Published on November 01, 2024

New listening technology lets doctors focus more on their patients and less on taking notes

Doctors at Montage Medical Group are reporting that new technology they are testing is reducing the need for "pajama time" — a not-so-affectionate nickname physicians use to describe late-night hours dutifully spent transferring their daily notes into patient medical records.

Since April 2024, about 25 Montage Medical Group primary care doctors and specialists have been testing DAX Copilot, recording technology with artificial intelligence that transcribes doctor-patient conversations into concise and accurate medical notes for patient charts.

"The workload for doctors has dramatically increased over the years," says Dr. Mark Carvalho, Chief Executive Officer of Montage Medical Group. "There simply are not enough hours in the day for doctors to do everything they need to do. And note-taking is a very important but very time-consuming task. With DAX Copilot, we're proactively taking steps toward helping our doctors avoid burnout."

The technology — used only with the patient's consent — reduces the need for doctors to manually take notes during a patient's appointment or spend their evening hours typing their notes into a patient record.

"We're still working on making the technology concise, making it do exactly what we want, so every single thing is accurate," says Michael McGlue, one of the Montage Medical Group doctors piloting the technology. "But every iteration we've seen of DAX is better than the last, so we're moving in the right direction at exponential speed."

The listening system uses a template customized by Montage Medical Group doctors to create the notes the way they want.

DAX knows exactly where to place things in a doctor's notes. It knows if we're discussing the history of the patient, it knows if we're discussing their physical exam, when to add something to the patient's medication list. It's much more powerful than just making a transcript of the visit.

— Dr. Mark Carvalho, Chief Executive Officer, Montage Medical Group

"Our template teaches DAX to capture only those parts of the conversation that are medically relevant," McGlue explains. "Patients might talk to me about where they went on their vacation, how their family is doing, those sorts of things. The template we've set up doesn't make notes about parts of the conversation that are an important part of our visit but are medically nonessential, which is pretty amazing."

The technology then translates the relevant information into notes, which the doctor reviews for accuracy before uploading the notes into the patient's chart.

"DAX knows exactly where to place things in a doctor's notes," Carvalho says. "It knows if we're discussing the history of the patient, it knows if we're discussing their physical exam, when to add something to the patient's medication list. It's much more powerful than just making a transcript of the visit."

Another major benefit, McGlue says, is that DAX enables doctors to focus more intently on conversations with patients in real time.

"I don't have to type or write anything while in the patient room," he says. "I can listen to the patient, discuss whatever problems they're experiencing, and be more present."

This technology is a win for doctors and patients, Carvalho says.

"Our doctors can spend more time focused directly on conversations with their patients, and they get to have more time at home with their families."

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