The transition from typing on a keyboard to using an ambient AI medical scribe is often one of the most liberating moments in a clinician’s career. Suddenly, the screen that stood between you and your patient is gone. You can make eye contact, observe non-verbal cues, and engage in a more natural conversation.

However, for many providers, the first few times they use an AI scribe can feel slightly awkward. You might wonder: How do I explain this to my patient? Will they be worried about their privacy? Do I need formal consent?

The good news is that patients are overwhelmingly supportive of AI tools when they understand the benefit: a doctor who is actually listening to them. Here is a guide on how to navigate these conversations and build trust from day one.

The “Focus on You” Framework

The most effective way to introduce an AI scribe is to frame it as a tool that improves the patient’s experience. Instead of saying, “I’m using AI to do my notes,” try emphasizing that the AI allows you to give them your full attention.

The goal is “eye contact medicine.”

When you explain that the technology is there to replace the computer, not the clinician, patients quickly see the value.

Sample Scripts for Introducing the Scribe

You don’t need a long explanation. A simple, 15-second introduction at the start of the visit is usually all it takes. Here are three ways to say it:

The Simple Approach

“Before we start, I want to let you know that I’m using a new tool today called Medical Scribe. It’s a secure AI assistant that listens to our conversation and drafts my notes for me. This way, I can focus entirely on you instead of typing on my computer. Is that okay with you?”

The Collaborative Approach

“I’ve started using an AI scribe to help with my documentation. It helps me ensure my notes are highly accurate without me having to look at a screen the whole time we’re talking. It’s HIPAA-compliant and very secure. Do you have any questions about that, or are you comfortable with me using it today?”

The Telehealth Approach

“Since we’re meeting virtually, I’m using an AI tool to help capture the details of our visit. It allows me to stay engaged with you on camera rather than looking down to take notes. Is it alright if I have it running in the background?”

Addressing Privacy and Security

If a patient does have questions, they are usually about where the data goes. It’s important to be prepared with clear, honest answers.

  • “Is it recording me?” — Explain that while it “listens” to generate the note, the audio is typically processed and then deleted (depending on your settings), and the final result is a structured medical note in their chart.
  • “Is it secure?” — You can confidently state that Medical Scribe is HIPAA-compliant and uses enterprise-grade encryption to protect their information.
  • “Who sees this?” — Clarify that the notes are only accessible to their care team, just like any other part of their medical record.

Handling an “Opt-Out”

While rare, some patients may prefer not to be recorded. Respecting this choice is essential for maintaining the therapeutic relationship.

If a patient says no:

  1. Accept it immediately. “No problem at all! I’ll just take notes the traditional way today.”
  2. Don’t make it a hurdle. Ensure they know their care won’t be impacted in any way.
  3. Note it. You may want to document in their chart that they preferred not to use AI documentation for that visit.

Practical Tips for Success

  • Be transparent. Never “hide” the fact that you are recording. Transparency is the foundation of trust.
  • Lead with confidence. If you are comfortable with the technology, your patient likely will be too.
  • Review the note together. Occasionally, you might even show the patient the generated note at the end of the visit. This can be a powerful way to confirm you heard them correctly and involves them in their own care.

While verbal consent is sufficient for many practices, some organizations prefer to have a formal agreement on file. We provide a Client Consent Form template that you can adapt for your practice. This can be included in your new patient intake paperwork or presented as a standalone document to ensure everyone is on the same page regarding AI-assisted documentation.

Conclusion

Introducing an AI medical scribe isn’t just a technical change; it’s a cultural one. By bringing your patients into the loop, you aren’t just saving yourself time — you’re improving the quality of the encounter.

Most patients have felt the frustration of talking to the back of a doctor’s head while they type. When you offer them your full attention instead, they won’t just accept the AI — they’ll appreciate it.

Ready to return to “eye contact medicine”? Try Medical Scribe for free today.