Trusted from independent practice to national hospital groups
The MDT outcome, the reconstruction options you offered and the margins you report, Note Dr writes the breast surgery record, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the consultation as it happens. While you relay the MDT decision and talk a patient through wide local excision, the reconstruction options and the material risks, it writes the record in the background, so a woman facing breast cancer surgery gets you, not the top of your head over a keyboard.
Montgomery consent on record
The material risks you set out and the reasonable alternatives you offered, including mastectomy and reconstruction, captured in the patient's own context as you discuss them, not reconstructed from memory afterwards.
The MDT outcome you acted on
The tumour characteristics, the team's recommendation and the plan you agreed with the patient, documented at the moment the decision was relayed, so the record shows what was decided and why.
Operation note to RCS standard
Findings, complications, the specimen and any extra procedure, implant serial numbers, closure and prophylaxis, the medicolegal fields audits find dropped most, drafted as you operate.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in breast surgery, the operation note in full, the material risks and alternatives you disclosed, and the continuity from MDT to follow-up, where published standards and audits show conventional records routinely fall short.
Standards and audits referenced: RCS England Good Surgical Practice (2025), Montgomery v Lanarkshire Health Board (2015), GMC Good Medical Practice (2024), with operation-note and consent audits (Singh et al, 2012; Tonge et al, 2021).
Ask what the MDT recommended, exactly which risks and alternatives the patient consented to, or what the margins showed, answered in seconds from their own record.
Walk into theatre or the follow-up clinic already knowing the story, without trawling the notes.
When a case calls for it, Note Dr surfaces the published guidance behind your decisions, the Association of Breast Surgery and NICE guidance on early breast cancer and sentinel node biopsy, RCS Good Surgical Practice on the operation note, the consent standard after Montgomery and the WHO surgical safety checklist, with the source cited. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why breast surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
Montgomery consent, every time
It logs the material risks and the alternatives I offer, positive margin, seroma, altered sensation, mastectomy with reconstruction, in the patient's own context. For surgery where consent is everything, the discussion is always there in black and white when records are reviewed.
★★★★★
The MDT outcome, never lost
Relaying the MDT decision to a frightened patient used to leave a thin note. Now the recommendation, the tumour biology and the plan we agreed are all captured as I talk it through. The thread from MDT to surgery is unbroken.
★★★★★
The operation note is finally complete
Findings, the specimen orientation, complications, closure, blood loss, prophylaxis, the fields that always slipped at the end of a list are all there. It is drafted to the Good Surgical Practice standard before I have left theatre.
★★★★★
Anxious patients get my full attention
A woman hearing she has breast cancer does not want me typing. Now I can explain, offer the options and reassure, and the consultation note still writes itself. It has genuinely changed how my clinics feel.
★★★★★
Candour, on the record
When a margin comes back positive and a patient needs a second operation, the open conversation is documented exactly as it happened. The duty-of-candour discussion is captured at the time, which is precisely where my exposure used to sit.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this complete: the MDT outcome, the Montgomery consent with every alternative offered, the operation note to RCS standard, the margins and the follow-up. For the first time I would hand a court the full file on any case I have done and trust it to speak for itself.
Miss Annabel CConsultant breast surgeon
Yes — best practice is to tell the patient an AI scribe is helping with the notes, and to stop if they would rather it were not used; current NHS guidance on ambient scribes expects the same courtesy. In a breast clinic, where bad-news conversations are common, that matters. With Note Dr, transcription is on-device, and nothing enters the record until you review and approve it.
Yes — it drafts the operation note as you work, covering findings, complications, the specimen and any extra procedure, implant serial numbers, closure, estimated blood loss and prophylaxis. Written up from memory after the list, the cavity shave, the specimen orientation and the prophylaxis given at induction are easy to leave out. You review and approve before it reaches the record.
Yes — Note Dr is built for clinical conversation, so the language of the breast clinic, from wide local excision, sentinel lymph node biopsy and axillary clearance to oncoplastic reshaping, DCIS and receptor status, appears in the draft as you said it. You review and approve every note before it enters the record, so any term you would phrase differently is yours to change first.
Yes — Note Dr drafts the clinic letter as you consult, so a one-stop clinic attendance or a results appointment leaves the triple assessment, the working diagnosis and the plan already in letter form for the GP. You review, edit and approve every letter first, and because Note Dr needs no system integration, you paste or export it into whichever system your clinic uses.
It captures the material risks you disclose, positive margin, seroma, infection, altered nipple sensation, scarring and asymmetry, and the reasonable alternatives you offer, in the patient's own context as you discuss them. The contemporaneous record of the consent discussion is exactly what Montgomery and RCS Good Surgical Practice require.
Note Dr records the MDT recommendation and tumour biology as you relay them, then captures the histology and margins at follow-up: clear or involved margins, node status and the adjuvant plan. The thread from MDT to surgery to results stays unbroken, with each decision documented at the time it was made.
Many breast surgeons find an ambient scribe most valuable in the hardest consultations, because a woman hearing her diagnosis deserves eye contact, not the top of your head over a keyboard. Note Dr listens while you explain the diagnosis, MDT recommendation and next steps, then drafts it for your review. If a patient would rather not, you switch it off — the choice is theirs.