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A subspecialist haematology practice on Gentu, where the practice principal types faster than most dictation tools and still got his evenings back.
Before Medow, Prof. Chan Cheah had already tested the alternatives and rejected them. Dragon. Nuance. Dictation services going back years. Every time, he came to the same conclusion: he could type the letter faster himself. So he did. Short letters, a tight structure, a key context paragraph carried forward from the previous letter, typed by hand between patients.
The typing was never the problem. The problem was what waited for him at the end of the day.
I'm a relentless and obsessive optimiser. I just like to get all of my workflows as tight and efficient as possible.
Prof. Cheah is the practice principal of a busy inner-city private haematology practice: subspecialist, academic, with a clinical trials focus. Three doctors, three admin staff, with the practice running on Gentu.
The hour after the last patient
On a heavy clinic day, reviewing documentation took Prof. Cheah 45 to 60 minutes, and sometimes 90. Not because he was slow, but because there was simply a lot of it, and he wanted everything neat, tidy and squared away before he left.
Why he uses Smart Dictation
Prof. Cheah’s letter style is very specific, and a large part of each letter is disease and treatment context carried across from the letter before it. Smart Dictation suits that exactly: he dictates once the patient has left, the draft lands in 10 to 15 seconds, and the words are his. He uses that 15-second window to check appointments and billing, then reviews, approves, and exports the letter back into Gentu.
His two associates run the ambient AI scribe instead. Same platform, two workflows, one practice.
Haematology runs on drug names no general dictation dictionary recognises easily, and clinical trials add compounds that do not exist in one yet. Medow lets Prof. Cheah add his own words, trial drugs included, so he says them once, at normal speed, and they come back right.
Dragon would never be able to do it… I don't have to say it really slowly. I can just say it, and Medow will recognise it.
The change Prof. Cheah did not expect came on the ward. Previously, a hospital consultation meant handwritten notes, and a letter did not always follow. Now he dictates in real time, and the referring clinician has a clearly formatted letter within the day.
It's just [a] much, much better workflow than what I had previously, which was handwritten scribble.
The hour after the last patient is gone. Documentation that used to take 45 to 60 minutes, and 90 on a heavy day, is finished before Prof. Cheah leaves the building, in around 20. He walks out at the end of the clinic with nothing outstanding.
The letters read exactly as they always did, because the words are still his. The difference is what the day costs him to produce them, and, on the ward, the letters that now get written at all.
It's an efficiency gain, and I certainly would recommend it... In terms of efficiency, accuracy and speed… it is improving over time, and for me it hits the sweet spot.
Still typing your own letters because nothing else has ever been fast enough?
See how Medow fits a subspecialist workflow at medowhealth.ai
