AI scribes, which draft clinical notes from recorded patient visits with consent, are saving Canadian physicians time, with nearly 60% of users reporting less administrative work. However, the authors, an emergency physician and an organizational psychologist, argue the saved time is often absorbed by new tasks such as reviewing AI-generated notes, which Ontario’s auditor general found contained frequent errors. They contend burnout stems from organizational factors like workload and control rather than any single task, so AI alone will not solve it. They propose the GRACE framework: governance with clinician input, voluntary use, integrated tools, protected learning time, and ongoing evaluation.
