AI Medical Scribe for
Your hands are in a specimen container and your findings are spoken, not typed. Medical Scribe turns bench-side dictation, frozen section calls, and tumor board discussions into structured, review-ready documentation.
A real example of the documentation Medical Scribe generates for pathologists — ready as soon as you finish dictating.
64F with biopsy-proven cecal adenocarcinoma. Right hemicolectomy for resection.
Received fresh, labeled with the patient's name and 'right colon': a right hemicolectomy specimen comprising 8cm of terminal ileum, cecum with attached appendix (6.5 x 0.7cm), and 22cm of ascending colon.
A 4.2 x 3.5cm ulcerated, centrally depressed mass in the cecum, 2.5cm from the ileocecal valve, grossly invading into but not through the muscularis propria. Overlying serosa puckered but intact. Remaining mucosa unremarkable. Margins grossly free of tumor: proximal 8cm, distal 22cm.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Measurements, margins, and sections submitted are spoken at the grossing bench, then re-typed or corrected later. Every transcription pass is a chance for a 4.2cm mass to become 2.4cm.
An intraoperative consult is minutes long, but the record must capture the specimen, the diagnosis rendered, and exactly what was communicated to the surgeon — and when.
You present findings and shape treatment plans at multidisciplinary conferences and in clinician phone consults — discussions that influence care yet often never make it into any structured record.
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.
Pathology’s documentation starts as speech: dictation at the grossing bench, the frozen section result called to the OR, the recommendation given at tumor board. Medical Scribe records those spoken moments — hands-free from a phone, Mac, or Apple Watch — and drafts structured text from them, so what you said becomes what’s written without a retyping pass.
Build a custom template in minutes that mirrors your grossing format — Clinical History, Specimens Received, Gross Description, Sections Submitted — or a consult-log structure for intraoperative and clinician calls. Dictation is sorted into those sections automatically, producing an editable draft you refine and carry into your final report.
A gross description is measurement testimony: dimensions, distances to margins, node counts. Medical Scribe never invents or rounds a value — it records what you dictated and nothing more, and every draft passes through your review before it’s used. Encrypted in transit and at rest, it keeps the chain from bench to report intact.
Its 280+ built-in templates center on patient-facing encounters, so pathologists typically create custom templates — a grossing structure with Clinical History, Specimens Received, Gross Description, and Sections Submitted takes minutes to build and reuse across every case.
Yes, via custom templates: define the sections your reports use and dictation is organized into them. The draft is fully editable text — you review it, correct it, and move it into whatever system holds your final report.
No. Medical Scribe documents only what was said — it will not supply a measurement, margin status, or block count you didn't state. For a discipline where the description is the evidence, that constraint is the point.
Medical Scribe is HIPAA compliant, with recordings and drafts encrypted in transit and at rest. It runs on iOS, Android, Web, Apple Watch, and Mac — including a phone or Mac positioned at the grossing station.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.