Original Investigation

Changes in Clinician Time Expenditure and Visit Quantity With Adoption of Artificial Intelligence–Powered Scribes

JAMA 10.1001/jama.2026.2253

April 01, 2026 at 11:00 AM EDT

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How is adoption of artificial intelligence (AI) scribes associated with changes in electronic health record (EHR) time expenditure and weekly visit volume?In 5 academic medical centers, AI scribe adoption was associated with decreases in total EHR and documentation time of 13.4 and 16.0 minutes, respectively, and an increase of 0.49 visits per week. Changes associated with AI scribe adoption were greatest for primary care specialists, advanced practice clinicians, female clinicians, and clinicians who used AI scribes in 50% or more of visits.These findings indicate initial, moderately beneficial associations of AI scribes with changes in key EHR activity measures and visit volume.

Corresponding Author: Lisa S. Rotenstein, MD, MBA, MSc, University of California San Francisco, 10 Koret Way, Room 321, San Francisco, CA 94110 (Lisa.Rotenstein@ucsf.edu).

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