Orthopedics

Orthopedic documentation as fast as an ortho clinic

High-volume, joint-focused visits demand a note that keeps up. ScribeMDPro drafts complete orthopedic notes in seconds.

Orthopedic outpatient clinics run at a pace that no traditional documentation workflow can match — 40 to 60 patients a day, each with joint-specific exams, imaging review, and often a same-day injection or surgical planning discussion. ScribeMDPro was designed for that tempo. The model recognizes joint-specific examination language (Lachman, McMurray, Neer, Hawkins, Spurling), captures range-of-motion values as they are called out, and structures the note around the affected joint rather than a generic body-systems review. Surgical planning discussions and informed consent conversations are preserved where they should be.

Documentation challenges we solve

Joint-specific exams (shoulder, knee, spine) use vocabulary a general-purpose scribe will misinterpret
Range of motion is often called out in shorthand ('flexion to 90, extension to –10') that requires numeric parsing
Imaging review needs to link findings to symptoms in the plan
Operative planning and shared decision-making conversations must be documented for consent and billing

What clinicians gain

Joint-focused exam templates for shoulder, knee, hip, spine and hand — populated from natural language
ROM values captured as discrete numeric fields
Imaging findings linked to clinical assessment in the A/P
Injection and pre-operative planning conversations captured verbatim

How it works

Step 1
Start ambient capture
Open ScribeMDPro before the orthopedics encounter and start recording — the patient never has to talk to a device.
Step 2
Focus on the patient
Conduct your normal history and exam. Perform your joint exam and speak findings aloud — special tests and ROM values are captured as structured data.
Step 3
Auto-drafted note
A structured SOAP note appears seconds after the visit ends, formatted for your specialty.
Step 4
Review, sign, export
Edit inline, copy to your EMR, download as PDF, or push through supported integrations.

Example SOAP output

S: 54yo M with 3-month right knee pain, medial. Worse with stairs and prolonged sitting. Denies locking or giving way. Failed trial of NSAIDs.
O: Right knee: mild effusion, tender medial joint line. ROM flexion 120°, extension 0°. McMurray positive medially. Ligamentously stable. MRI: horizontal cleavage tear of medial meniscus.
A: Symptomatic medial meniscal tear, right knee.
P: Discussed options: continued conservative management vs arthroscopic partial meniscectomy. Patient elects surgery. Scheduled OR. Pre-op labs ordered.

Illustrative only. Clinicians retain final responsibility for the record.

Frequently asked questions

Does it understand joint-specific special tests?

Yes. Lachman, McMurray, Neer, Hawkins, Spurling, Faber and dozens more are recognized and rendered correctly.

Can it capture range of motion values?

ROM values are captured as discrete numbers when spoken and rendered in a standard format.

What about operative notes?

Operative note templates are available, though most surgeons use the ambient tool for clinic and dictate procedures separately.

Does it work in a fast-paced clinic (40+ patients/day)?

Yes — the workflow is designed for high-volume orthopedic clinics where charting must complete between rooms.

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Epic integration

Cerner (Oracle Health) integration

AI SOAP Notes

Ambient Medical Scribe

Trust Center

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