Trusted from independent practice to national hospital groups
The cancer MDT decision, the stoma you fashioned and the operation note in full, Note Dr writes the colorectal record, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the clinic as it happens. While you talk a patient through the MDT decision, the operation and the stoma, it writes the record in the background, so someone facing bowel surgery and a possible stoma gets you, not the top of your head over a keyboard.
Material-risk consent on record
The leak, the stoma that may become permanent, the bowel and sexual function risk and the alternatives, captured in the patient's own context as you discuss them, the consent Montgomery requires you to document.
The operation note, RCS-complete
Findings, complications, any extra procedure, the stoma fashioned, blood loss, antibiotic and VTE prophylaxis and closure, the narrative fields audits show are dropped most, documented contemporaneously.
MDT decision and candour captured
The MDT staging and recommendation that justified the operation, and any complication or unexpected finding shared with the patient, recorded as part of the record, not reconstructed afterwards.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in colorectal surgery, the RCS operation-note elements, the Montgomery consent discussion and the continuity from MDT to discharge, 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 were consented, or how the stoma was planned, answered in seconds from the patient's own record.
Walk into theatre or the ward round already knowing the story, without trawling the notes.
When a case calls for it, Note Dr surfaces the published standards behind your decisions, RCS Good Surgical Practice on the operation note, GMC and Montgomery on consent, the WHO Surgical Safety Checklist and the relevant colorectal cancer and stoma guidance, 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 colorectal surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
My operation notes are finally complete
The fields that always got dropped, complications, blood loss, the prophylaxis, the stoma detail, are now in every operation note. It drafts to the RCS layout as I work, and the note is finished before the patient leaves recovery. Reviewing and approving takes me a minute.
★★★★★
Montgomery consent, every case
Recording the specific risks and the alternatives, in the patient's own context, used to be where I felt most exposed. Now the material-risk discussion for a resection and a stoma is captured exactly as it happened, which is precisely what Montgomery asks of me.
★★★★★
Stoma consent never gets lost
When I explain a defunctioning ileostomy, that it is temporary, that it may become permanent, the siting by the nurse, all of it is logged. For patients facing a stoma, that conversation being on record matters as much as the operation itself.
★★★★★
The MDT thread holds together
The staging, the MDT recommendation and the reasoning that justified the operation now run right through to the discharge summary. When the record is reviewed, the whole decision is there, not pieced together from four different documents afterwards.
★★★★★
Candour, captured at the time
If there's an unexpected finding or a complication, what I found and what I told the patient is recorded as it happens. Duty of candour stops being a thing I write up later and becomes part of the contemporaneous record.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this complete: the MDT decision, the Montgomery consent, the stoma plan and an operation note with every RCS element on it. For the first time I would hand a court the full file on any resection I have done and trust it to speak for itself.
Miss Edith FColorectal surgeon
Yes. It drafts the operation note as you work, capturing the RCS Good Surgical Practice elements: findings, complications, any extra procedure, tissue removed, the stoma fashioned, estimated blood loss, antibiotic and VTE prophylaxis and closure. Written up after the list, the blood loss, prophylaxis and stoma detail blur; drafted at the table, they hold. You review and approve before saving.
Yes — Note Dr drafts the clinic letter while you consult, ready for you to review, approve and send. It captures the urgent suspected-cancer history, examination and DRE findings, the working diagnosis and your plan, whether that is colonoscopy, MRI staging or listing for surgery. There is no integration to manage: approve the letter, then paste or export it into your existing system.
As you talk the patient through the procedure, Note Dr captures the material risks specific to them, leak, bleeding, VTE, altered bowel and sexual function, and the reasonable alternatives discussed. The consent conversation Montgomery requires is documented in the patient's own context, the moment it happens, ready for you to check.
Yes. When you explain a defunctioning loop ileostomy, that it protects the anastomosis, that it is intended to be temporary but may become permanent, and that the stoma nurse will site and counsel before surgery, Note Dr records each point. The stoma discussion sits in the consent record exactly as it took place.
Note Dr is built for clinical vocabulary, so the language of coloproctology — anterior resection, total mesorectal excision, defunctioning loop ileostomy, fistula-in-ano, seton, haemorrhoidectomy, EUA — is captured in the draft as you said it. Because you review and approve every note, any term you would phrase differently is yours to correct, and the record stays in your words.
Yes — and the sensitivity of those consultations is why Note Dr transcribes on your device, so the audio of a conversation about a rectal cancer diagnosis, a stoma or MDT options never leaves it. Note Dr then drafts the note for you to review and approve before anything enters the record, and it never diagnoses or makes decisions about your patient.
Digital dictation still asks you to compose the letter after the clinic — an AI scribe removes that step. Note Dr listens in the consultation and drafts the colorectal clinic letter or operation note, so rather than dictating and waiting for typing, you review and approve a letter that already exists when the patient leaves. Your secretary formats and sends rather than transcribes.