AI Medical Scribe for
From first consult to final surveillance visit, a course of radiotherapy leaves a longer documentation trail than almost any outpatient pathway. Medical Scribe drafts the consult, consent discussion, treatment review, and follow-up notes from conversations your clinic is already having.
A real example of the documentation Medical Scribe generates for radiation oncology specialists — ready before your patient leaves the room.
61F with left breast invasive ductal carcinoma, pT2N1a M0, ER/PR positive, HER2 negative, s/p lumpectomy and axillary sentinel node biopsy (2 of 4 nodes positive) and adjuvant chemotherapy, referred for adjuvant radiotherapy. Now on anastrozole 1mg daily. No prior chest irradiation.
Left breast lumpectomy scar well healed with no induration. No palpable axillary or supraclavicular adenopathy. Full left shoulder range of motion; no arm lymphedema. ECOG 0.
Node-positive left breast cancer following breast-conserving surgery and chemotherapy — clear indication for adjuvant whole-breast and regional nodal irradiation.
Discussed rationale, schedule, and alternatives including omission of nodal RT. Acute effects reviewed (skin erythema, fatigue, breast swelling) and late risks (fibrosis, lymphedema, rare cardiac and pulmonary effects, second malignancy). Questions answered; written consent obtained. Simulation booked; nursing education visit arranged.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Consult, consent discussion, simulation, weekly reviews, completion summary, then years of surveillance visits — one patient's course can generate more than twenty notes across the clinic.
Tumor board outcomes, referring-physician letters, and handovers between physicians, nurses, and radiation therapists all trace back to what was documented at each visit — by different people, in different formats.
Dose, fractionation, alternatives, acute effects, and late risks including second malignancy — the chart must show these were actually discussed, not just that a form was signed.
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.
Radiation oncology’s paper trail spans the referral conversation, the consult, simulation and consent, weeks of treatment reviews, the completion summary, and years of surveillance. Medical Scribe records each of those encounters — in clinic or via telehealth — and drafts the corresponding note, so the pathway documents itself as it happens.
The clinical history, staging, examination, treatment recommendation, and consent discussion land in structured sections drawn from the visit itself. Built-in Radiation Therapist’s and Radiotherapy Nurse’s note templates cover the rest of the team, and custom templates — ready in minutes — keep consults, reviews, and completion summaries in your department’s house style.
Years later, what matters is whether the chart shows the late-effect conversation actually took place. Because Medical Scribe drafts the consent discussion from the recorded conversation — never from a boilerplate risk list — the note evidences what was genuinely explained and asked. You verify and sign before it enters the record.
Yes. Physicians draft consults and treatment reviews, while built-in Radiation Therapist's note and Radiotherapy Nurse's note templates — among 280+ — cover daily treatment reviews and nursing assessments, so the pathway's documentation stays consistent across roles.
The note reflects the conversation that actually happened — the risks, alternatives, and questions you and the patient actually spoke about. That's stronger evidence of informed consent than a templated paragraph, and you review it before signing.
Yes. Custom templates take minutes, so end-of-treatment summaries, surveillance follow-up notes, and your clinic's consult format can each have their own structure. SOAP, DAP, and fully custom formats are supported.
Medical Scribe is HIPAA compliant with encryption in transit and at rest. It records in-person and telehealth visits with consent, on iOS, Android, Web, Apple Watch, and Mac, and every note is reviewed and signed by the clinician.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.