Secretaries are compelled by the same privacy and disclosure laws as doctors - AI notetaking apps may or may not be (it'll take examination of the product on a case by case basis) and the public is, at this point, used to AI companies blatantly lying about privacy, confidentiality, training sources, reuse of conversations and pricing - the good faith is gone as a default and in a setting like a HCP that is a terrible place to start from.