AI Medical Scribe for
Dictate less, operate more. AI drafts your consult, pre-op, and post-op notes — failed conservative care, exam findings, imaging, and the surgical plan you discussed — ready to sign between clinic patients.
A real example of the documentation Medical Scribe generates for hip and knee surgeons — ready before your patient leaves the room.
67F referred for right knee osteoarthritis. 3 years of progressive medial knee pain, now VAS 7/10, worse on stairs and after walking >400m. Failed 12 weeks of physiotherapy and one intra-articular corticosteroid injection (relief lasted 6 weeks). PMH: hypertension on ramipril 5mg daily, BMI 31. Non-smoker. No anticoagulants. NKDA.
End-stage medial compartment osteoarthritis, right knee, refractory to conservative management. Discussed total knee arthroplasty. Plan: pre-operative bloods and ECG, cease NSAIDs 7 days prior, VTE prophylaxis per protocol, list for right TKA. Post-op pathway reviewed: day-1 mobilization, outpatient physiotherapy, follow-up at 2 and 6 weeks.
Risks discussed including infection, DVT/PE, stiffness, ongoing pain, and future revision surgery. Alternatives reviewed (continued conservative care, unicompartmental replacement). Patient verbalized understanding and wishes to proceed; consent form completed.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Clinic days are packed with new consults, pre-op reviews, and 2-week, 6-week, and 3-month post-op checks — each one needing its own note before you're back in theatre.
When you discuss risks of a THA or TKA — infection, DVT, revision — the chart has to reflect exactly what was said. Thin consent documentation is where claims get lost.
Flexion and extension degrees, Kellgren-Lawrence grades, VAS pain, alignment on weight-bearing films — structured data that takes longer to type than to examine.
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.
Medical Scribe records the consultation — in person or telehealth — and drafts the note while you move to the next patient. A new referral becomes a full workup with failed conservative care and surgical candidacy; a post-op check becomes a tight note on wound status, ROM progress, and rehab milestones. You review, edit, and sign.
The built-in Hip and Knee Surgeon’s Note organizes the visit into Subjective, Objective, and Assessment & Plan — presenting complaint and prior treatments, exam and imaging findings, then the surgical plan: procedure, pre-operative preparation, post-operative pathway, and referrals. Anticoagulants, allergies, and smoking status are captured where they matter for surgical risk.
Joint replacement is elective surgery, and the chart is your defense. Medical Scribe documents the risks, benefits, and alternatives exactly as you discussed them with the patient — never inventing findings or conversations — so your consent documentation matches what actually happened in the room.
Yes. Whatever you actually discussed — infection, DVT, revision risk, alternatives — is captured in the note from the conversation itself. It never invents a consent discussion that didn't happen, so the record reflects what the patient really heard.
If you verbalize them during the exam — flexion-extension degrees, Kellgren-Lawrence grade, alignment — they land in the Objective section of the Hip and Knee Surgeon's Note, structured and ready for your records.
The built-in Hip and Knee Surgeon's Note (Subjective, Objective, Assessment & Plan) adapts to the visit — a new consult produces a full workup, a 6-week post-op check produces a focused wound, ROM, and rehab note. You can also build custom templates in minutes.
Yes. Medical Scribe is HIPAA compliant, with encryption in transit and at rest. You review and sign every note before it goes anywhere near the chart.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.