Filed under medical-training.

The Scribe Writes Fluent Notes. Who Writes the Doctor?

Ambient AI scribes are reducing physician burnout across US teaching hospitals while quietly excising the cognitive act that residency training depended on. When a junior doctor reviews a machine-drafted assessment rather than articulating her own, the risk is not deskilling but never-skilling — a competency that was never developed rather than one that was lost. The design decision still open on almost every teaching service is whether to require independent reasoning before the scribe's draft.