KevinMD January 3, 2026
Harvey Castro, MD, MBA

At this point, numerous individuals have become engaged with ChatGPT. We’ve asked it to summarize a complex patient history and draft a discharge summary or explanation of a rare clinical concept. At first, it feels like magic. However, after several weeks, that same old feeling of frustration returns. Why does this still feel like more work?

The problem is not that technology is lacking. The problem is that ChatGPT was never designed for the complex, multistep workflows of clinical medicine. That mismatch is creating a new kind of exhaustion: prompt fatigue.

A tale of two Mondays

Consider Dr. Anya Sharma, an internist at City General Hospital. Her Monday morning begins the same way it does for many of us, copying...

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