Essays
Notes from a position.
From the literature
The case is in the journals.
Open-access scholarship on physician burnout, documentation burden, and ambient AI in clinical work — pulled from OpenAlex.
2018 · 563 cites
Physician stress and burnout: the impact of health information technology
R. L. Gardner, Emily Cooper, Jacqueline Haskell, +4 · Journal of the American Medical Informatics Association
Objective: To quantify how stress related to use of health information technology (HIT) predicts burnout among physicians. Methods: All 4197 practicing physicians in Rhode Island were surveyed in 2017 on their HIT use. Our main outcome was…
2023 · 724 cites
ChatGPT: the future of discharge summaries?
Sajan B Patel, Kyle Lam · The Lancet Digital Health
ChatGPT (Open AI, San Francisco, CA, USA) has taken the world by storm.1Open AI ChatGPT: Optimizing language models for dialogue. OpenAI, 2022https://openai.com/blog/chatgpt/Date accessed: December 27, 2022Google Scholar Released to the…
2020 · 226 cites
The Influence of Electronic Health Record Use on Physician Burnout: Cross-Sectional Survey
Tania Tajirian, Vicky Stergiopoulos, Gillian Strudwick, +6 · Journal of Medical Internet Research
BACKGROUND: Physician burnout has a direct impact on the delivery of high-quality health care, with health information technology tools such as electronic health records (EHRs) adding to the burden of practice inefficiencies. OBJECTIVE…
2024 · 143 cites
Ambient artificial intelligence scribes: physician burnout and perspectives on usability and documentation burden
Shreya Shah, Anna Devon-Sand, P. Stephen, +11 · Journal of the American Medical Informatics Association
OBJECTIVE: This study evaluates the pilot implementation of ambient AI scribe technology to assess physician perspectives on usability and the impact on physician burden and burnout. MATERIALS AND METHODS: This prospective quality…
2019 · 400 cites
The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians
Edward R. Melnick, Liselotte N. Dyrbye, Christine A. Sinsky, +5 · Mayo Clinic Proceedings
2020 · 153 cites
Assessment of Electronic Health Record Use Between US and Non-US Health Systems
A Jay Holmgren, N. Lance Downing, David W. Bates, +6 · JAMA Internal Medicine
Importance: Understanding how the electronic health record (EHR) system changes clinician work, productivity, and well-being is critical. Little is known regarding global variation in patterns of use. Objective: To provide insights into…
2024 · 95 cites
Using ChatGPT-4 to Create Structured Medical Notes From Audio Recordings of Physician-Patient Encounters: Comparative Study
Annessa Kernberg, Jeffrey A. Gold, Vishnu Mohan · Journal of Medical Internet Research
BACKGROUND: Medical documentation plays a crucial role in clinical practice, facilitating accurate patient management and communication among health care professionals. However, inaccuracies in medical notes can lead to miscommunication…
2019 · 328 cites
Association of Electronic Health Record Design and Use Factors With Clinician Stress and Burnout
Philip J Kroth, Nancy Morioka-Douglas, Sharry Veres, +6 · JAMA Network Open
Importance: Many believe a major cause of the epidemic of clinician burnout is poorly designed electronic health records (EHRs). Objectives: To determine which EHR design and use factors are associated with clinician stress and burnout and…
Open-access works only. Updated at build · 2026-05-15.
From the clinical literature
Biomedical evidence, updated at build.
Open-access biomedical research on physician burnout, ambient scribes, LLMs in clinical workflow, and documentation burden — pulled from Europe PMC (PubMed + PMC + preprints).
2023 · 1,078 cites
ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns.
Sallam M. · PMID 36981544
ChatGPT is an artificial intelligence (AI)-based conversational large language model (LLM). The potential applications of LLMs in health care education, research, and practice could be promising if the associated valid concerns are…
2020 · 354 cites
Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey.
Morgantini LA, Naha U, Wang H, +9 · PMID 32881887
<h4>Background</h4>Healthcare professionals (HCPs) on the front lines against COVID-19 may face increased workload and stress. Understanding HCPs' risk for burnout is critical to supporting HCPs and maintaining the quality of healthcare…
2022 · 342 cites
Changes in Burnout and Satisfaction With Work-Life Integration in Physicians During the First 2 Years of the COVID-19 Pandemic.
Shanafelt TD, West CP, Dyrbye LN, +5 · PMID 36229269
<h4>Objective</h4>To evaluate the prevalence of burnout and satisfaction with work-life integration (WLI) in US physicians at the end of 2021, roughly 21 months into the COVID-19 pandemic, with comparison to 2020, 2017, 2014, and…
2023 · 409 cites
The imperative for regulatory oversight of large language models (or generative AI) in healthcare.
Meskó B, Topol EJ. · PMID 37414860
The rapid advancements in artificial intelligence (AI) have led to the development of sophisticated large language models (LLMs) such as GPT-4 and Bard. The potential implementation of LLMs in healthcare settings has already garnered…
2020 · 330 cites
Resilience and Burnout Among Physicians and the General US Working Population.
West CP, Dyrbye LN, Sinsky C, +5 · PMID 32614425
<h4>Importance</h4>The prevalence of physician burnout is well documented, and resilience training has been proposed as an option to support physician well-being. However, the resilience of physicians compared with that of the US working…
2024 · 85 cites
Use of a Large Language Model to Assess Clinical Acuity of Adults in the Emergency Department.
Williams CYK, Zack T, Miao BY, +4 · PMID 38713466
<h4>Importance</h4>The introduction of large language models (LLMs), such as Generative Pre-trained Transformer 4 (GPT-4; OpenAI), has generated significant interest in health care, yet studies evaluating their performance in a clinical…
2021 · 329 cites
Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study.
Prasad K, McLoughlin C, Stillman M, +9 · PMID 34041456
<h4>Background</h4>COVID-19 has put extraordinary stress on healthcare workers. Few studies have evaluated stress by worker role, or focused on experiences of women and people of color.<h4>Methods</h4>The "Coping with COVID" survey…
2025 · 79 cites
Clinician Experiences With Ambient Scribe Technology to Assist With Documentation Burden and Efficiency.
Duggan MJ, Gervase J, Schoenbaum A, +4 · PMID 39969880
<h4>Importance</h4>Timely evaluation of ambient scribing technology is warranted to assess whether this technology can lessen the burden of clinical documentation on clinicians.<h4>Objective</h4>To investigate the association of ambient…
Open-access works only · indexed in PubMed, PMC, and biomedical preprint servers. Updated at build · 2026-05-15.