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Sydney paediatrician switched from a generalist AI scribe to Medow, kept his Genie workflow exactly as it was, and finally got letters that sound like him.
Dr Neil Ginsberg had already tried an AI scribe before he found Medow. It was a popular generalist tool in the market, and on paper it did the job. In practice, the drafts required manual correction, and he had to copy and paste the letters into his practice management solution, which eroded the time-saving benefits he was seeking. The tool meant to save time was quietly handing it back. Today, his correspondence is drafted during the consultation, in his own words, and synced into Genie ready to go to the referring GP. The work is finished in the clinic, and nothing about his practice manager’s day had to change for that to happen.
Dr Neil Ginsberg is a general paediatrician practising across Sydney’s north-west and upper north shore. He consults from rooms in Wahroonga and Westmead Private Hospital with clinical interests spanning newborns, allergy & asthma, developmental paediatrics, autism, and ADHD.
Every consultation produces a letter back to a referrer, and the practice runs on Genie, with a practice manager keeping correspondence, referrals and billing moving. Any tool that added steps for that team, or asked them to learn something new, was a non-starter. The AI had to have a seamless workflow with Genie.
The first scribe Dr Ginsberg used was a general-purpose AI tool built to work across many kinds of medicine. It was capable, but it was built for everyone, which meant it was built for no specialty in particular. In paediatrics, the gaps showed fast. Local place-names came back misspelled or guessed at, an issue that compounds for a doctor consulting across different suburbs and referral networks. Medications were often not locally recognised. Age-specific developmental terms were flattened into something generic. The particular phrasing a paediatrician uses to write to a GP was not quite there.
The letters would come back with a suburb misspelled, or a term that just wasn’t how a paediatrician would put it.
Medow is built specifically for specialist medicine in Australia and New Zealand, with a dedicated AI model per specialty and in-house doctors who continuously refine its outputs. Its paediatric model is trained on the language, terminology and documentation patterns of paediatrics, so the difference was immediate.
General paediatrics covers a lot of ground. Dr Ginsberg sees a high volume of newborns, allergy and respiratory presentations, and developmental and behavioural concerns, and each area has its own vocabulary, milestones and reference points. Medow captured that range with a fluency he had not seen elsewhere.
Medow got every detail, straight away. It’s the first scribe that actually felt like it understood what I do.
The other decisive factor was the Genie integration. Medow connects to Genie through a direct, API-based integration: appointments and patient lists sync in from Genie, and once Dr Ginsberg has reviewed the documentation, the finished letter syncs back into Genie in under 60 seconds, ready to send to the GP. There is no copy-paste, no exporting, no moving between systems, and no manual reformatting.
That is what made the decision easy. Because everything lands back in Genie automatically, the workflow his practice manager already knew stayed exactly as it was. No new software to learn, no new steps to absorb, no change to how correspondence leaves the practice. The only person who adopted anything new was the doctor. Everyone else kept working the way they always had.
That was the big one for me. My practice manager didn’t have to learn a thing. The letters just appear in Genie the way they always have.
Setup and everything after it were handled by a dedicated local Customer Success manager, Annie Roberts. She built out Dr Ginsberg’s templates, tuned the outputs to the specificity he wanted, and stayed reachable once onboarding was done. Knowing he did not have to own any of that himself was, in his words, a major part of the decision.
Unlike his previous provider, Medow’s customer success team worked directly with his IT team to set up the integration with Genie.
Annie set up my templates and she’s still just a message away. It hasn’t come up often, but when it has, she’s sorted it quickly.
The proof, for Dr Ginsberg, is in the reading. The letters going out to GPs are recognisably his: his phrasing, his clinical voice, his way of summarising a child’s presentation.
They read like I wrote them. I’m signing off, not rewriting them.
With much of the editing gone and the integration set up with Genie, Dr Ginsberg estimates he has recovered around five hours a week. The work that once followed him out of the clinic is finished in the clinic. And because nothing changed for his staff, none of that time was paid for elsewhere in the practice.
For specialists running on Genie and still correcting a generalist scribe, the comparison is simple: a model built for your specialty, letters that sound like you, and finished correspondence that flows straight back into Genie with nothing for your team to relearn.
Running your specialist practice on Genie?
See how Medow’s specialty-specific AI drafts your letters and syncs them straight back into Genie, at medowhealth.ai
