Dermatology

Documentation as detailed as a dermatologic exam

Dozens of lesions per visit, biopsy documentation, cosmetic consultations — ScribeMDPro handles them all in seconds.

Dermatology visits move fast and produce dense documentation. A single full-skin exam may generate descriptions of ten or twenty lesions, each with location, morphology, and disposition (observe, biopsy, cryotherapy). Cosmetic consultations layer in another vocabulary entirely. ScribeMDPro was tuned specifically on dermatologic language — it recognizes anatomic locations by side and region, standard morphologic terminology (macule, papule, plaque, nodule), and the disposition verbs that end each lesion description. The result is a note that keeps up with a high-volume derm clinic without sacrificing lesion-level detail.

Documentation challenges we solve

  • Full-skin exams generate dozens of discrete lesion descriptions per visit
  • Anatomic location and lesion morphology require precise language
  • Same-day procedures (biopsy, cryo, ED&C) must be documented with exact site and technique
  • Cosmetic consultations use different vocabulary and different documentation standards

What clinicians gain

  • Lesion-by-lesion structure with location, morphology, and disposition per lesion
  • Procedure documentation (biopsy site, technique, closure, specimen sent) captured discretely
  • Cosmetic consultation template with treatment plan and pricing discussion
  • Reduces per-visit charting from minutes to seconds

How it works

  1. Step 1
    Start ambient capture

    Open ScribeMDPro before the dermatology encounter and start recording — the patient never has to talk to a device.

  2. Step 2
    Focus on the patient

    Conduct your normal history and exam. Call out lesions with location and disposition as you examine — each lesion becomes a structured entry.

  3. Step 3
    Auto-drafted note

    A structured SOAP note appears seconds after the visit ends, formatted for your specialty.

  4. Step 4
    Review, sign, export

    Edit inline, copy to your EMR, download as PDF, or push through supported integrations.

Example SOAP output

S: 52yo M for annual skin check. History of BCC (nose, 2021). No new symptomatic lesions.
O: Full skin exam. Notable lesions: (1) Left temple: 4mm pink pearly papule, suspicious for BCC — shave biopsy performed. (2) Mid back: 6mm dark seborrheic keratosis, benign — reassurance. (3) Right forearm: 3mm brown regular macule, benign nevus — annual monitoring.
A: 1) Suspicious lesion left temple. 2) Benign SK. 3) Stable nevus.
P: Biopsy sent. RTC in 2 weeks for results. Annual full-skin exam ongoing.

Illustrative only. Clinicians retain final responsibility for the record.

Frequently asked questions

Can it describe dozens of lesions in one visit?

Yes — each lesion is captured as a structured entry with location, morphology, and disposition.

Does it document biopsies and same-day procedures?

Procedure notes are generated alongside the visit note, with site, technique and specimen disposition.

What about cosmetic consultations?

A dedicated cosmetic template captures treatment recommendations, product/agent selection, and pricing discussion.

Can it produce Mohs surgery documentation?

Mohs stage-by-stage documentation is supported for practices that use the tool in the surgical suite.

Related pages

Try ScribeMDPro on your next visit

Start free — no credit card, no install. Sign up in under a minute and record your first ambient SOAP note today.