Using the ambient scribe

The ambient scribe listens while you work and writes the clinical note for you. Findings you say with a tooth number also go on the tooth chart. Probing depths go on the perio chart once you start charting.

Starting the scribe

A new appointment starts listening on its own. On a phone, a bar may ask you to Tap to start listening. Tap it once.

If you open an appointment again later, press Resume to start listening.

How to tell it's listening

On a computer or tablet, the header shows it.

• The header reads Transcribing with a running clock.
• A chip beside the clock names the microphone in use. Click it to choose another microphone. Switching keeps the appointment's transcript going.
• A gold level meter runs along the top edge of the header. It moves with your voice and shrinks to a small bar in quiet moments.

On a phone, the gold meter runs along the top edge of the bar at the bottom of the screen. There is no red light while the scribe listens.

Where the words go

• The scribe writes the note on the Note tab. A gold pen on the tab shows the note being written.
• The note uses standard headings, such as Clinical findings, Diagnosis, Procedure and Plan / Next visit. A heading appears only when the visit gives it something.
• Anything you type in the note stays as you wrote it.
• The Transcript tab keeps the words themselves.

A note you add on one of your templates gets its own tab. The scribe keeps writing into the Note tab.

Pausing

On a computer or tablet, press Pause to stop listening without ending the appointment. Resume picks up where you left off, in the same note. While the appointment is paused, the header also offers End appointment.

While Rebrief stays open, a paused appointment ends itself after 10 minutes. Typing or clicking on its page restarts that clock.

On a phone, the bar at the bottom holds End while the scribe listens and Resume when it doesn't. It has no Pause.

The scribe keeps listening if you go to another page. A Scribe card in the corner shows what it heard last. It has Open to go back, and Pause or Resume. The Scribe row in the left rail can pause, resume or end it too.

If the room goes quiet

After 5 minutes with no speech, Rebrief asks No audio detected, still there? Say anything, or press Resume Appointment, to carry on. If nobody answers within 5 more minutes, the appointment ends.

On a computer, if the Rebrief tab is hidden or minimized, 20 quiet minutes pause the scribe instead. Like any pause, the appointment then ends 10 minutes later.

When you press End

End stops the scribe and saves the note and the chart. Rebrief then finishes the note from the whole visit.

1. It transcribes the appointment's audio a second time, more carefully.
2. It rewrites the note on the Note tab from both transcripts. Anything you typed is kept as you wrote it.
3. It adds back clinical facts the transcripts state that the note left out. It also fixes words the scribe misheard.
4. It removes statements the conversation doesn't support. Another person's story written as the patient's is one example. A plan for work that was then done in the same visit is another.

Notes on your templates keep their headings and get the last two steps.

While this runs, the mark on the note's tab turns. A green check appears when the polished note lands. End also opens + Create once, in case the visit needs a document.

Reviews after the note is back

Rebrief keeps reviewing for a short while after the polished note lands.

• It checks the note on the Note tab for medicolegal omissions. Anything missing shows as a faded line with Add and Skip.
• It links sentences of the note to the words said. The note's bar then shows a count, such as 12 sources.
• It checks the chart against what was said and corrects it. If the appointment is still open, a notice says the chart changed.

Each of these has its own article.

After End

• Once the careful pass is ready, the Transcript tab shows it, headed Transcript (refined).
• The audio is deleted once End has transcribed it. Rebrief keeps the transcript and the note, not the audio.
• Press Resume to carry on with the same appointment. The next End polishes the note again.

Tips

• Pick your microphone from the chip once. Rebrief remembers it on this computer.
• Add the brands, materials and abbreviations you use to My dictation dictionary. It is in Settings, under Notes & dictation. The note spells them your way.
• Write your usual steps under My standard protocols in the same place. Say "procedure completed uneventfully" and those steps go into the note.