SurgeOn Scribe understands complex surgical workflows and delivers complete SOAP notes at the push of a button — and it’s now available through the SurgeOn app.

For many surgeons, the hardest part of the job isn’t in the operating room. As clinical documentation requirements have become more and more demanding, charting has taken an increasing mental toll on healthcare providers. SurgeOn Scribe, an AI-powered medical scribe app powered by MedQuill, helps surgeons reclaim their time to focus on high-quality patient care. 

  • Automated note-taking saves clinicians up to two hours per day
  • SurgeOn Scribe allows for customizable exam and review-of-systems templates
  • Increased face-to-face time improves both patient experience and provider retention
  • All data collected is encrypted for medical and legal protection

 

See how SurgeOn Scribe is improving patient outcomes by reducing clinical documentation time.

The Challenges of Timely Documentation

The Centers for Medicare & Medicaid Services (CMS) requires clinical documentation “as soon as practicable.” For most healthcare providers, this is 24 hours or less. Yet this data entry can’t always happen in a single sitting at the end of the shift.

Depending on their specialty, surgeons in clinics can see upwards of 20-30 patients per day. This not only translates to hours of documentation but also creates tremendous mental strain as doctors must remember the details of each patient encounter. Medical scribes are often pre-med college students, and the combination of their limited clinical experience and furious typing speeds can result in mistakes. This challenge creates a market for AI transcribers.

A Medically Trained AI Model

Most generative artificial intelligence (GenAI) models are not specifically designed for medical contexts. Any effort to reduce medical record documentation time needs a powerful speech-to-text API and a reliable database of specialty-specific terminology. SurgeOn Scribe was developed by surgeons to understand discussions around complex surgical procedures and anatomical descriptions. The app also puts collected data into a medical context with relevant CPT codes, often catching coding opportunities that would otherwise be missed. Many surgeons agree the app is more accurate than a human medical scribe.

Reducing Documentation-Related Liability

A transcription has another benefit — eliminating omissions or inaccuracies in the clinical documentation. SurgeOn Scribe is fully encrypted and HIPAA compliant, and it provides output in a copy-and-paste-ready format to enter in the free-text field of any EMR. This complete data entry avoids coding and documentation errors while meeting operative note requirements.

The recorded conversations also document informed-consent discussions and surgical-risk disclosures, giving added peace of mind to health system administrators that clinicians are actively mitigating documentation-related liability. But for surgeons themselves, the most important benefit is reclaiming their time.

Higher-Quality Patient Interactions

Medical record documentation is, ironically, often the biggest distraction from patient care. While making such a concerted effort to remember every detail and note every piece of information exactly, surgeons ultimately end up spending less time empathetically and personally connecting with the patient.

When notetaking is automated, surgeons are free to make more eye contact, be more expressive, and respond more genuinely to patient questions. Of course, easy data entry into the EHR allows surgeons to be more rested and spend more time with their loved ones, too. This emotional rest and recharging also contributes to higher-quality patient interactions.

See It for Yourself

SurgeOn Scribe can reduce clinical documentation time by as much as two hours per day. SurgeOn users can now try the app for free to see the powerful difference it makes in patient care.