AI Medical Scribe for
Your hands are in the specimen when the findings are freshest. Medical Scribe captures your spoken gross description and drafts a structured report — no typing with gloves on, no dictation backlog.
A real example of the documentation Medical Scribe generates for anatomical pathologists — ready as soon as you finish dictating.
63M with sigmoid adenocarcinoma diagnosed on colonoscopy, presenting for high anterior resection. No neoadjuvant therapy.
Sigmoid colectomy, received fresh, labeled with patient identifiers and 'sigmoid colon'. Specimen length 220mm with attached mesocolon.
Ulcerated tumor 42 x 35mm, located 60mm from the distal margin. On sectioning, tumor invades through the muscularis propria into pericolic fat. Proximal and distal margins macroscopically clear. Seventeen lymph node candidates retrieved from the mesocolon. Representative blocks taken; block key recorded.
Moderately differentiated adenocarcinoma invading pericolic adipose tissue. No lymphovascular or perineural invasion identified. All margins clear; circumferential margin 8mm. Zero of seventeen lymph nodes involved.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Specimen dimensions, tumor size, margin distances, block designations — the details must be captured the moment you see them, and you can't touch a keyboard mid-dissection.
Findings come out as a stream of spoken observations, but the final report needs consistent sections — macroscopic, microscopic, diagnosis — in the same order, every case.
Every case described from memory later is slower, riskier, and another hit to turnaround time. Sign-out queues grow when documentation trails the bench.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
Anatomical pathology runs on speech: gross descriptions dictated over the bench, findings called out during frozen sections, case summaries spoken at the microscope. Medical Scribe records what you say as you work and returns a structured, editable draft — so the description is done when the specimen goes in the cassette, not hours later from memory.
Build a custom template in minutes that mirrors how your reports are actually organized — Clinical Information, Specimen, Macroscopic Description, Microscopic Description, Diagnosis — or a synoptic-style layout per specimen type. Your spoken measurements, margin distances, and block keys are sorted into those sections automatically, ready for your microscopic findings and sign-out.
A pathology report is the diagnosis of record, so fidelity is everything. Medical Scribe never invents findings — no imagined dimensions, no assumed margins, no fabricated node counts. The draft reflects exactly what you dictated, and it stays a draft until you’ve verified every line and signed it out.
There's no dedicated anatomical pathology template among the 280+ built-ins, but custom templates take minutes to create — so you can mirror your lab's macroscopic/microscopic/diagnosis structure, or build synoptic-style layouts per specimen type, and reuse them on every case.
Yes — that's the natural fit. Medical Scribe records what you say on iOS, Android, Web, Apple Watch, or Mac, then generates a structured, editable draft. Your hands stay in the specimen; the measurements land in the right sections.
No. The draft contains only what you actually said — it never invents a measurement, a margin distance, or a node count. Anything you didn't dictate is simply absent, flagged for you to complete at review.
Yes. Medical Scribe is HIPAA compliant, with recordings encrypted in transit and at rest. Nothing is finalized until you review and sign out the report text yourself.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.