Evidence map›Paper›PMID 41293120›Full record

ArticleJAMIA open2025

Artificial intelligence-generated draft replies to patient messages in pediatrics.

April S Liang, Shivam Vedak, Alex Dussaq, Dong-Han Yao, Joshua A Villarreal, Sijo Thomas, Nicholas Chen, Tanya Townsend, Natalie M Pageler, Keith Morse

Abstract read
In one paragraph

Article in JAMIA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

April S LiangDivision of Hospital Medicine, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, United States.ORCID https://orcid.org/0009-0002-3890-4104
Shivam VedakDivision of Hospital Medicine, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, United States.
Alex DussaqDepartment of Pathology, Stanford University School of Medicine, Palo Alto, CA 94304, United States.
Dong-Han YaoDepartment of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, United States.
Joshua A VillarrealDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, Palo Alto, CA 94305, United States.ORCID https://orcid.org/0000-0001-6380-4880
Sijo ThomasDigital Information Solutions, Stanford Medicine Children's Health, Palo Alto, CA 94025, United States.
Nicholas ChenDigital Information Solutions, Stanford Medicine Children's Health, Palo Alto, CA 94025, United States.
Tanya TownsendDigital Information Solutions, Stanford Medicine Children's Health, Palo Alto, CA 94025, United States.
Natalie M PagelerDivision of Clinical Informatics, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, United States.
Keith MorseDivision of Clinical Informatics, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study describes the utilization and experiences of artificial intelligence (AI)-generated draft responses to patient messages in pediatric ambulatory clinicians and contextualizes their experiences in relation to those of adult specialty clinicians. Materials and Methods: A prospective pilot was conducted from September 2023 to August 2024 in 2 pediatric clinics (General Pediatric and Adolescent Medicine) and 2 obstetric clinics (Reproductive Endocrinology and Infertility and General Obstetrics) within an academic health system in Northern California. Participants included physician, nurse, and medical assistant volunteers. The intervention involved a feature utilizing large language models embedded in the electronic health record to generate draft responses. Proportion of AI-generated draft used was collected, as were prepilot and follow-up surveys. Results: A total of 61 clinicians (26 pediatric, 35 obstetric) enrolled, with 46 (75%) completing both surveys. Pediatric clinicians utilized 13.3% (95% CI, 12.3%-14.4%) of AI-generated drafts, and usage rates when responding to patients vs their proxies was similar (15% vs 12.9%, Discussion and Conclusion: Pediatric clinicians used AI-generated drafts at a rate within previously reported ranges in adult specialties and experienced utility. These findings suggest this tool has potential for enhancing efficiency and reducing task load in pediatric care.

Indexed as

artificial intelligenceburnoutlarge language modelspatient communicationprofessional

Identifiers

PMID41293120
PMCPMC12643547

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.