AI Medical Scribe for
Clinic gets squeezed between OR cases, and the consult notes wait until the last case is closed. Medical Scribe drafts consults and post-op checks from the conversation in the room.
A real example of the documentation Medical Scribe generates for pediatric surgeons — ready before your patient leaves the room.
5M referred for a right groin bulge noticed by parents over 2 months, more prominent with crying and at bath time, reducing spontaneously when calm. No pain, vomiting, or colour change of the bulge. Born at term; no previous surgeries or hospitalizations. No medications; no known drug or latex allergies.
Right indirect inguinal hernia, reducible. Recommended elective laparoscopic right inguinal hernia repair with evaluation of the contralateral side. Risks discussed with parents including recurrence, injury to the vas deferens or testicular vessels, and anesthesia. Day-surgery pathway and fasting instructions provided; surgery to be scheduled within 6 weeks. Return immediately for a firm, tender, irreducible bulge or vomiting.
Parents' questions about anesthesia safety in young children addressed; recovery expectations and school return reviewed.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Ten-minute clinic slots between OR blocks generate full consult notes — history, exam, surgical plan — that otherwise get dictated from memory hours later.
What you told the parents about risks, benefits, and alternatives is the defensible core of the surgical record — and the part most often summarized into uselessness.
Wound review, diet advancement, activity restrictions, return precautions — near-identical follow-ups that still each demand their own complete entry.
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.
Record the encounter where it happens — a hernia consult, a post-appendectomy wound check, a pre-operative discussion with anxious parents, in person or telehealth — and Medical Scribe drafts the note before you scrub for the next case. Review and sign from iOS, Android, Web, Apple Watch, or Mac between cases instead of after dinner.
Drafts follow the built-in Pediatric Surgeon’s note: Subjective with presenting complaint, surgical history, medications, and allergies including latex; Objective with exam and investigations; then an Assessment & Plan per surgical issue covering differential, planned investigations, the procedure, pre-operative preparation, and post-operative care, with consent discussions in additional notes. One of 280+ templates, customizable in minutes.
If an outcome is ever contested, the record of what you told the parents is your best defense. Medical Scribe captures the actual consent conversation — the risks named, the alternatives offered, the questions asked — and never invents or pads clinical content. You sign only what genuinely happened in the room.
Yes — the risks, benefits, and alternatives you actually voiced to the family are drafted into the note, along with their questions. That's stronger consent documentation than a boilerplate phrase, and you review and sign before it's final.
That's the default in pediatric surgery. The note attributes the history to its source — parent report, the child's own account, or your exam — instead of flattening everything into one voice.
Medical Scribe is HIPAA compliant and encrypted in transit and at rest. Families consent as they would to any scribe, and nothing enters the chart until you sign it.
The built-in Pediatric Surgeon's note: Subjective, Objective, and Assessment & Plan organized per surgical issue, including pre-operative preparation and post-operative care. It's one of 280+ templates, and custom consult or post-op formats take minutes to build.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.