The Oatmeal Bite

The Oatmeal Bite

Unpopular Opinion: AI Scribes Are Hiding a Bigger Problem

Ambient AI tools are delivering real but limited burnout relief - while health systems use them as cover to avoid the harder conversation about what actually makes physicians quit.

Jonathan Govette, CEO/Oatmeal's avatar
Jonathan Govette, CEO/Oatmeal
Jun 28, 2026
∙ Paid

Here is what $1.6 billion in AI investment bought the American healthcare system in 2025: a tool that listens to physician conversations and writes the note for them.

The early data is genuinely good. A study of 263 physicians across six health systems found burnout dropped from 51.9% to 38.8% after 30 days with an ambient AI scribe. Documentation time fell by more than 15%. Physicians report feeling less trapped by their keyboards. That is real. That matters.

But here is what the press releases do not say: 62% of physicians still reported burnout in 2025 according to Medscape. The 13-point improvement is meaningful, but it is happening against a baseline so broken that two-thirds of the physician workforce is still experiencing clinical exhaustion even with the tools in place.

The ambient AI scribe is a good answer to a symptom. Health systems are treating it as a cure for a disease it does not touch.

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