An AI tool now listens to the conversation in the exam room, and by the time the patient has left it has already drafted the clinical note. In Australia, around four in ten general practitioners use one of these scribes, and they have moved into hospital wards and specialist clinics, where they also write discharge summaries and referral letters.
The tools do more than transcribe. They turn a fifteen-minute consultation into a structured record, pull out the medication changes, and format a referral, work that used to fill a doctor's evening. What they cannot do reliably is recognise their own mistakes: studies have found scribes that drop important details, add facts that were never said, and sometimes invent them. That note then becomes the record the next doctor trusts.
These tools have spread with almost no binding rules, and governments elsewhere are only beginning to examine them. There is also a legal exposure the software maker does not carry. Because a scribe records a private conversation, using one without the patient's clear agreement can breach state surveillance laws that carry criminal penalties in several parts of Australia. The national regulator, AHPRA, has said the clinician stays responsible for the record regardless of the technology, and warns of criminal implications if consent is not obtained before recording begins.
AHPRA has also said a doctor may decline to treat a patient who will not agree to be recorded.