Dr. Hemlata Ranga, a psychiatrist in Melbourne, now requires new patients to consent to AI transcription during sessions—or be referred elsewhere.
The consent form specifies that AI transcription software (such as Heidi Health AI or Microsoft) will be used for note-taking, clinical letters, reports, and other documents. Patients who do not wish AI to be used must arrange for their referring doctor to refer them to a different provider.
The Royal Australian College of General Practitioners reports that two in five general practitioners now use such scribes, and uptake has doubled in 12 months. This trend occurs amid increased demand for mental health services.
Privacy, Accuracy, and Patient Concerns
Concerns have been raised about data security, accuracy of transcriptions, and how AI companies might use the data.
The patient who spoke to Guardian Australia, who wished to remain anonymous, objected to AI use in sessions and criticized the wording of the consent form as defensive. The patient noted that finding another psychiatrist is difficult due to long wait times and replacement challenges.
Industry Response
Heidi AI co-founder Dr. Tom Kelly stated that data is processed in the patient's country, is not used to train AI or sold to third parties, and that the company uses third-party testing and auditing for security. Doctors remain responsible for verifying notes.
Watchdog Warning
"AI transcription is imperfect, with higher error rates for non-male, non-white, non-heterosexual, or non-English-speaking demographics." — Tom Sulston, head of policy, Digital Rights Watch
Tom Sulston also raised the risk of data leaks and potential self-censorship by patients, particularly regarding stigmatized healthcare. He argued that AI is implemented to reduce administrative costs, not improve patient outcomes, and called for stronger regulation and a legal right to refuse AI without repercussions.
Clinic's Position
The Melbourne Clinic, where Ranga practices, stated that it does not direct psychiatrists on AI use, but expects disclosure and consent. If consent is not granted, AI will not be used. The clinic emphasized that practitioners are independent.