ScribeMDPro

ENT

ENT documentation with specialty-accurate vocabulary

Otoscopy, nasal endoscopy, laryngeal exam — ScribeMDPro captures ENT findings the way you dictate them.

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Otolaryngology combines a very specific exam vocabulary with high visit volume and frequent same-day procedures. Otoscopy findings, nasal endoscopy descriptions, laryngeal exam terminology and sinus review each carry precise clinical language that a general-purpose scribe will flatten. ScribeMDPro was configured with an ENT template that respects that vocabulary — tympanic membrane appearance, middle ear effusion, turbinate hypertrophy, vocal cord mobility, and the standard nasal endoscopy findings are captured accurately. The workflow supports the reality of ENT clinics where an in-office procedure often follows a same-day evaluation.

Documentation challenges we solve

  • ENT exam vocabulary is precise and easily misheard by general-purpose transcription
  • In-office procedures (nasal cautery, laryngoscopy) commonly follow same-day evaluation
  • Sinus disease workup requires structured documentation of endoscopy and CT findings
  • Pediatric ENT (otitis, adenotonsillar disease) needs different templates than adult

What clinicians gain

  • ENT-specific exam template covering otoscopy, nasal, oropharyngeal and neck
  • In-office procedure documentation generated alongside the visit note
  • Sinus disease templates with structured endoscopy and imaging review
  • Pediatric ENT support with age-appropriate templates

How it works

  1. Step 1
    Start ambient capture

    Open ScribeMDPro before the ENT 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. Perform your exam and describe findings in ENT vocabulary — the AI recognizes the terminology.

  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: 8yo M with recurrent otitis media, 5 episodes in past 12 months. Currently asymptomatic. Parents report intermittent hearing difficulty.
O: Otoscopy: bilateral serous middle ear effusion, TMs retracted. Tuning fork consistent with mild CHL. Nasal: mild inferior turbinate hypertrophy. Adenoid pad prominent on lateral view.
A: Recurrent AOM with persistent OME and mild CHL.
P: Discussed BMT with parents; recommended and elected. Scheduled OR. Audiology today.

Illustrative only. Clinicians retain final responsibility for the record.

Frequently asked questions

Does it understand otoscopy vocabulary?

Yes. TM appearance, middle ear effusion, and standard descriptors are recognized correctly.

Can it document in-office procedures?

Yes — nasal cautery, flexible laryngoscopy, and other in-office procedures generate their own note alongside the visit.

What about pediatric ENT?

Pediatric templates cover recurrent AOM, OME, adenotonsillar disease and other common pediatric ENT presentations.

Does it capture audiogram review?

Audiogram findings are captured when discussed and structured for easy trend review.

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