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/digital-health-clinical-asr-finetune

@1ba3403
by NVIDIA Corporationnvidia/skills3.5k stars
424

Stage 4 of the Clinical ASR Flywheel. Use when priority KER is above 0.3 to run stock NeMo SFT on Parakeet TDT v2 and offline cycle N+1 re-eval. NOT for generic word boosting (use /finetune-asr).

Use this Skill: https://skilld.dev/gh/nvidia/skills/digital-health-clinical-asr-finetune

This session only. Nothing lands on disk.

BENCHMARK.md

≈959 tokens on demand. Your agent reads this file only when SKILL.md points to it.

Evaluation Report

Evaluation of the digital-health-clinical-asr-finetune skill before publication through NVSkills-Eval.

This benchmark summarizes 3-Tier Evaluation from NVSkills-Eval results for the skill. The goal is to document whether the skill is safe, discoverable, effective, and useful for agents before it is published for broader workflow use.

Evaluation Summary

  • Skill: digital-health-clinical-asr-finetune
  • Evaluation date: 2026-05-28
  • NVSkills-Eval profile: external
  • Environment: local
  • Dataset: 3 evaluation tasks
  • Attempts per task: 2
  • Pass threshold: 50%
  • Overall verdict: PASS

Agents Used

  • claude-code
  • codex

Metrics Used

Reported benchmark dimensions:

  • Security: checks whether skill-assisted execution avoids unsafe behavior such as secret leakage, destructive commands, or unauthorized access.
  • Correctness: checks whether the agent follows the expected workflow and produces the correct final output.
  • Discoverability: checks whether the agent loads the skill when relevant and avoids using it when irrelevant.
  • Effectiveness: checks whether the agent performs measurably better with the skill than without it.
  • Efficiency: checks whether the agent uses fewer tokens and avoids redundant work.

Underlying evaluation signals used in this run:

  • skill_execution (Skill Execution): verifies that the agent loaded the expected skill and workflow.
  • skill_efficiency (Efficiency): checks routing quality, decoy avoidance, and redundant tool usage.
  • accuracy (Accuracy): grades final-answer correctness against the reference answer.
  • goal_accuracy (Goal Accuracy): checks whether the overall user task completed successfully.
  • behavior_check (Behavior Check): verifies expected behavior steps, including safety expectations.
  • token_efficiency (Token Efficiency): compares token usage with and without the skill.

Test Tasks

The benchmark dataset contained 3 evaluation tasks:

  • Positive tasks: 3 tasks where the skill was expected to activate.
  • Negative tasks: 0 tasks where no skill was expected.
  • Unlabeled tasks: 0 tasks where positive/negative intent could not be inferred.

Task composition is derived from the evaluation dataset when possible. Entries with expected_skill set are treated as positive skill-activation cases, while entries with expected_skill: null are treated as negative activation cases.

Results

Dimension Num claude-code codex
Security 6 100% (+44%) 89% (+28%)
Correctness 6 90% (+2%) 97% (+29%)
Discoverability 6 56% (+7%) 65% (+24%)
Effectiveness 6 97% (+18%) 94% (+35%)
Efficiency 6 47% (+14%) 48% (+6%)

Score values show skill-assisted performance. Values in parentheses show uplift versus the no-skill baseline when baseline data is available.

Tier 1: Static Validation Summary

Tier 1 validation passed with observations. NVSkills-Eval ran 9 checks and found 2 total findings.

Top findings:

  • LOW SCHEMA/unexpected_file: Unexpected 'skill.oms.sig' in skill root (skills/digital-health-clinical-asr-finetune/skill.oms.sig)
  • LOW SCHEMA/unexpected_file: Unexpected 'skill-card.md' in skill root (skills/digital-health-clinical-asr-finetune/skill-card.md)

Tier 2: Deduplication Summary

Tier 2 validation passed. NVSkills-Eval ran 2 checks and found 0 total findings.

Notable observations:

  • Context Deduplication: Collected 3 file(s)
  • Inter-Skill Deduplication: Parsed skill 'digital-health-clinical-asr-finetune': 195 char description

Publication Recommendation

The skill is suitable to proceed toward NVSkills-Eval publication based on this benchmark. Skill owners should keep this file with the skill and refresh it when the evaluation dataset, skill behavior, or target agents materially change.

Source: SKILL.md on GitHub

1 warning1mo3 checks · Risk SAFE
  • Gen Agent Trust Hub1mo

    The skill is safe and follows best practices for clinical ASR fine-tuning using NVIDIA NeMo and Brev cloud services. It provides detailed cost warnings and security recommendations for tool installation. A low-severity risk of indirect prompt injection exists because the skill processes external manifest data which could contain maliciously crafted text.

  • Socket1mo

    No alerts

  • Snyk1mo

    Risk: MEDIUM · 3 issues

Signed by skilld at 1ba3403. This ties the file your Agent reads to that commit on GitHub. It does not review the instructions.

Last checked against GitHub yesterday.

Activeupdated 4 months ago
version
1.0.0
author
Ben Randoing <brandoing@nvidia.com>
tools
[
  "Read",
  "Write",
  "Bash",
  "Skill"
]
Other metadata
tags
[
  "clinical-asr",
  "finetune",
  "sft",
  "nemo",
  "parakeet",
  "flywheel"
]
compatibility
Requires a CUDA host (24 GB VRAM comfortable, 16 GB workable with batch_size=4), the NeMo container (nvcr.io/nvidia/nemo:25.11.01), and the finetune-asr + riva-asr-custom skills installed alongside this one. No local GPU? Use Brev. NVIDIA_API_KEY required for the offline cycle N+1 eval round-trip and for any NIM deploy.
metadata
{
  "author": "Ben Randoing <brandoing@nvidia.com>",
  "tags": [
    "clinical-asr",
    "flywheel",
    "finetune",
    "nemo-sft",
    "parakeet"
  ],
  "team": "healthcare-tme",
  "domain": "ai-ml",
  "stage": 4,
  "previous_skill": "digital-health-clinical-asr-eval",
  "next_skill": "riva-asr-custom"
}

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