2026 Report
Doctor-Driven AI
How physicians are shaping the biggest technological shift in a generation
Key takeaways
85% of physicians use AI weekly; adoption is no longer experimental.
81% have learned new clinical knowledge; 46% report less after-hours work.
Trust is broad, but verification remains routine.
Patient AI use is rising—and better-informed patients outnumber confidently misinformed ones.
Policies lag adoption; 82% want physicians involved in setting the rules.
Introduction
Artificial intelligence in medicine has crossed an important threshold.
A year ago, much of the conversation was still about potential: whether physicians would adopt AI, where it might fit into clinical practice, and whether it could meaningfully relieve the administrative burden that has accumulated in modern medicine.
AI is no longer sitting at the edge of physician workflow. In our latest survey of 3,379 U.S. physicians across 20 specialties, 85% report using AI professionally at least weekly. More than half use it every day.
What physicians are telling us is that AI is beginning to change the experience of practicing medicine itself. It is beginning to give some doctors meaningful time back.
AI is helping physicians find and synthesize medical knowledge they might otherwise have missed. It is changing the questions patients bring into the exam room. And, increasingly, it is influencing how physicians think about their own skills, the rules that should govern medicine in an AI-enabled world, and the training of the next generation.
Physicians are approaching this technology with enthusiasm and healthy skepticism.
The defining question for the next phase of healthcare AI, then, is who will shape what comes next. Our data suggest physicians have a very clear answer: they intend to.
Most physicians trust AI but remain cautious
Nearly all physicians trust AI for medical literature search
Recent advancements in AI appear to have grown physician confidence in the technology.1 The vast majority of physicians said they trust AI for a wide range of clinical tasks at least to a small extent, including medical literature search (94% of physicians), generating differential diagnoses (87%), and recommending treatment or management (86%). And more than three out of four physicians said they trust AI with identifying a potentially urgent or dangerous condition.
Physicians also remain optimistic about AI’s potential to further improve the way they work. When asked what excites them most about AI’s potential in their practice, physicians were most likely to mention improved work-life balance (65% of physicians) and a lighter administrative workload (59%). Many were also excited about its potential to promote better care by creating more time for patients (52%) and enhancing clinical decision support (51%).
How much do you trust AI for each of the following?
What excites you most about the potential of AI in your practice?*
*Physician respondents selected all that applied.
Physicians hold healthy skepticism of AI
Physicians have also maintained a healthy skepticism of the technology’s capacity.
More than half of physicians said they are concerned about AI’s accuracy and reliability, and three in four physicians have encountered a factual inaccuracy at least once in the past 12 months while using AI for work. In response to these limitations, two-thirds of physicians said that they independently verify AI-generated clinical information before using it all or almost all the time. Collectively, these experiences underscore the ongoing need for human oversight of AI in clinical settings.
Still, many physicians acknowledged that the overall quality of AI tools is going up. More than a quarter said that the effort they spend correcting or double-checking AI output has decreased compared with a year ago.
Which of the following concerns most limit your professional use of AI?*
*Physician respondents selected up to 5.
AI has moved from experiment to everyday practice
AI use has become a daily habit
Growing trust in AI appears to be translating into higher use among physicians.2 Across the 3,379 U.S. physicians surveyed, 85% said they are using AI for work at least on a weekly basis. More than half (52%) said they use it every day.
The figures represent a significant upswing from 2025, when 51% of physicians reported using AI for work at least weekly and 37% at least daily. Indeed, when asked how their professional use of AI has changed compared with one year ago, 83% said it has increased somewhat or substantially.
How often do you use AI in your work?
*Totals may differ slightly due to rounding.
Compared with one year ago, how has your professional use of AI changed?
AI use has increased across all age groups
In general, AI use trends higher among younger physicians. More than 90% of physicians 30 and under said they are using AI in their work at least weekly, compared with 89% in their 30s, 86% in their 40s, 80% in their 50s and 60s, and 66% in their 70s. AI adoption was also significantly higher this year than last year, increasing by at least 34 percentage points across all age groups.
How often do you use AI in your work?
Percent of physicians who use AI at work at least weekly
Oncologists top all specialties in AI use
AI adoption remains high across medical specialties, exceeding 80% in most of the 20 specialties examined. Adoption of the technology is also distributed widely across primary care, surgery, and non-surgical specialists, reinforcing its versatility for diverse clinical settings.
Among the specialties studied, oncology had the highest AI usage rate. More than 93% of oncologists reported using AI at least weekly, including 65% who said they use it every day. Even in the two specialties with the relatively lowest rates, pathology and anesthesiology, about 70% of the physicians said they use AI at least weekly.
How often do you use AI in your work?
Two-thirds of physicians use AI for a task they used to do themselves
Two out of three physicians said they are now using AI to help them perform clinical or administrative tasks that they used to do on their own.
AI use for clinical tasks has jumped particularly high in the past 12 months. For example, 70% of physician AI users said they used AI for literature search this year, up from 51% the previous year. And 63% said they used AI for clinical decision support this year, up from 37% the previous year. There was also a nearly two-fold increase in using AI for interpreting medical images, lab results, or diagnostic tests.
Physicians continue to use AI to assist with writing, research, and administrative tasks as well. The most common applications this past year included professional correspondence (38% of physicians), patient education (34%), and insurance letters (32%).
How physicians are using AI for clinical tasks*†
*Usage rate among physician AI users. † Physician respondents selected all that applied.
AI is giving physicians back time and expanding what they know
About half of physicians say AI has cut after-hours administrative work
Prior studies have indicated that many physicians spend a significant amount of time outside of regular work hours to complete administrative tasks like EHR documentation and paperwork, commonly referred to as “pajama time.”3,4,5 In the current survey, practically all physicians reported spending at least some time on after-hours administrative work, including 26% who spend more than six hours a week.
AI is in position to help reduce this after-hours workload. In fact, in 2025, about a third of physician AI users (36%) said AI had already helped reduce their pajama time. By 2026, nearly half of physicians (46%) said it had.
The majority of physicians across all specialties surveyed—including primary care physicians, surgeons, and non-surgical specialists—estimate that AI could save them at least several hours in after-hours administrative work per week. About 41% of oncologists, 38% of general surgeons, and 23% of family physicians said AI could save them more than six hours per week. About one in 10 internists said AI could save them more than 20 hours per week.
“AI is changing medicine. Summarizing guidelines and handling routine documentation means keeping up in a rapidly changing field and having more time at the bedside and less time at the keyboard.”
“I spend less of my day on admin tasks and more on the patient in front of me. I still verify each output myself, but it’s much easier to be an editor than an author at the end of a busy clinic day.”
Approximately how much after-hours administrative work per week do you estimate AI could help you save or already has?
AI is teaching physicians what they didn’t already know
More than simply using AI to support their work, many physicians are finding that AI is helping them advance their clinical knowledge and skills.
The vast majority of physicians (81%) said that using AI has taught them something clinically that they didn’t already know, such as an updated guideline, an alternative diagnosis, or a treatment option they hadn’t considered. And nearly one in four (22%) said that this occurs frequently. In addition, about two out of three physicians (65%) said that the availability of AI tools has helped with their skills development and knowledge. Although the benefits ranged widely for different specialties, from 82% of oncologists who said AI has helped to 48% of radiologists.
How has the availability of AI tools changed your own skills development?
Physicians are concerned about AI-driven skill atrophy among trainees
While most physicians have found that AI has improved their clinical knowledge and skills, some remain concerned that younger physicians may overrely on it and, in turn, see their skills diminish.
Almost 61% of physicians said they are concerned about AI’s effect on the skills development of residents, fellows, or trainees they supervise. And 30% of physicians acknowledged that a top factor limiting their professional use of AI is concern over skill erosion. That concern is greatest among those 30 years old and younger (43% of physicians), which is the age group that includes the highest percentage of medical trainees.
With AI, how concerned are you about skills development among residents, fellows, or trainees you supervise?
Percent of physicians who are somewhat or very concerned
Which concerns most limit your professional use of AI?*
Percent of physicians who cited erosion of clinical skills
*Physician respondents selected up to 5 options.
AI is rewriting the patient conversation
Patient self-diagnosis is surging with AI
For decades, internet search engines have provided patients with access to medical information, allowing them to explore their symptoms online and self-diagnose.6,7 AI seems to be driving that practice to new heights.8
About three in four physicians surveyed said that, over the past 6 months, patients have become more likely to propose a self-diagnosis or treatment plan from a generative AI tool. This includes 30% who said the frequency has increased dramatically.
How has the frequency with which patients propose a self-diagnosis or treatment plan from a generative AI tool changed in the past six months?
Dr. AI is on track to outpace Dr. Google
AI chatbots also seem to have an edge over traditional online search engines at preparing patients for medical conversations. A third of physicians said that patients now arrive better informed with generative AI than they do with “Dr. Google.”
This advantage of AI applied across a wide variety of specialties. The five specialties most likely to report that their patients arrive better informed and ask better questions with the help of AI included primary care (internal medicine), surgery (urology), and several non-surgical major subspecialties (oncology, cardiology, gastroenterology).
Compared with traditional ‘Dr. Google’ searches, has generative AI changed your patient self-diagnosis conversations?
Percent of physicians who say patients now arrive better informed / ask better questions
AI misuse can pose real clinical risk to patients
At the same time, there remains plenty of room for improvement.9 About 27% of physicians said that patients are more confident in wrong conclusions about self-diagnoses due to generative AI. And 9% said that the most concerning AI-generated self-diagnosis they had encountered posed real risk if it had been acted on.
The results illustrate the potential for standard AI chatbots to either help patients or harm them, depending on the quality of the technology and the way patients use it.
How would you characterize the most concerning AI-generated self-diagnosis you’ve encountered?*
*Due to rounding, numbers may not sum to 100%.
AI adoption is moving faster than healthcare’s rules
Over a third of physicians limit AI use due to legal and regulatory uncertainty
The rapid pace at which AI technology is progressing and being implemented into clinical practice has left a deficit of policy in its wake.10,11 Almost 81% of physicians surveyed said that AI use is permitted or supported at their hospital or organization, but only 28% said their hospital or organization offered clear policies and approvals for its use.
That lag in AI rules and guidelines appears to be curbing physicians’ use of AI. When asked which concern most limits their professional use of AI, 34% of physicians cited legal and/or regulatory uncertainty.
81%
of physicians say AI use is permitted or supported at their hospital or organization
28%
say it offers clear policies and approvals for its use
Government hospitals are setting the pace on policy and approval
The presence of AI policies and approvals varied widely by type of practice.
More than half of physicians who worked at government hospitals and clinics (53%) said that their institution had established clear guidelines, compared with 14% of physicians working in private practice.
Percent of physicians whose hospital or organization actively supports AI use with clear policies and approved tools, by practice setting
Physicians want to make the rules for AI in medicine
Physicians are among the primary users of AI in medicine and generally have a deep understanding of its effect on their work and patients.12 So when asked who should make the rules for the appropriate use of AI, physicians overwhelmingly said that physicians should make the rules: 82% said it should be physicians, followed by 64% who said it should be medical societies, which are often led by physicians.
Less than half (45%) said that medical institutions should set the rules, and even fewer trusted federal regulatory agencies (32%), state governments (20%), or AI developers and companies (10%) with that responsibility.
Who should make the rules as to appropriate use of AI in medicine?*
*Physician respondents selected all that applied.
Conclusion
AI is already part of medicine. Physicians use it every day to find evidence, support clinical decisions, communicate with patients, and get time back from administrative work. And more and more, patients are bringing AI into the exam room, too.
The next questions are where it goes from here and who helps shape it.
Physicians are approaching AI with curiosity and care. They see its value, understand its limits, and continue to hold it to the evidence, accuracy, and clinical judgment medicine depends on. That mix of enthusiasm and healthy skepticism is a good sign for how AI will grow in medicine.
There is still work to do. AI can make mistakes, trainees need room to build their skills, and patients sometimes arrive with AI-generated conclusions that need a second look. Many institutions are also still catching up on policy.
The good news is that innovation and thoughtful guidelines can move forward together. Both work best when the people who practice medicine are part of the conversation alongside technology companies, regulators, and institutions.
Physicians are ready to help lead.
One of the clearest findings in this report is also one of the simplest: 82% of physicians believe physicians should help make the rules for AI in medicine.
The next chapter of healthcare AI is one physicians can help write.
Methodology & sources
Methodology
Doximity conducted a survey of its physician members in September 2026 using SurveyMonkey. Participation did not require prior experience with AI or use of Doximity’s AI tools.
A total of 3,379 U.S. physicians completed the survey, representing 20 specialties.
Among all physicians surveyed, 91% reported current use of AI in some capacity in their work. Survey demographics are not population-based, and findings may not be generalizable to the broader physician population.
Specialties surveyed
- Anesthesiology
- Cardiology
- Dermatology
- Emergency medicine
- Family medicine
- Gastroenterology
- General surgery
- Internal medicine
- Nephrology
- Neurology
- Obstetrics and gynecology
- Oncology
- Ophthalmology
- Orthopaedic surgery
- Pathology
- Pediatrics
- Psychiatry
- Pulmonology
- Radiology
- Urology
References
- 1Angus, DC; Khera, R; Lieu, T; et al. AI, Health, and Health Care Today and Tomorrow: The JAMA Summit Report on Artificial Intelligence. JAMA. 2025 October;334(18):1650-1664.
- 22026 Physician Survey on Augmented Intelligence. American Medical Association. 2026 March.
- 3Barr, WB; Peterson, LE; Fleischer, S; et al. Pajama Time and Burnout: The Burden of After-Hours Electronic Health Record Use on Family Medicine Residents. Academic Medicine. 2026 March;101(3):312-318.
- 4Sinsky, C; Colligan, L; Ling, L; et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Annals of Internal Medicine. 2016 September;165(11).
- 5Saag, HS; Shah, K; Jones, SA; et al. Pajama Time: Working After Work in the Electronic Health Record. Journal of General Internal Medicine. 2019 May;34:1695-1696.
- 6Kuehn, BM. More Than One-Third of US Individuals Use the Internet to Self-Diagnose. JAMA. 2013 February;309(8):756-757.
- 7Martin, SS; Quaye, E; Schultz, S; et al. A Randomized Controlled Trial of Online Symptom Searching to Inform Patient Generated Differential Diagnoses. NPJ Digital Medicine. 2019 November;2(110).
- 8Benda, NC; Suresh, U; Shamnath, A; et al. Public Perceptions of Timeliness for AI Use and Human Oversight. JAMA Network Open. 2026 October;9(10):e2639048.
- 9Wiens, J; Saria, S; Sendak, M; et al. Do No Harm: A Roadmap for Responsible Machine Learning for Health Care. Nature Medicine. 2019 August;25:1337-1340.
- 10Ratwani, RM; Classen, D; Longhurst, C. The Compelling Need for Shared Responsibility of AI Oversight. JAMA. 2024 August;332(10):787-788.
- 11A National Policy Framework for Artificial Intelligence. The White House. 2026 March.
- 12Adams, L; Fontaine, E; Matheny, M; et al. Artificial Intelligence Code of Conduct for Health and Medicine. National Academy of Medicine. 2025.
About Doximity
Built for medicine.
Doximity is the leading clinical AI company with the largest network of U.S. clinicians. Doximity’s AI-powered workflow platform is trusted by over 85% of U.S. physicians and 300+ health systems. Doximity's mission is to help clinicians be more productive so they can provide better care for their patients.
We are building the platform that combines AI, intelligent workflows, and the power of the physician network to help physicians practice medicine at their best.
To learn more, visit www.doximity.com.