Table 4. Strength of Recommendation Taxonomy: Key Recommendations on the Use of Medical Scribes

Practice Recommendation	Evidence Rating^*	References
1. There is insufficient high-quality evidence to support the claim that medical scribes affect patient satisfaction.	B	26–28
2. There is insufficient high-quality evidence to support the claim that medical scribes affect physician satisfaction.	B	26, 29
3. There is insufficient high-quality evidence to support the claim that medical scribes affect physician productivity.	B	25, 27, 29
4. There is insufficient high-quality evidence to support the claim that medical scribes affect revenue.	B	27
5. There is insufficient high-quality evidence to support the claim that medical scribes affect time-related efficiencies.	B	25, 27–29
6. There is insufficient high-quality evidence to support the claim that medical scribes affect the quality of the patient–clinician interaction.	B	27

↵* A, recommendation based on consistent and good-quality, patient-oriented evidence; B, recommendation based on inconsistent or limited-quality, patient-oriented evidence; C, recommendation based on consensus, usual practice, expert opinion, disease-oriented evidence, and case series for studies of diagnosis, treatment, prevention, or screening. See Ebell et al³⁰ for more information about the strength of recommendation taxonomy evidence rating system.