I’m EM, so every patient is new to me and we often quickly glance at most recent clinic, ED, and hospital notes to find out what’s recently been happening with the patient. Wow, the AI generated A/P and MDM portion of notes is awful. It’s immediately obvious AI wrote it. It’s a mumbo jumbo collection of everything AI thinks it can say about the topic without being focused or direct. Just saw one about a patient with a cough-
Cough:
- non productive, worsening
- chest hurts with cough
- consider antibiotics
Blahhh blahhh….
Wtf??? I had to go into the meds to find out if the doc prescribed antibiotics- which they did. No rational, doesn’t say thinking bronchitis, or walking PNA or anything else. Literally the assessment and plan of their cough says nothing useful, there’s not even an assessment nor does it even have the plan! I see so much of this in AI notes, usually it’s fluffy and bulky with so many filler words. You look at this part of note and are left without any impression of what the doc was actually thinking.
Yes I think AI is cool and it’s impressive it can do what it can. But right now this is a huge step backwards for medical documentation that is in no way helpful other than getting doctors to close out a note quicker.
Don’t even want to get started on how bad some of my colleagues MDM’s are for ER visit. Just a massive useless list of all the shit the patient brought up and they responded to shoved into so many different problem sections that have no meaning or relevance to the ED visit. It’s like reading the very first note that a very bright first year medical student wrote on a geriatric patient. It has everything in it but focuses on absolutely nothing and explains absolutely nothing. Potentially would have been higher yield to just not leave a note so I don’t waste my time even looking at it. I’ve stopped reading some of these notes when I realize it’s AI bcuz it’s so bad.