Ambient scribes might be the single best AI use case in any profession. Tools that listen to the visit and draft the note give doctors their hours back. - The HIPAA question is the whole ballgame. "We take privacy seriously" is not a signed BAA. If the vendor will not sign a business associate agreement, walk away. - Accuracy varies by specialty. Pilot with your actual visit types and have physicians review every note during the trial. - Check the EHR integration. A scribe whose notes land in a separate app nobody opens is a failed pilot. The note has to land in the chart. - Prior auth is the despised workflow AI drafts well: requests drafted and tracked, less fax-machine time for humanity. I compare AI tools for medical note-taking and 40+ professions, and PrivateLLM deploy sets up a private LLM on AWS for $50 plus usage for practices that need patient data to stay in-house.