AI Medical Scribe for
Full-body skin exams, biopsies, and 40-patient clinic days generate more lesion-level detail than any clinician can chart between rooms. Medical Scribe captures location, morphology, and plan for every finding as you verbalize it.
A real example of the documentation Medical Scribe generates for dermatologists — ready before your patient leaves the room.
61M - Annual full-body skin exam. History of BCC (left nasal ala, excised 2022). New pigmented lesion left upper back biopsied; multiple actinic keratoses treated with cryotherapy.
Presents for annual skin check. Reports a new dark spot on his upper back noticed by his wife 2 months ago, no bleeding or itching. Significant lifetime sun exposure (30 years outdoor construction), rare sunscreen use. No new medications; history of BCC excision 2022 with clear margins.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Derm clinics run some of the highest visit volumes in medicine — 10-minute slots, procedure add-ons, and a full waiting room leave no time to chart each encounter properly before the next one starts.
A note that says 'lesion on back' is useless at the 6-month follow-up. Size, morphology, color, border, and precise anatomic location have to be captured for every finding — on every patient.
Each shave, punch, and excision needs a documented site, indication, and plan for results — because a lost biopsy isn't a paperwork problem, it's a missed melanoma.
Call out findings the way you would to a human scribe — '6mm pigmented macule, left upper back, irregular border' — and the note captures each lesion's morphology, location, and dermatoscopic impression exactly as you said it.
Cryotherapy sites, biopsy locations and technique, and injections spoken during the visit land in the Assessment & Plan with their follow-up — so the pathology callback list matches what actually happened in clinic.
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.
Skin checks, acne and psoriasis follow-ups, biopsy days, and cosmetic consults move fast. Medical Scribe records each encounter — including the findings you narrate during the full-body exam — and drafts the note before you’re in the next room, so a 40-patient day doesn’t end with 40 unfinished charts.
The built-in Dermatologist’s Note follows your charting structure: a Subjective covering the presenting skin complaint, treatment history, and sun-exposure risk factors; an Objective with examination and dermatoscopic findings lesion by lesion; and an Assessment & Plan organized per condition, with treatments, biopsies, lifestyle guidance, and follow-up intervals for each.
In dermatology the note is the baseline: next year’s exam depends on what this year’s note said about that macule. Medical Scribe documents findings only as you stated them — never inferring what a lesion looked like — and you review and sign every note, so the chart stays an exact record of your exam.
Yes — from what you verbalize. Describe each finding aloud as you examine, the way you would with an in-room scribe, and the note records size, morphology, distribution, and anatomic site exactly as stated. It never invents exam findings you didn't voice.
Yes. Procedures spoken during the visit — biopsy site and technique, cryotherapy locations, injections — are documented in the Assessment & Plan along with the stated follow-up, so every specimen has a matching record of where it came from and what happens next.
The built-in Dermatologist's Note uses the Subjective, Objective, Assessment & Plan structure dermatologists chart in, with problem-by-problem plans. It's one of 280+ templates; SOAP and custom formats are supported, and a custom template takes minutes.
Yes. Medical Scribe is HIPAA compliant, with recordings and notes encrypted in transit and at rest. Notes are drafts until you review and sign them, and it works for in-person and telehealth visits across iOS, Android, Web, Apple Watch, and Mac.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.