AI Medical Scribe for
From intensive lifestyle programs to bariatric surgery follow-ups, every weight-management encounter ends in a structured note. Medical Scribe drafts it from the visit conversation — anthropometrics, problem statement, and plan included.
A real example of the documentation Medical Scribe generates for obesity specialists — ready before your patient leaves the room.
38F, 6 months post sleeve gastrectomy. Weight 84.2kg from 109kg pre-op; BMI 31.0. Tolerating three small meals daily; protein estimated at 55g/day against a 60-80g target. Occasional dumping-type symptoms after sweetened coffee drinks. Labs: ferritin 18 (low), B12 and vitamin D in range. Walking 30 minutes most days; mood good.
Inadequate protein intake related to reduced gastric capacity, as evidenced by diet recall estimating 55g/day versus post-bariatric target. Iron depletion on recent labs.
Repeat ferritin in 3 months; discuss IV iron if not improving. Two-week food diary with protein tally. Next review in 6 weeks with weight, symptoms, and supplement adherence.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Weight-management care is longitudinal — monthly check-ins, post-surgical milestones, annual reviews — and each entry has to track cleanly against baseline data from months or years back.
Referring physicians and bariatric teams expect Assessment, Diagnosis, Intervention, and Monitoring & Evaluation cleanly separated, with problem statements tied to real evidence — not free-text summaries.
Motivational interviewing about eating patterns and setbacks requires eye contact and timing. A keyboard between you and the patient flattens the conversation the whole plan depends on.
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 obesity specialist’s caseload spans initial multidisciplinary assessments, monthly lifestyle-program reviews, pre-surgical workups, and years of post-bariatric follow-up. Medical Scribe records each of these very different encounters — in clinic or over telehealth — and drafts a note proportionate to the visit, so the quick 6-week check and the 90-minute intake each get charted without stealing patient time.
The generated note follows the built-in Obesity Specialist’s note template: Assessment, Diagnosis, Intervention, and Monitoring and Evaluation. Weight trajectory and BMI, biochemical data, dietary and activity history, the evidence-linked problem statement, counseling and education delivered, and the review schedule all land in their sections — consistent from one follow-up to the next, which is what longitudinal care requires.
Bariatric surgeons, dietitians, and psychologists all read your notes, and decisions — surgical clearance, supplement escalation, program progression — hang on them. Because Medical Scribe documents only what actually happened in the visit and you sign every draft, the team works from a record of real intake, real labs, and real adherence, not optimistic summary.
Yes. The built-in Obesity Specialist's note template organizes each visit into Assessment, Diagnosis, Intervention, and Monitoring and Evaluation — covering anthropometric data, biochemical results, dietary history, counseling strategies, and follow-up plans. It's one of 280+ built-in templates.
Discussion of mood, eating behaviors, and readiness for change is captured like any other part of the conversation, and a Mental Health Care Plan template is also built in for patients managed under formal mental health arrangements.
Never. The note records only what was said or reviewed aloud in the visit — no fabricated anthropometrics, labs, or adherence claims. You review and edit each draft before signing it into the record.
Yes. Medical Scribe records both in-person and telehealth visits, on iOS, Android, Web, Apple Watch, and Mac. It's HIPAA compliant and encrypted in transit and at rest, and works in 57 languages.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.