AI Medical Scribe for
You give a dozen antimicrobial recommendations a day — on liaison rounds, in stewardship meetings, at the bedside — and most never make it into a note. Medical Scribe turns those consults into chart-ready documentation.
A real example of the documentation Medical Scribe generates for medical microbiologists — ready as soon as you finish dictating.
64M, day 3 after left hemicolectomy, febrile to 38.9°C with rigors overnight. Surgical team requests advice on empiric cover for presumed intra-abdominal source. Penicillin allergy documented — childhood rash only, no anaphylaxis. Currently on cefuroxime and metronidazole.
E. coli bacteremia, most likely intra-abdominal source after colectomy. Documented penicillin allergy is low-risk (remote, delayed rash) and does not contraindicate cephalosporins.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Positive blood culture calls, ICU liaison rounds, ward consults on treatment failures — each recommendation should be in the chart, but writing them up competes with the next call.
Drug, dose, route, duration, and the review point — plus the susceptibility data and allergy reasoning behind them. Summarizing that accurately from memory invites transcription drift.
De-escalations, restricted-agent approvals, and IV-to-oral switches are scrutinized by stewardship programs and accreditors — undocumented advice is invisible advice.
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.
Clinical microbiology happens on the move: liaison rounds through ICU and surgical wards, bedside reviews of treatment failures, telehealth consults to peripheral sites. Medical Scribe records each encounter and drafts a structured note, so the reasoning behind every antimicrobial recommendation reaches the chart instead of evaporating between wards.
The generated note organizes what you discussed into the sections a microbiology consult needs — clinical history, microbiology results, assessment, and recommendations — capturing organism identification, susceptibility reasoning, allergy de-labelling logic, and the drug, dose, route, duration, and review date you specified. Build it as a custom template once; reuse it on every consult.
Antimicrobial stewardship lives on documented decisions: why the carbapenem was approved, when de-escalation was advised, who set the stop date. Because Medical Scribe documents only what was said and you sign every note, your advice carries a timestamped, defensible record — evidence for stewardship audits, not just memory.
Yes. Medical Scribe supports SOAP, DAP, and fully custom formats, so you can create a consult template with your own sections — clinical history, culture results, assessment, recommendations — in minutes, alongside 280+ built-in specialty templates.
The note documents the organisms, susceptibilities, doses, and durations you actually said during the consult — it never invents results or regimens. You review and correct the draft before anything is filed.
Yes. Apps for iOS, Android, Web, Apple Watch, and Mac record in-person and telehealth encounters, so a recommendation given on the ICU round can become a chart-ready note before you reach the next bedside.
Medical Scribe is HIPAA compliant, encrypted in transit and at rest. Recordings are processed securely and notes remain drafts until you sign them.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.