EPISODE · Apr 20, 2026 · 12 MIN
AI Scribes in Clinical Practice: Time, Trade-offs, and Talent
from ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation · host Miguel Villagra
A new JAMA study tracked 8,581 clinicians across five academic medical centers to find out what really happens when doctors adopt AI-powered scribes. The headline: 13 fewer minutes of EHR time per 8 hours of clinic. But here's what nobody's talking about — after-hours charting didn't budge, and visit volume crept up. In this episode, Dr. Miguel Villagra unpacks the Rotenstein et al. findings, separates signal from vendor hype, and asks the uncomfortable question: who gets to keep the time AI creates? He connects the data to Positive Intelligence and shares four concrete steps for physicians considering an AI scribe. Whether you're piloting ambient AI documentation or just trying to survive your inbox, this one's for you. Subscribe and leave a review. Visit adoctorsjourney.com for coaching, resources, and community.
What this episode covers
A new JAMA study tracked 8,581 clinicians across five academic medical centers to find out what really happens when doctors adopt AI-powered scribes. The headline: 13 fewer minutes of EHR time per 8 hours of clinic. But here's what nobody's talking about — after-hours charting didn't budge, and visit volume crept up. In this episode, Dr. Miguel Villagra unpacks the Rotenstein et al. findings, separates signal from vendor hype, and asks the uncomfortable question: who gets to keep the time AI creates? He connects the data to Positive Intelligence and shares four concrete steps for physicians considering an AI scribe. Whether you're piloting ambient AI documentation or just trying to survive your inbox, this one's for you. Subscribe and leave a review. Visit adoctorsjourney.com for coaching, resources, and community.
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AI Scribes in Clinical Practice: Time, Trade-offs, and Talent
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