AI Scribes Haven't Fixed the After-Hours EHR Workload

submitted by /u/zvqxyn [link] [comments]

submitted by /u/zvqxyn [link] [comments]

“Attending mentioned yesterday during morning sign-out that a couple of other departments are testing out an AI tool to help write discharge summaries and process long charts for complex patients. I was super exhausted after a 28-hour call and had a patient with a massive history—multiple admissions, vague symptoms, and a chart that looked like a whole textbook. Figured I would feed the anonymized notes into one of these models just to get a quick timeline of events. It outputted this super clean”

“Good morning everyone, i am a new medical graduate off into the real world starting this fall. I have tried some ai scribes and such as a trainee but this is the first time i get to actually do what i want without someone breathing down my neck. I am hoping to incorporate AI/chatbots into my practice early on for one specific reason: i want adequate, organized record keeping eventually for the purpose of passing my boards. so far i intend to continue using ai scribes to help with getting detaile”

“This is one of the most replicated findings in physician workflow research. The original 2016 Annals of Internal Medicine study, conducted by the AMA in partnership with Dartmouth-Hitchcock using direct observation methodology, found physicians spent 27 percent of their office day in direct clinical face time with patients and 49 percent of their time on EHR and desk work, plus an additional one to two hours of personal time most nights on the same tasks. A 2024 follow-up study by Rotenstein and”

“I think Abridge is a bad tool for doctors to rely on. It can generate polished notes, but it still misses details, misinterprets conversations, and occasionally documents things that weren’t actually said. You also don’t have to think through and formulate the assessment and plan as much when the AI is doing a lot of the work for you. Over time, I worry that relying on it too heavily could make doctors less engaged in their own clinical reasoning and documentation. its going to be juicy when it”

“I hate doing consult notes. Can anyone suggest an AI app that listens to my convo with a patient and scribes a note for me? submitted by /u/Nielfit [link] [comments]”

“AI scribes and EMR-generated responses are becoming more common, but residency programs seem to be handling them very differently. Some want residents to master documentation without AI first, concerned that early reliance could weaken clinical reasoning or lead to missed details. Others see these tools as a practical way to reduce burnout and administrative burden, especially since residents will likely need to learn how to prompt, review, and edit AI-generated content anyway. Does your program”

“I’m a specialist doctor looking to improve clinical documentation work flow. I haven’t found an ai scribe that is a perfect fit so I’m looking to develop my own tool that allows a combination of dictation + ai polishing. There will be no ambient scribe feature, generative text, differential diagnoses etc. I’ve made a working prototype that utilises OpenAI and has specialty-specific features that separates it from other scribes. I am however very unfamiliar with the process of taking this further”

“Ambient scribes save doctors a lot of documentation time, much of which had previously been done as after hours uncompensated work. Patients should have the right to opt out of my use of an AI scribe but I no longer feel obligated for that decision to steal time from my family and free time. Here’s what i plan to say next time a patient opts out. “Use of an AI scribe has become part of my workflow, allowing me to pay closer attention to my patients during the visit instead of focusing on typing”

“I run a small independent family practice, just two providers and a part-time admin. We're not a large group with a big IT budget or a dedicated operations person to manage new software rollouts. Every dollar we spend on tools gets scrutinized pretty carefully. I've been looking into ai medical scribe options because our physicians are spending close to two hours after clinic finishing notes, and that's clearly not sustainable. But I keep running into pricing pages that either won&#3”

“Our practice has been bleeding time on documentation for a while now. Providers are staying late just to finish notes, and we're starting to see the effects on morale. I've been tasked with finding a solution, but I genuinely don't have the bandwidth to do a deep comparison of every vendor out there. I've heard everything from traditional human scribes to AI-assisted tools to fully automated platforms. The problem is the landscape feels enormous and the sales pitches all sound th”

“Not asking the model to make clinical judgement, just listen in on rounds in the morning, and take what is recorded and write out an assessment and plan based on discussion. Has anyone tried this and found any that work well? submitted by /u/surf_AL [link] [comments]”

“The threat to our profession is real, and the more AI is used for note taking/editing or scribing the more we train it to do anything - from therapeutic communication, to matching symptoms to workup to diagnosis, to treatment. If you're new to your profession and are hired in someone else's company, chances are that you will have to use AI for such purposes. Other than going into specialties that are hands-on, what ways do we have to protect our profession from being taken over by AI to”

“Hi all, Probably the least favourite part of my residency (and probably many others), is filling out the patient records. To reduce work, a lot of colleagues have been using AI to help with completing records, including discharge summaries. Has this been something you have been utilising? or something that you are ideologically against? Personally, I think it’s fine for summarising already written medical records, but it’s a bit much to use them to”

“Our EPIC has recently been generating AI patient history summaries unprompted each time I open the chart. They are often inaccurate or not pertinent to my specialty or the task at hand and I cannot hide this or turn it off. Given what I hear about AI data centers straining the power grids and water infrastructure, it seems environmentally irresponsible to impose these AI tools on us given the economic and environmental costs. Considering in a large hospital netw”

“Full paper (open access, npj Digital Medicine): https://www.nature.com/articles/s41746-026-02768-2 We have a new paper out that I wanted to share. Most medical AI education research focuses on radiology, pathology, and other procedural specialties. If you're training to be a hospitalist, a family medicine doc, or a general internist, there's very little structured guidance on what AI”

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