How to Capture Physical Exams (PE)

Created by Celine Lin, Modified on Thu, 11 Sep at 3:16 PM by Celine Lin

Empathia AI Scribe makes documenting physical exams faster and more accurate. By combining live recording with macros, templates and dictation, you can capture both unique findings and standard “normal” exam statements efficiently.


How-To Guide: Choose Your Workflow

Option 1: Live Dictation During Exam

  • Keep the recording running while the patient is present.

  • Speak findings out loud as you perform the exam.

  • Empathia will capture and organize the findings in real time.

Option 2: Pause & Dictate Later

  • Pause the recording when the patient leaves the room.

  • Resume recording and dictate your exam findings clearly.

  • This avoids background noise and keeps transcripts focused.


Option 3: Insert Standard Macros

  • Instead of repeating common “normal” findings, add them later:

    • Type or dictate macros into the notepad (e.g., “Insert macros normal heart and lungs”).

  • Saves time while ensuring a complete record.


Option 4: Use Templates (Community or Custom)

  • Choose a community template shared by other clinicians, or

  • Set up your own physical exam template for consistency.

  • Pertinent findings will be automatically populated based on the recording.


Additional Resources

1. How to use Macros to speed up charting?

2. How To Customize and Use Templates with Template Pro

3. Community Templates


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