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Easing the burden: A pilot study evaluating AI-generated In-Basket message drafts to streamline perioperative
Katherine R Whitehouse1, Ryan T Heslin2, Alexis Desir3
1Department of Surgery, UT Southwestern Medical Center, Dallas, TX. Electronic address: https://twitter.com/KRWhitehouse.
Surgery
|October 8, 2025
Summary
Artificial intelligence (AI) significantly reduces health care provider (HCP) workload by generating draft responses for endocrine surgery patient messages. This AI tool decreases response time and cognitive load, improving HCP satisfaction.
Area of Science:
- Medical Informatics
- Artificial Intelligence in Healthcare
- Endocrine Surgery
Background:
- Artificial intelligence (AI) shows potential for accurate and empathetic patient communication.
- The impact of AI on reducing health care provider (HCP) clinical burden is not well-measured.
- This study assesses AI's effect on HCP workload for perioperative endocrine surgery inquiries.
Purpose of the Study:
- To evaluate the impact of AI-generated draft messages on HCP workload.
- To measure changes in response time and cognitive load when using AI assistance.
- To assess HCP satisfaction with AI-assisted communication.
Main Methods:
- 11 HCPs responded to 20 In-Basket messages, comparing AI-generated drafts (GPT-4) with blank drafts.
- Response times were timed, and text similarity measured edits.
- Cognitive load was assessed using the NASA Task Load Index; provider satisfaction was surveyed.
Main Results:
- AI drafts reduced average response time from 137s to 49s (P < .001).
- AI drafts required minimal edits (similarity ratio 0.88 ± 0.24) and lowered cognitive load (P < .001).
- 64% of HCPs were satisfied, 82% wanted to integrate AI, noting personalization is key.
Conclusions:
- AI-generated drafts effectively reduce HCP response time and cognitive load for perioperative endocrine surgery questions.
- The use of AI in clinical practice enhances HCP satisfaction and requires minimal edits.
- AI tools show promise for streamlining communication and reducing burnout in surgical specialties.
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