@inproceedings{chen-etal-2026-speechmedassist,
title = "{S}peech{M}ed{A}ssist: Efficiently and Effectively Adapting Speech Language Models for Medical Consultation",
author = "Chen, Sirry and
Wang, Jieyi and
Chen, Wei and
Wei, Zhongyu",
editor = "Liakata, Maria and
Moreira, Viviane P. and
Zhang, Jiajun and
Jurgens, David",
booktitle = "Proceedings of the 64th Annual Meeting of the {A}ssociation for {C}omputational {L}inguistics (Volume 1: Long Papers)",
month = jul,
year = "2026",
address = "San Diego, California, United States",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2026.acl-long.1428/",
pages = "30914--30935",
ISBN = "979-8-89176-390-6",
abstract = "Medical consultations are intrinsically speech-centric. However, most prior works focus on long-text-based interactions, which are cumbersome and patient-unfriendly. Recent advances in speech language models (SpeechLMs) have enabled more natural speech-based interaction, yet the scarcity of medical speech data and the inefficiency of directly fine-tuning on speech data jointly hinder the adoption of SpeechLMs in medical consultation. In this paper, we propose SpeechMedAssist, a SpeechLM natively capable of conducting speech-based multi-turn interactions with patients. By exploiting the architectural properties of SpeechLMs, we decouple the conventional one-stage training into a two-stage paradigm consisting of **(1) Knowledge Capability Injection via Text** and **(2) Modality Re-alignment with Limited Speech Data**, thereby reducing the requirement for medical speech data to only **10k** synthesized samples. To evaluate SpeechLMs for medical consultation scenarios, we design a benchmark comprising both single-turn question answering and multi-turn simulated interactions. Experimental results show that our model outperforms all baselines in both effectiveness and robustness in most evaluation settings."
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<abstract>Medical consultations are intrinsically speech-centric. However, most prior works focus on long-text-based interactions, which are cumbersome and patient-unfriendly. Recent advances in speech language models (SpeechLMs) have enabled more natural speech-based interaction, yet the scarcity of medical speech data and the inefficiency of directly fine-tuning on speech data jointly hinder the adoption of SpeechLMs in medical consultation. In this paper, we propose SpeechMedAssist, a SpeechLM natively capable of conducting speech-based multi-turn interactions with patients. By exploiting the architectural properties of SpeechLMs, we decouple the conventional one-stage training into a two-stage paradigm consisting of **(1) Knowledge Capability Injection via Text** and **(2) Modality Re-alignment with Limited Speech Data**, thereby reducing the requirement for medical speech data to only **10k** synthesized samples. To evaluate SpeechLMs for medical consultation scenarios, we design a benchmark comprising both single-turn question answering and multi-turn simulated interactions. Experimental results show that our model outperforms all baselines in both effectiveness and robustness in most evaluation settings.</abstract>
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%0 Conference Proceedings
%T SpeechMedAssist: Efficiently and Effectively Adapting Speech Language Models for Medical Consultation
%A Chen, Sirry
%A Wang, Jieyi
%A Chen, Wei
%A Wei, Zhongyu
%Y Liakata, Maria
%Y Moreira, Viviane P.
%Y Zhang, Jiajun
%Y Jurgens, David
%S Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)
%D 2026
%8 July
%I Association for Computational Linguistics
%C San Diego, California, United States
%@ 979-8-89176-390-6
%F chen-etal-2026-speechmedassist
%X Medical consultations are intrinsically speech-centric. However, most prior works focus on long-text-based interactions, which are cumbersome and patient-unfriendly. Recent advances in speech language models (SpeechLMs) have enabled more natural speech-based interaction, yet the scarcity of medical speech data and the inefficiency of directly fine-tuning on speech data jointly hinder the adoption of SpeechLMs in medical consultation. In this paper, we propose SpeechMedAssist, a SpeechLM natively capable of conducting speech-based multi-turn interactions with patients. By exploiting the architectural properties of SpeechLMs, we decouple the conventional one-stage training into a two-stage paradigm consisting of **(1) Knowledge Capability Injection via Text** and **(2) Modality Re-alignment with Limited Speech Data**, thereby reducing the requirement for medical speech data to only **10k** synthesized samples. To evaluate SpeechLMs for medical consultation scenarios, we design a benchmark comprising both single-turn question answering and multi-turn simulated interactions. Experimental results show that our model outperforms all baselines in both effectiveness and robustness in most evaluation settings.
%U https://aclanthology.org/2026.acl-long.1428/
%P 30914-30935
Markdown (Informal)
[SpeechMedAssist: Efficiently and Effectively Adapting Speech Language Models for Medical Consultation](https://aclanthology.org/2026.acl-long.1428/) (Chen et al., ACL 2026)
ACL