Family Medicine
Well-child check, four-problem chronic follow-up, same-day sore throat — ScribeMDPro drafts a structured note for each one while you stay with the patient.
Family medicine is one of the most cognitively demanding specialties in modern practice. In a single afternoon you may see a two-week postpartum visit, a diabetic on four medications, a teenager with acne, and a same-day ankle sprain. Each of those encounters needs its own narrative, its own plan, and its own set of diagnoses — and the note has to be finished before the next patient is roomed, or it joins the pile you take home. ScribeMDPro is built for that rhythm. It listens to the natural consultation, keeps each problem separate instead of merging them into one paragraph, and returns a structured SOAP draft in seconds. This page shows exactly what those drafts look like across the visit types a family physician actually runs, how the workflow changes per visit, and how the finished note reaches your EMR. Every draft is yours to review, edit and sign — the tool shortens the writing, not the clinical judgement.
Open ScribeMDPro before the family medicine encounter and start recording — the patient never has to talk to a device.
Conduct your normal history and exam. Ask open-ended history questions naturally — the model preserves the patient's words verbatim in the HPI.
A structured SOAP note appears seconds after the visit ends, formatted for your specialty.
Edit inline, copy to your EMR, download as PDF, or push through supported integrations.
S: 62yo F for HTN and T2DM follow-up. Home BPs averaging 148/86. FSBS 130–170 fasting. Denies chest pain, no lower extremity edema. Reports missing evening metformin doses about twice a week. O: BP 152/88, HR 78, BMI 31.2. Feet: monofilament intact bilaterally, no ulceration. Remainder of exam unremarkable. A: 1) Essential hypertension, uncontrolled. 2) Type 2 diabetes mellitus, suboptimal control, A1c pending. 3) Obesity, class I. P: 1) HTN — increase lisinopril to 20mg daily; continue home BP log, bring readings to next visit. 2) T2DM — continue metformin 500mg BID, adherence discussed and pill organiser suggested; A1c today, recheck in 3 months. 3) Obesity — dietitian referral placed; discussed 150 min/week activity target. 4) Preventive — due for lipid panel, ordered today. RTC 3 months, sooner if home systolic consistently >160.
Illustrative only. Clinicians retain final responsibility for the record.
The same ambient recording is shaped differently depending on the visit in front of you. These are the encounter types family medicine clinicians document most often.
Two to five active problems get revisited in one sitting, often with medication adjustments layered on top of each other.
One focused complaint, a short exam, and a decision about treatment, testing or referral — with the note expected before the next room.
The history comes mostly from the parent, and preventive content — milestones, feeding, immunisations, anticipatory guidance — carries the visit.
Screening status, risk assessment and counselling dominate, with little acute content but a lot of documentation requirement.
Interval history, gestational or postpartum timeline, and mood screening sit alongside routine measurements.
The patient explains symptoms in Yoruba, Hausa or Swahili while your reasoning stays in English.
Each example shows the kind of draft ScribeMDPro produces from a natural consultation. You review and edit before anything reaches the chart.
A walk-in slot at the end of morning clinic. The whole encounter took nine minutes; the draft was ready before the next patient sat down.
S: 29yo M, 3 days of sore throat, subjective fever, painful swallowing. No cough, no rhinorrhoea, no rash. No known sick contacts. No prior tonsillectomy. Taking paracetamol with partial relief. O: T 38.1C, HR 92, BP 118/74. Tonsillar exudate bilaterally, tender anterior cervical lymphadenopathy. No trismus, no uvular deviation, no respiratory distress. Chest clear. A: Acute pharyngitis, clinical features suggestive of bacterial aetiology (Centor 4 — fever, exudate, tender nodes, no cough). P: 1) Phenoxymethylpenicillin 500mg QDS x10 days; allergy history negative. 2) Paracetamol 1g QDS PRN, adequate oral fluids. 3) Return precautions given and documented: difficulty breathing, inability to swallow fluids, drooling, neck swelling, or fever persisting beyond 48h on treatment. 4) Work note provided for 2 days. Follow up only if not improving by day 3.
Mother gives most of the history while the infant is examined. Parent-reported content stays attributed to the parent.
S: 9-month-old M for routine well-child check, accompanied by mother. Mother reports good feeding on family foods plus breastfeeding, sleeps ~11h overnight with one waking. Sits without support, crawling, pulls to stand, babbles 'mama/dada' non-specifically, transfers objects hand to hand. No fevers, no diarrhoea since last visit. Immunisations up to date per card; mother asks about the upcoming measles dose. O: Wt 8.6kg, Length 71cm, HC 45cm — all plotted, tracking along previous centiles. Alert, interactive. Anterior fontanelle soft and flat. Chest clear, heart sounds normal, abdomen soft. Hips stable. No dysmorphic features. A: 1) Healthy 9-month-old, growth and development appropriate for age. 2) Immunisations current; measles dose due at 9–12 months. P: 1) Measles vaccine administered today; mother counselled on expected fever and paracetamol dosing. 2) Anticipatory guidance covered: iron-rich complementary feeding, choking hazards, home safety around pulling to stand, no screen time, continued breastfeeding. 3) Haemoglobin screen ordered. 4) RTC at 12 months or sooner for concerns.
The patient describes her symptoms in Yoruba; the clinician reasons in English. ScribeMDPro returns one note in clinical English.
S: 54yo F for hypertension review; consultation conducted partly in Yoruba. Reports intermittent occipital headaches on waking, roughly twice weekly for the past month, and describes her chest as 'beating fast' when climbing stairs. Denies chest pain at rest, syncope, or leg swelling. Taking amlodipine daily but stopped hydrochlorothiazide two months ago because of frequent urination at work; she had not mentioned this at the last visit. O: BP 164/96 right arm seated, repeat 158/94 after 5 minutes. HR 84 regular. BMI 29.4. No carotid bruits, no murmurs, no pedal oedema. Fundi not examined today. A: 1) Essential hypertension, uncontrolled — non-adherence to second agent identified as the likely driver. 2) Exertional palpitations, no red-flag features; requires basic evaluation. P: 1) HTN — continue amlodipine 10mg daily; restart thiazide as morning-dose chlortalidone 12.5mg with dosing timed to reduce daytime urination; adherence barrier discussed directly. 2) Palpitations — ECG today, FBC and TSH requested. 3) Home BP log for 2 weeks. 4) RTC in 3 weeks with log and results; advised to attend sooner for chest pain, breathlessness at rest or visual change.
Illustrative drafts, not real patient records. A qualified clinician reviews and signs every note.
ScribeMDPro drafts the note outside the chart, then you move it in. Here is how that works in the systems family medicine practices use most.
| System | How the note gets there |
|---|---|
| Any EMR (copy and paste) | The default route. Review the draft, use the per-section copy button for Subjective, Objective, Assessment or Plan, or copy the full note in one click and paste it into your chart. This works in every system, including local and offline-first EMRs, with no integration project. |
| PDF export with clinic branding | Export the finished note as a PDF carrying your clinic name and logo. Practices that keep hybrid paper records, or need to hand a document to a patient or an insurer, use this route instead of pasting. |
| Referral and justification letters | The same consultation can also produce a referral letter, a patient-facing summary or an insurance justification letter, so you are not re-typing the history into a second document. |
| Coding suggestions | Suggested diagnosis coding is generated alongside the note for you to review and correct before it is entered — a suggestion for the clinician, never an automatic submission. |
Work the arithmetic with your own numbers rather than ours. Take the minutes you currently spend writing an average note, multiply by the patients you see in a day, and that product is the time in play. ScribeMDPro removes the writing, not the reviewing: you still read the draft, correct it and sign it, so budget review time back in. The honest test is not a vendor statistic — it is running the trial on your own busiest clinic day and seeing how much of your evening charting is left. Every new account gets 15 AI consultations free to do exactly that, with no card required.
Yes. The model detects problem boundaries in conversation and produces one Assessment/Plan pair per problem rather than a monolithic paragraph.
Yes. Well-child and paediatric sick visits are supported, including parent-delivered history, growth and milestone content, and immunisation discussion. Parent-reported statements stay attributed to the parent in the HPI.
Yes. Screening discussions, lifestyle counselling, and shared decision-making conversations are captured as you have them, rather than reconstructed from memory at the end of the day.
You can customize section headings and default plan phrasing under your clinic settings — the AI will conform to that template.
All of them, because it does not need to be inside your EMR. You review the draft in ScribeMDPro and copy the full note or an individual section into whatever chart you use, or export a branded PDF. That also covers local and offline-first systems that have no integration API.
Consultations in English, Yoruba, Hausa and Swahili are supported, including visits that switch between languages mid-sentence. The output is a single note in standard clinical English, with the patient's own description of the complaint preserved in the subjective section.
$49 per month or $500 per year, with 15 AI consultations free when you sign up so you can test it on real clinic days before paying. There is no sales call and no minimum seat count.
Always. ScribeMDPro produces a draft; you review, edit and sign it, and the signed record is your clinical document. Nothing is entered into a chart on your behalf.
Complex adult medicine demands complete documentation. ScribeMDPro captures every problem,
Well-child, sick visits, developmental screening — ScribeMDPro drafts a complete note with
NYHA class, guideline-directed medical therapy, imaging review — ScribeMDPro drafts cardio
Start free — no credit card, no install. Sign up in under a minute and record your first ambient SOAP note today.