Thank you for writing these thought provoking reflections.

I'm a child psychiatrist exploring the use of ambient AI scribing particularly in my independent practice. I'm about 9 months in to my own experiment with the tech.

I wonder if psychiatry fits into "those with the most crushing documentation burdens" as you described. I find that typically, I add detail to the notes and letters outputted by the scribe rather than take away!

I set myself some rules at the start. I still take notes. And I always write my own formulation or summary of the encounter. So far that seems to have avoided the drift of the scribe output not feeling like my voice or my decisions.

So far so good. Particularly with follow-up appointments which are more structured and less meandering than a typical child psychiatry assessment.

Thank you for the warning. And I'll continue to reflect on the use of this technology and what it's "saving" me from doing in the coming months.