Internal Medicine
Complex adult medicine demands complete documentation. ScribeMDPro captures every problem, every med change, every plan modification.
Internists live inside dense problem lists. A single follow-up may touch chronic kidney disease, atrial fibrillation, heart failure, anticoagulation management, and a new medication reconciliation from a recent hospital discharge. Traditional dictation flattens that complexity — the AI approach we built for internal medicine preserves the hierarchical structure of the visit and keeps each problem, medication interaction, and plan modification traceable. ScribeMDPro's clinical language model was tuned against real internal medicine transcripts to recognize the specific vocabulary of adult subspecialty care without hallucinating findings that were never discussed.
Open ScribeMDPro before the internal medicine encounter and start recording — the patient never has to talk to a device.
Conduct your normal history and exam. Discuss each problem in turn — the AI segments the visit by problem, not by paragraph order.
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: 74yo M with CHF, CKD stage 3b, AFib on apixaban. Reports two-pillow orthopnea x1 week, +2 lb weight gain. Adherent to meds. O: BP 138/82, HR 88 irreg, JVP 8cm, bibasilar crackles, +1 LE edema. A/P: 1) CHF exacerbation — increase torsemide from 20mg to 40mg daily, daily weights, follow-up 5d. 2) CKD 3b — recheck BMP in 1 week after diuretic titration. 3) AFib — continue apixaban 5mg BID, no bleeding.
Illustrative only. Clinicians retain final responsibility for the record.
The problem list is treated as first-class structure. Each active issue gets its own A/P block; inactive problems are not repeated unless discussed.
Yes — a discharge summary template is available and captures hospital course, discharge medications, and follow-up needs.
Referral rationale and consultant follow-up planning are extracted into a dedicated Plan sub-section.
ACP conversations are preserved as a distinct narrative block that supports CPT 99497/99498 documentation requirements.
From well-child checks to complex chronic care, ScribeMDPro drafts the note while you focu
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.