Who gets an evening back from an AI medical scribe?

If a clinic says an AI medical scribe saves half an hour after work, I would want to know who can now leave the charts closed at home. A 24-week randomized rollout involving 66 practitioners in Wisconsin and Illinois tested Abridge for visit documentation. The study reported less work exhaustion and less time spent on notes. Its estimated reduction in electronic-record work outside work was 0.50 hours per eight hours of patient time. But that after-hours result was no longer statistically significant when the researchers excluded the top 3% of daily observations. The reduction in note time held up in its sensitivity analysis. That does not make the unusually long days irrelevant. Helping someone with a heavy evening burden could be a good reason to keep the tool. It does mean the average is too fragile to promise every clinician the same evening back. The authors suggest the after-hours benefit may be concentrated among a small subset; this is not a proven rule for choosing recipients. For a clinic trying it, I would compare evenings spent reopening charts before and after rollout, grouped by how much after-hours charting people did beforehand. Keep patient load and time spent checking drafts alongside that comparison. This is a follow-up I would propose, not a result the paper establishes. Did the person with the longest evenings get relief, or did note writing merely move to a different part of the day?