Franklin AI Explainer

AI scribes in doctor visits and who checks notes

Key Takeaways

  • Goodman explains how AI scribes draft clinical notes, why omissions can be hard to spot and what patients can ask about recorded data.
  • A University of Maryland, Baltimore interview describes how AI scribes turn exam-room speech into draft notes.
  • Goodman highlights missing details and differences in data retention.

In a November 6 interview accompanying an episode of The UMB Pulse, researcher Katherine E. Goodman describes what happens when an AI scribe listens to a doctor’s appointment. The tool drafts a note from the conversation. A clinician then reviews the draft before signing it for the medical record.

How the draft reaches the clinician

Goodman describes a typical workflow in which an app records the conversation, turns the audio into a transcript and uses generative AI to summarize it. The physician receives the draft, can edit it and signs the final note. The workflow gives the clinician a chance to catch mistakes, including details in the transcript that the draft left out.

The interview describes possible benefits such as allowing a clinician to pay more attention to the conversation during the visit. Goodman also emphasizes that systems vary in how they handle both the recorded material and the resulting draft.

Why missing details matter

Goodman draws attention to clinically significant omissions. If a tool leaves a detail out, the draft can look coherent and still lose useful information. In her example, the draft could keep a report of leg pain but omit the patient’s recent long flight. The point of the example is the difference between what the patient said and what a later reader would see in the note.

What to ask about the recording

The interview suggests asking what is captured, how long it is kept, who holds it and what it is used for. Goodman distinguishes the audio recording from the transcript because products can handle them differently. She also describes variation in how the choice to use a scribe is explained before or during an appointment. A patient trying to understand their own visit needs the process for that clinic and tool.

Our read

Franklin AI Take

The interview gives clinics a concrete way to explain the scribe workflow before a visit. The recording, the transcript and the signed note can follow different paths, and Goodman describes variation across tools and organizations. A short explanation should say which records the clinic keeps and how a patient can ask about the final note.