In many cases, residents first notice a problem when follow-up care doesn’t match the operative story, or when the medical record includes items that sound automated—such as generated summaries, structured templates, imaging interpretation notes, or decision-support outputs.
That doesn’t automatically mean wrongdoing. But it does create specific questions that need answers early:
- What tool was used, and when? (and whether it was integrated into the clinical workflow)
- What inputs were provided and were they complete/accurate?
- Who verified the output before clinical decisions were made?
- Do the notes reflect what actually occurred in the operating room and perioperative period?
In San Marcos, where patients may receive care across multiple providers and facilities, those questions can become even more important—because responsibility may be shared among clinicians, hospitals, radiology groups, and technology vendors.


