Subjective and Objective Impacts of Ambulatory AI Scribes

AJMC January 8, 2026
Julia Adler-Milstein, PhD, Orianna DeMasi, PhD, Hossein Soleimani, PhD, Sarah Beck, MDiv, Maria E. Byron, MD, Aris Oates, MD, Robert Thombley, BS, Jinoos Yazdany, MD, MPH, Sara G. Murray, MD, MAS

Although the vast majority of physicians using an artificial intelligence (AI) scribe perceived a reduction in documentation time, those with the most actual time savings had higher relative baseline levels of documentation time.

ABSTRACT

Objectives: To evaluate the association between perceived and actual changes in physician documentation time (DocTime) following implementation of an artificial intelligence (AI) scribe and to determine whether physicians with higher baseline DocTime experience greater reductions in DocTime from AI scribe use.

Study Design: Retrospective assessment of AI scribe use among 310 ambulatory physicians across specialties who chose to adopt a commercial tool at a large academic medical center. We utilized data from a postimplementation user feedback survey and electronic health record audit log measures of scribe...

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