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How long did it take you to trust AI documentation enough? hero image

How long did it take you to trust AI documentation enough?

Dr. Danni Steimberg's profile picture
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2 min read

Question by a member of our Twofold community

“I am a clinician who just started using an AI scribe for notes. The drafts look good, but I do not fully trust them yet. Some days I read every line, other days I skim because I am busy. I want to use AI more confidently without risking inaccurate documentation or insurance issues.

For those who already use AI documentation, how long did it take before you felt comfortable relying on it most of the time. What did you do early on to build trust, and what helped you feel safe signing notes faster?”

Brief Answer

Trust usually builds in stages, not overnight. Most clinicians feel comfortable within a few weeks once they see consistent accuracy across their common visit types and establish a fixed review habit. The key is not blind trust. It is predictable quality plus a short, high‑risk focused review routine. If you track errors early, tighten your templates, and keep yourself in the loop, confidence rises quickly.

The Longer Answer

A. Trust tends to follow a predictable curve

Instead of thinking in days, think in stages tied to how many real notes you have reviewed.

Stage 1: First 5 to 15 notes

  • Feeling: cautious, checking everything.
  • What you are learning: does the tool follow your style and pick up key clinical decisions.
  • Best approach: review line by line and mark what is consistently missing.

Stage 2: Next 20 to 50 notes

  • Feeling: you start to notice patterns.
  • What you are learning: which sections are reliable and which need your attention.
  • Best approach: shift to section based review, still careful on meds, risk, and plan.

Stage 3: After 50 to 100 notes

  • Feeling: comfortable using AI for most routine visits.
  • What you are learning: how to keep notes concise and audit ready without extra editing.
  • Best approach: one to two minute review per note.

This is why some clinicians say it took “two weeks” and others say “two months.” They are describing the same stages at different visit volumes.

B. What speeds up trust

These habits shorten the curve.

Habit

Why it helps

Use narrow prompts

Less noise means fewer AI assumptions and shorter drafts

Keep a stable template

Predictable structure makes review faster

Speak the plan out loud

AI captures your clinical reasoning cleanly

Review with a checklist

Reduces anxiety and missed errors

Track repeats

If the same issue appears twice, fix the prompt or template

C. What slows trust down

If any of these are present, trust takes longer.

  • Notes are too long, so you spend time trimming instead of verifying
  • You use AI on very complex visits before dialing it in on routine ones
  • Your EHR workflow adds friction at the final step
  • You do not verbalize decisions clearly, so AI fills gaps
  • You keep changing templates, so output feels inconsistent

The fix is usually not “try harder.” It is tightening setup.

D. A safe review routine that builds confidence

Use the same micro workflow every time. It creates familiarity and reduces mental load.

  1. Identity and context, 10 seconds
    Confirm patient, date, visit type.
  2. High risk sections, 45 to 60 seconds
    • Med list and changes
    • Orders and referrals
    • Risk and safety statements
    • Assessment and plan per problem
  3. Consistency scan, 30 seconds
    HPI and exam do not contradict the main story.

Over time, you will notice that the high risk sections are almost always right. That is when trust shifts from effortful to automatic.

E. One simple way to measure your trust

For two weeks, track:

  • How long you spend reviewing each note
  • Frequency of meaningful edits
  • Types of edits (missing meds, wrong symptom, wording polish)

When meaningful edits drop and review time stabilizes under two minutes, that is a clear sign you can rely on the tool for routine care.

Comments

3 comments
Moderated Comments

All comments are reviewed by our moderators. Only comments that contribute meaningfully to the conversation will be approved and published.

You
HP

Hannah Pierce

Solo Internal Medicine Physician

2 weeks ago

I found the first week was all about getting comfortable with the structure, after that I mainly checked meds and plan.

ML

Marcus Lee

Family Medicine Doctor

2 weeks ago

Once I stopped asking for super detailed summaries, the drafts got shorter and I trusted them more.

AG

Alicia Gomez

Outpatient Psychiatrist, Private Practice

2 weeks ago

Using the same two minute review steps every time helped my anxiety around signing drop a lot.

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