingual medical ASR dataset.
  • The Mozilla Common Voice community for the crowd-sourced English speech corpus used as the general-English anchor in the training mix.
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