"The process of note-writing helps me formulate my medical decision-making and then check whether it really holds up...."

"When that cognitive labor is offloaded to a machine, I’ve come to see, my job shifts. Even when I try to speak my reasoning aloud for the A.I. scribe, I am still doing something different from writing the note myself. I am no longer using the note, sentence by sentence, to think through the case in my own words, to decide what to emphasize, what to soften — or, as I’m writing, to identify when my reasoning strains. And unlike when I dictate a note, I can’t watch my own phrasing appear on the screen in real time. With the A.I.-generated note, I am instead auditing afterward. I am playing a version of 'Where’s Waldo?' — What’s missing? Has this note gone astray, and if so, where? — and it’s a search made all the more difficult because the A.I.’s draft arrives fluent, confident. It sounds so right."

Writes Helen Ouyang, in "How A.I. Might Change the Way Doctors Think/For generations, writing up a summary of a patient exam was a vital step for physicians trying to make an accurate diagnosis. What happens when A.I. does it for them?" (NYT).

"That cognitive shift does not happen the moment the A.I. scribe delivers a note. It begins in the exam room. Because I know A.I. is recording, I stop listening in the same way. Before A.I. scribes arrived, I would outline a story in my head as a patient talked, fitting the pieces together so I would know what to ask next. In the scribe’s presence, that work is deferred. Let the machine do it! The mind drifts."