AI Medical Scribe for
New cancer diagnoses, tumor board decisions, and long emotional consults — each visit produces a note dense with staging, pathology, and treatment sequencing. Medical Scribe drafts it from the conversation so you can keep your eyes on the patient, not the screen.
A real example of the documentation Medical Scribe generates for surgical oncologists — ready before your patient leaves the room.
61F referred after screening mammogram and core biopsy: invasive ductal carcinoma of the left breast, ER/PR positive, HER2 negative, grade 2, 1.8cm on imaging. No palpable mass noticed by patient; no nipple discharge or skin changes. No prior cancers. Mother had breast cancer at 70. Takes atorvastatin 20mg daily; never-smoker. Anxious but accompanied by daughter; primary concern is 'getting it out quickly.'
Long discussion of breast conservation vs mastectomy, including equivalent survival with radiation, margin re-excision possibility (~10-15%), and sentinel node rationale. Daughter's questions about recovery time answered. Patient elects lumpectomy with SLNB; written consent to follow at pre-op visit after tumor board confirmation.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Diagnosis, biopsy pathology, receptor status, staging workup, prior treatments, tumor board recommendation — each consult note has to restate the oncologic picture accurately, because the whole multidisciplinary team works from it.
Telling a patient about a new malignancy, or weighing mastectomy against breast conservation, is not a visit to spend typing. But the longer and more emotional the consult, the more there is to document afterward.
Neoadjuvant response, restaging scans, surgical timing, adjuvant handoffs — the plan is a moving target across months. Notes that lag behind clinic leave the medical oncologist and radiation oncologist reading stale plans.
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 surgical oncology patient moves between your clinic, tumor board, medical oncology, and radiation — and your note is the connective tissue. Medical Scribe records each consult, in person or telehealth, and drafts a note carrying diagnosis, staging discussion, and sequencing decisions forward accurately, while the visit itself stays a conversation.
Generated notes follow the template’s structure: Subjective with the cancer diagnosis, prior treatments, and review of systems; Objective covering examination of primary and nodal sites plus investigations; and an Assessment & Plan spanning cancer status, the proposed operation, supportive care, referrals, and follow-up and monitoring — with goals-of-care discussions preserved in Additional Notes.
A transposed receptor status or an invented staging detail in an oncology note can misdirect an entire treatment plan. Medical Scribe documents only what was actually said and observed — nothing inferred, nothing fabricated — and every note passes through your review and signature before the team relies on it.
It documents those details exactly as stated in the visit — 'ER/PR positive, HER2 negative, grade 2, cT1cN0M0' — in the Subjective and Objective sections of the built-in Surgical oncologist's note. It never fills in staging or pathology you didn't say, which is precisely what you want in an oncology chart.
Yes, when they're discussed in the visit. The template's Assessment & Plan covers treatment sequencing, referrals, clinical trial involvement, and follow-up and surveillance scheduling — so the handoffs to medical and radiation oncology are on paper, not in hallway conversation.
That's your call, patient by patient, with consent as you would for any scribe. Many surgeons find these are exactly the visits where full presence matters most — and where patients later appreciate a thorough note of what was explained. Recordings are HIPAA compliant and encrypted in transit and at rest.
Yes. A post-lumpectomy margin discussion or an annual surveillance visit generates a proportionate note from the same template — one of 280+ built in, alongside dedicated breast surgeon and oncologist notes. You review and sign every note before it enters the chart.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.