AI Medical Scribe for
Fracture clinic doesn't pause for charting. Medical Scribe drafts the Subjective, Objective, Assessment, and Plan for each cast check and surgical consult while you move to the next room.
A real example of the documentation Medical Scribe generates for pediatric orthopaedic surgeons — ready before your patient leaves the room.
9M — Left distal radius buckle fracture, week 3 follow-up. Injury was a fall onto outstretched hand from monkey bars. Mother reports no pain for the past week, no numbness or tingling in the fingers. Cast intact with no skin complaints. Immunizations up to date; no other injuries.
Healing left distal radius torus fracture at 3 weeks, clinically and radiographically progressing as expected. Remodeling potential excellent given open physes; no angular concern.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Dozens of short follow-ups in a session, and each one still needs mechanism of injury, imaging review, neurovascular status, and activity restrictions in the note.
Physes, alignment, remodeling potential, and growth concerns get re-explained to parents and re-documented at every encounter across months of follow-up.
Indications, the consent conversation with parents, and the risks you discussed all have to be on the record precisely — before the child ever reaches the OR.
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.
Medical Scribe records each encounter — fracture follow-ups, scoliosis surveillance, clubfoot checks, pre-operative consults, in person or telehealth — and drafts the note while you move on. A two-minute cast check produces a tight note; a surgical consult with a long parent discussion produces a full one. Review and sign from iOS, Android, Web, Apple Watch, or Mac.
Drafts follow the built-in Pediatric Orthopaedic Surgeon’s note: a Subjective with mechanism, history, and growth and development; an Objective with vitals and system-by-system exam findings; then Assessment and Plan covering imaging, treatment, referrals, and follow-up. Immunizations, diet, and family history land in their places when discussed. It’s one of 280+ templates, customizable in minutes.
The details that protect you — documented neurovascular checks, alignment measurements, the risks you actually discussed with parents — are exactly what rushed notes drop. Medical Scribe captures only what was said and observed in the visit, never inventing findings, so your chart defends your care as precisely as you delivered it.
Yes — Salter-Harris classifications, physeal anatomy, angulation and displacement descriptions, and hardware names are captured as you say them during the exam and imaging review, not approximated afterwards.
The note records what was actually discussed — indications, risks, alternatives, and the family's questions. That's exactly the documentation you want if the consent conversation is ever questioned, and you review and sign before it's final.
As with any scribe, you inform the family and obtain consent — for minors, from the parent or guardian. Medical Scribe is HIPAA compliant, encrypted in transit and at rest, and you control what happens to recordings.
The built-in Pediatric Orthopaedic Surgeon's note uses Subjective, Objective, Assessment, and Plan. It's one of 280+ templates, and you can create a custom consult or post-op format in minutes.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.