The AI scribe for medical oncologists

The oncology record, complete

Staging and performance status, the regimen and its intent, the risks you consented, Note Dr writes the full, watertight record, 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 to approved letter

Note Dr listens to the consultation as it happens. While you take the history, weigh the trial evidence and consent the regimen aloud, it writes the record and drafts the clinic letter in the background, so your eyes stay on the patient, not the keyboard.

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Built for scrutiny

Defensible by
default, every cycle

  • Consent and material risks on record

    The intent of treatment, the material risks you discussed and the alternatives, captured as you consent the regimen, the Montgomery-standard discussion documented contemporaneously.

  • MDT decision and reasoning captured

    The multidisciplinary recommendation and the reasoning behind the line of treatment, recorded as you explain it, not summarised from memory after clinic.

  • Toxicity monitoring documented

    The bloods you ordered, the dose decisions you made and the sepsis safety-netting you gave, the elements audits show slip when clinic overruns.

Document the second-line chemotherapy plan

Plan, second-line FOLFIRI

Consent recordedPalliative intent, material risks, Montgomery standard
MDT decision loggedColorectal MDT: second-line FOLFIRI agreed
Monitoring setFBC, U&Es, LFTs pre-cycle; sepsis safety-net given

As careful as your consent

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, staging and performance status, the consent discussion, the MDT decision and toxicity monitoring, where audits against published standards 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 oncology contact

    Patient memory

    Last consultation's decisions,
    before they sit down

    Ask what you consented, what the MDT recommended, or which toxicities you were monitoring, answered in seconds from the patient's own record.

    Walk into clinic already knowing the story, without trawling the notes.

    Ask Note Dr, Rosalind Goodfellow
    What did we consent for Rosalind, and what are we monitoring?
    NNote Drfrom this patient's record
    At the review on 15 June, the colorectal MDT recommended second-line FOLFIRI with palliative intent. You consented the material risks, neutropenic sepsis, diarrhoea, nausea, mucositis and alopecia, to the Montgomery standard, and set monitoring of FBC, U&Es and LFTs before each cycle with sepsis safety-netting given.
    Drawn from 4 documents across 3 visits
    Clinical references

    The standard,
    at the oncology MDT

    When a decision calls for it, Note Dr surfaces the published guidance medical oncologists work to, from GMC Good Medical Practice and the AoMRC record standards to NICE and ESMO treatment guidance and SACT toxicity management, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptRosalind GoodfellowToday · 17:06
    07:12RosalindHas it spread further since last time? And what does that mean for treatment?
    07:28OncologistRestaging shows progression in the liver. Performance status is one, so second-line systemic therapy stays on the table.
    NNote Dr

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

    Show me the GMC Good Medical Practice guidance on records
    What does NICE recommend for metastatic colorectal cancer?
    Summarise the ESMO guidance on second-line systemic therapy
    Remind me of the neutropenic sepsis management pathway
    Find the evidence on FOLFIRI in the second-line setting
    GuidelinesJournalsReferences

    Oncology records,
    sorted

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

    ★★★★★

    Consent finally reads like the conversation

    Dr Aravind M, consultant medical oncologist

    Consenting chemotherapy is the highest-stakes discussion I have. Note Dr captures the intent, the material risks and the alternatives the way I actually said them. The Montgomery-standard record is there before I leave the room.

    ★★★★★

    The clinic letter writes itself

    Dr Saoirse B, consultant in medical oncology

    I used to dictate letters for hours after clinic. Now the GP letter is drafted to the right headings as I consult, with the diagnosis, plan and monitoring. I review and approve, and it goes out inside the seven days.

    ★★★★★

    MDT outcomes never get lost

    Dr Per L, consultant oncologist

    The MDT decision and the reasoning behind the line of treatment used to live in my head until I wrote the note that evening. Now it is recorded as we agree it, with the rationale, so continuity across the team is solid.

    ★★★★★

    Toxicity monitoring, on every note

    Dr Halima O, consultant medical oncologist

    The bloods I ordered, the dose decisions, the sepsis safety-netting, those are exactly where my exposure sits. They are now in every treatment note, contemporaneously, rather than the bits I hoped I had remembered to write.

    ★★★★★

    Calmest case-note review we've run

    Dr Tobias W, clinical lead in oncology

    Contemporaneous records across the whole firm, with consent, MDT decisions and monitoring on every pathway. Our last case-note review was the smoothest in years, the notes already told the whole story for each patient.

    Rated 4.7 out of 5 by medical oncologists 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 diagnoses, treatment reviews and ward referrals, every record now reads to the same standard, with the consent discussion, the MDT decision and the toxicity monitoring that used to vanish when the lists overran. My notes finally match the decisions I actually make.

    Dr Cordelia VConsultant medical oncologist

    Medical oncologist FAQs

    Is an AI scribe accurate with oncology terminology?

    Note Dr is designed for the language of the oncology clinic: staging, performance status, regimen names, cycle numbers and toxicity grades, captured as you say them. Accuracy is protected by the workflow as much as the model — every draft is reviewed and approved by you before it enters the record, so anything misheard is yours to correct on the spot. Nothing is filed unread.

    Can I use an AI scribe when breaking bad news?

    Yes — you stay in control of what is captured. Prognosis discussions and breaking bad news are the consultations where eye contact matters most, and Note Dr writes in the background so you are not typing through them. You choose when it listens, and the draft only becomes part of the record once you have read, amended and approved it.

    Can an AI scribe document clinical trial discussions?

    Yes — Note Dr drafts the trial discussion into the note as you have it: eligibility, what randomisation means, the visit burden and the standard-of-care alternative. The record then shows what the patient was actually told when they considered the trial. Formal trial consent still follows your unit's own process; the note documents the conversation behind it, reviewed and approved by you.

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

    Yes — tell the patient what Note Dr does and take their agreement before it listens, as you would for any recording of a consultation. In oncology clinics, where relatives often sit in and conversations can be distressing, explain it briefly and leave it off for anything they prefer unrecorded. Transcription stays on your device, and nothing is filed until you review and approve it.

    How does it record consent for chemotherapy?

    As you explain the intent of treatment, the material risks and the alternatives, Note Dr captures the consent discussion to the Montgomery standard: what you disclosed, the risks the patient understood and that they agreed to proceed. It is recorded the moment you consent, so the note reflects the conversation accurately.

    Can Note Dr draft my clinic letter to the GP?

    Yes. As you consult, Note Dr drafts a clinic letter to AoMRC headings, with the diagnosis, treatment plan, medication changes and monitoring. It is ready for you to review and approve well inside the seven-day NHS Standard Contract window. The letter that reaches the GP is yours, not the software's.

    Does Note Dr document MDT decisions and reasoning?

    Yes. Note Dr records the multidisciplinary recommendation, the imaging and pathology summary and the reasoning behind the line of treatment, with the responsible clinician and the actions agreed. The decision and its rationale are captured as the outcome is reached, not reconstructed from memory after the meeting.

    Records that keep up with the oncology clinic

    Complete, audit-ready records for every patient on your list, new diagnoses, treatment reviews and ward referrals, reviewed and approved by you. Consent, MDT decisions, toxicity monitoring and the GP letter, finally handled.

    Get Note Dr free

    Free forever · No credit card · Not a trial