The AI scribe for endocrinologists

The endocrine record, clinic to titration

The biochemistry, the dynamic function test you read and the dose you titrated, Note Dr writes the full record and matching GP letter, ready to approve.

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Trusted from private rooms to teaching hospitals

Bupa Until HCA Healthcare UK Nuffield Health Circle Health Group NHS
See it in action

From clinic consultation to approved letter

Note Dr listens to the consultation as it happens. While you take the history, interpret the thyroid results and reason your titration aloud, it writes the record and drafts the GP letter in the background, so your attention stays on the patient.

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Built for scrutiny

Defensible from clinic
to titration

  • Drug-safety counselling on record

    The agranulocytosis warning, the steroid sick-day rules, the pregnancy and interaction advice you gave, captured as you say them, not reconstructed later.

  • Titration reasoning captured

    The result you acted on, the dose you changed and why, recorded contemporaneously, so the thread of every adjustment is clear at the next review.

  • The clinic letter, written to match

    A GP letter drafted from the same consultation, carrying the diagnosis, medication changes and follow-up, the AoMRC headings the NHS contract requires.

Document the Graves' disease plan

Plan, Graves' thyrotoxicosis

Titration setCarbimazole 20 mg OD, titrate to free T4
Safety-net documentedAgranulocytosis warning, given verbally and in writing
Follow-up bookedRepeat thyroid function in 4 to 6 weeks

As precise as your titration

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the biochemistry you acted on, the titration you reasoned, the drug-safety advice and the follow-up, where published standards and audits show conventional hospital records routinely fall short.

  • Time back in your day
  • Burnout & wellbeing

Standards and audits referenced: GMC Good Medical Practice (2024), the RCP Generic Medical Record Keeping Standards (Carpenter et al, 2007) and the AoMRC record standards (2013) under the NHS Standard Contract, with ward-round and discharge audits (Armstrong and Carpenter, Cureus, 2022; Mehta et al, BMC Health Services Research, 2017).

A note for every
clinic contact

    Patient memory

    The last clinic plan,
    before they sit down

    Ask what you diagnosed last time, the dose you set, or what you told the patient about safety, answered in seconds from their own record.

    Walk into the review already knowing the titration story, without trawling the letters.

    Ask Note Dr, Nia Trantham
    What did we start Nia on, and what was she warned about?
    NNote Drfrom this patient's record
    At the clinic on 23 June, you diagnosed Graves' disease on a suppressed TSH and positive TSH-receptor antibodies. You started carbimazole 20 mg daily, titrated to free T4, with propranolol for symptoms. The agranulocytosis warning was given verbally and in writing, and thyroid function was booked for 4 to 6 weeks.
    Drawn from 2 documents across 1 visit
    Clinical references

    The standard,
    in the endocrine clinic

    When a presentation calls for it, Note Dr surfaces the published guidance endocrinologists work to, from the GMC and AoMRC record standards to NICE thyroid and diabetes guidance and the Society for Endocrinology emergency guidelines, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptNia TranthamToday · 17:06
    06:18NiaI've lost weight without trying, my heart races and my eyes feel gritty.
    06:31EndocrinologistSuppressed TSH, raised free T4, TSH-receptor antibodies positive. This is Graves' disease.
    NNote Dr

    Want me to surface any guidance for this? You could ask:

    Show me the GMC Good Medical Practice record-keeping standards
    What do the AoMRC headings require in a clinic letter?
    What does NICE recommend for managing thyrotoxicosis?
    Remind me of the Society for Endocrinology guidance on adrenal crisis
    Find the carbimazole agranulocytosis safety advice to counsel on
    GuidelinesJournalsReferences

    The clinic's record,
    sorted

    Why endocrinologists trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    The letter writes itself

    Dr Saoirse M, consultant endocrinologist

    The clinic letter used to be my evening's work. Now it drafts from the same consultation, with the diagnosis, the dose change and the follow-up already in the right headings. I read it, tidy a line and approve it before the next patient.

    ★★★★★

    Every titration is traceable

    Dr Tomasz W, diabetes and endocrinology consultant

    What I changed and why is finally on record at every visit. When I pick a patient up six months on, the thread of the titration is right there. No more guessing what my colleague was thinking from a one-line entry.

    ★★★★★

    Drug-safety advice, never missed

    Dr Niamh F, endocrinology registrar

    The agranulocytosis warning and the steroid sick-day rules are the things you cannot afford to leave out. Note Dr puts what I actually said in the note and the letter every time, which is exactly where my exposure was.

    ★★★★★

    The dynamic tests read properly

    Dr Rafferty O, consultant endocrinologist

    A Synacthen or a water-deprivation test is only as good as its record. The indication, the timed values and my interpretation now sit together as a audit-ready note, instead of numbers scattered through the chart.

    ★★★★★

    Calmest clinic audit yet

    Dr Carys P, clinical lead, endocrinology

    Clear, contemporaneous records across the whole team, with the plan, safety-netting and follow-up on every contact. Our last records audit against the AoMRC standards was the smoothest we have run; the notes already told the whole story.

    Rated 4.7 out of 5 by endocrinologists from 69 reviews

    What's said in the surgery
    stays in the surgery.

    Every recording and record is protected by strong, independently assessed security and encryption.

    ISO 27001 Aligned Cyber Essentials GDPR Compliant ICO Registered NHS Compliant UKCA Medical Device HIPAA Compliant

    ★★★★★

    Across a full clinic, new referrals, titration reviews and the diabetes lists, every record now reads to the same standard, with the biochemistry, the reasoning and the safety advice that used to vanish when I was running late. The GP letter is drafted before I have finished the consultation, and my notes finally match the work I actually do.

    Dr Llewelyn AConsultant endocrinologist

    Endocrinologist FAQs

    Can Note Dr draft my endocrine clinic letter to the GP?

    Yes. From the same consultation, Note Dr drafts a GP letter to the AoMRC headings the NHS contract requires, carrying the diagnosis, the medication started or changed and the follow-up plan. You review and approve it before it is sent, so the letter that reaches the GP is yours.

    Do patients need to consent to an AI scribe in clinic?

    Yes, patients should always know a scribe is in use. You introduce Note Dr at the start of the appointment, whether a new thyroid referral or a routine diabetes review, and any patient can decline. Transcription happens on your device, and nothing enters the endocrine record until you have reviewed and approved the note.

    How accurate is an AI scribe with endocrine results and doses?

    Note Dr drafts the note from what was actually said in the consultation, so the thyroid function you interpreted, the cortisol response you read and the carbimazole or levothyroxine dose you set appear as you stated them. You check every value and unit at review, and nothing is filed until you approve it, so the record stays yours.

    Can an AI scribe document CGM downloads and insulin adjustments?

    Yes, Note Dr documents the CGM review as you talk it through: the overnight pattern, time in range and any hypoglycaemia, alongside the basal or bolus adjustment you agreed and the safety advice you gave. The same detail carries into the GP letter, and you review and approve both before anything is shared.

    Does it document dynamic function tests like a short Synacthen?

    Yes. As you run a short Synacthen, water-deprivation or other dynamic test, Note Dr records the indication, the protocol, the timed values and your interpretation as one thorough note. The numbers and the reasoning that led to your action sit together, rather than scattered through the record.

    Is it suitable for diabetes annual reviews and clinics?

    Yes. With a custom template, Note Dr structures the diabetes review consistently: glycaemic control, the foot and eye checks, the complication screen and the plan. As you work through each, it drafts the note and the patient and GP letter to your layout, ready for you to review and approve.

    How does it record medication titration over several visits?

    As you act on a result, Note Dr captures the value, the dose you changed and your reasoning at each review. The titration thread stays clear from visit to visit, so when a patient is picked up later the rationale behind every adjustment is documented, not reconstructed from a one-line entry.

    Records that keep up with the endocrine clinic

    Complete, inspection-ready records for every contact on your list, new referrals, titration reviews and diabetes clinics, with the GP letter drafted to match, reviewed and approved by you. Reasoning, safety-netting and follow-up, finally handled.

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