AI_LectureNote is a historical, readability-oriented post-ASR workflow for Korean-English medical lectures. It rewrites speech-to-text output into study transcripts while restoring Latin-script medical terms rather than Korean phonetic transliterations. We retrospectively evaluate the workflow on four author-recorded lectures across five conditions. In this pilot, post-processing raised the macro English-script rendering rate from 0.39 to 0.71 on the whisper-1 path and from 0.26 to 0.65 when applied to 3-minute chunked gpt-4o-transcribe output. However, English-script rendering did not imply semantic faithfulness: the two post-processed conditions showed semantic drift in 34 and 36 of 282 reference sentences and polarity failures in 11 and 13 of 101 polarity-cue rows. A descriptive cross-input comparison suggested different candidate failure patterns: polarity-failure sets overlapped more strongly across front-ends (Jaccard 0.60; 9 shared of 15 unioned failures) than general semantic-drift sets (Jaccard 0.23; 13 shared of 57 unioned drifts). This single-annotator pilot documents concrete failure modes rather than population rates and supports evaluating surface accuracy, term-script rendering, chunk-level script consistency, and medical-meaning preservation separately.

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