# A Custom-Built Ambient Scribe Reduces Cognitive Load and Documentation Burden for Telehealth Clinicians

arXiv: https://arxiv.org/abs/2507.17754 · HTML: https://mlsanity.com/paper/2507.17754/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 0 of its 1 references that are in the map.
- First posted on arXiv 2 May 2025.

## Abstract (arXiv)

Clinician burnout has motivated the growing adoption of ambient medical scribes in the clinic. In this work, we introduce a custom-built ambient scribe application integrated into the EHR system at Included Health, a personalized all-in-one healthcare company offering telehealth services. The application uses Whisper for transcription and a modular in-context learning pipeline with GPT-4o to automatically generate SOAP notes and patient instructions. Testing on mock visit data shows that the notes generated by the application exceed the quality of expert-written notes as determined by an LLM-as-a-judge. The application has been widely adopted by the clinical practice, with over 540 clinicians at Included Health using the application at least once. 94% (n = 63) of surveyed clinicians report reduced cognitive load during visits and 97% (n = 66) report less documentation burden when using the application. Additionally, we show that post-processing notes with a fine-tuned BART model improves conciseness. These findings highlight the potential for AI systems to ease administrative burdens and support clinicians in delivering efficient, high-quality care.