A Doctor’s Journey Blog and Coaching

A Doctor’s Journey Blog and Coaching

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Coaching Program for physician and bath are workers. Focus on burnout and career transitio

AI Scribes in Clinical Practice: Time, Trade-offs, and Talent | ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation 04/24/2026

I've been piloting an AI scribe at my own practice.

So when this massive JAMA study dropped — 8,581 clinicians, 5 medical centers, the most rigorous AI scribe data we've ever had — I had to break it down.

The short version: AI scribes work. But 13 minutes of time savings isn't the revolution you were promised. It's a seed.

What you grow from it depends on your intentions, your boundaries, and honestly — your mental fitness.

In this new solo episode of A Doctor's Journey, I connect:
- The data from this JAMA study
- My own experience piloting an AI scribe
- The mental fitness work most physicians skip

🎧 Listen here:
https://adoctorsjourney-podcast-by-miguel-villagra-md.podbean.com/e/ai-scribes-in-clinical-practice-time-trade-offs-and-talent/?token=77ebb8813912f2fe5719023ac040ab87

Who's using an AI scribe? Drop your experience below.

AI Scribes in Clinical Practice: Time, Trade-offs, and Talent | ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation A new JAMA study tracked 8,581 clinicians across five academic medical centers to find out what really happens when doctors adopt AI-powered scribes. The headline: 13 fewer minutes of EHR time per 8 hours of clinic. But here's what nobody's talking about — after-hours charting didn't budge, and vi...

AI Scribes in Clinical Practice: Time, Trade-offs, and Talent | ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation 04/22/2026

AI scribes free up your time. But who decides what happens with it?

A new JAMA study found that clinicians using AI scribes saw modest time savings — but visit volume also crept up by half a visit per week. And after-hours charting? Didn't budge.

Sound familiar? We went through this with EHRs. Technology that was supposed to help us ended up fueling the productivity treadmill.

AI scribes give us a second chance. The question is whether we'll repeat the same mistake.

In this new episode of A Doctor's Journey, I unpack:
- What the data actually says
- How visit volume quietly creeps up
- Why inner work and boundaries matter more than any tool

🎧 Listen here:
https://adoctorsjourney-podcast-by-miguel-villagra-md.podbean.com/e/ai-scribes-in-clinical-practice-time-trade-offs-and-talent/?token=77ebb8813912f2fe5719023ac040ab87

AI Scribes in Clinical Practice: Time, Trade-offs, and Talent | ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation A new JAMA study tracked 8,581 clinicians across five academic medical centers to find out what really happens when doctors adopt AI-powered scribes. The headline: 13 fewer minutes of EHR time per 8 hours of clinic. But here's what nobody's talking about — after-hours charting didn't budge, and vi...

04/20/2026

A new JAMA study tracked 8,581 clinicians across five academic medical centers to find out what really happens when doctors adopt AI-powered scribes. The headline: 13 fewer minutes of EHR time per 8 hours of clinic. But here's what nobody's talking about — after-hours charting didn't budge, and visit volume crept up.
In this episode, Dr. Miguel Villagra unpacks the Rotenstein et al. findings, separates signal from vendor hype, and asks the uncomfortable question: who gets to keep the time AI creates? He connects the data to Positive Intelligence and shares four concrete steps for physicians considering an AI scribe.
Whether you're piloting ambient AI documentation or just trying to survive your inbox, this one's for you.
Subscribe and leave a review. Visit adoctorsjourney.com for coaching, resources, and community.

AI Scribes in Clinical Practice: Time, Trade-offs, and Talent | ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation 04/20/2026

The Surprising Stat

AI scribes save physicians 13 minutes per 8-hour clinic day.

Not 2 hours. Not "half your documentation." Thirteen minutes.

A landmark JAMA study of 8,581 clinicians just gave us the first rigorous data on what AI scribes actually deliver — and the results are more nuanced than any vendor pitch deck.

The real finding isn't about time saved. It's about who captures that time.

In this week's episode of A Doctor's Journey, I break down:
- What this study actually found
- What it means for your practice
- The one group that benefited the most
- The question nobody's asking about AI scribes

🎧 Listen to the full episode here:
https://adoctorsjourney-podcast-by-miguel-villagra-md.podbean.com/e/ai-scribes-in-clinical-practice-time-trade-offs-and-talent/?token=77ebb8813912f2fe5719023ac040ab87

AI Scribes in Clinical Practice: Time, Trade-offs, and Talent | ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation A new JAMA study tracked 8,581 clinicians across five academic medical centers to find out what really happens when doctors adopt AI-powered scribes. The headline: 13 fewer minutes of EHR time per 8 hours of clinic. But here's what nobody's talking about — after-hours charting didn't budge, and vi...

04/15/2026

One more sleep. 😴

The PEX Coffee Talk is TOMORROW, April 15 at 7PM ET.

If you're a physician entrepreneur who's been grinding without systems, this session is going to reframe everything.

Register free before we close the doors: https://physiciangrowthcatalysts.com/coffee-talk-registration

04/14/2026

Tomorrow night, we're going live for the PEX Coffee Talk.

We're covering exactly how physician entrepreneurs can identify their top constraint — before making any big moves.

Limited spots. Register now: https://physiciangrowthcatalysts.com/coffee-talk-registration

PEX Coffee Talk | April 15 | 7PM ET

04/14/2026

The truth about hiring more staff:

It doesn't solve problems — it multiplies them.

If the right systems aren't in place, every new hire just adds more complexity.

Before you bring someone on, let's talk about what you actually need to fix first.

PEX Coffee Talk | April 15 | 7PM ET

Register free: https://physiciangrowthcatalysts.com/coffee-talk-registration

04/13/2026

One of the biggest mistakes physician entrepreneurs make is scaling before they're ready.

More patients. More clients. More hires.

But if your foundation isn't solid, scale just makes the chaos louder.

This Wednesday, we're talking about how to know when — and what — to fix before you grow.

PEX Coffee Talk | April 15 | 7PM ET

Register free: https://physiciangrowthcatalysts.com/coffee-talk-registration

04/13/2026

Today's question for the physician entrepreneur:

Are you growing a business, or just creating a second job?

There's a difference — and most don't realize it until they're exhausted.

Come talk about it with us this Wednesday.

PEX Coffee Talk | April 15 | 7PM ET

Register free: https://physiciangrowthcatalysts.com/coffee-talk-registration

04/12/2026

What's the difference between a physician who's burned out and one who's thriving?

It's not their specialty. It's not their patient volume.

It's how they've built — or haven't built — the systems behind them.

Come learn what to fix first.

PEX Coffee Talk | April 15 | 7PM ET

Register free: https://physiciangrowthcatalysts.com/coffee-talk-registration

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