clinical practice either as free-standing apps or integrated into electronic health records( EHR). A number of options are available for producing clinical summaries of patient encounters. Based upon the number of clinicians in the practice and the features desired, these tools can start as low as $ 50 a month and then proceed to much higher costs. Ideally, the tool is integrated into the existing EHR so that the physician just carries the laptop into the exam room and can spend more time talking with and examining the patient and less time clicking through the required elements of the EHR. This is the realm of ambient AI listening products or AI scribes such as Nuance DAX, Abridge, Suki, Augmedix, DeepScribe, Athena Ambient, Epic Ambient. I am aware that Suki is being used by some practices in Louisville. These products all claim to perform“ deep integration” with EHRs such as EPIC, Cerner, Allscripts and Athena. DoxGPT is new in this space
AI generated image and not yet as mature as the others.
Other Generative AI products may be considered as physician support tools. DoxGPT which is resident within Doximity, primarily provides the practice with support such as assisting with clinical questions, drafting insurance appeal letters, patient communication and other tasks that take a physician’ s time. DoxGPT is free for U. S. licensed physicians registered with Doximity. Currently the company indicates that 80 % of U. S. doctors are on Doximity. I spoke with Dr. Amit Phull, the Chief Clinical Experience Officer for Doximity. He is a practicing ER physician, who noted that unlike some other products, DoxGPT is HIPAA compliant with its documentation. Doximity is one organization that has had physician leadership from its inception. Dr. Phull told me that Doximity welcomes input and suggestions from physicians, as it works to make itself more doctor-friendly. He gave me his email address indicating that I may share that with the Louisville Medicine readership: aphull @ doximity. com. practice needs to consider a number of factors such as:
• Do you need deep integration with your EHR?
• Do you need more in the way of support for documentation, note generation and letters?
• What translational needs do you have in your practice? Several Ambient AI Scribes can translate other languages, but most cannot manage the integration of communication when there is a human interpreter in the clinical encounter.
• What is your comfort with varying levels of technology?
• What is your price range?
The rapidity of technologic advances certainly will supplant the“ planned obsolescence” that auto manufacturers were accused of a few decades before. As physicians we can just anticipate that whatever AI tool meets our needs and our wallets today will require something new by next year. As much as any one of us can become comfortable with rapid change, the more we can adapt to the new world order that will help us with patient care while reducing our own administrative burden.
References:
1
Kohane, IS, Injecting artificial intelligence into medicine.. NEMJ AI 2024:1( 1)
2
Parsi N, A guide to common AI feasures for EHR platforms. HealthTech, Jan 27, 2026
3
Conversation with Amit Phull MD of Doximity on Feb. 27, 2026
4
And“ conversations” with ChatGPT, Claude AI, CoPilot, DoxGPT in Feb. 2026
Dr. James is an internist / pediatrician seeing patients at Family Health Center.
Because of the number of products available, the physician
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