Ambient documentation technologies reduce physician burnout and restore ‘joy’ in medicine

(Press-News.org) A new study led by Mass General Brigham researchers reveals that ambient documentation technologies – generative artificial intelligence scribes that record patient visits and draft clinical notes for physician review before incorporating into electronic health records – led to significant reductions in physician burnout. The findings, published in JAMA Network Open, draw on surveys of more than 1,400 physicians and advanced practice providers at both Mass General Brigham based and Atlanta’s Emory Healthcare.

At Mass General Brigham, use of ambient documentation technologies was associated with a 21.2% absolute reduction in burnout prevalence at 84 days, while Emory Healthcare saw a 30.7% absolute increase in documentation-related wellbeing at 60 days.

“Ambient documentation technology has been truly transformative in freeing up physicians from their keyboards to have more face-to-face interaction with their patients,” said study co-senior author Rebecca Mishuris, MD, MPH, MS, chief medical information officer at Mass General Brigham and a primary care physician in the healthcare system. “Our physicians tell us that they have their nights and weekends back and have rediscovered their joy of practicing medicine. There is literally no other intervention in our field that impacts burnout to this extent.”

Physician burnout affects more than 50% of U.S. doctors and has been linked to time spent in electronic health records, particularly after hours. There is additional evidence that the burden and anticipation of needing to complete their appointment notes also contributes significantly to physician burnout.

“Burnout adversely impacts both providers and their patients who face greater risks to their safety and access to care,” said Lisa Rotenstein, MD, MBA, a co-senior study author and director of The Center for Physician Experience and Practice Excellence at Brigham and Women’s Hospital. She is also an assistant clinical professor of medicine at the UCSF School of Medicine. “This is an issue that hospitals nationwide are looking to tackle, and ambient documentation provides a scalable technology worth further study.”

The researchers analyzed survey data from pilot users of ambient documentation technologies at two large health systems. At Mass General Brigham, 873 physicians and advanced practice providers were given surveys before enrolling, then after 42 and 84 days. About 30% of users responded to the surveys at 42 days, and 22% at 84 days. All 557 Emory pilot users were surveyed before the pilots and then at 60 days of use, with an 11% response rate. Researchers analyzed the survey results quantifying different measures of burnout at Mass General Brigham and physician well-being at Emory Healthcare.

Qualitative feedback from users touted that ambient documentation enabled more “contact with patients and families,” improvements in their “joy in practice,” while recognizing its potential to “fundamentally [change] the experience of being a physician.” However, some users felt it added time to their note-writing or had less utility for certain visit types or medical specialties. Since the pilot studies initiated, the AI technologies have continued to evolve as the vendors make changes based on user feedback and as the large language models that power the technologies improve themselves through additional training, warranting continued study.

The study authors added that given that these were pilot users and there were limited survey response rates, these findings likely represent the experience of more enthusiastic users, and more research is needed to track clinical use of ambient documentation across a broader group of providers.

Mass General Brigham’s ambient documentation program launched in July 2023 as a proof-of-concept pilot study involving 18 physicians. By July 2024, the pilot, which tested two different ambient documentation technologies, expanded to more than 800 providers. As of April 2025, the technologies have been made available to all Mass General Brigham physicians, with more than 3,000 providers routinely using the tools. Later this year, the program will look to expand to other healthcare professionals such as nurses, physical and occupational therapists, and speech-language pathologists.

Ambient documentation’s use will continue to be studied with surveys and other measures tracking burnout rates and time spent on clinical notes inside and outside of working hours. Researchers will evaluate whether burnout rates improve over time as the AI evolves, or if these burnout gains plateau or are reversed.

“Ambient documentation technology offers a step forward in health care and new tools that may positively impact our clinical teams,” said Jacqueline You, MD, MBI, lead study author and a digital clinical lead and primary care physician at Mass General Brigham. “While stories of providers being able to call more patients or go home and play with their kids without having to worry about notes are powerful, we feel the burnout data speak similar volumes of the promise of these technologies, and importance of continuing to study them.”

Authorship: Mass General Brigham co-authors include Adam Landman, David Y. Ting, Sayon Dutta, Amanda J. Centi, Molly Macfarlane, Eran Bechor, Jonathan Letourneau, Gabrielle Choo-Kang, Esther H. Kim, Cordula Magee, Brian J. Lang, Laura Angelo, Michelle Frits, Christine Iannaccone, Angela Rui, and David W. Bates. Additional co-authors included Reema H. Dbouk (Emory), Julie C. Wang (Harvard), Jackson Olin (Northeastern), Ivana Salmikova (Emory), Bryan Blanchette (Emory), Rachel Silverman (Emory), Christopher Holland (Emory)

Disclosures: You reported personal fees from MedDocLive outside of the submitted work. Landman reported receiving consultant fees from Abbott outside the submitted work and that Mass General Brigham has an institutional investment in Abridge. Mishuris is a member of the advisory council at Elsevier, Inc. Bates reported receiving equity from  ValeraHealth, CLEW, MDClone, AESOP< FeelBetter, and Guided Clinical Solutions and personal fees from FeelBetter, Guided Clinical Solutions, and Releyens outside the submitted work, as well as a patent issued to Brigham and Women’s Hospital. Rotenstein reported receiving grants from the American Medical Association, Agency for Healthcare Research and Quality, FeelBetter, Endowment for Advancing a Healthier Wisconsin, and The Doctors Company; serving on an artificial intelligence advisory board for Augmedix; and personal fees from Phreesia outside the submitted work. No other disclosures were reported.

Funding: This project received financial support from the Physician’s Foundation and the National Library of Medicine of the National Institutes of Health (NIH) grant T15LM007092.

Paper cited: You, et al. “Impact of ambient documentation technology on physician and advanced practice provider experience.” JAMA Network Open, DOI: 10.1001/jamanetworkopen.2025.28056

 

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Mass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. Mass General Brigham connects a full continuum of care across a system of academic medical centers, community and specialty hospitals, a health insurance plan, physician networks, community health centers, home care, and long-term care services. Mass General Brigham is a nonprofit organization committed to patient care, research, teaching, and service to the community. In addition, Mass General Brigham is one of the nation’s leading biomedical research organizations with several Harvard Medical School teaching hospitals. For more information, please visit massgeneralbrigham.org.

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