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Jacob Kantrowitz, MD, PhD

Jacob Kantrowitz, MD, PhD

Co-Founder & CEO

Jake co-founded River Records to build better software for physicians. He's a practicing internist, Assistant Professor at Tufts University School of Medicine, and a published researcher in clinical informatics and natural language processing.

His research on duplicate information in the electronic medical record — published in JAMA Network Open — showed that more than half of all text in a large academic health system's chart was copied from prior notes. That finding became the foundation for Stream's problem-oriented approach to clinical documentation.

When he's not working with River Records or seeing patients, you'll find him coaching his kids on the soccer field, baking bread, or riding his Peloton.

LinkedIn →

Posts by Jacob

58 articles

Best AI Medical Scribe for Independent Primary Care (2026)

A practical comparison of the best AI medical scribes for independent primary care — solo practices, DPC, pediatrics, and SNF — and which tool fits which workflow.

The Chart Doesn't Know Your Patient

The chart archives a patient's clinical story; it doesn't tell it. On longitudinal intelligence and what's missing from encounter-based medicine.

What Carries Forward: On Building Documentation That Knows the Difference

Not everything in a clinical note belongs to the patient. The key to better documentation is knowing what to carry forward — and what to leave in the visit.

Summarization is a tool, not a default

Why Stream won't summarize your patient's chart — and what it does instead. The case for structure over compression in clinical AI.

Three New Stream Updates That Reduce Cognitive Load

Tasks from conversation, smarter context, and document upload — all designed to lighten the cognitive load of clinical care.

When Notes Remember: The Evolution of Problem-Based Context in Stream

Stream’s latest update deepens its understanding of continuity — making each problem smarter, faster, and more complete with every visit.

Beyond Speed: The Real Benefits of AI Medical Scribes in 2025

AI medical scribes in 2025 are reducing after-hours charting, minimizing cognitive burden, and improving note structure and clarity.

How to Get Better Notes from Your AI Scribe in 2025

Learn how to get better documentation from your AI medical scribe in 2025 through better prompting, context, and template use. Practical guide for clinicians using AI scribes to streamline charting and improve note quality.

If EHRs Were Libraries, You’d Walk Out Frustrated

If you don't know what you're looking for, you won't find it.