{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:45:36Z","timestamp":1791870336698,"version":"4.3.4"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ambient artificial intelligence scribes have become widespread commercial products in the era of generative artificial intelligence. While studies have examined the effect of these tools on the experience of attending physicians, little evidence is available regarding their use by resident physician trainees.<\/jats:p>\n                  <jats:p>To assess trainee experience with an ambient artificial intelligence scribe using measures of usability, acceptability, and documentation burden.<\/jats:p>\n                  <jats:p>This prospective observational study enrolled 47 trainees in a 2-month pilot. Pre\/postsurveys were conducted with the NASA Task Load Index (NASA-TLX, raw unweighted form, pre\/post, for cognitive load during the documentation), the System Usability Scale (post; general usability), the Net Promoter Score (post; acceptability), and the AMIA TrendBurden Survey (pre\/post; documentation burden). Electronic health record utilization metrics were obtained from Epic Signal for both the pilot period and a 6-month baseline.<\/jats:p>\n                  <jats:p>In total, 43\/47 (91.5%) of participants adopted the intervention in practice. NASA-TLX scores improved from 56.3 to 43.3 (p\u2009&lt;\u20090.001), and multiple items on the TrendBurden survey improved with high measures of acceptability. No significant difference in time spent on notes activity per note written was observed, with a median increase of 0.4\u2009minutes (p\u2009=\u20090.568).<\/jats:p>\n                  <jats:p>Trainee use of an ambient artificial intelligence scribe was associated with improvements in documentation burden. Additional research on the effect of this technology on trainee learning and expertise development is needed.<\/jats:p>","DOI":"10.1055\/a-2647-1142","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:47:38Z","timestamp":1751485658000},"page":"872-878","source":"Crossref","is-referenced-by-count":16,"title":["The Effect of Ambient Artificial Intelligence Scribes on Trainee Documentation Burden"],"prefix":"10.1055","volume":"16","author":[{"given":"Donald S.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Veterans Affairs, Connecticut VA Healthcare System, West Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naga S.","family":"Kanaparthy","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Veterans Affairs, Connecticut VA Healthcare System, West Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward R.","family":"Melnick","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah R.","family":"Levy","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Veterans Affairs, Amarillo VA Healthcare System, Amarillo, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Huot","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Graduate Medical Education, Yale School of Medicine, New Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen","family":"Hsiao","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Digital and Technology Solutions, Yale New Haven Health System, New Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee H.","family":"Schwamm","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Digital and Technology Solutions, Yale New Haven Health System, New Haven, Connecticut, United States"},{"name":"Department of Neurology, Yale School of Medicine, New Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn Y.","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, United States"},{"name":"Digital and Technology Solutions, Yale New Haven Health System, New Haven, Connecticut, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"e57673","DOI":"10.2196\/57673","article-title":"The utility and implications of ambient scribes in primary care","volume":"3","author":"P Seth","year":"2024","journal-title":"JMIR AI"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1093\/jamia\/ocae295","article-title":"Ambient artificial intelligence scribes: physician burnout and perspectives on usability and documentation burden","volume":"32","author":"S J Shah","year":"2025","journal-title":"J Am Med Inform Assoc"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1093\/jamia\/ocae304","article-title":"Ambient artificial intelligence scribes: utilization and impact on documentation time","volume":"32","author":"S P Ma","year":"2025","journal-title":"J Am Med 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Evaluating the use of net promoter score in healthcare: a systematic review","volume":"25","author":"C Adams","year":"2022","journal-title":"Health Expect"},{"issue":"05","key":"ref17","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1055\/a-2385-1654","article-title":"Defining documentation burden (DocBurden) and excessive DocBurden for all health professionals: a scoping review","volume":"15","author":"D R Levy","year":"2024","journal-title":"Appl Clin Inform"},{"issue":"03","key":"ref20","first-page":"114","article-title":"Determining what individual SUS scores mean: adding an adjective rating scale","volume":"4","author":"A Bangor","year":"2009","journal-title":"J Usability Stud"}],"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2647-1142.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T23:44:11Z","timestamp":1755733451000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2647-1142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":17,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,8,6]]},"published-print":{"date-parts":[[2025,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2647-1142","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7,2]]},"published":{"date-parts":[[2025,7,2]]}}}