AI Medical Scribe for
Between the endoscope, the microscope, and a waiting room of post-ops, ENT clinic leaves no time to type. Medical Scribe turns each consult into a structured note — scope findings, surgical reasoning, and all.
A real example of the documentation Medical Scribe generates for otolaryngologists — ready before your patient leaves the room.
47M referred for nasal congestion, facial pressure, and reduced sense of smell for 8 months. Completed two courses of amoxicillin-clavulanate 875mg BID and 12 weeks of fluticasone spray with saline irrigations — minimal relief. Denies epistaxis or unilateral symptoms. Former smoker, quit 5 years ago.
Chronic rhinosinusitis with nasal polyposis, refractory to appropriate maximal medical therapy. CT sinuses without contrast ordered to map disease extent.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A single session mixes new sinus referrals, post-op reviews, and scope procedures. Each encounter is brief, but the documentation debt compounds until it's an evening of charting.
Nasal endoscopy and otomicroscopy put both hands on the instrument. Polyp grades, drainage, and TM findings recalled an hour later lose the precision the note needs.
Before FESS, tubes, or tonsillectomy, payers and consent both demand a record of failed medical therapy and the risk discussion. A thin clinic note becomes a prior-auth problem.
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.
A morning list can run from a pediatric otitis media review to an adult sinus consult to a post-thyroidectomy check. Medical Scribe records each encounter — in person or telehealth — and drafts a note matched to it: a full workup for the new referral, a tight interval note for the post-op. You review, edit, and sign between patients instead of after dinner.
Consults generate clean SOAP notes — Subjective history of the complaint and prior therapy, Objective scope and exam findings, Assessment, and Plan — while built-in templates like the Sleep Study Consent cover the referral paperwork ENT clinics generate constantly. With 280+ specialty templates plus custom formats in minutes, your documentation matches your clinic, not the other way around.
Surgical decisions in otolaryngology are judged on the record: was medical therapy exhausted, were risks discussed, did the exam justify the operation? Because the note is drafted from the actual conversation, your counseling and findings are captured as stated — never invented — and nothing is final until you sign it.
Yes. Narrate as you scope — polyp grade, drainage, septal anatomy — and the findings land in the Objective section verbatim in substance. Medical Scribe only documents what was said or observed during the encounter; it never fills in exam findings you didn't state.
The note records what actually happened across visits: the medications trialed, duration of therapy, persistent findings, and the risk-benefit discussion. Those are the elements reviewers check before approving FESS, tympanostomy tubes, or septoplasty. You review and sign before it's used.
Yes — alongside SOAP consult notes, Medical Scribe includes a built-in Sleep Study Consent template that captures patient details, the test required, clinical information, and comorbidities from your conversation, so OSA referrals don't mean a second round of typing.
Medical Scribe is HIPAA compliant, encrypted in transit and at rest, and works across iOS, Android, Web, Apple Watch, and Mac for both in-person and telehealth consults.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.