Harold Burstein and JAMA report ambient AI scribes reduce documentation time modestly and slightly increase visit volume, with little change in at-home work and limited evidence on patient outcomes or equity impact.
Much touted AI scribes freed up 15 min per day, allowed 0.5 more pt visits per week, and no change in at-home work by physicians.
Certainly far less than transformative.
AI scribe adoption across 5 academic centers was associated with modest reductions in EHR and documentation time, plus a slight increase in weekly visit volume, especially for primary care and female clinicians.
Ambient AI scribes reduce clinician documentation time and increase productivity, but evidence for their impact on patient outcomes and health equity remains limited.
AI scribes freed up 15 min per day
no change in at-home work by physicians.
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