Internal Medicine · Epic

Ambient AI scribe for Internal Medicine teams on Epic

Draft structured internal medicine SOAP notes during the visit, then move them into Epic without changing how your practice uses the chart.

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Internal Medicine clinicians working in Epic lose most of their documentation time to the same two problems: the encounter has to be reconstructed from memory after the patient leaves, and the finished narrative still has to be typed into Epic's note fields between rooms. ScribeMDPro removes the first problem entirely and shortens the second. It records the internal medicine consultation ambiently, keeps each problem separate, and returns a structured SOAP draft in seconds — already written in the register a internal medicine note needs. Because ScribeMDPro runs independently in the browser, no Epic Systems build, plugin, or IT project is required to start: notes paste cleanly into Epic progress-note fields today, and a native integration is on the roadmap. This page shows what the workflow looks like for a internal medicine clinic on Epic, what changes in the note, and what stays firmly under clinician control — every draft is reviewed, edited and signed by you before it becomes part of the record.

Documentation challenges we solve

Long problem lists tempt clinicians to copy-forward stale content rather than update each active issue
Medication reconciliation after hospital discharge produces the highest documentation errors in ambulatory internal medicine
Subspecialty referral loops require the internist to summarize consultant recommendations accurately
Notes still have to be retyped or restructured before they fit Epic's progress-note fields
Copy-forward inside Epic propagates stale problem lists into new internal medicine encounters

What clinicians gain

Explicit problem-oriented format — one A/P block per active problem, no copy-forward
Medication reconciliation captured as a discrete section with changes flagged
ACP and goals-of-care conversations preserved verbatim for billing and continuity
Section headers paste cleanly into Epic without reformatting
No Epic Systems configuration required — individual clinicians can adopt it the same day

How it works

Step 1
Record the encounter
Open ScribeMDPro before the internal medicine visit and start ambient capture. The patient never has to talk to a device.
Step 2
Let the draft build itself
A structured SOAP note appears seconds after the visit ends, written for internal medicine rather than a generic template.
Step 3
Review and sign
Edit inline, confirm every clinical fact, and approve. Nothing is filed without clinician sign-off.
Step 4
Move it into Epic
Paste the block-formatted note into the Epic progress-note field, or export as PDF for scan-based workflows.

Example SOAP output

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.

Frequently asked questions

Does ScribeMDPro work with Epic for internal medicine?

Yes. ScribeMDPro runs alongside Epic — the finished note is pasted into the progress-note field or exported as PDF. A native integration is planned.

Do we need Epic Systems IT approval to trial it?

No Epic Systems-side build is needed for the copy-paste workflow, so a single clinician can trial ScribeMDPro without an IT project. Security review material is available in the Trust Center.

Is the note tailored to internal medicine?

Yes. Drafts follow internal medicine conventions — problem separation, the findings that matter for this specialty, and plan language your colleagues will recognise.

Who is accountable for what the note says?

The clinician. ScribeMDPro drafts; you review, correct and sign. Clinical judgement never moves to the model.

Is patient audio stored?

Consultation audio is not retained after the note is produced. See the Trust Center and Security pages for the current data-handling detail.