On/Offcall Special Edition: Dive Into the 2025 Offcall Physicians AI Report!

Welcome back to On/Offcall!

What an exciting week! In this week’s special edition of On/Offcall, we dive into Offcall’s 2025 Physicians AI Report which dropped earlier this week and flips the script on what’s really happening with AI in medicine.

Not a day goes by where some new “thought leader” doesn’t claim that AI will fully replace doctors. 🤦Yes, this makes for catchy media headlines, but in reality, no one ever asks physicians themselves what they think will happen…

… Which is exactly what we decided to do. If you’re a regular reader of this newsletter, then you know we’ve been asking physicians what AI tools they’re actually using as part of a confidential national survey about what physicians think will actually happen to the medical profession, if they feel their employers are succeeding or failing with AI, and much more.

And this week, we finally revealed the results, which were both surprising and explosive:

🔥 42% of physicians say AI makes them MORE likely to stay in medicine

🤖 87% DON’T believe AI will take their jobs

🧠 67% of physicians are using AI daily, but 81% are fed up with how their employer is deploying it

And that’s just the tip of the iceberg. To understand the challenges and possibilities when it comes to what physicians are looking for with AI, be sure to explore the full report and download it below!

Read the report here

Community Roundup: 🔥 Reactions to the Report!

It's been incredible to see how much conversation the AI Report has generated, and we want to sincerely thank every single subscriber of this newsletter and Offcall user who helped make the report possible by filling out the survey. We wanted to include a roundup of just a few of the many great posts from physicians who shared their reaction on social media!

Dr. Spencer Dorn, Dr. John Dayton, Dr. Sarah Gebauer, Dr. Neri Cohen, Dr. Minal Shah, Dr. Mario Amaro, Dr. Fatih Mehmet Gul, Dr. Neal Panchal, Dr. Owais Durrani, Dr. Pranav Sanghvi, Dr. Michael Hobbs, Dr. Rick Pescatore, Dr. Kai Romero, Dr. Aditi Joshi, Dr. Eve Cunningham, Dr. Avneesh Khare, and many more!!!

If you’re interested in joining the conversation, here is Offcall co-founder Dr. Graham Walker’s post, or be sure to tag Offcall and Graham if you post your own original take and we’ll amplify!

Deep Dive: Two Statistics That Stopped Graham in His Tracks

We asked Graham to be a guest on his very own How I Doctor podcast this week so he could share his honest reactions to the Physicians AI Report, and he pulled no punches.

“We're used to being told by administrators what AI should be doing for us. But this survey suggests that physicians are already using AI way more than anyone realizes, and they like it way more than anyone wants to admit,” Graham shared.

📊 Two out of three doctors are already using AI daily: What did Graham have to say? “Which means if you've ever whispered a question to ChatGPT at 3:00 AM on shift, congratulations, you're not weird, you're in the majority.”

😤 81% are frustrated with how their organizations are deploying it: Graham’s take? “Which is the most physician thing ever. Yeah, I use it constantly, but it's not set up how I want to use it.”

Don’t miss this week’s podcast, where Graham takes listeners beyond the numbers and shares what these findings truly reveal about physicians’ day-to-day work and what comes next for physicians on the frontlines.

🎧 Listen to the episode here

Best of Offcall This Week

Outside of our Physicians AI Report, don’t miss some of the best additional stories from across Offcall this week!

The “50th Percentile” Myth: How Hospitals Use Opaque Benchmarks to Undervalue Physicians

From physician employment attorney Michael Johnson: How many large hospital systems build compensation plans behind closed doors, then tell physicians they’re being paid at the “50th percentile” without ever showing what that means or whether their numbers are accurate.

New Data Reveals the Massive Pay Gap For Women ER Doctors

Offcall’s Co-founder and CEO Jake Horowitz and Dr. Resa Lewiss were featured on the KevinMD podcast from Dr. Kevin Pho discussing our recent compensation data showing women ER doctors earn $21,000 less per year than their male counterparts. The episode was featured in Kevin’s BEST OF newsletter alongside other stars like Dr. Rebecca Thompson, Dr. Muhamad Aly Rifai, Dr. Oluyemisi Famuyiwa, Dr. Arthur Lazarus, and more! Also see the original Offcall data set here.

ICYMI: How Aledade Helps Doctors Break Free From Employed Medicine

Watch our recent How I Doctor podcast interview with Dr. Umar Bowers and Dan Bowles about the future of independent primary care.

Best Things to Read This Week

Unlocking the Future of Healthcare: A Deep Dive into AI Adoption and Perception in Healthcare (Elation Health)

In parallel with Offcall’s 2025 Physicians AI Survey, we wanted to highlight great survey work from Elation Health (h/t Dr. Raihan Faroqui) showing 66% of PCPs report AI has significantly reduced their administrative burden, 56% say AI has saved them at least one hour per day, and 60% report AI has helped them run their practices more efficiently.

Growth In Number Of Practices Participating In Concierge And Direct Primary Care (Health Affairs)

From 2018 to 2023, the number of direct primary care and concierge practice sites grew by 83.1 percent and the number of clinicians participating in them by 78.4 percent. Learn more from Jane M. Zhu, Trisha Marsh, Daniel Polsky, Aine Huntington, and Zirui Song.

Ambient AI Scribes in Clinical Practice: A Randomized Trial (NEJM)

Nabla reduced time-in-note versus the control. Both DAX and Nabla resulted in potential improvements in burnout, task load, and work exhaustion. From Paul J. Lukac, Aaron T. Chin, Joshua Khalili, Catherine Sarkisian, Eric M. Cheng, John N. Mafi, and more!

Highlights From Our Community

📖 Read his review, Hardeep Phull

Dr. Hardeep Phull shared his own review of a recent clinical study conducted by Dr. Laila Gharzai in MedPage Today posing the important question: “How often do you ask a patient, "Has your illness been a FINANCIAL HARDSHIP TO YOU or your family?" Great work, read more here.

💯 Great insights, Heather FarleyDr. Heather Farley shared her reflections on this week’s National Academy of Medicine future of health workforce wellbeing and why investing in physician and care team well-being is a strategic advantage for systems. Read her post alongside Dr. Rollin Fairbanks here.

👏 Thanks for sharing, Emeka Ajufo

Dr. Emeka Ajufo posted a provocative social media video: “8 years of medical training in 60 seconds: Here’s what they don’t tell you about being a doctor.” Watch it here.

👀 Watch her talk, Suzie Bergman
Dr. Suzie Bergman recently delivered a TEDx Talk entitled “Why is healthcare so disjointed?” detailing the overlooked complexities of Temporomandibular Disorders (TMD) and why we need a more integrated approach to healthcare. Watch it here.

❗Amazing career news, Tricia Pasricha

Dr. Tricia Pasricha announced that she is now Assistant Professor of Medicine at Harvard Medical School! Watch her social media video and congratulate her here.

❗❗Huge congrats Ally Abel!

Offcall physician ambassador and emergency physician Dr. Ally Abel announced her first attending job in Anchorage, Alaska for 2026! Congratulate her here!

🎉 Also congratulations, Mittal Rana

Dr. Mittal Rana announced that following the completion of his Chief Residency year, he will be continuing his training as a Cardiology Fellow at the NYU Long Island School of Medicine. Congratulate him here.

🎉🥳 Still more congratulations are in order, Michael Leung…

Dr. Michael Leung announced that he has joined Topcon Healthcare to use technology to transform access to eye care and prevent blindness for millions. Read his post here.

🎉👏🎊… And Bhargav Patel…

Dr. Bhargav Patel is officially Board-Certified in Psychiatry! Read his heartfelt reflections on what this milestone means to him here.

🎉🥳🎉🥳​ ​… And Christopher Dodson!

Dr. Christopher Dodson announced that he will be joining the world-class Vincera Institute as Head of Orthopaedics beginning January 1. Learn more here!

Be Sure to Sign Up for Offcall!

At Offcall, we believe physicians deserve to be heard, valued, and treated fairly. Everything we do is driven by our commitment to empowering doctors with accurate, reliable, and trustworthy data — to advocate confidently for themselves and ensure their compensation truly reflects their worth.

Learn more and sign up here

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