AI Medical Scribe for
Clinic days wedged between OR cases leave no time to dictate consult letters. Medical Scribe drafts your pre-op consults and post-op reviews from the conversation — risks discussed, angiogram findings, and surgical plan included.
A real example of the documentation Medical Scribe generates for cardiothoracic surgeons — ready before your patient leaves the room.
68M referred by cardiology for surgical revascularization of three-vessel coronary artery disease. CCS class III angina despite optimal medical therapy. Assessed for CABG.
Exertional chest tightness at one flight of stairs, relieved by rest and GTN. No rest pain, syncope, or heart failure symptoms. PMH: type 2 diabetes, hypertension, hyperlipidemia. Meds: aspirin 81mg daily, metoprolol 50mg BID, atorvastatin 80mg daily, metformin 1g BID. Ex-smoker, 30 pack-years, quit 2019. No allergies.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Pre-op consults, post-op reviews, and new referrals get packed into half-days around OR lists — and the letters for all of them wait until the evening.
The risk-benefit discussion before a sternotomy — mortality, stroke, bleeding, sternal wound infection — has to be documented exactly as it was explained to the patient.
Cardiologists, respiratory physicians, and GPs expect a detailed letter after every consult. Slow correspondence slows the whole surgical pathway.
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.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
A cardiothoracic consult moves fast: referral letter, angiogram, risk scores, consent discussion, booking. Medical Scribe records the visit — in clinic or by telehealth — and drafts the complete note while you move to the next patient. Post-op reviews, valve surveillance, and MDT-driven consults all work the same way.
The Cardiothoracic Surgeon’s Note template organizes the visit into Subjective, Objective, and Assessment & Plan — presenting symptoms and surgical history, examination and imaging findings including conduit assessment, then a numbered plan per condition covering surgical options, risks discussed, and follow-up. You can also build custom formats, like operative or discharge letters, in minutes.
When a patient later asks what they were told about stroke risk before their sternotomy, the note answers precisely — because it was drafted from the conversation itself, not reconstructed from memory at 9pm. Medical Scribe only documents what was actually said and observed, and you sign every note before it enters the chart.
Yes. What you explained about mortality, stroke, and bleeding risk — and the patient's questions and decision — is documented from the actual conversation. It never adds risks or consent language you didn't say.
Yes. The built-in Cardiothoracic Surgeon's Note template structures each visit into Subjective, Objective, and Assessment & Plan, so a first-time CABG workup and a six-week post-op wound review each get an appropriately weighted note.
The note reflects what was said in the visit — graft targets, stenosis percentages, ejection fraction, valve gradients — using the terminology you used. You review and edit before signing, so nothing enters the chart unchecked.
Medical Scribe is HIPAA compliant, with encryption in transit and at rest. Recordings are processed securely and you control what is kept.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.