How AI is Helping Physicians Reclaim Time and Attention
For years, conversations about healthcare technology have revolved around efficiency, interoperability, and digital transformation. Yet despite billions invested in electronic health records (EHRs), many clinicians felt technology had become an obstacle rather than an enabler.
Documentation requirements expanded. Administrative work multiplied. Physicians increasingly found themselves interacting with screens instead of patients. But according to Dr. Nele Jessel, Chief Medical Officer at athenahealth and a practicing pediatrician for more than two decades, healthcare may finally be reaching a true inflection point.
In a recent episode of The Big Unlock Podcast, Dr. Jessel shared why physician attitudes toward AI have changed so dramatically, how ambient AI is reducing cognitive burden, and why the future of healthcare AI must remain grounded in human relationships. Her perspective is particularly compelling because she speaks both languages, medicine and informatics. Having experienced the transition from paper charts to EHRs firsthand, she understands why clinicians initially resisted AI and why they are now embracing it.
More importantly, she believes AI’s greatest contribution is not replacing clinicians but helping restore the human side of medicine.
Listen to the full conversation
Key Takeaways
- Ambient AI is rebuilding the face-to-face physician-patient relationship.
- Physicians have shifted from skepticism to enthusiasm about AI in just 12-18 months.
- Clinician-led development is replacing vendor-driven innovation.
- The next frontier is helping physicians navigate overwhelming amounts of data.
- Medicine remains both a science and an art, requiring humans in the loop.
- Agentic AI has enormous potential to eliminate administrative burdens.
- Rapid experimentation and “pre-alpha” development are accelerating healthcare innovation safely.
Ambient AI Changed Physician Sentiment Almost Overnight
Healthcare professionals have historically been skeptical of new technologies.
According to Dr. Jessel, this skepticism stems largely from their experiences with EHRs. Over the last two decades, physicians saw documentation requirements grow while administrative responsibilities increasingly encroached on clinical care. As Nele observed, physicians often felt transformed into data-entry clerks.
When generative AI first emerged, many clinicians worried it would simply add another layer of complexity. That changed with ambient note generation. Rather than forcing physicians to type during patient encounters, ambient AI listens to conversations and generates clinical documentation automatically. While early versions did not necessarily reduce documentation time, they produced something equally valuable: relief from cognitive burden.
For the first time in years, physicians could focus entirely on patients instead of simultaneously acting as note-takers. This restoration of attention fundamentally changed how clinicians perceived AI. What began as skepticism quickly turned into curiosity.
Physicians started asking a different question: “What else can AI do to reduce my burden?”
The Real Benefit Isn’t Time Savings, It’s Human Connection
One of Dr. Jessel’s most powerful observations challenges a common assumption about AI. Healthcare leaders frequently focus on measurable efficiency gains. But clinicians often experience something deeper.
The true value of ambient AI is not simply saving minutes. It is restoring presence. Medicine has always been built on relationships. Eye contact, empathy, active listening, and trust are difficult to quantify, yet they profoundly influence patient experiences and outcomes. By removing the cognitive burden of documentation, ambient AI enables physicians to be fully present during encounters.
Dr. Jessel believes this restoration of intimacy between physician and patient may be one of AI’s most significant contributions to healthcare. Ironically, technology is helping healthcare become more human.
Innovation Works Best When Clinicians Lead It
Healthcare technology has often suffered from a familiar problem: Vendors built solutions first and searched for problems later. Dr. Jessel believes this approach contributed to many of the frustrations physicians experienced with earlier digital tools.
Today, that model is changing. Rather than imposing technology on clinicians, organizations are increasingly allowing physicians to define use cases and guide development. This shift represents a major philosophical change.
Instead of asking:
“Where can we apply AI?”
The better question becomes:
“Where are clinicians struggling the most?”
Documentation emerged as one answer. Now new opportunities are appearing across workflows, chart review, and administrative operations. By involving clinicians early and continuously, healthcare organizations are producing solutions that address real pain points rather than theoretical ones. As Dr. Jessel emphasized, letting physicians guide development has been a turning point in AI adoption.
The Next Challenge Is Not Lack of Data but Too Much Data
Interoperability has long been viewed as healthcare’s biggest challenge. But Dr. Jessel argues that success has created a new problem. Healthcare organizations have become better at exchanging information, but they have not become equally effective at making that information useful. Clinicians are inundated with laboratory results, specialist notes, imaging reports, medication histories, and records arriving from multiple systems.
The issue is no longer access, it is overload. Physicians may have only ten or fifteen minutes with each patient, yet they are expected to navigate enormous volumes of information without missing anything. This is where large language models may create tremendous value.
Dr. Jessel sees AI functioning as an intelligent assistant that can synthesize information and answer practical questions such as:
- What has changed since the patient’s last visit?
- Which medications were adjusted?
- What important external records require attention?
- Which specialists have recently been involved?
Instead of acting as a passive repository, the EHR can evolve into an active partner. In her view, this transformation may finally convert the EHR from a burden into something clinicians genuinely find helpful.
Medicine is Still an Art, and Humans Must Remain in the Loop
While excitement around autonomous AI continues to grow, Dr. Jessel maintains a balanced perspective. She does not believe clinicians are close to being replaced. Medicine, she argues, is both science and art. Clinical encounters involve far more than structured data.
- Body language.
- Facial expressions.
- Family dynamics.
- Unspoken concerns.
- Context.
These subtle signals influence diagnosis and decision-making in ways that AI still struggles to replicate. At the same time, AI can serve as a valuable second set of eyes. It can highlight inconsistencies, identify overlooked findings, and help prevent errors. Rather than viewing AI and physicians as competitors, Dr. Jessel envisions them as teammates. Each checks the other’s work. Each compensates for the other’s limitations.
In healthcare, redundancy and multiple layers of verification are strengths, not inefficiencies. For now, she believes human oversight remains essential, especially in clinical decision-making.
Agentic AI Should Attack Administrative Burden First
Where Dr. Jessel sees enormous potential for autonomy is outside direct clinical care. Administrative tasks have become some of healthcare’s biggest pain points. Prior authorizations, insurance verification, scheduling, and patient check-in consume countless hours and contribute significantly to burnout. These activities often require substantial effort without adding meaningful value to patient relationships.
Agentic AI could change that.
Instead of clinicians and staff spending time on repetitive processes, intelligent agents can handle routine work and escalate only exceptions or edge cases. This shift allows healthcare workers to focus on the interactions that truly matter. Dr. Jessel believes the goal should not be eliminating humans. It should be freeing them to spend more time where empathy, judgment, and connection make the biggest difference. In other words, automation should create more humanity.
Healthcare Needs a New Model for Innovation
Traditional software development cycles can be slow. Yet AI is evolving at unprecedented speed. To keep pace, athenahealth has adopted a rapid experimentation approach that Dr. Jessel describes as “pre-alpha.” Small groups of highly engaged users test emerging capabilities in live environments and provide immediate feedback.
Many ideas fail. But failure occurs early and safely. Promising concepts move quickly into broader testing and eventually to production. This “fail fast” philosophy enables innovation without sacrificing patient safety. Importantly, Dr. Jessel emphasized that every initiative is reviewed by an internal patient safety team consisting of clinicians embedded within product development. Patient care remains the ultimate priority. This combination of speed and safety may become a model for healthcare organizations seeking to innovate responsibly.
From Data Repository to Invisible Assistant
Dr. Jessel’s career mirrors healthcare’s digital evolution. She experienced the early frustrations of EHR implementation firsthand and eventually pursued clinical informatics to help technology better serve clinicians. Her mission has remained remarkably consistent:
Use technology to give physicians more time with patients.
Today, she sees AI finally making that vision possible. Rather than adding another layer of complexity, AI has the opportunity to disappear into the background. The future EHR may not function as a digital filing cabinet. Instead, it could become an intelligent assistant; one that summarizes information, handles administrative work, surfaces insights, and quietly supports clinicians without demanding their attention.
And perhaps the most remarkable outcome of all is that, after decades in which technology interrupted the physician-patient relationship, AI may ultimately help restore it. That possibility, according to Dr. Nele Jessel, is why healthcare is approaching a genuine inflection point.
A Pediatric-Centric Approach to AI
Pediatric healthcare comes with its own unique challenges—fewer available data points, smaller population sizes, and higher sensitivities around communication and consent. This makes the responsible use of AI even more critical.
Dr. Morse noted that solutions must be designed with children and families in mind, not simply adapted from adult care settings. Whether deploying ambient tools, summarizing clinical notes, or streamlining administrative workflows, every use case must prioritize trust, safety, and patient experience.

