Trusted from private rooms to teaching hospitals
Your dermoscopy findings, the working diagnosis, the biopsy and the consent behind it, Note Dr writes the full, watertight record, ready to approve.
Get Note Dr free→Trusted from private rooms to teaching hospitals
Note Dr listens as the consultation happens. While you take the history, examine the skin, reason aloud and take the biopsy, it writes the record in the background, so your hands stay on the patient and your eyes stay off the keyboard.
The lesion examination, fully described
Site, size, the asymmetry, border and colour, and your dermoscopy findings, captured as you describe them, the detail a later reviewer relies on.
Biopsy consent on record
What you explained, the risks of the procedure and that the patient agreed, recorded the moment you take consent for the excision.
The safety-net you set
The two-week-wait result pathway, the MDT referral and the wound-care advice, written down, the very steps audits show go missing.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the lesion examination, your reasoning, consent and the follow-up plan, where published audits show conventional records and clinic letters routinely drop the medicolegally important fields.
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).
Ask what the lesion looked like last time, what you biopsied, or what the patient consented to, answered in seconds from their own record.
Walk into the follow-up already knowing the story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance dermatologists work to, from NICE melanoma and skin cancer recognition and referral to the British Association of Dermatologists guidelines and the AoMRC record headings, with the source shown. 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 dermatologists trust Note Dr with a record that stands up to scrutiny.
★★★★★
The lesion description is finally complete
I describe site, size, the asymmetry and the dermoscopy out loud as I examine, and now all of it lands in the note. The detail a later reviewer would want is there. I check and approve in under a minute.
★★★★★
Biopsy consent, never an afterthought
Recording exactly what I explained before an excision, and that the patient agreed, used to be the line I rushed at the end. Now the consent discussion is captured the moment I take it, which is where my exposure sat.
★★★★★
Clinic letters out the same day
The GP letter used to be the evening backlog. Note Dr drafts it to the proper headings from the consultation, with the diagnosis and the actions spelled out. I approve it before the patient has left the building.
★★★★★
The cancer pathway is watertight
On two-week-wait lists the audit trail matters as much as the medicine. The referral basis, the urgent histology and the MDT route are documented every time. Nothing about a suspected skin cancer is left implied any more.
★★★★★
Calmest skin MDT prep we've had
Contemporaneous records across the team, with examination, dermoscopy, consent and follow-up on every case. Preparing for the skin cancer MDT was the smoothest it's been, the notes already told the whole story.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full clinic, urgent referrals, biopsies and reviews, every record now reads to the same standard, with the lesion examination, the dermoscopy, the consent and the follow-up that used to thin out when I was busy. My notes and my clinic letters finally match the work I actually do.
Dr Rhodri PConsultant dermatologist
Yes. Note Dr documents each lesion you describe during a full skin examination, with its site, size, morphology and the action taken, whether monitored, photographed or biopsied. Dermoscopy findings are captured per lesion as you say them aloud, so a long skin check never collapses into a vague summary. You review and approve the drafted note before it enters the record.
Yes. As you describe site, size, asymmetry, border and colour, your dermoscopy findings and the full skin and lymph node examination, Note Dr records them in a structured note. The lesion detail a later reviewer relies on is captured contemporaneously, not reconstructed from memory.
Yes. Note Dr is built for sensitive consultations: the audio of your examination is transcribed on the device in front of you, not streamed to a human scribe or an outsourced service. The drafted note is then yours to review, amend and approve before it enters the record, including details such as a chaperone being offered and present.
Yes. Note Dr drafts records for private and aesthetic dermatology as readily as for NHS clinics, from the cosmetic consultation to the consent discussion behind a procedure. There is no EHR integration to set up: you review and approve each note, then paste or export it into whichever clinic system your practice runs. British English throughout, including the letters.
Yes. From the consultation, Note Dr drafts a structured clinic letter to AoMRC and PRSB headings, with the diagnosis, management and explicit actions for the GP, the format the NHS Standard Contract expects within seven days. You review and approve it before it is sent.
As you explain the procedure, the risks of bleeding, infection and scarring and the possible need for wider excision, Note Dr captures the consent discussion: what you explained and that the patient agreed. It is recorded the moment you take consent, alongside the procedure and margin.
Yes. Note Dr documents the referral basis, the urgent histology request, the MDT route and how the result will be communicated, the audit trail a two-week-wait pathway depends on. The follow-up and safety-net are recorded too, so nothing about a suspected cancer is left implied.