AI Medical Scribe for
ID consults are long histories, culture data, and antibiotic reasoning that has to be spelled out. AI drafts the consult note — exposures, ROS, investigations, and your antimicrobial plan with rationale — while you think.
A real example of the documentation Medical Scribe generates for infectious diseases physicians — ready before your patient leaves the room.
52M, consulted for Staphylococcus aureus bacteremia. Admitted 5 days ago with left lower leg cellulitis after a gardening scratch; fevers to 38.9 with rigors on days 1-3. PMH: type 2 diabetes (metformin 1000mg BID, last HbA1c 7.9%), no prior MRSA history, no injection drug use. No prosthetic joints, valves, or hardware. NKDA. No recent travel or animal exposures beyond home garden.
Constitutional: fevers and chills, now resolving; no night sweats or weight loss. Cardiovascular: no chest pain, dyspnea, or new murmur symptoms. Musculoskeletal: no back pain, no joint pain or swelling beyond affected leg. Neurological: no headache or focal deficits. Remaining systems reviewed and negative.
Afebrile today (Tmax 37.4 last 24h), HR 82, BP 128/76. Left leg cellulitis with receding erythema inside marked border; no fluctuance, no crepitus. Cardiac: no murmur. No Janeway lesions, Osler nodes, or splinter hemorrhages. No spinal tenderness. Peripheral IV site clean.
1. MSSA bacteremia secondary to left leg cellulitis — uncomplicated by current criteria: repeat cultures clear, no endocarditis on TTE, rapid clinical response, no hardware. Narrow to cefazolin 2g IV q8h (from empiric vancomycin); plan 14 days IV therapy from first negative culture. OPAT referral for outpatient completion. TEE only if repeat cultures return positive or new stigmata appear. 2. Diabetes — suboptimal control contributing to skin infection risk; suggest inpatient glycemic review and endocrine follow-up.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Travel history, exposures, immunosuppression, device history, weeks of culture data — a proper ID consult note routinely runs to pages, and you may write several a day on top of clinic.
Stewardship programs, covering teams, and future you all need the note to say why this agent, this dose, this duration — not just what was ordered.
You reconcile the referring team's story, the patient's own account, micro results, and imaging into one narrative. Doing that synthesis and typing it are two different jobs at the same time.
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.
An ID consult means holding the referring team’s summary, the patient’s own story, and a week of micro results in your head at once. Medical Scribe records the encounter — bedside, clinic, or telehealth — and drafts the note so the synthesis you speak aloud becomes the document, instead of a memory to reconstruct at the workstation.
The built-in Infectious Diseases Physician’s note moves from Subjective (presenting illness, exposures, social and family history) through a full Review of Systems, then Objective findings split into Examination and Investigations, ending in an issue-numbered Impression & Plan — each infection or problem with its likely diagnosis, differentials, planned workup, treatment, and referrals.
Antimicrobial decisions are increasingly audited, and “vancomycin continued” is not a rationale. Because the note is built from what you actually said, your de-escalation logic, duration reasoning, and escalation triggers are captured explicitly — and Medical Scribe never invents culture results or clinical findings to fill a gap.
Yes. The Impression & Plan section of the Infectious Diseases Physician's note is issue-based, and your spoken reasoning — why you narrowed to cefazolin, why 14 days, what would trigger a TEE — is documented as you said it, which is exactly what stewardship review looks for.
The template includes a dedicated system-by-system Review of Systems plus Subjective sections for exposures, travel, social, and family history. Whatever you elicited in the consult is structured into place; anything not discussed is simply omitted rather than fabricated.
Yes. Record at the bedside on iOS, Android, or Apple Watch, or in clinic and telehealth visits on Web or Mac. A curbside-turned-formal consult and a routine OPAT review each generate a note proportional to the encounter.
It transcribes the microbiology and dosing you actually said — MSSA versus MRSA, cefazolin 2g q8h — and never invents results or doses. You review and sign every note, so nothing enters the chart without your verification.
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