Listening in: Orthopaedic Oncology Physicians' Perspectives on Implementation of Audio Recording/Artificial...

With rapid expansion of artificial intelligence (AI) in clinical documentation, responsible implementation of this tool is imperative in preserving the patient-physician relationship. Orthopaedic oncologists were surveyed to assess their utilization of, and attitudes towards, ambient listening software.

An anonymous, voluntary, IRB-exempt survey (Appendix) was reviewed and distributed to members of the MSTS via the society's email listserv and distributed in paper and electronic formats to attendees at the AAOS Oncology Subspeciality day from March 14 to May 22, 2025.

Sixty-three orthopaedic oncologists responded to the survey. Most (93%) practiced in an academic setting. Twenty-seven percent reported using AI with a majority using Dax Copilot. Half of AI users noted a positive impact on clinical encounters, and one respondent reported a negative impact. Most AI users (86%) reported improved efficiency and accuracy in documentation and 40% reported saving 1-2 h per clinic day. Of non-users, 71% were considering implementation.

Although most orthopaedic oncologists are not using AI, the majority are considering implementation. AI users reported improvements in their documentation efficiency and accuracy. Further research is needed to understand the risks and benefits of this clinical tool from both providers' and patients' perspectives to guide responsible, widespread implementation.