Aug 10, 2026
Reading time: 6 mins

Shexie + Medow: how Dr Omar Gailani went from 8PM finishes to done when the patient leaves

Dr Omar Gailani is the sole doctor at Canberra Gynaecology Centre, running his entire practice on Shexie. This is the story of how pairing Shexie with Medow, and moving from Dictation to AI Scribe with dedicated support, ended the documentation that used to follow him home.

All
Letters generated by end of day
Shexie
The only full API integration with Shexie
Day 1
Style guide live from the first AI Scribe consult

Practice snapshot

Dr Omar Gailani is a gynaecologist and the sole doctor at Canberra Gynaecology Centre. On any given day he sees back-to-back patients across two sessions, running his entire practice on Shexie. Every consult generates a letter, and for a long time, those letters were the part of the day that never quite ended.

Before Medow: a second shift that started when the clinic closed

Each gynaecological consult is complex, each one generating documentation that needed to go out to a referring GP. For Dr Gailani, that documentation had a habit of waiting for him at the end of it all.

Before Medow I left work at 8PM because I had to do all the letters. And then I thought: this is doubling my time.

The hours were the visible part. The invisible part was what a day of consecutive consultations does to the mental reserves you have left for anything else.

I leave work and my head is not in good shape. I spend the whole day talking.

For a solo practitioner, there is no one to share that load with. The letters do not disappear because the clinic has closed. They just wait.

The Shexie integration: one platform, no gaps

For Dr Gailani, the value of Medow is inseparable from how it connects to Shexie. Everything lives in one place. Patient data flows directly into Medow before he starts dictating, which means names are pre-loaded, clinical context is already there, and there is no switching between systems or filling in gaps by hand.

Unlike other documentation tools that connect to Shexie through a widget, Medow uses a full API integration. That means patient data flows directly and securely between the two systems, without any manual steps, workarounds, or screen overlays sitting in between. It is the deepest integration Shexie supports, and for a solo practitioner running back-to-back patients, that distinction is the whole point.

For a one-man practice with no administrative support, that kind of integration is not a convenience. It is the difference between a workflow that works and one that creates more steps than it removes. The result is a clinical workflow where documentation happens inside the day, not after it.

The first step: Smart Dictation

Dr Gailani came to Medow through Smart Dictation. It fit neatly into his existing traditional dictation workflow: he dictated after each consult, exactly as he always had, and Medow's specialist-grade AI converted that dictation into a clean, structured clinical letter, punctuation, formatting, and all, ready to review. No new habits to build. No process to redesign.

But the more significant thing Smart Dictation gave Dr Gailani was something harder to measure: confidence. Confidence that Medow understood his clinical language. Confidence that the letters sounded like him. By the time he was ready to take the next step, the AI had already proved itself. The move to AI Scribe was not a leap at all.

The next step: AI Scribe, with Rosanna

When Dr Gailani was ready to move to AI Scribe, he did not do it alone. Rosanna, his dedicated Medow customer success manager, was with him from the first consult: setting up his style guide, fine-tuning templates, and making sure the output felt right from day one.

With Smart Dictation, Dr Gailani dictated after each consult. With AI Scribe, Medow listens during the consultation itself, connected directly to Shexie throughout. By the time the patient walks out, the letter is already drafted. The review takes seconds.

It listens to the consult, and all I do is eyeball it after and say ‘reviewed’, and it’s done. Combined with the Shexie integration, it’s taken the administrative burden almost completely out of my workflow.

The style guide Rosanna configured on day one meant the letters sounded like Dr Gailani from the very first consult. The AI had already learned his clinical voice through Smart Dictation. The style guide refined it.

Rosanna set everything up before I even started. From the first consult, the letters sounded like me, and she is there to help me if I ever need to refine it. It just gets better every time.

For a doctor who had spent years carefully crafting letters that reflect how he thinks and practises, that mattered. The letters still sound like him. They just no longer cost him his evenings.

Once you let it do its thing, it just works. I don’t have to think about it anymore, and that’s exactly the point.

The impact

The day ends at the clinic

All letters reviewed and sent on the day of the consult, without a single hour of evening catch-up. The documentation that used to push finish times to 8PM now happens inside the consult itself, flowing directly through the Shexie integration. By the time the last patient walks out, the work is already done. That is what a full API integration with Shexie makes possible.

The mental load goes with it

The benefit that does not show up in any stat is the hardest one to explain to someone who has not felt it: knowing it is done. Not sitting in a queue at home. Not waiting for tomorrow morning. Done. When the last patient leaves, so does he.

A journey, not a switch

Dr Gailani did not move from after-hours documentation to AI Scribe overnight. He started with Smart Dictation first: a lower-friction starting point that improved the quality and speed of his work without disrupting how he already worked. That step built trust in the AI that made the move to AI Scribe feel like a natural next step, not a risky change. Rosanna, his dedicated Medow customer success manager, made sure the landing was smooth.

What Dr Gailani’s path tells other solo specialists

For specialists running a practice on Shexie, the Medow integration removes the gap between the consult and the completed record. Smart Dictation changes the output without changing the workflow. AI Scribe moves the documentation into the consultation itself. Both steps live on the same platform, fully integrated with Shexie, with a dedicated customer success manager there from day one.

Using Shexie? See what Medow can do for your practice.

Find out how Medow integrates with your workflow at medowhealth.ai


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Omar Gailani
Omar Gailani
Dr Omar Gailani
Specialty:
Gynaecology
Location:
Canberra, ACT
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