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Dr Nigel Dunglison had written his own clinical documentation for more than two decades before he set the whole thing up in Medow himself. His letters went out through Dragon and a library of templates he had built; the consultation note underneath was whatever time allowed: the important points, a drawing. Today the note, the letter and the operation report are all generated in Medow.
Nigel is a urologist at Wesley Urology Clinic in Queensland, working predominantly in reconstructive urology. His week divides evenly: two days of clinic, two days operating. When the practice moved from Genie to Gentu, the Dragon licence he owned outright did not come across. Rather than take out a new subscription, he looked at the alternatives, and a colleague pointed him at Medow.
What stood out in the first session was the consult note.
I felt like for the first time ever… I had a good, solid consultation note that I could refer back to. I've always had something, I'd put in the important things, or pictures that I'd drawn, but it was not to this detail.
From there he went to work on the letters. Nigel builds and adjusts his own templates: he tests a change, runs a clinic, and adjusts again.
With the ability to create templates… it seemed to just be a whole jump better in terms of me being able to produce a letter which had the information in the way I wanted it.
Medow builds a dedicated model for each specialty, refined by doctors in-house. Nigel's is urology, and it handles urological terminology, procedure names, anatomy and drug names without being asked.
I really think it's been brilliant in that regard.
It also recognises the shape of a urology consultation. More than half of Nigel's consultations have a family member in the room, usually an older patient who wants a child or a wife involved in the decision, and the note records who was there. When he walks a patient through one of his information slideshows, it recounts that a patient information resource was reviewed. In reconstructive urology, patients frequently bring photographs, and it records that a photograph was shared with him.
They're… important; that there's some evidence to say you've seen what's wrong.
Nigel built his own urology operation report template and had his operating list synced from Gentu. His operation reports now come out of Medow rather than his keyboard.
It's really very, very good, probably better than what I would ever type.
Templates cover the operations he does often. For the unusual ones, he uses Smart Dictation inside an already generated report, adding a sentence or a paragraph out loud. He rates it above what he had before: "My dictation is definitely better" than Dragon.
Building it his own way suits him. He has rarely needed Medow's Customer Success team; when he has, Solveigh has been quick to sort it out.
Nigel did not go looking for AI. He went looking for a Dragon replacement, and built the rest himself. His advice to urologists weighing it up:
Try it and trust it.
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