Evidence map›Paper›PMID 40741008›Full record

ArticleJAMIA open2025

Comparing artificial intelligence- vs clinician-authored summaries of simulated primary care electronic health records.

Lara Shemtob, Abdullah Nouri, Adam Harvey-Sullivan, Connor S Qiu, Jonathan Martin, Martha Martin, Sara Noden, Tanveer Rob, Ana L Neves, Azeem Majeed and 2 more

Abstract read
In one paragraph

Article in JAMIA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Artificial intelligence in orthopaedics: Enhanced examinations, ambient intelligence and the future of clinical practice.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lara ShemtobDepartment of Primary Care and Public Health, Imperial College London, London W12 0BZ, United Kingdom.ORCID https://orcid.org/0000-0002-1187-6329
Abdullah NouriSt Andrews Health Centre, London E3 3FF, United Kingdom.
Adam Harvey-SullivanWolfson Institute of Population Health, Queen Mary University of London, London E1 4NS, United Kingdom.ORCID https://orcid.org/0000-0002-4396-1958
Connor S QiuDepartment of Primary Care and Public Health, Imperial College London, London W12 0BZ, United Kingdom.
Jonathan MartinDepartment of Primary Care and Population Health, University College London, London NW3 2PF, United Kingdom.
Martha MartinDepartment of Primary Care and Public Health, Imperial College London, London W12 0BZ, United Kingdom.
Sara NodenChiswick Health Practice, London W6 0YD, United Kingdom.
Tanveer RobGeneral Practitioner, Tower Hamlets, London, United Kingdom.
Ana L NevesDepartment of Primary Care and Public Health, Imperial College London, London W12 0BZ, United Kingdom.
Azeem MajeedDepartment of Primary Care and Public Health, Imperial College London, London W12 0BZ, United Kingdom.
Jonathan ClarkeDepartment of Mathematics, Imperial College London, London SW7 2AZ, United Kingdom.
Thomas BeaneyThe George Institute for Global Health, Imperial College London, London W12 7RZ, United Kingdom.ORCID https://orcid.org/0000-0001-9709-7264

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare clinical summaries generated from simulated patient primary care electronic health records (EHRs) by GPT-4, to summaries generated by clinicians on multiple domains of quality including utility, concision, accuracy, and bias. Materials and Methods: Seven primary care physicians generated 70 simulated patient EHR notes, each representing 10 patient contacts with the practice over at least 2 years. Each record was summarized by a different clinician and by GPT-4. artificial intelligence (AI)- and clinician-authored summaries were rated blind by clinicians according to 8 domains of quality and an overall rating. Results: The median time taken for a clinician to read through and assimilate the information in the EHRs before summarizing, was 7 minutes. Clinicians rated clinician-authored summaries higher than AI-authored summaries overall (7.39 vs 7.00 out of 10; Discussion: Although AI-authored summaries were rated slightly lower overall compared with clinician-authored summaries, they demonstrated similar accuracy and greater consistency. This demonstrates potential applications for generating summaries in primary care, particularly given the substantial time taken for clinicians to undertake this work. Conclusion: The results suggest the feasibility, utility and acceptability of using AI-authored summaries to integrate into EHRs to support clinicians in primary care. AI summarization tools have the potential to improve healthcare productivity, including by enabling clinicians to spend more time on direct patient care.

Indexed as

electronic health recordsgenerative AIhealth informaticslarge language modelsprimary care

Identifiers

PMID40741008
PMCPMC12309840

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.