The third missed opportunity was in Dr. Jones’ response to learning of Mrs. Smith’s cancer diagnosis. What a perfect moment for Dr. Jones to display compassion, empathy, and understanding, yet it went unfulfilled. These moments are exactly the best way to spend the extra saved minutes gained from the efficiency of the virtual scribe. The Smiths, into their special twilight of life, are facing double jeopardy from cancer, and if Dr. Jones had spent five additional minutes inquiring about their concerns and fears as they moved toward difficult times, so many important insights might have been gained. Additionally, the diagnosis of cancer, particularly breast cancer, is very worrisome owing to the extent of the treatment and the outcomes in an older female. Although an otolaryngologist, Dr. Jones should be capable of sufficient professional concern to demonstrate empathy and understanding. If AI is to improve healthcare for the patient, it should not dehumanize a clinician’s duty to care and be supportive. This is indeed the “fine art of medicine.”
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February 2026
Dr. Holt is professor emeritus and clinical professor in the department of otolaryngology–head and neck surgery at the University of Texas Health Science Center in San Antonio.
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