Notes in the Background

Ambient AI scribes are quickly moving from pilot projects to everyday clinical tools. This week’s news and research reinforce what many of us are seeing firsthand: these systems can meaningfully reduce documentation time, but they are not set-and-forget solutions. The gains are real, yet modest, and they depend heavily on careful review, workflow fit, and clinician trust. As adoption accelerates, the conversation is shifting from whether to use ambient AI to how to deploy it safely and responsibly. That shift matters for patient care, liability, and burnout alike.

Today,

  • Claude Healthcare has arrived

  • AI Scribes can reduce burnout (maybe?)

  • FDA flip-flops on AI, again

Let’s dive in.

LATEST NEWS
💥 Anthropic rolls out Claude for Healthcare

Image credit: gguy via Shutterstock

Anthropic unveiled Claude for Healthcare, a HIPAA-ready set of capabilities designed to support providers, payers, and consumers with AI tools for documentation, clinical operations, and patient information workflows. The launch underscores intensifying competition among healthcare AI platforms following similar announcements like ChatGPT Health

Why it matters: Clinicians face more vendor choices; integration ease and real-world reliability will determine clinical utility.

💊 Pharma doubles down on AI adoption: Pharmaceutical companies are expanding AI use to cut R&D costs and shorten development timelines, a trend reflected in new partnerships and investments.

🧠 This doctor left medicine to build an Ambient AI scribe, now it’s worth over $460 million. Getting any ideas?

LATEST RESEARCH
📚 AI scribes may reduce documentation time and burnout (but not a lot?)

This study from UCLA Health found that AI-powered scribes can modestly reduce physician documentation time and may improve measures of burnout and cognitive workload in real-world clinical practice. It looked at two AI scribes: Microsoft DAX and Nabla. The randomized trial across 238 doctors and 72,000 visits showed that Nabla users spent nearly 10% less time on notes. DAX didn’t reduce documentation time at all. Both tools occasionally generated clinically significant inaccuracies that require physician oversight.

My Takeaway: AI tools are only as good as the clinicians who use them. I am very surprised by low reduction of documentation time. For me, personally, my AI scribe cuts my documentation down by at least 50%. At the end of the day, we have to make the AI work for US.

Read the manuscript

ETHICS/REGULATION
⚕ FDA updates AI clinical decision support guidance

The FDA recently clarified its approach to clinical AI, easing regulatory requirements for certain decision support tools, which may allow broader deployment but raises safety considerations.

What changed: Some generative AI tools that suggest diagnoses or take patient histories may reach practice without FDA clearance.
Actionable step: Clinicians and health systems must implement robust governance, monitoring, and validation processes for these AI tools to manage risk responsibly.

Also,

📜 Texas Law requires clinicians to disclose when they use Ambient AI or any other AI tool to patients. This includes not only how the tool is used, but how it collects data.
Why it matters: Patients are concerned their data is going to leak. They value transparency most of all. Its important to have a dialogue with them adn reassure them their data is safe.

TOOLS I’M EXPLORING
🖋 Ambient AI Scribes

Ambient AI scribes automatically transcribes clinical encounters and drafts structured notes. Let’s be honest, documentation is mostly for insurance requirements. AI scribes help me get the necessary documentation to satisfy insurance requirements while allowing me to actually have a conversation with my patients.

How I use it: I deploy ambient AI scribe tools in my outpatient clinic to reduce manual note writing post-visit. I make sure to review and edit drafts before signing to prevent errors. Every time I edit it, it “learns” my documentation styleThese tools help reclaim minutes per patient that add up over a day.

AI scribes aren’t perfect, though. Sometimes I still have to dictate my assessment at the end so I know what I’m thinking for the next visit.

Takeaway: Ambient AI scribes save a tremendous amount of time and make it easier to document necessary

There’s a ton of them. Check out the Top 50.

FINAL THOUGHTS

Healthcare AI is transitioning from demonstration to delivery. Vendors are racing to embed AI into clinical and operational workflows, regulators are loosening some barriers, and real-world evidence on AI tools is beginning to emerge. But the real question for clinicians is not whether AI can perform tasks, it’s whether it improves care without introducing undue risk. Tools like Ambient AI scribes are promising, but documentation efficiency only matters if its accurate and doesn’t compromise patient data.

How is AI changing your workflow?

Best Regards,
Chris Massey, MD

ARE YOU ENJOYING INTELLIGENT MEDICINE? ARE YOU AFFECTED BY WISeR?

Disclaimer: This newsletter is for educational and informational purposes only and does not constitute medical advice. Readers should review primary sources and follow applicable clinical guidelines and institutional policies before implementing any changes. Always de-identify patient data and review all outputs for accuracy.

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