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How do you explain the use of an AI scribe to patients the first time it is used in their care?

How do you explain this process to patients or address any concerns they raise about privacy, data use, or the role of AI? Is there a standardized statement that you’ve put into your initial consent forms pertaining to the use of AI and privacy?
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Do you currently use an AI scribe as part of your daily practice?

185 physicians have voted

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5 Answers
Mednet MemberInvited Expert
Psychiatry · University of Maryland School of Medicine
Answered on · Updated on
I use an AI scribe in my outpatient clinic, and around 90–95% of my patients agree to it. I obtain consent at the start of each visit and make it clear that it's completely optional—that they can say no at the start or change their mind at any point in the visit, with no impact on their care. I also emphasize that I still review and edit each note myself.
I try to keep the explanation simple and avoid jargon like "large language models." I’ll usually say something like:
“My clinic has an audi...

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Mednet MemberInvited Expert
Psychiatry · Private Practice
Answered on

In residency, we had to get patient permission to videotape sessions and allow our supervisors to watch sessions from behind a one-way mirror.

If I were to use a scribe, especially an AI scribe, or if I were audio or video taping the sessions, I would definitely want to get a patient’s approval. I don’t even keep any listening devices (like Alexa) in my office when I work.

In general, I am a little worried about AI scribes, since I wonder how much of the info is actually being used for AI traini...

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Mednet Member
Psychiatry · UT Southwestern School of Medicine
Answered on · Updated on

I tried Heidi Health in my private practice, and at first, I thought it was amazing, but then I realized it does not chart like I want to chart--pertinent info is buried, too much detail recorded, etc. I like to keep patients' life events at the top so I can build rapport and remember their life, but they would be social history at the bottom, or not be recorded at all. I've gone back to charting myself. Briefer and more pertinent notes to how I practice.

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Mednet Member
Psychiatry · Neuropsychiatry Service
Answered on

To combine HIPAA and AI scribes is a joke. Let's protect patient privacy. I prefer to dictate.

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Mednet MemberInvited Expert
Psychiatry · UCI School of Medicine
Answered on

It is important to obtain consent from patients when using an AI scribe to aid in documentation. Patients will need reassurances as to the privacy of the information they are sharing, and therefore you as the provider need some understanding as to how that privacy is maintained from a technological perspective, such as the transcript is not stored, the data will be deleted after X days, or the institution or your practice has an agreement that the data is firewalled from being used for training ...

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