Every physician knows the feeling of opening the electronic health record and finding a note that's beautifully structured with every box checked but somehow says almost nothing about what's actually wrong with the patient.

This is not an accident. It's the result of decades of design choices, most of them not made by doctors but rather billing departments and compliance offices.

In this episode I talk with Dr. Craig Joseph, an informaticist and consultant at Nordic Global Consulting, about the chart — what it was supposed to be, what it became, and whether the arrival of ambient AI gives us a genuine second chance to finally make the clinical note right.

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