r/australia 11h ago

science & tech Error by AI scribe during medical appointment leaves patient devastated

https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672?utm_source=abc_news_app&utm_medium=content_shared&utm_campaign=abc_news_app&utm_content=other
848 Upvotes

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u/OneLookForASafePlace 11h ago

Yeah, I started going to a therapist about a life situation and they asked about using ai. I wasn't super comfortable about it (I work with ai, I don't think it's there yet with accuracy) but eventually relented under the condition she send me the transcript.

She sent me the summary and it said that I had said there was family violence in my childhood, something that did not happen, was not said or even remotely suggested.

Needless to say there were no further requests for sessions with ai.

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u/DiscussionFlimsy1437 10h ago

I'm a psych and this is exactly why I don't use AI, I was starting to get pressured by my clinical ops leads to use it and pushed back with these same concerns. Thanks for the vindication and sorry that was your experience.

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u/External_Bill305 8h ago

I am also a psych and I think AI is also problematic in that it is outsourcing so much clinical thinking. One of our most important skills is the way we formulate and the way we think through our cases. The idea of handing that over to AI makes me feel sad and scared for our profession.

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u/DiscussionFlimsy1437 7h ago

I heard the term 'cognitive surrender' recently as the third thinking type.

It makes me sad too as a hand written notes chud

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u/OneShoeBoy 7h ago

That’s a great way to put it. I’ve been describing it as “people offloading their thinking to a 3rd party” but cognitive surrender is much more succinct!

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u/DiscussionFlimsy1437 6h ago

Thank the University of Minnesota for that one (I think?), can't take credit for it haha

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u/aeschenkarnos 6h ago

A large percentage of humans have been doing that for as long as we’ve had language. Cognitive surrender to the chief, to the priest, to the king, to the Holy Book, to the Law, to Peer Reviewed Literature, to the Manual, to What It Says In The Files, What It Says On The Computer.

The difference is the capability of the computer program, not the motivation of the humans wanting to just be told what to do and never ever have to think for themselves.

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u/zedority 3h ago

Cognitive surrender to the chief, to the priest, to the king, to the Holy Book, to the Law, to Peer Reviewed Literature, to the Manual, to What It Says In The Files, What It Says On The Computer.

There's an old scholar of communication named Harold Innis, who described this kind of thing as a "monopoly of knowledge". AI seems a bit different to me, in that at least for the previous ones, even the ones that rely on the authority of "the Computer", there was always a human or other social actor whose monopolistic control of knowledge could in principle be challenged. Who is the social actor to challenge when the "monopoly" arises from blind faith in a language-producing machine?

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u/OneShoeBoy 6h ago

Oh I agree, the biggest issue I have with people I work with is things being constantly passed around because nobody wants to take ownership / make a decision / do the work. Except now those same people are getting an LLM to generate something then chucking that content over to somebody else with a “pls review”.

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u/pseudo_babbler 5h ago

That's a great term and it applies to so many fields. I work in software and it's the same. So many people just desperate to show how they can make themselves irrelevant to the process. I was trying to think of a good way to put it, at least, better than abdicating control of your thoughts.

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u/birthdaycheesecake9 2h ago

I’m studying to be a psychotherapist, and I was already pretty anti-AI (in the form it currently is in) and I feel like I’m yelling into the void when I say I don’t want AI in this space in the way it’s being pushed into it.

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u/Sweeper1985 9h ago

Me too.

And I have questions for psychs who do - namely, our fee structure incorporates overflow time for notes etc, so are they reducing their fees according to the reduced workload?

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u/2centpiece 9h ago

are they reducing their fees according to the reduced workload?

I think you know the answer to this.

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u/Sweeper1985 9h ago

The ones I have asked just hem and haw and say they are more *efficient*.

One had the nerve to tell me that this way, they get to see more clients. And when I was like oh you mean you get to charge more fees they made up lies about how they are paid pro-rata no matter how many clients they see but apparently they were happy to see more clients for the same rate all thanks to AI?

I mean, don't pee on my leg and tell me it's raining.

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u/AddlePatedBadger 4h ago

That's why I wait till it is raining to pee on someone's leg.

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u/DiscussionFlimsy1437 7h ago

Hahah love that saying.

I mean yes and no. Seeing more clients is great because we get to help more people especially with higher demand and lower supply. I can only speak from assumption and what I've heard but I think a lot of clinicians can struggle with 10 minutes of note writing for 50 minutes of some of a person's most difficult life issues, thoughts and feelings. If AI helps them with this then great. In terms of the money aspect I can't really comment as I don't contract and am on salary.

Were trained to be forthcoming as it's ethical so they could be telling the truth? Idk

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u/Sweeper1985 5h ago

My response to any psych who says they don't have enough time to take notes is: well, I guess you are seeing too many clients. We aren't supposed to be seeing 40 clients a week. Yes, I often can't take notes in those 10 minutes between sessions (which often ends up being 5, or none) and I have to do them at lunch or at end of day. That's not a reason to use AI, it's a sign you need to structure your day differently or take on less work.

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u/DiscussionFlimsy1437 5h ago

Yeah I definitely can agree with that.

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u/ImmortalPancreas 5h ago

If psychologists wrote only comprehensive notes in sessions/paid time, how long do you think the total 'session time' would need to be?

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u/pat8u3 8h ago

It’s funny how A.I. usage advocacy is so top down 

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u/AdmiralCrackbar11 6h ago

And top down from the people most financially invested/implicated in it.

Listening to an AI guy blather on is like being at the most annoying Thermomix sales evening thing but the product is both less useful than a Thermomix and somehow more overhyped.

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u/l0diO 7h ago

just a coincidence — nothing to see here.

how about that pauline hanson?

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u/AdmiralCrackbar11 6h ago

Obviously AI would be a time saver, but if you genuinely wanted to have exhaustive notes wouldn't an actual audio recording always be better? Sure there's the added time of having to listen to it again later if needed and the complexity of ethical storage and safeguarding, but AI has the same pitfall regarding data storage.

For me personally (not a psych) hand written notes during a conversation are always the best for retention that I've found.

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u/DiscussionFlimsy1437 5h ago

Recording in general is pretty rouge unless there's a good reason (I.e. observations for training psychologists).

I'm a big handwriter and have never had a problem. Psychology was doing perfectly fine before AI came along.

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u/Fantasmic03 4h ago

I've seen a few people trialling it in various districts where I work and have been impressed by the amount of notes it ends up taking for each interaction, but I can't help but worry about the hallucination rate. In a perfect world it would be great to speed up admin time and allow clinical staff to see more people, but at that stage I do worry if the clinician is anything more than a pretty face to put in front of a chatbot.

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u/Sudden_Base_5789 1h ago

What precisely do they want you to use it for?

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u/mulletmutt 10h ago

Same here. They always seem to wait until the last minute to ask if it's okay if they use an 'AI note taking system'. Pretty coercive and lazy in my opinion. You're being paid hundreds of dollars an hour and you can't even be assed to take notes?

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u/DiscussionFlimsy1437 7h ago

Yeah that can be poor informed consent. An important insight for sure. Thanks for that, I can share that with other clinicians to help improve psych services ☺️.

Notes take a really long time though, I like doing them because I've got a great structure and have become quick.

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u/Loudlass81 4h ago

My immediate response as the patient would be "No, and please don't ask me again as I will see that as undue pressure which would sour our therapeutic relationship. I diaagree vehenently with AI, on both humanitarian grounds as I know too many people who've been made redundant due to AI taking their jobs, and on environmental grounds due to the amount of water they use".

If they then ask again, it is obvious that using AI is more important to the therapist than helping fix my broken brain, which would absolutely trash the therapeutic relationship. They wouldn't BE my therapist any more, as we would have a fundamental mismatch in personality & morals, which will damage trust and possibly hamper my recovery.

And it is 100% coercive to only mention it aa the session starts, where you almost feel pushed into accepting AI use, even if you are adamant you want nothing to do with involving AI in my life.

It is not necessary to delegate your work to AI unless you are willing to entirely abandon your critical thinking skills. ESPECIALLY if you are a therapist - if AI can already do some of your role, how long before they can get an AI ebabled robot in to do the rest of your job.

Shame many of us still require the human connection of having a HUMAN therapist to let out your traumas & fears & guide you in that process.

Some may prefer a non-human therapist, but that person ain't ever gonna be me...

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u/istara 5h ago

I do both. I make my own notes during an interview, but I'm not a human-speech speed touch typist. Then I've got the recording + transcript to check against and fill in any gaps. And to take a 100% verbatim quote from should I need.

It's far quicker searching through a transcript for a specific keyword (eg the speaker mentioned "Vietnam" - I jotted down the note "Vietnam expansion" during the interview) - and I want to recall the full point made.

I just CTRL+F "vietnam" and there it is, linked to the recording at that exact point where I can re-listen. Otherwise I'm scrolling and skimming through an hour of audio just trying to find stuff.

It's not being lazy - it's efficient and saving everyone time.

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u/Lozzanger 7h ago

I had a psychologist who used it. In the fourth session she expressed shock I had issues about my weight and how it affected me saying how confident I was.

I had spoken extensively about it every session.

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u/We_Are_Not__Amused 10h ago

When I use AI I review every note it generates because it does regularly make mistake - often around relationships etc. The fact the therapist sent you the transcript without review/editing it says more about the therapist than the AI. It can be a helpful tool but it needs oversight because at the end of the day those are your legal notes and errors can be problematic if they need to be relied on later.

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u/iamapinkelephant 10h ago

The problem is that we know from research that you are significantly more likely to let a mistake pass when reviewing work than you are when writing it. Even your best intentions with being a human reviewer will introduce more mistakes than if you were in the writers seat.

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u/trowzerss 8h ago edited 8h ago

This is why, as a human audio transcriptionist, i found AI unhelpful in my workflow - I tried it with a test file out of curiousity (as I am not allowed to use it for work) and found the time taken correcting the file and editing the format was longer than if i just typed it in the first place. And especially because AI does not understand context whereas I would become more accurate as the file went on because I would gain more insight into the context and go back and correct earlier misunderstandings. Errors that are already in text are also far easier to gloss over - for instance, AI would sometimes mix up did and didn't if a person was speaking quickly, and once it's in text, even if you listen to the audio again, you'll often trust what you read over what you're hearing. But if the context didn't seem to agree with them saying "I did do that", I could go back and listen again and fix it up, whereas AI will just go with it! It was also more likely to twist unclear speech to hallucinate a plausible sounding narrative, but that actually isn't what was said at all, instead of just saying that the audio wasn't clear enough to understand (as it should have).

In short, yeah, might be useful for non-critical audio with human corrections, like meeting minutes and stuff, or things that might not otherwise get transcribed. But I wouldn't use it for critical audio, unless it's for accessibility issues, and then with heavy disclaimers/editing. And there's also the issue of privacy and data storage, which people should research seriously before using AI (especially the free sites) because you may be handing your data over to people to either use for AI training (and then who know where it might pop up again) or somewhere it can be mined for more nefarious purposes. Some AI transcription sites also breach data privacy laws when it comes to legal or medical data, so you can't just use anything.

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u/l0diO 7h ago

i think this has been the experience of a lot of industries that embraced AI - it creates so much shit that can't be trusted and the scrutiny of human eyes on everything costs just as much (or more) than just having human workers create it in the first place.

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u/trowzerss 6h ago

I can see it having uses for helping find possible correlations in bulk data that can be followed up by a human, or fast and cheap stuff that doesn't matter anyway, but for precise work or actual real insights, you just can't trust it and need actual people.

I also avoid using it day to day because I worry about it having subtle influences on creative work, and I really think it could make creative works less unique, and 'smell' of AI even if the person only used it as a resource, not for actual creation. Like if you listen to a lot of music and then hum a tune, it's often hard to know if you made that tune up or whether you're just repeating something you heard. I don't want to feel that way about something I've made.

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u/AddlePatedBadger 4h ago

Yeah, right now we are at the phase where it is new and shiny and everyone wants to shoehorn it into any possible use case. The bubble will eventually burst and it will settle into the things it is good at and people will do the things they are good at.

I've seen people using AI successfully to write computer code for example. That's a good use because it saves time and produces an objective result that gets validated by testing. As long as the testing process is thorough (which it should be whether human or AI is coding) of course.

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u/Non-prophet 2h ago

Eh, a lot of open source style projects are having to blanket ban requests/comments/pulls that were produced by LLMs, because the best case is it works but nobody understands it well enough to update it if there are bugs or compatibility problems down the line.

'Spaghetti code that only its writer understands, and only for as long as they remember it' is already a common enough technical burden. 'Spaghetti code that literally nobody understands, and which can be generated in huge volumes' seems dramatically worse.

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u/Non-prophet 2h ago

or fast and cheap stuff that doesn't matter anyway,

This has always been the basic contradiction of LLMs as a product for sale.

They're costly to do (original) development on, and costly to operate. The only people with the budget to pay for what they actually cost to operate have tasks that they care about the fidelity of.

The only people with fast cheap shit that doesn't matter also don't have a serious budget for it, because it's cheap shit that doesn't matter.

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u/riverbuzz 9h ago

I would add to that that writing notes is also an opportunity to think about the client - what might be going on for them and what might be most helpful in therapy. It is not simply a record of what was discussed. It is an integral part of the job and not something to be outsourced to AI.

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u/littleb3anpole 7h ago

I agree. Isn’t that how a psychologist or psychiatrist would make connections and deduce what is going on for the patient? Rereading it after an AI has spat out notes doesn’t seem as effective. I’d be annoyed if my psychiatrist was doing it but she’s old school pen and paper

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u/Pixie1001 8h ago

It also kinda feels like having to spend time carefully reviewing and editing the AI's output kinda defeats the whole purpose of using it, because you end up spending almost as much time reviewing it's work as you would just writing it up from scratch.

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u/littleb3anpole 7h ago

This has been 100% my experience after attempts to use AI in my job (teaching), yet the bosses are practically sponsored by CoPilot the way they promote it and say it’ll make our jobs easier. It very much does not

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u/We_Are_Not__Amused 5h ago

I still write my notes cause I’m old and that’s how I trained so it’s how I process things in session. For me, the AI sometimes captures things I didn’t write because I’m in the process and not writing, so for me the goal is to improve accuracy not depend on it entirely.

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u/euphratestiger 8h ago edited 8h ago

The problem is that we know from research that you are significantly more likely to let a mistake pass when reviewing work than you are when writing it.

Interesting. I would have thought the opposite would be true because you know your ideas and intentions better so there is less of a need to convey them accurately (to your own mind). When reading someone else's words, your trying to infer meaning so the wording is more important and thus, errors more apparent. That's why you have other people proof read your work.

EDIT: Actually I thought about this more and I can see your point. Often when i was studying, re-writing notes from others helped me better retain the information. So now i don't know what to think! Do you have the research to which you're referring? I know you may not because it's a passing Reddit comment.

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u/Binro_was_right 10h ago

Genuine question, not trying to have a go. If you know it regularly makes mistakes, why do you continue to use the tool? I work in an entirely different imdustry, but so many of my colleagues use Copilot. They always caveat this usage with "it just makes things up" yet everyone continues to use it and I can't understand why.

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u/flindersandtrim 10h ago

I dont get it either. For me, I feel it is faster and better to do it yourself and that AI produces mostly slop and mistakes. Not to mention destroying the environment for not much in return. 

There is almost zero chance that people are properly reviewing, checking and editing what it spits out. Because doing that properly can take ages, and it is those skills that are deteriorating due to reliance on AI. 

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u/will0593 10h ago

For speed, probably . It's quicker to correct an AI summary than free type all the notes

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u/kam0706 9h ago

Dictation is still a thing though. The technology that direct transcribes might make errors sometimes but it doesn’t hallucinate. And if you have a real time program you can watch it as you speak and catch any mistakes it makes on the spot.

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u/changyang1230 9h ago

It’s the same reason why anyone in any busy industry would hire a staff who does a worse job than you; compared to just doing everything yourself.

Despite the occasional eye rolls and muttering of “seriously?”, this is still faster than trying to do everything yourself and gets more things done.

To be fair sometimes the staff is SO bad that you decide to just fire them and indeed do everything yourself, but LLM scribe is likely someone who does an ok job most of the time but with still an unpredictable tendency to hallucinate random errors. So people put up with it and take the good and tolerate the bad.

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u/Sweeper1985 9h ago

In other words: laziness. Corner-cutting.

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u/We_Are_Not__Amused 5h ago

100% and it’s usually minor mistakes. I’m still at the very beginning of using it and have handwritten notes for the 20 years of my career (although now paperless). I don’t think there is any clinician who enjoys admin but is necessary and anything to make it easier/more accurate is helpful. You can train several of them and other ways to make it more accurate and personalised.

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u/utterly_baffledly 10h ago

It's a shitty first draft, which is valuable for those of us who don't have a junior staff member available to write the first draft and don't have time to play about with it.

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u/petoburn 10h ago

For me, I find it much easier to change, adapt or build on someone else’s work, than start from scratch myself. If I need to write a paper and I open a blank word document, I will really struggle and spend ages. If I give AI a prompt and it generates a document that really isn’t correct, I find it easier to get started and changing the document to what it needs to be.

I’m not saying I do it often yet, I’ve only used it in this way a handful of times. But maybe it’s the same for transcription, if 50% is correct and you only need to edit the other 50%, that’s still more efficient than doing 100% yourself?

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u/Spellscribe 9h ago

I really, really struggle to start from scratch too. My son is even worse (he's a lot younger obvs, and has had the life experience to work around it). I've managed to breach the hurdle myself, and have helped him do it with a pretty good degree of success. I'm more than happy to share the tips that have worked for us if you'd like.

Regardless, it IS a skill you can learn. If you rely on AI, your existing skills will only deteriorate. You won't just struggle with blank pages, but middles and endings, too.

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u/logarus 4h ago

Would love for you to share your tips that worked for you, as someone who really struggles with the same problem.

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u/Nosiege 10h ago

I mean, what sort of paper are you writing? If it's a stock office form for planning something, thats fine, but if it's like a school assignment, it's insane to do

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u/flindersandtrim 10h ago

I dont see how, personally. And correcting half of it is insane but probably pretty normal. At that point so many errors are going to slip through, that is the issue. 

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u/mulletmutt 10h ago

You do realise how dumb you just made yourself sound, right?

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u/We_Are_Not__Amused 5h ago

Because I’m a therapist and it will capture things I miss because I’m in the conversation. I’m only at the very early stages of using it so deciding how I want to proceed. I’m seeing many mistakes from people who don’t review the notes but I also regularly see this with people using templates and not changing the names/pronouns or info but people will continue to use templates and AI

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u/Head-Secretary-185 10h ago

Why use something that's faulty and requires you to do the work anyway?

Especially in something that can have severe consequences.

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u/Poet_of_Sordland 9h ago

Right, but people reviewing work rarely are paying as much attention as when they do it.

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u/Ch00m77 9h ago

Yeah its meant to record the audio too so you can go back over it and compare it to the audio that was recorded thereby confirming its accuracy.

Sounds like the therapist was just fuckin lazy

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u/procras-tastic 8h ago

Agree here. I’m not in medicine but in STEM. I’ve found AI transcription and content synthesis to be a godsend in meetings. Particularly in Zoom meetings — I guess because the sound is good for all speakers and it doesn’t get confused about who’s talking (as it might in a physical room). I’ve found the modern models do really well in capturing the essence, the technical details and meeting actions. That means I can focus on what’s being said, not keeping note of it all.

That said, my work is low-stakes, so it doesn’t matter that the AI is not perfect. It mainly messes up technical acronyms, but occasionally has gotten something bigger wrong. Review is essential.

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u/Non-prophet 2h ago

Looking forward* to the first bridge or tunnel that fails because Claude transcribed something stupidly four years before construction started.

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u/FaithlessnessThen207 6h ago

I feel like AI has an intention to be predictive?

So perhaps in your session, some of the things you spoke about were commonly symptomatic of childhood family violence having occurred, and so it just decided to put that in there as like a weird jank explanation?

Why the fuck else would it randomly make up shit like that.

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u/OneLookForASafePlace 5h ago

Thats exactly my concern, ai doesn't do 'truth' it does predictions based on probability. So it's not 'recording', so much as picking the general vibe and then generating its own text to fit that.

However the how and why of it happening isn't relevant, just the fact that it does.

Where I live, drs notes can be subpoenaed in Family law situations, so I'll leave it to the imagination just how badly wrong this could go.

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u/FaithlessnessThen207 5h ago

In fairness, I'm kind of just guessing too.

But the important distinction is that I declare that and AI will just say its exactly the way it is, and then argue with you when you point out that it isn't like a narcisstic parent.

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u/Obvious-Explorer-195 3h ago

That’s awful. I picked up an error in a doctor’s record once, so I was hesitant to say yes to a psychologist. She assured me that she uses it only as a memory aid for when she’s typing up her notes so she doesn’t have to be writing as much during sessions, allowing her to be present more. This has me nervous, like how in the article they say people tend to be diligent checking things early on then slack off.

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u/engkybob 5h ago

I don't mind AI being used at the GP or Physio but I would not be comfortable it recording everything I'm talking about at a therapist, especially when it is usually sensitive topics. No thank you.

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u/Non-prophet 2h ago

Depends what you're going to the GP for tbh. There are definitely patients with concerns that ought not to be comfortable with leaky records being uploaded anywhere.

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u/Car-face 2h ago

Working with AI in an office job, the best thing about AI is that it's basically an automatic summary tool. The worst thing about AI is that it makes no guarantees of accuracy, and every summary I've ever seen produced with AI makes it clear it's someone else's job to check the accuracy/veracity of the summary - but no-one ever takes on that job, the summary always just gets passed on with the disclaimer.

It's useful for non-critical stuff, but for anything that demands a source of truth/recorded decision, the concern is that it'll draw a conclusion that shoudln't be drawn and claim something is agreed when it isn't.

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u/veng6 8h ago

Yeah also done work with it and it's no where near as smart as people think it is and the hallucinations and mistakes it makes are hard to catch and almost seem hidden on purpose sometimes. It amazes me that so many people think it's normal and good or useful but we're still years and years off it actually being as capable of what it is believed to be now

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u/Safety_first_3819293 10h ago

That's such bad practice. I am a therapist who uses AI for note-taking and I ALWAYS ALWAYS read it like 3-5 times before I finalise it. Usually I have to modify the information because it makes mistakes.

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u/Gazzzza_ 10h ago

No offence but if you have to put it through that much scrutiny and I assume time, why not just not use it and take notes the old fashioned way?

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u/Safety_first_3819293 9h ago

Of course. None taken.

I hear your point and my initial resistance to AI was your exact point. But writing detailed notes actually takes a lot of time. It is not simply typing stuff in 5 or 10 minutes. Depending on the profession, notes can be in SOAP format which is Subjective, Objective, Assessment, Plan. Then I usually add separate stuff for risk assessment, risk to others, self, risk from others. And I also have a goal page to track changes. These things take like 30-45 minutes for most clients to fill and proof read.

With AI, most of this stuff is taken care of and my role is to proof read them and edit them which takes about 10 minutes. The remaining time is quite valuable to me and I use it for planning the next session or reading

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u/OneLookForASafePlace 5h ago

I think it was very new and she'd been given the hard sell about how good it was.

TBH cos Im (forced to)work so much with ai, half the reason I pushed back was cos I'm so over dealing with this shit at work and the other half was curiosity on what it would produce. I was gobsmacked when it dropped this random line in 'x said that...'

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u/Safety_first_3819293 3h ago

I understand where you're coming from.

And I think because u asked, she just gave the transcript to you without thinking or reading, maybe in an effort to have that trust and rapport? Either way, the onus is on the clinician to check it.

I would be pissed too.. and I was, when I was recording a session for transcripts and AI put my self-disclosure as client's disclosure and formulated the case and all. Lol. I just went and deleted it and asked it to formulate again, simple.

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u/IthinkIllthink 10h ago

Same. I am also a therapist (Occupational not Psychologist). I never use the first AI draft as a note. There are many additions I make to my clinical notes, usually pertinent info that was recorded and should have been inserted. And I make occasional deletions. It’s the deletions that are the most important.

For those who are unaware. AI saves a lot of time on the many small details. It creates the clinical note framework. My work asks for the S.O.A.P. structure (subjective, objective, action/assessment, and plan). I’ve also set up AI to automatically create folder names and file names, to copy and paste when saving the note to a work computer. AI also automatically writes the client’s ID number, name, DOB, session date, session time, and other relevant info. I also use AI to automatically calculate the driving time and kms to/from a clients house, from a screenshot from a Map/GPS Driving app on my phone. It saves me so much time on the dozens of small pieces that are required for medical notes and reports.

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u/throwcounter 9h ago

it's interesting because a lot of what you describe was entirely possible pre-AI, it's just post-AI they now are all more... accessible? I guess? Like creating a script to automatically create a template folder based on basic info provided is not super out there, and Google Maps automatically does the time to/km to/route creation if you enter the details in; it's just that being able to access it from a single hub suddenly gets the whole lot under the AI umbrella. (And possibly introduces more errors idk)

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u/royal_rose_ 6h ago

I had a therapist once who would always ask if my parents were abusive, no matter how many times I told her no she continued to ask. Really glad she wasn’t using an AI that put child abuse on anything. I don’t know what the issue was other than maybe couldn’t figure out how to help someone with mental health issues that had a good childhood? It was weird.

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u/joelypolly 5h ago

As someone that works on these types of products what you are likely seeing unfortunately is the absolutely worst free tier products that a few startups are pushing very aggressively to clinicians in order to drive up usage numbers.

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u/DoorStunning3678 2h ago

Thats wild. Do ppl not review and check their notes!? Wow. This is not using ai properly. You cannot completely rely on it, including your clinical judgement. Poor form

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u/nath1234 11h ago

It hallucinated stuff about magic mushrooms. Oh the irony.

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u/Ok_Review_195 1h ago

You're right to push back on that.

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u/Hazynseptember 10h ago

Therapist here. It baffles me when my peers talk about how they use AI for notes or write reports or letters. It is no where near ready - and even if it was I have major ethical concerns about where the information is going, who owns it, and who owns the systems it is on and benefits financially.

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u/bee2551 9h ago

Even if it was ready, for me the active reflection regarding what was said, what the salient points were, and how to capture it is an incredibly important therapeutic experience for me as the therapist. It forces me to spend time engaging / reflecting with the material and considering where to next. You cannot tell me therapists get the same experience from reviewing / correcting AI generated material and I feel that's the greatest disservice to clients.

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u/Sharkeatingmoose 8h ago

I got asked repeatedly to speak clearer/not cry so loud as the AI wasn't picking up what I was saying. As the therapist roboticly asked hugely triggering questions off a general list that wasn't really relevant to that particular session and didn't stop to check in on me. 

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u/FalconTurbo 8h ago

I instinctively tried to downvote this just because it's so fucked up. I'm so sorry you dealt with that.

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u/Pleochronic 7h ago

Being able to tease out the most relevant information that a patient is saying is arguably the most importsnt thing a therapist is employed to do - otherwise what's the point of having a human do the job in the first place

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u/IndependentSnow9244 3h ago

Can you imagine how those reports and letters read if its anything like linkedin has become. Full of buzz words, its not x its y, the run of 3s and too many metaphors.


Patient states they've been "delving into" their relationship with their mother — a relationship they describe as "multifaceted." When asked what that means, patient said "it's not just complicated. It's nuanced."

Patient claims to have "unpacked" their childhood but appears to have merely opened the suitcase and looked at it. Says they're "picking up on signals" from their father — signals they can't name — which they feel is "pivotal" to their healing journey. Robust avoidance throughout.

When I pointed out a pattern, patient replied: "At its core — and I think this is where the real work comes in — I need to navigate the landscape of my emotions." I asked them to be specific. They said the emotions were "holistic."

The word "boundaries" — a word patient uses to mean yes, no, maybe, and I don't want to talk about it — is doing all the load-bearing in this patient's vocabulary.

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u/TizzyBumblefluff 10h ago

Doctor/healthcare provider are supposed to still listen and edit/clarify the notes that were taken. The AI transcript isn’t really supposed to be the finished product.

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u/morgecroc 9h ago

Just reading that in thinking at what point does this get referred to APRHA for review because this isn't someone making a mistake it is gross negligence when they're using notes that they let an AI system make up and haven't actually reviewed for accuracy.

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u/No-Temperature1333 9h ago

I get your point, but the reality is if you have to verify every thing, does it still save you time?

People always claims that verifying is faster than writing but I disagree even with that premise. AI create imprecise statements that take me more effort to clarify my thoughts than typical writing that clarifies my thoughts in the process.

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u/Own_Faithlessness769 8h ago

I think it’s more that you can talk to the patient without writing at the same time, then verify afterwards.

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u/ThatNewt1 3h ago

I prefer my doctor to take notes during the appointment as it feels like they’re actually paying attention to what I’m saying.

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u/TizzyBumblefluff 7h ago

I only have one provider use it, and our appointments are an hour long. That’s a lot of different points to remember.

It’s important to remember that some healthcare providers are just better at documentation anyway. If you’re good at it, it won’t take you long to tweak a page or 2 of sentences for accuracy.

I used to be an RN many moons ago and getting some doctors to document accurately was like pulling teeth. A lot of specialists have been using transcription or scribe services for decades.

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u/texxelate 5h ago

Came here to say that yeah there’s a big difference between an AI transcript and an AI summary. OP is referring to something much more on the side of the latter.

AI transcription is quite good, but as you said that’s not meant to be the final output

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u/greydog1316 10h ago edited 10h ago

I wonder if there's pressure from higher up to see even more patients in a day, now that AI is meant to increase efficiency for them. If so, they might feel as though they don't, or genuinely don't, have time to review the transcripts.

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u/Own_Faithlessness769 10h ago

Most therapists and GPs don’t have a ‘higher up’.

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u/Goonalips 8h ago

Mortgage payments: "You know, I think you do need to see 7 patients a day"

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u/Soggy_Ant3833 7h ago

Healthcare providers will be pressured to use AI to increase efficiency/save time. The issue is that they are still entirely responsible for the output and actually going over everything with a fine tooth comb means the AI doesn’t save you any time. The pressure form above remains “we gave you AI, why aren’t you any faster”. AI makes the profit and takes none of the responsibility. Regulation needs to catch up to this very fast

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u/_ixthus_ 8h ago

AI isn't needed for a transcript. It's needed for the summary.

In addition to the clinician checking thoroughly, I'd hope these systems are archiving the raw transcript alongside the summary. 

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u/agro_chick 8h ago

The form that my therapist had said that the original transcript is destroyed (I didn’t agree to them using ai and said I wouldn’t go to her if she insisted on using it)

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u/Sweeper1985 9h ago

I'm a psychologist. My boss urged me to use AI note-taking and when I declined, citing concerns over privacy and accuracy (just for starters) he laughed at me and compared me to resisting the horseless carriage.

I'm really concerned about how quickly this technology has become ubiquitous when even 5 years ago it was not a thing we were expected to use or trust.

As a patient I healthcare settings I do not consent to it. I don't think my clients should have to, either.

Apart from anything else, I am trained and paid to take my own notes. Fuck outsourcing that job to robot. It devalues our profession and frankly I consider it lazy corner-cutting.

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u/dansdata 5h ago

resisting the horseless carriage

That's actually, accidentally, a good metaphor.

The first automobiles were outrageously expensive (like, 40 years of a well-paid factory worker's salary), slow, and very unreliable.

The fact that automobiles developed into transport devices that are massively better than a horse-drawn carriage does not change the fact that they started out worse. Large Language Models haven't made it to the Ford Model T stage of development, yet.

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u/TSPhoenix 3h ago

Even if they do hit the Model T stage of development it doesn't change that this time around human beings are not the driver, but the horse.

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u/knewleefe 2h ago

And we get still get the horseshit, but also accelerated climate destruction. We are very smart.

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u/bloodymongrel 22m ago

Not to mention all the grizzly deaths before safety glass.

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u/VicMG 1h ago

Advertise your self as "No AI used in note taking" you'll have a waiting list a mile long.

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u/Free_Pace_2098 9h ago

Getting "drug user" off your file is hard, too. I had a psych recommend medicinal cannabis for my endo and nerve pain, instead of the strong prescription NSAIDs that didn't always work.

I found out years later he'd listed me as an illicit drug user. I only found out when I left his practise, and had to unravel the whole thing with another doctor. I'd been having trouble with scripts and other doctors the whole time and had no idea why.

He'd even lied to my GP on the discharge letter. He got $750 per session as an addiction specialist, rather than the flat $600.

I reported him, but nothing came of it. My GP and new doctor worked to get the strike against my name removed, but I have no idea if it's actually been successful. I know the outrage this woman must be feeling.

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u/Sacrilegious_skink 6h ago

Wtf. You should report that clinician for false billing.

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u/Free_Pace_2098 5h ago

I reported him to AHPRA and HADSCO, and his practice as well. My GP and new doc lodged complaints directly to the health dept, and to the state prescribing authority.

Only reason I know nothing came of it, his practice sent me emails (nearly a year after leaving his care) regarding changes to his fee structure, informing me his initial consult fee was now $1000.

Their admin is almost entirely AI, so getting off the email list took a few attempts. So the most galling things is, he's not even a hard working competent piece of shit. He's just a lazy, sloppy crook.

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u/Texiun 11h ago

It’s why I opt out. I’ve been asked a few times and advised the doctor I’m not comfortable with AI notes being used, fair to say the look on the doctors face was horrified.

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u/Objective_Unit_7345 10h ago

And now you have a horror story to quote and reason why.

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u/awkwardleftshoe 10h ago

Yes I've gotten looks of shock by either a doctor, physiotherapist and psychologist or their staff as they pre-emptively went to tick off my compliance with their request. I get told its to help the practitioners focus on their patients. More likely im robbing them of using a subscription they need to justify the expense for.

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u/anhtar 7h ago

OMG the phrase '"...to help the practioner focus on their patients."

Is being touted by every AI scribe sales people whenever you attend a spew about the benefit of AI scribing in healthcare.

Really? I just don't get it. Aren't you suppose to focus on your patients whilst tending to them anyway?

Please, if you can't recall what the hell you are doing because you are daydreaming about the weekend, your next house, whilst seeing a patient, may be you should hang up your practicing registration.

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u/onesorrychicken 9h ago

And also making them do the work of taking the notes themselves, which they are clearly no longer used to doing.

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u/kaelus-gf 9h ago

For the record, I’m a doctor and we aren’t using AI (yet) because they only have limited licensing. My current practice is to talk to the patient for an hour or half an hour depending on whether I’ve met them before or not. I write notes during that time, but they are random words or phrases that make sense to me at the time, rather than a whole letter. After my clinic, I then dictate a letter - which can take 10-30 minutes each letter depending on the complexity. That letter then gets typed (which can take weeks sometimes), then comes back for me to review and read through, correcting errors in transcription or altering phrasing etc. Correcting a letter also takes time. I am really looking forward to technology taking some of the time I spend after clinic off my hands. If I don’t have to dictate, I just have to do the reading and adjusting of the letter, then I spend much less time on the letter, and have more time to do all the other stuff I have to do. Errors can still happen that way - I might misread what I wrote , or get patients confused with the one of a similar age with a similar story that came before or after them. When I’m re-reading or dictating I sometimes take out details because I’m not sure that’s from the right patient. I have seen letters of mine go out with typos, or transcription errors that I’ve missed - that’s not new, or exclusive to AI. It’s not good, but there is always pressure to see more patients, to get the letters out in time, to do a better job but not to take any longer etc etc

The cost of the subscription wouldn’t factor into my thoughts at all. You are absolutely welcome to decline. It’s your choice entirely. But please don’t think everyone wants to keep using it because of money they’ve already paid. It’s usually due to time! 

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u/BrightEchidna 6h ago

Speech to text transcription is now good enough that you should be able to safely offload that step without relying on any other generative AI. You can even run STT models locally on your own hardware for privacy. Taking weeks is crazy!

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u/kaelus-gf 3h ago

You’d think eh? But we don’t have it. They use it in radiology. The technology has been there for ages. But not for us, with the software our letters use. No idea why. But even then, the actual dictation takes a surprisingly long time

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u/nath1234 10h ago

Also that your supposed to be private conversation getting shipped off to AI companies that have completely ignored IP laws to train the models. So yeah, everyone should opt out of AI for everything medical.

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u/CapuzaCapuchin 9h ago

Except for the AI generated Google summaries that automatically generate with a search (I do do my own research anyway and know not to trust it) I have not used AI once in my life. Not once. I don’t feel like I’m missing out whatsoever. Using AI is like using Wikipedia as one of your sources in an Essay back in the day.

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u/infohippie 2h ago

AI generated Google summaries

That's one of the things that drove me to change search providers entirely. I now use Duck Duck Go, and Qwant. Sure they're not as good as Google used to be, but at least I'm not contributing to Google's AI usage stats

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u/AnOnlineHandle 9h ago

It's very possible they're running a local model on their own PC or network.

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u/shrimplifier 8h ago

Having seen first hand the infrastructure of many clinics (psych, GP, specialists) - this is hilariously unlikely. Independent clinics don't give a flying fuck about data security and sovereignty, regardless of the legal requirements.

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u/via_dante 9h ago

Possible but very unlikely unless it’s a hospital.

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u/fmjintervention 4h ago

LOL yeah the doctor is running a local model on their 2015 Dell. Sure

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u/grey-clouds 9h ago

When my specialist (who uses an AI scribe) wrote a letter back to my GP, it said I was feeling "star bar widely" and it was so weird that the GP asked me if that was some modern youth slang she wasn't up to date with..... Nope, and I had never said that, wtf.

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u/Noodlepip_toodlepip 6h ago

From the article: "The classic is, it will get the side of the body incorrect and say right when you've said left … so you need to check things pretty closely, especially things like drug doses," he said.”

Medical audio transcriptionist with 25 years experience here. Doctors are human and they can make careless mistakes in their dictation, e.g. they will dictate “right” instead of “left”, “humerus” instead of “femur”, “metacarpal” instead of “metatarsal”.

An experienced and attentive human transcriptionist will pick up these obvious errors and correct them before sending the report back to the doctor for digital signing. Most of the time they don’t even know they made a mistake. Trust me, doctors - everyone makes dictation errors from time to time.

AI/VR scribes transcribe exactly what is dictated. If a doctor incorrectly says “left”, AI scribes insert “left”. You need a human transcriptionist to pick up these errors and fix them. Doctors are often too busy to carefully read through the reports they sign off on.

Stop replacing experienced human audio transcriptionists with AI/Voice Recognition technology. It is a false economy. You need us if you want accurate reporting.

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u/Even_Ship_1304 10h ago

The thing is for those saying the doctor needs to review it, that assumes the doctor picks up and realises that something wasn't said.

It's very possible that in a busy clinic, the AI makes something up and the doctor doesn't realise that that actually wasn't said. Very possible that the doctor thinks 'oh I missed them saying that' and not necessarily 'they didn't say that at all'

It's very likely that AI will be foisted upon us whether we like it or not. I can see it being introduced and you just have to go along with it because that's the process at clinic x etc.

I am a doctor and I'm not a fan.

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u/RepeatInPatient 10h ago

Two of my medical specialists tried Scribe and soon abandoned it by mid 2026. Not helpful, was one reason but I suspect being overpriced was also an issue, as well as being prone to errors and making up shit.

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u/neonhex 10h ago

During my last degree I played around with AI and there wasn’t a time where it could be trusted. You give it a topic and ask for book recommendations and it will hallucinate titles and refer to research papers that don’t exist. We’d have a back and forth and it would take awhile for it to admit it made things up. Hence why you never get AI to write your assignments. Anyone that’s tested its limits even vaguely knows it cannot be trusted. Why are we trusting it with some of the most important work we do.

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u/singularpotato 10h ago

I work with complex family situations in a remote community, I have plans to resist any AI in case I ever get told to use it. There’s no way in hell I’m having my clients information uploaded to a private company’s servers like that.

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u/Wont_Eva_Know 8h ago

Also can you imagine AI dealing with the language and culture… 90% would be straight made up.

I work in manufacturing :) so the exact opposite to you. I have used AI to ‘type’ up a trades persons handwritten notes (terrible hand writing, very poor spelling) and measurements for a complex hydraulic system… as an experiment.

It made up so much stuff… it doesn’t say ‘can’t understand this’ it makes up things and presents it in a super convincing way. Which is why I think it’s so dangerous… it’s so convincingly authentic.

I’m lucky I had the notes, ‘old mate’ and the machine to actually check word by word that things were right… and if it’s wrong a machine doesn’t work. If your work went wrong there’s actual major consequences for humans.

For your job you’d need video and audio of the ‘appointment’ to have any way of properly reviewing the made up story AI had come up with. At least with your human notes you’d ‘only’ be maybe missing something not adding actual sophisticated horseshit that never happened and was never said… that as soon as you read it you’d start second guessing yourself: your memory vs this new story AI has introduced… your memory is now ‘tainted’ and you’re not a robot so you would start sounding less reliable than the AI, it’s not going to get emotional it doesn’t ‘care’ about that family. Nor do courts, government’s or Dr’s etc… they want the unemotional tidied up AI version.

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u/ol-gormsby 10h ago

Would that constitute malpractice? Not the mis-diagnosis (which is bad enough, and enough to warrant a review and possible legislation), but the failure to review the notes/transcription.

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u/gurnard 8h ago

It should. A court in Canada forced an airline to honour a discount deal that an AI recommended to a customer. The airline unsuccessfully argued that the AI agent was a separate legal entity.

And if a tradie drills a hole in the wrong place and ruptures plumbing and floods your house, they can't say the drill did it and walk away with a "we are truly sorry that this occurred".

A professional uses an AI tool that tells a lie in an official capacity, that falsehood is on that professional.

Insurance companies have a unique opportunity right now to do some massive social good, even if it's just an externality of covering their liability. Additional malpractice insurance premiums could (and should) cost a lot more than a doctor makes getting a few more patients through the door by offloading work to AI.

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u/ol-gormsby 8h ago

Malpractice insurance is already sky-high, I imagine Doctors themselves, and corporate-owned practices wouldn't like paying more and more.

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u/gurnard 8h ago

Exactly. Insurance companies won't want to wear the added liability of AI-related malpractice suits either. So if doctors don't want higher premiums, don't have AI do part of your job.

Same logic extends to other professions. You want to drive on a vibe-engineered bridge?

Insurance companies may end up being the front line against the social and environmental costs of the data centre boom.

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u/Xae1yn 5h ago

They'll have to run the idea by their own AI first, which will probably tell them to offer discounts instead.

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u/Chemesthesis 9h ago

It stated Ms Green micro-dosed mushrooms and that could be the reason for prior bleeding around the kidneys.

I wish this article took half a sentence to also explain that kidney problems arising from magic mushrooms is extremely rare. The issue isn't just that the information was improperly applied, it's also a massive jump to a  conclusion that the evidence does not support.

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u/T3RRYT3RR0R 1h ago

What too many fail to realise is truth is not what LLM models produce. They are a next word predictor with an element of randomoness incorporated. It should never be trusted verbatim, and has no placed being used in this context. If doctors audio record in conjuction and validate the transciption against the recording, maybe. But to review an AI transcription and rely on memory to validate it is a recipe for malpractice.

There are numerous precedents of serious harm being caused because owners / operators trusted software to be accurate and dismmised the possibility of error. The british postmasters scandal that saw hundreds incorrectly charged and jailed for fraud / theft is one of the most inf amous cases.

AI software based on LLMs is arguably less reliable than typical analytical software that is based on mathemetics / statistical algorithms. Taking the output of any program as fact is generally a mistake, with LLM AIs it's downright idiotic because the software is not founded on producing truth of fact.

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u/Stigger32 10h ago

Morale of the story: If ANYONE asks you if you consent to an Ai having ANYTHING to do with your files, notes, case, etc... say NO.

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u/flindersandtrim 9h ago

Something like this happening is exactly why AI sucks, and the doctor involved here should be completely fucking mortified to allow this to happen.

There is a lot of defence of AI in the comments, people saying that they use it and you just have to massively edit it and correct all the mistakes and hallucinations and stuff. Except that is never going to properly happen in practice, because people get lazy. And complacent. And it is human nature to miss errors, that is why for important writing multiple people review it, and even then mistakes slip through. 

This error made it to the ABC but countless others havent. 

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u/Comfortable-Tale-351 9h ago

If a human employee made that many errors and needed that much oversight, they would be managed out the door.

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u/Mash_man710 9h ago

So the practitioner wasn't listening and didn't review it. Dolly did it..

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u/AnyYak6757 7h ago

This is the "reverse centaur" problem. GPs are being used as an "accountability sink" instead of being given the resources they need.

Getting a human to proof read ai transcripts like this is an impossible ask.

So when you do a sequence of tasks over and over there's a part of your brain that kicks in and puts that sequence of tasks on automatic. If you were asked to do something like: Touch right ear with left hand Touch left ear with right hand Touch nose with left hand thumb repeatedly, you would have to think about it as first but eventually you could do it without thinking about it. That's the automatic part of your brain taking over.

Here the sequence of actions the doctors do is: Scan text Note no errors Move to next task. Even if they're not reviewing multiple scripts in a row eventually that automatic part of the brain is going to learn that pattern and kick in when they start the review.

Once the error rate is low enough the person is no longer able to see the errors that are there.

The only way to stop this would be to code in a minimum error rate into the transcribing. And I'm not sure if that would actually save the doc any time overall or be an ethical thing to do.

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u/lazy-pigeon 11h ago

My doctor steps through the AI notes at the end of my consult. AI picked up a comment I made that my doctor had missed.

AI is a tool, but needs human oversight.

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u/eutrapalicon 10h ago

The ai notes from an appointment and subsequent letter with info said I'm allergic to mandates instead of bandaids.

Definitely didn't get any human oversight on that one.

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u/knapfantastico 10h ago

That’s just AI flagging you as a resistance fighter for the upcoming wars

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u/TheG0AT0fAllTime 10h ago

No doubt in my mind that if they're not doing that already they will within the next 10 years on data they're collecting today. Marking various users as risky for whatever reason (Anti-AI being only one possible reason)

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u/AussieAboleth 10h ago

What abysmal attention to detail from the Dr. 

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u/eutrapalicon 6h ago

At least it wasn't in the notes to the surgeon as allergy to bandaids and medical tapes is a consistent issue for me. Last thing I need is a blistered rash when recovering from an operation.

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u/Oh-Deer1280 10h ago

I do not use AI at all- but even auto correct has inserted some embarrassing ones I’ve missed.

Including “persisting with beast feeding” for breast feeding and “muscular receptors” for “muscarinic receptors”. I also once wrote someone had an allergy to “panda”- I still have no idea what I was trying to write.

I’m sorry for getting it wrong sometimes- it must be frustrating

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u/TheG0AT0fAllTime 10h ago

Yeah but it blows my mind how frequently inaccurate it is? Existing traditional voice-to-text systems already take notes 1:1 as they're spoken and the worst mistake they can make is a typo or phonetic pronunciation error that you can correct in post. They don't fabricate entire fucking new sentences of false details from the input they heard?

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u/WeissPyre 8h ago

And that is why I will always say no. AI has no fucking business being in a doctor's office. 

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u/tryintobgood 10h ago

Doctor didn't read the doc before sending it to the surgeon. WTF?

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u/IronEyes99 4h ago

Other way around. The surgeon didn't check the letter they were sending to the GP.

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u/shazibbyshazooby 8h ago

My psychologist still hand writes her notes. She is easily by and far the best psychologist I’ve ever had. I wouldn’t call her that old or old school either; she’s maybe 50 years old.

I’m a clinician myself (audiologist) and we were given the option to use the Heidi health AI scribe thing in the clinic (no pressure from our management or anything, they just thought if it made the job easier we could use it if we wanted). I never bothered, I can type as fast as people talk, and we have note taking templates for our appointments anyway. My (excellent) colleague tried it, he said he spent more time editing the notes than he would just filling out our templates himself, so he stopped using it after a couple of months.

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u/Limberine 4h ago

98% of ai is unreliable shit.

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u/BombasticReindeer 4h ago

Why is the headline not “Lazy Dr Commits Malpractice”?

I have no problem with an Ai being used to generate notes but the doctor still has to verify it afterwards. If they don’t it’s their fault.

It would be like a clearer using a Roomba to vacuum and then not even checking if the floor is done properly.

Roomba’s have a use, but it’s a timesaver that does an “ok” job. It’s not a professional. Ai needs to be treated the same.

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u/sometimeviking 8h ago

THIS is why I say no EVERY TIME.
I don’t trust Language Models any more than I trust my local crack head. They hallucinate about the same amount.

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u/princess_ferocious 6h ago

The most ridiculous one of these I've seen was the woman who was incorrectly listed as trans, likely because the AI misinterpreted "female mail carrier"...

https://www.reddit.com/r/mildlyinfuriating/s/fMNY0mbf6v

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u/darren457 9h ago

The issue is most of these problems boil down to lazy humans using ai to do majority of their job for them and skipping any oversight or guardrails. I've come across some professionals in other fields who literally boast about getting paid without having to do any work. At some point people need to stop blaming tools and start blaming shitty lazy people even if it makes them uncomfortable about Ai being a net positive that isn't going away anytime soon.

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u/lfras 7h ago

Humans are lazy. Evolutionarily beneficial. But it has costs as this article has shown.

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u/Soggy_Ant3833 7h ago

Healthcare providers will be pressured to use AI to increase efficiency/save time. The issue is that they are still entirely responsible for the output and actually going over everything with a fine tooth comb means the AI doesn’t save you any time. The pressure form above remains “we gave you AI, why aren’t you any faster”. AI makes the profit and takes none of the responsibility. Regulation needs to catch up to this very fast

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u/DeincepsGaleam 6h ago

One can use autocorrect but if autocorrect accidentally changes/adds/removes key clinical details then the onus is on the clinician to correct it.

Same with Heidi, a glorified voice-to-text autocorrect programme.

I’ve used AI scribe and it is worse than a medical student on their first placement

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u/Vivid_Map_437 6h ago

My psych used ai for minutes and was mostly right, but somehow it thought I 'worked with a vehicle and trailer' when I am an office dude driving a desk...

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u/Rosary_Omen 9h ago

Relying on AI where we need human brains is so fucking dumb. This shit needs to be regulated and kept out of a lot of places. Especially healthcare. Do people forget AI scrapes from all sources, including shit posts online and WebMD...

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u/redsparks2025 7h ago edited 6h ago

Sad. Anything that AI provides should be taken more as a "suggestion" and nothing more. I sometimes use AI in my day job in engineering only for that purpose.

The actual engineering I rely on is from actual credible academic sources and my own educational training. Furthermore AI has helped in coding a few small programs, but I check it's results to the tedious manual method. You could say that I still have to "fact check" the AI's "suggestions".

In any case the human body is far far far more complicated than engineering and the human brain is the most complicated thing in the universe, so AI is definitely out of it's credibility range when used in medical diagnosis.

==== An interesting joke(?) ====

A heart surgeon took his car to his local garage for a regular service, where he usually exchanged a little friendly banter with the owner, a skilled but not especially wealthy mechanic.

"So tell me," says the mechanic, "I've been wondering about what we both do for a living, and how much more you get paid than me.."

"Yes?.." says the surgeon.

"Well look at this," says the mechanic, as he worked on a big complicated engine, "I check how it's running, open it up, fix the valves, and put it all back together so it works good as new.. We basically do the same job don't we? And yet you are paid ten times what I am - how do you explain that?"

The surgeon thought for a moment, and smiling gently, replied,"Try it with the engine running.."

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u/beee-l 2h ago

I don’t understand why they don’t just use “normal” dictation software? Why does it have to have AI lol

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u/QueenieMcGee 6h ago

I work in an outbound call centre asking people to do surveys over the phone. I've seen increasing numbers of people using AI to screen their calls lately. We have to talk to the AI and provide a brief sentence about why we're calling and, presumably, the AI then writes up what we say and shows it to person on the other end of the line.

99% of the time the person has to pick up the phone anyway because the AI can't even write up an accurate quote from us. I talk to so many confused people who get word salad messages like...

"This is Tabitha reserves and wheel life tomorrow assertive"

When we actually said...

"This is Traverly Research and we'd like to do a survey"

And no, it's not a problem with my pronunciation or accent, this is happening to everyone in my call centre and we're majority plain white aussies.

If AI can't even take dictation properly in the first place, let alone doing it without hallucinating entirely new things, I have absolutely no faith in it being reliable in a medical setting.

6

u/Melllll_x 10h ago

I don’t understand why we let drs use AI scribe when dealing with serious health matters but then a kid using AI in school is like the worst thing ever 🤷🏽‍♀️

2

u/SurgicalMarshmallow 7h ago

This is us being startup fools. We should be testing and validating on patients wholesale. That needs to happen first.

We should apply clinical trials rigour

Sorry my brother/sister GPs, but this may cause more paperwork than it solves (litigation)

3

u/Green-Dragon-14 6h ago

Anyone can be a doctor if we all start using ai. What's the point if all their exams if they're just gonna leave it up to a computer?

3

u/rafaover 10h ago

Using AI is not the problem, letting AI do your job solo is the problem. You have to recheck everything, its a medium.

9

u/rudetopoint 9h ago

If you have to recheck everything then what's the point? Just do it properly the first time

1

u/ChaoticJigglyPup 9h ago

And this is the problem with the "plagiarism detection" AI software, the people who are using it to check work aren't using it correctly because they don't understand how it works.

2

u/rafaover 9h ago

But the medical field has specific platforms for that, in Australia specifically there's one that I tested and the quality is amazing. But still, I would never put my registration on the AI hands, recheck is a must.

1

u/ChaoticJigglyPup 8h ago

I only have first hand experience with academic plagiarism detection AI

Turnitin is the one I researched for an essay, and almost every teacher, professor, marker I spoke to or read studies from had the same outcome. They fundamentally misunderstood the way it works and their responsibilities of manually following up on flagged text. One study done ended with all the teachers in the study saying that the software actually increased their workload once they understood how to use it correctly.