Kelly and Lalita chat with Alex Butler, MD a pediatric chief resident at Boston Children’s Hospital and Boston Medical Center, and the co-founder and Chief Product Officer of River Records, an AI-powered documentation and data summarization platform. Alex received a medical degree and a Masters in Clinical Informatics from Columbia University. In this episode, the three discuss the phenomenon of a "noteless EHR," the interface goals of River Records, the influence of Dr. Lawrence Weed on clinical documentation, and how Alex has applied his interest in technology to streamlining processes as Chief Resident. A great episode for early career physicians, our show notes also include great supplementary information for our listeners!

1. 2021 Noteless EHR Paper - https://formative.jmir.org/2021/11/e23789
2. Larry Weed's 1971 Internal Medicine Grand Rounds https://www.youtube.com/watch?v=qMsPXSMTpFI
3. Digital Health Competencies - https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829788
4. Pediatric ACGME Guidelines - https://www.acgme.org/globalassets/pfassets/programrequirements/2025-prs/320_pediatrics_2025_tcc.pdf