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Integrating Digital AI Assistance (ChatGPT) into General Practice Workflow: A Practice-Based Reflection on Efficiency and Patient Safety

Satis Waran Nair KRISHNAN

General practitioners face growing administrative workloads, with clinical documentation contributing significantly to stress and burnout. This practice-based reflection describes the supervised introduction of an artificial-intelligence (AI) language model (ChatGPT) into routine documentation at a single Irish general practice. The initiative aligns with WONCA’s values of liberty, equity, fraternity, and humanism by exploring responsible innovation that supports clinician well-being and enhances patient safety.Over three months, ChatGPT (GPT-5) was used to generate structured SOAP-style consultation notes, referral letters, and patient-education summaries under clinician supervision. Baseline manual documentation metrics were compared with those recorded after implementation. Outcomes assessed included average documentation time, completeness of safety-netting statements, and note readability. Qualitative feedback was gathered from GPs regarding usability, confidence, and perceived impact on patient interaction.To our knowledge, this is one of the first documented primary-care reflections on real-world AI integration in clinical documentation. The approach illustrates how digital tools can be ethically and safely embedded into existing workflows while maintaining clinician oversight and confidentiality compliance.AI-assisted documentation reduced average note-completion time by approximately 32 %, improved inclusion of safety-netting statements from 68 % to 96 %, and enhanced record clarity. Staff reported improved focus on patient communication and reduced cognitive fatigue. Lessons learned include the importance of transparent governance, data protection, and balancing empathy with technology.The introduction of supervised AI support demonstrated measurable workflow improvements while maintaining safety and professionalism. Although limited to a single-practice reflection, findings suggest that AI can complement—not replace—human clinical judgment. The experience underscores the need for ethical responsibility, transparency, and patient trust, reinforcing the role of family doctors as innovators who integrate technology while preserving empathy and equity.Supervised AI assistance can enhance documentation efficiency and patient safety without compromising professional judgment or data integrity. Broader multicentre evaluation is warranted to develop evidence-based frameworks for equitable and human-centred AI adoption in family medicine.