
"The clinic had adopted an artificial-intelligence scribe, and it was transcribing and summarizing the conversation in real time. It was also highlighting keywords, suggesting diagnostic possibilities and providing billing codes. The doctor, apparently satisfied that his computer had captured an adequate description of Pamela's chief complaint and symptoms, turned away from us and began reviewing the text on the screen as Pamela kept speaking."
"When the appointment was over, as a physician myself and anthropologist interested in the evolving culture of medicine, I asked if I could glance at the AI-generated note. The summary was surprisingly fluid and accurate. But it did not capture the catch in Pamela's voice when she mentioned the stairs, the flicker of fear when she implied that she now avoided them and avoided going out, the unspoken connection to Pamela's traumatic relation to her own mother's death that the doctor never elicited."
AI scribes are being used in clinics to transcribe and summarize patient-doctor conversations in real time, highlighting keywords, suggesting diagnostic possibilities, and generating billing codes. Clinicians increasingly rely on these tools and sometimes divert attention to reviewing AI-generated text during encounters. AI-generated notes can be fluid and accurate about reported symptoms and chief complaints. AI often fails to record voice inflections, subtle fear, and unspoken personal or traumatic history that influence care. Rapid adoption of AI tools is changing clinical workflows and may create expectations that not using AI could be viewed as negligence or malpractice.
Read at www.theguardian.com
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