NEJM November 17, 2021
Shawn Y. Ong, MD, MHS, Molly Moore Jeffery, PhD, Brian Williams, MD, Ryan T. O’Connell, MD, Richard Goldstein, MD & Edward R. Melnick, MD, MHS

Off-site virtual scribes employed by Yale New Haven Health Northeast Medical Group cut in half the time spent by physicians on patient-visit notes and reduced the physician-contributed character count from 100% before implementation to just 10% after, while doubling high-value note contributions by physicians.

Summary

In response to increasingly complex work–life integration challenges and rising concerns regarding physician burnout, Yale New Haven Health Northeast Medical Group implemented a virtual scribe program for ambulatory clinics. Virtual scribes are remotely located people who participate in visits via speakers and microphones placed throughout clinics to assist physicians with documentation and other electronic health record (EHR)–related activities. Physician candidates met criteria for...

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