Erin J. Silvertooth is a dual board-certified psychiatrist and internist based in Austin, Texas, with more than 20 years of clinical practice. She directs TMS and Spravato/esketamine programs, provides neuropsychiatric consultation in brain injury care, and has consulted in sports psychiatry for Olympic, Paralympic, and collegiate athletes for over a decade.
She advises early-stage health technology companies and investors on AI safety and physician liability in digital health. She has served on Texas Medical Board panels evaluating standard of care and as a state-appointed independent medical examiner. She is Harvard-trained in health communication.
Her writing examines AI in psychiatric workflows, physician liability in digital health, interventional psychiatry, and what clinical practice looks like from inside the room. She shares updates on LinkedIn and Substack.
Every ambient AI scribe demo ends the same way. The visit wraps, the note is already written, and you get an evening back.
None show the part at the beginning where you must tell the patient a machine is listening, explain what that means, answer questions, and get their agreement before the visit can begin.
That disclosure is not a ten-second formality. It is a conversation, and in psychiatry, it can derail …
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Your ambient AI scribe consent checkbox is not consent
Last month, I clicked “I agree” on a software update for a tool I use in my clinical practice. I do this all the time. So do you. Most of us treat these agreements like airline safety briefings: just background noise before we get to work.
I don’t do that anymore. Here’s why.
Every AI tool coming into psychiatric practice, like the ambient scribe, documentation assistant, or the clinical decision support feature …
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Clinical AI liability lands on you, not the vendor
