INTRODUCTION
The Veterans Health Administration (VHA), part of the US Department of Veterans Affairs (VA), is the largest integrated health care delivery system in the USA, caring for 6.3 million patients in fiscal year 2021.Medical scribes are trained but clinically unlicensed professionals who can assist providers in navigating the electronic health record (EHR) and entering patient visit information.As mandated by the MISSION Act, our objective was to evaluate the impact of medical scribes on provider productivity, wait times, and patient satisfaction in specialty care clinics. The focus of the MISSION Act scribe pilot on specialty care is partly due to the high wait times in specialty care that have necessitated greater access to non-VHA care in the community. Furthermore, with over a third of VA physicians reporting burnout, albeit lower than the private sector,