BOSS Business of Surgery Series

Episode 146: Using AI for notes with Dr. Junaid Niazi


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Summary

The BOSS podcast this week discusses the potential of AI in assisting with medical note-taking and documentation. Dr. Junaid Niazi, an expert in time management for physicians, shares his insights on the current state of AI-powered scribing tools and their limitations. He highlights that while AI can be helpful in capturing patient histories and chief complaints, it still struggles with interpreting and organizing information coherently. AI may also hallucinate or make up information, requiring careful proofreading. Niazi emphasizes that AI alone cannot solve the deeper mindset issues like perfectionism and imposter syndrome that lead to excessive note-taking. He suggests that physicians need to restructure their workflows to fully utilize AI's benefits. Dr. Niazi offers a program called 'Charting Conquered' to help physicians reclaim their time and achieve a better work-life balance through mindset coaching and practical strategies for efficient note-taking and message management.

Chapters

Introduction to AI in Medical Note-Taking

The article introduces the topic of AI's potential in assisting with medical note-taking, a task that many physicians find burdensome. Dr. Genaid Niazi, an expert in helping physicians reclaim their time through efficient note-taking, is interviewed to share his insights on this topic.

Current State of AI-Powered Scribing Tools

Niazi explains that the advent of large language models like ChatGPT has enabled virtual scribe companies to offer AI-powered transcription services at lower costs. These AI tools can interface with electronic health records (EHRs) and transcribe dictations directly into patient charts. However, Niazi notes that some tools still require copy-pasting, which he finds less desirable. AI is also being used for tasks like message triage and generating initial responses to patient messages.

Limitations of AI in Note-Taking

While AI can be useful for capturing patient histories and chief complaints, Niazi points out several limitations. AI struggles with organizing information coherently, interpreting data, and generating coherent assessment and plan sections. It may also hallucinate or make up information, requiring careful proofreading. Additionally, AI cannot replace the human touch and interpersonal aspects of the physician-patient relationship.

Mindset Issues and Workflow Restructuring

Niazi emphasizes that AI alone cannot solve deeper mindset issues like perfectionism and imposter syndrome that lead to excessive note-taking. Physicians need to restructure their workflows to fully utilize AI's benefits. For example, Niazi may not use AI for physical exams where he already has a streamlined process. He also suggests that physicians need to trust themselves more and find a balance between thoroughness and efficiency.

Charting Conquered Program

Niazi offers a program called 'Charting Conquered' to help physicians reclaim their time and achieve a better work-life balance. The program includes a course on mindset and practical strategies for efficient note-taking and message management, as well as group coaching sessions and co-working sessions for accountability.

Action Items

  1. Restructure workflows to fully utilize the benefits of AI in note-taking and documentation
  2. Carefully proofread AI-generated notes and be aware of potential hallucinations or made-up information
  3. Address mindset issues like perfectionism and imposter syndrome that contribute to excessive note-taking
  4. Find a balance between thoroughness and efficiency in note-taking to avoid missing important information
  5. Consider participating in Niazi's 'Charting Conquered' program for mindset coaching and practical strategies for efficient note-taking and message management
  6. ...more
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    BOSS Business of Surgery SeriesBy Amy Vertrees, MD

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