AI Scribes in Clinical Practice: Time, Trade-offs, and Talent
A new JAMA study tracked 8,581 clinicians across five academic medical centers to find out what really happens when doctors adopt AI-powered scribes. The headline: 13 fewer minutes of EHR time per 8 hours of clinic. But here's what nobody's talking about — after-hours charting didn't budge, and visit volume crept up.
In this episode, Dr. Miguel Villagra unpacks the Rotenstein et al. findings, separates signal from vendor hype, and asks the uncomfortable question: who gets to keep the time AI creates? He connects the data to Positive Intelligence and shares four concrete steps for physicians considering an AI scribe.
Whether you're piloting ambient AI documentation or just trying to survive your inbox, this one's for you.
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2 Mar 2026
The Mental Gym: Rewiring Your Brain for Positive Intelligence
In this deep dive, we explore the "Positive Intelligence" (PQ) operating system—a mental fitness framework designed to silence the internal "Saboteurs" that drive stress and self-doubt. Learn why insight alone isn't enough to change your habits, how your brain's neuroplasticity functions like a path through a dense jungle, and how 10-second "PQ Reps" can physically shift your brain from survival mode to the "Sage" mindset. We also unpack the "Stallion Story" to discover how to turn any setback into a gift or opportunity. It’s time to stop white-knuckling through life and start building the mental muscles for ease and flow.
16 Feb 2026
The Inner Saboteur: Winning Without the Suffering
Do you ever feel like your 3:00 AM inner critic is the only thing keeping you sharp? In this episode of A Doctor’s Journey, we perform a deep dive into the psychology of ”Positive Intelligence” to expose the internal enemies sabotaging your success. We identify the ”Judge”—the ringleader of negative self-talk—and its common accomplices like the Controller, the Hyper-Achiever, and the Avoider. Learn why these survival strategies from childhood are now holding you back, and discover how to transition from ”dirty fuel” motivation to the clear-headed, high-performance power of the ”Sage.” It’s time to find out if you can truly be successful without the suffering.
Who has been a guest on ADOCTORSJOURNEY PODCAST: Navigating Life and Medicine with Coaching and Healthcare Innovation
Names identified in recent episode analyses. Showing up to five guests.
Miguel Villagra
Dr Miguel Villagra
Barry Chaiken
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YouTube views
5,675
Score snapshot 15 Sept 2025
Apple Podcasts (US)
5.0 / 5
1 ratings
Podcast Authority Score: 22 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
17
Social presence
0
YouTube
68
Engagement
0
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