Like many of my orthopedic colleagues, I’m a bit of a skeptic when it comes to flashy new technology. I didn’t know what to expect when I decided to test a second AI-powered ambient listening solution last fall. I’d tried one before that didn’t quite live up to expectations. Would NextGen® Ambient Assist live up to its promise of helping me save time by reducing the burden of documentation? I quickly found out that this solution was the real deal.
For about 1/10th the cost of a scribe, Ambient Assist interprets patient-provider conversations in real time to summarize appointments and deliver SOAP notes directly into the EHR. With one tap, Ambient Assist “listens” to the entire patient encounter and then uses AI to generate an accurate medical note in about 30 seconds. I can review and edit it immediately or at the end of the day—no copy-pasting required because it’s fully integrated into my EHR.
The technology is advanced enough to remove mundane conversations about the weather or a patient’s weekend plans, so visit notes remain focused on medically important details. Audio and transcripts are never stored or retained, providing an additional measure of security.
I’ve discovered my own set of “best practices” that help me customize the solution to my preferred workflow. For example, before I see a patient, I like to review their x-rays and dictate my treatment plan notes. This allows me to enter each appointment with more context. I’m careful not to use medical jargon when I’m with patients, as I feel it could cause confusion or unnecessary worry. Instead, I dictate the physical exam as I leave the room and quickly review the note on my phone or iPad.
I have used Ambient Assist for over 500 appointments since I implemented it in the fall of 2023. My patients appreciate the shorter wait times for appointments: I can see at least 5 more patients per day, and my family appreciates the extra time with me. Meanwhile, I feel more energetic and effective at work and at home.
Can AI really revolutionize modern medicine? For me, it has been a real helping hand.
Keith Michael Nord, MD
- Last updated: July 21, 2024

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