Evidence map›Paper›PMID 41920565›Full record

ArticleJAMA2026

Changes in Clinician Time Expenditure and Visit Quantity With Adoption of Artificial Intelligence-Powered Scribes: A Multisite Study.

Lisa S Rotenstein, A Jay Holmgren, Robert Thombley, Aditi Sriram, Reema H Dbouk, Melissa Jost, Debbie Aizenberg, Scott MacDonald, Naga Kanaparthy, Brian Williams and 21 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in JAMA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Well, How Did We Get Here? The Current State of Pediatric Endocrinology.Journal of pediatrics. Clinical practice · 2026
    Article
  2. Current Trends in AI and Eye Disease Diagnostics.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Lisa S RotensteinDivision of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco.
A Jay HolmgrenDivision of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco.
Robert ThombleyDivision of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco.
Aditi SriramDivision of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco.
Reema H DboukDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Melissa JostUniversity of California Davis Medical Group, Sacramento.
Debbie AizenbergDepartment of Otolaryngology-Head and Neck Surgery, University of California Davis Health, Sacramento.
Scott MacDonaldDepartment of Clinical Informatics, University of California Davis Health, Sacramento.
Naga KanaparthyDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut.
Brian WilliamsNortheast Medical Group, Yale New Haven Health, New London, Connecticut.
Allen HsiaoDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
Lee SchwammDepartment of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut.
Sara MurrayUCSF Health, San Francisco.
Maria ByronDepartment of Medicine, University of California, San Francisco.
Jacqueline G YouDigital, Mass General Brigham, Somerville, Massachusetts.
Amanda J CentiDigital, Mass General Brigham, Somerville, Massachusetts.
Christine IannacconeDivision of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Michelle FritsDivision of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Adam B LandmanDigital, Mass General Brigham, Somerville, Massachusetts.
Karandeep SinghDigital Health Innovation, University of California San Diego Health, La Jolla.
Ming Tai-SealeDepartment of Medicine, University of California San Diego Health, La Jolla.
Jie CaoDigital Health Innovation, University of California San Diego Health, La Jolla.
Katharine LawrenceDepartment of Population Health, New York University Grossman School of Medicine, New York.
Devin MannDepartment of Population Health, New York University Grossman School of Medicine, New York.
Christopher HollandEmory Healthcare, Atlanta, Georgia.
Bryan BlanchetteEmory Healthcare, Atlanta, Georgia.
Jesse EhrenfeldMedical College of Wisconsin, Milwaukee.
Edward R MelnickDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
David W BatesDigital, Mass General Brigham, Somerville, Massachusetts.
Julia Adler-MilsteinDivision of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco.
Rebecca G MishurisDigital, Mass General Brigham, Somerville, Massachusetts.

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
AHRQ HHS R01 HS029470NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

Importance: Artificial intelligence (AI)-enabled scribes have been proposed to reduce electronic health record (EHR) burden and improve clinician satisfaction. There is limited evidence about their associated results across multiple sites and relative benefits for different clinician groups. Objective: To assess the association of AI scribe adoption with changes in EHR time expenditure and visit volume and how associations vary by clinician characteristics. Design, Setting, and Participants: Multisite, longitudinal cohort study of AI scribe adoption conducted at 5 US academic health care institutions that introduced AI scribes to their clinicians between June 2023 and August 2025. Participants were ambulatory clinicians. Exposures: AI scribe adoption, defined as receiving access to an AI scribe. This was determined by opt-in decisions by eligible physicians at 4 of the 5 sites. Main Outcome and Measures: Total time spent on the EHR, time spent on documentation, and time spent on the EHR outside scheduled hours or on unscheduled days, all normalized to 8 scheduled patient hours; weekly visit volume. Results: The sample comprised 8581 clinicians, including 1809 AI scribe adopters. Participants were 57.1% female and were split between primary care (24.4%), medical (62.4%), and surgical (13.2%) specialties. Most (74.1%) were attending physicians, with 18.1% advanced practice clinicians and 7.8% resident physicians. In a difference-in-differences analysis, AI scribe adoption was associated with 13.4 (95% CI, 9.1-17.7) fewer minutes of EHR time, 16.0 (95% CI, 13.7-18.3) fewer minutes of documentation time, and 0.49 (95% CI, 0.17-0.81) additional weekly visits delivered. Electronic health record time outside work hours did not change significantly. 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. Conclusions and Relevance: AI scribe adoption was associated with modest decreases in total EHR time and documentation time and with a modest increase in weekly visit volume.

Indexed as

Artificial IntelligenceDocumentationElectronic Health RecordsOffice VisitsAmbulatory CareFemaleHumansJob SatisfactionLongitudinal StudiesMalePhysiciansTime FactorsUnited States

Identifiers

PMID41920565
PMCPMC13044793

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.