Which scribe is Ambience AutoScribe?

One of these scribes is a human. Another is a 2nd generation AI system.
The third is Ambience AutoScribe, the only 3rd generation AI system on the market.
Correctly identify which scribe is which for a chance to win a $1000 Amazon gift card.
VISIT 1
80 yr old female with confusion and headaches

Scribe #1

Chief Complaint

Patient is a 80 year old female presenting today for confusion and headaches accompanied with blurred vision in one eye.

History of Present Illness

Patient reports having a fever 1 week ago. In that same week, their son noticed the patient being “confused and looked very dehydrated”. Patient tends to get more confused in the afternoons. They reports being paranoid, stating “maybe somebody is stealing” from them.

Other reported symptoms include weakness, increased appetite (6 meals a day), and headaches that are different from the usual. They treated headaches with Excedrin without significant improvement.

For the past 3 months, patient’s usual headaches are associated with mild blurred vision in one eye that resolves 30 minutes after taking Excedrin. They state “my vision is actually gone 24/7 in both eyes but on the left side”. Denies slurred speech, numbness in arms or legs, excessive sweating, coordination or balance issues, chest pain, or vomiting.

Patient was diagnosed with migraine when they were 40 years old. Furthermore, they reports history of TIAs from headaches for which the patient was followed by a neurologist who ordered various tests such as MRI. Denies any recent MRI.

In addition, patient reports increased urinary frequency (at least 10x a day). They do not drink a lot of water. Denies other urinary symptoms or back pain. Normal BMs.

History of UTI treated with antibiotics.

Past Medical History
  • Migraine
  • Transient ischemic attack
  • Cataract surgery on both eyes; age 60
  • UTI

Social History
  • Lives alone
Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order MRI for headaches.
  • Will order urine analysis and urine culture.
  • Discussed increased urination could possible be related to the eye and neurological symptoms.
  • Informed patient that we will call their son regarding this matter, and patient will be sent to ER to get the test done.

Scribe #1

Scribe #2

Chief Complaint

Patient is a 80 year old female presenting today with recent onset of confusion, headaches, blurred vision, fevers, and increased urination.

History of Present Illness

Patient reports recent onset of confusion, headaches, blurred vision, fevers, and increased urination. Patient first noticed symptoms about a week ago on their 80th birthday. Patient's son observed that the patient was acting confused and appeared dehydrated.

Patient has a history of migraines and transient ischemic attacks (TIA) for the past 40 years with previous full workups for these diagnoses with ENT and Neuro providers. Workups included MRIs, though patient denies a recent MRI. Patient typically takes Excedrin for relief, but is unsure how much they have taken recently due to confusion. Patient's confusion is worse in the afternoons and patient notes that when their son came to visit them on their birthday they could not remember who their son was or that it was even their birthday. Patient reports that recent headaches are different from their typical migraines, with these headaches being a "constant ache".

Patient reports blurred vision in both eyes, onset 3 months ago, with inability to see out of the left side of both eyes. Patient has a history of cataract surgery, but does not believe this is related to current symptoms.

Patient reports increased urination with baseline urination frequency, urinating 10+ times per day when their baseline urination frequency was 3 times per day. Patient denies pain with urination, burning with urination, back pain or vaginal discharge. Patient has a history of one UTI in the past that was easily treated with antibiotics, but reports that current symptoms are different.

Patient also reports increased appetite (eating 6 meals a day) and feeling weak. Patient endorses being more forgetful and is also paranoid believing that people are watching them and stealing items from their home. Patient denies chest pain, numbness, tingling, incontinence, diaphoresis, emesis, or abnormal bowel movements.

Past Medical History
  • Migraines (40 years ago)
  • Transient ischemic attacks (40 years ago)
  • Cataract surgery (65 years old)
  • UTI

Social History
  • Number of children: Has at least one son
  • Living conditions: Lives alone, values independence

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order MRI to investigate neurological symptoms.
  • Will order urine culture and UA to rule out UTI or kidney infection.
  • Patient will be sent to the ER via ambulance for further evaluation and workup.
  • Patient advised not to drive due to vision issues.
  • Patient should be monitored for any changes in mental status, chest pain, or other concerning symptoms.

Scribe #2

Scribe #3

Chief Complaint

Patient is a 80 year old female presenting today with confusion, headaches, blurred vision.

History of Present Illness
  • Patient is having confusion, headaches, blurred vision.
  • Patient has a history of migraines.
  • Patient had cataract surgery in both eyes.
  • Patient has had one UTI in the past.
  • Patient is taking Excedrin.

Past Medical History
  • Migraine
  • Transient ischemic attack
  • Cataracts
  • UTI

Social History
  • Patient lives alone.
  • Patient drinks 3-4 beers a night.

Objective
  • Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Recommended to get an MRI, urine analysis.
  • Recommended to go to the ER.
  • Recommended to stop driving immediately.
  • Recommended to go to the ER.

Scribe #3

VISIT 2
65 yr old female with post-covid palpitations

Scribe #1

Chief Complaint

Patient is a 65 year old female presenting today for cardiovascular symptoms.

History of Present Illness

Symptoms include dyspnea, mild dizziness when standing up, and palpitations 1 day ago. Patient is concern for possible myocardial infarction. Treated symptoms with aspirin (2 tablets) and rest.

In addition, patient initially experienced chest pain on January 13. They described it as “tightness” which is associated with tingling sensation in the left hand, mild dyspnea, and dizziness when standing up.

Patient was diagnosed with tachycardia. Currently followed by a cardiologist and was last seen about 6 months ago.

Tested positive for COVID-19 6 weeks ago, then tested negative 2 weeks ago. Had RSV symptoms 2-3 weeks ago.

Past Medical History
  • Tachycardia
  • Hyperlipidemia
  • Hypertension
  • COVID-19

Family Medical History
  • Myocardial infarction; father
  • CVA; mother

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order bloodwork including CMP, D-dimer, and troponin levels for cardiovascular symptoms.
  • STAT order for troponin levels to see any existing cardiac event.
  • Will order exercise stress test.
  • Recommend following up with cardiologist every 3 months.
  • Advised to repeat COVID-19 test.
  • Recommend getting 2nd dose and booster of COVID-19 vaccine.
  • Discussed indication of aspirin.

Scribe #1

Scribe #2

Chief Complaint

Patient is a 65 year old female presenting today with concern for recent episodes of chest pain, tachycardia, and shortness of breath.

History of Present Illness

Patient reports recent episodes of chest pain, tachycardia, and shortness of breath that began around six weeks ago, coinciding with a positive COVID-19 test. Patient has since tested negative for COVID-19, but continues to experience intermittent episodes of chest pain, dizziness described as “room-spinning”, tachycardia, palpitations described as “skipping a beat” and shortness of breath. Patient denies syncopal episodes.

Describes the chest pain as a "tightness" and reports occasional tingling in the left hand. Patient has a family history of heart disease, with both parents passing away from cardiac-related events. Patients father passed away due to myocardial infarction at 50 years old, and patient’s mother had a stroke.

Patient has been previously diagnosed with tachycardia with full cardiology workup, but has not been diagnosed with an arrhythmia. Patient is currently taking Lipitor for high cholesterol and daily baby aspirin. Patient reports history of hypertension, but is not taking any medications specifically for hypertension. Patient last saw a cardiologist six months ago.

Past Medical History
  • Tachycardia
  • COVID-19 (January 2021)
  • Hypertension
  • Hyperlipidemia
  • RSV (2-3 weeks ago)

Family Medical History
  • Heart Attack (Father, 50 years old)
  • Stroke (Mother)

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order CMP, d-dimer, and troponin levels to assess for metabolic abnormalities, blood clots, and cardiac stress.
  • If blood work is clear, will retest for COVID to rule out recurrent infection.
  • Will consult with patient's cardiologist to better understand current cardiac health.
  • Will order exercise stress test to assess for coronary artery disease.
  • Will increase frequency of visits with cardiologist from every six months to every three months to monitor symptoms more closely.

Scribe #2

Scribe #3

Chief Complaint

Patient is a 65 year old female presenting today with chest pain and shortness of breath.

History of Present Illness
  • Patient has chest pain and shortness of breath.
  • Patient tested positive for COVID-19.
  • Patient has hypertension, hyperlipidemia
  • Patient has RSV

Past Medical History
  • Tachycardia
  • Hyperlipidemia
  • Hypertension
  • COVID-19

Family Medical History
  • Myocardial infarction; father
  • CVA; mother

Social History
  • Patient is married.

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order labs
  • Recommended to go to the ER.

Scribe #3

VISIT 3
30 year old male with worsening depression

Scribe #1

Chief Complaint

Patient is a 30 year old male presenting today for depression.

History of Present Illness

Patient reports worsening of depression x 2 months. Patient was prompted to seek this assessment by their family.

Patient had their first depression at age 9 as their family transferred to a new place and did not have many friends in school at that time for which they attended therapy but did not help at all. In addition, patient was seen by a psychiatrist due to depression in their early 20s.

Patient was admitted in a psychiatric facility at age 22 due to suicidal attempt, depression, and hallucinations for which they were prescribed two psychotropic medications including Prozac and a mood stabilizer that improved their symptoms.

Patient admits having passive suicidal ideations in the past. Denies manic episodes.

Past Medical History
  • Depression

Social History
  • Endorses occasional use of cannabis
  • Denies other illicit drug use

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will send a referral to psychiatry for further evaluation and treatment.
  • Will send a referral for therapy.
  • Follow up in 1 week.

Scribe #1

Scribe #2

Chief Complaint

Patient is a 30 year old male presenting today with concern for depression and possible hallucinations.

History of Present Illness

Patient reports a long history of feeling depressed, beginning around age 9 after a family move that left the patient feeling isolated without their normal friend group. Patient has seen a therapist and psychiatrist in the past, with some relief.

In the patient's early 20s, they were hospitalized after an incident in which they were found in their garage with rope in their hands that was interpreted as a suicide attempt. Patient denies intent to harm themselves, but acknowledges they were thinking about it at the time. Patient reports occasional thoughts of self-harm, but denies acting on them since the incident in their early 20s.

Patient was diagnosed with depression and possible hallucinations in the past, and was prescribed Prozac and an unknown mood stabilizer. Patient reports occasional experiences of auditory hallucinations in which the voice in their head tells them they are not "worthwhile" and that they should kill their-self.

Patient denies experiencing periods of mania, but does report times when they feel better and engage in risk-taking behaviors. Patient denies any substance use beyond occasional use of marijuana.

Currently, patient reports being in a lower mood for the past two months. Patient states their periods of low mood last much longer than when they are feeling "up".

Past Medical History
  • Depression (early 20s)
  • Possible hallucinations (early 20s)
  • Suicide attempt (22 years old)

Social History
  • Illicit drug use: Marijuana, occasional use; denies other drug use

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will prescribe a new antidepressant medication for the patient based on their past medical history and current symptoms.
  • Will refer the patient to a therapist for ongoing counseling and support.
  • Patient should monitor mood and symptoms closely and return for follow up if they experience any worsening symptoms or thoughts of self-harm.
  • Patient should avoid substance use while on the new medication in order to monitor its effectiveness.

Scribe #2

Scribe #3

Chief Complaint

Patient is a 30 year old male presenting today with depression and hallucinations.

History of Present Illness
  • Patient is depressed recently.
  • Patient has episodes of hallucinations.
  • History of taking antidepressant.

Past Medical History
  • Depression

Social History
  • Patient smokes cigarettes.

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Referral for therapy.
  • Referral for psychiatry.

Scribe #3

VISIT 4
54 yr old female with sore throat and mouth sore

Scribe #1

Chief Complaint

Patient is a 54 year old female presenting today with concern for sore throat.

History of Present Illness

Patient experiences a scratchy throat, and mild cough. Their symptoms have worsened today. Additionally, they report a lesion at the back of the throat. Patient is uncertain when she initially noticed the lesion.

Patient denies dysphagia, post nasal drip, fever, or chills.

Patient has tested negative (RAT) for COVID-19 this morning. Patient reports a recent exposure to their great niece who attends daycare.

Patient cannot recall if they received COVID-19 vaccines in the past.

Past Medical History
  • Diabetes mellitus

Social History
  • Has a son

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Discussed differentials: strep throat vs viral infection.
  • Recommend PCR testing to rule out COVID-19.
  • Will order bloodwork to evaluate the lesion on the throat.
  • Recommend ibuprofen/Tylenol PRN for pain.
  • Advised to increase fluid intake.
  • Follow up if symptoms worsens.

Scribe #1

Scribe #2

Chief Complaint

Patient is a 54 year old female presenting today with concern for a sore throat and a sore on the back of the throat.

History of Present Illness

Patient reports a sore throat and a sore on the back of the throat that has been present for a few months. Patient is unsure if the sore throat is due to the sore or another illness such as COVID-19 or strep throat.

The sore is located on the left side of the throat and is difficult to see, but can be felt with the tongue. Patient reports a scratchy throat, but denies difficulty swallowing, nasal drip, or fever. Patient has a mild cough.

Patient recently tested negative for COVID-19 with an at-home rapid test, but is unsure of the accuracy of the test. Patient has not received a COVID-19 vaccine and may have been exposed to the virus through a family member.

Patient wants to ensure that any medications prescribed today do not interact with their diabetes medications, though they are unsure what medications they are taking currently.

Past Medical History
  • Diabetes

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order PCR COVID test for patient.
  • Patient should wait for two negative COVID tests before assuming they are in the clear.
  • Will order blood work to investigate the mouth sore further.
  • Patient can take Tylenol and Ibuprofen for pain relief.
  • Patient should drink plenty of water and rest.
  • Patient should contact physician if sore throat worsens.
  • Will communicate with patient's son to confirm vaccination status and medication list.

Scribe #2

Scribe #3

Chief Complaint

Patient is a 54 year old female presenting today with a sore throat.

History of Present Illness
  • Patient thinks they have Strep throat.
  • Patient has sore throat.
  • Patient has diabetes.
  • Patient has mild, severe, cough.
  • Patient denies dysphagia.

Past Medical History
  • Diabetes

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order covid test.
  • Will order labs.
  • Advised to increase fluid intake.

Scribe #3

VISIT 5
75 year old female with COPD exacerbation and multiple other concerns

Scribe #1

Chief Complaint

Patient is a 75 year old female presenting today with concern for body pains.

History of Present Illness

Patient reports body pain which they attributes to their arthritis. Additionally, patient notes pain in the throat, ear, nose, and mouth.

Patient experiences chest pain secondary to COPD; however, symptoms have worsened 2 days ago. They describes pain as burning. Patient also reports chest pressure/tightness, and dry throat accompanied by mucus. They received nebulizer treatment yesterday which improved symptoms.

Patient has a history of anxiety and depression. Patient expressed frustration in their son who said to stop calling.

Patient denies palpitations, SI, or auditory/visual hallucinations.

Past Medical History
  • Arthritis
  • COPD
  • Anxiety/depression

Social History
  • Has a son
  • Resides in an assisted living

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order chest X-ray to confirm pneumonia.
  • Will order bloodwork for further evaluation.
  • Will refer to podiatry to investigate ingrown toenail.
  • Recommend switching shoes to manage ingrown toenail.
  • Encourage patient to attend therapy for anxiety/depression. Discussed medication such as low dose antidepressants.
  • Seek care at ER if experiencing SI or hallucinations.

Scribe #1

Scribe #2

Chief Complaint

Patient is a 75 year old female presenting today with concern for multiple symptoms including pain in the ear, throat, nose, chest, and head, as well as an ingrown toenail.

History of Present Illness

Patient reports waking up a few days ago with pain in multiple areas of the body, including the ear, throat, nose, chest, and head. Patient has a history of arthritis and COPD, but reports that the current pain is different from their usual symptoms.

Patient reports chest pain that has worsened over the past few days, describing it as a burning sensation with pressure and tightness. Pain is exacerbated by breathing and coughing. Cough is productive. Patient has been without their inhalers, which they usually use to manage COPD symptoms. Patient lives in assisted living. A nurse administered a nebulizer treatment yesterday that resolved the patients chest pain and cough.

Patient also notes an ingrown toenail that has been causing pain for some time. Patient is wondering if wearing different shoes would relieve some of their pain.

Patient also reports feeling anxious and depressed, which has been exacerbated by recent symptoms. Patient also notes feelings of depression have become worse after their son began visiting them less frequently. Denies suicidal ideation, homicidal ideation or hallucinations.

Past Medical History
  • Arthritis
  • COPD
  • Ingrown toenail
  • Anxiety
  • Depression

Social History
  • Number of children: Has one son
  • Living conditions: Lives alone in assisted living, but has access to group events

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order chest x-ray and labs to rule out pneumonia.
  • Will refill inhaler prescriptions and coordinate with nursing home staff to ensure patient receives nebulizer treatments as needed.
  • Will recommend patient see a podiatrist for ingrown toenail.
  • Will encourage patient to attend social events at the assisted living facility to help with feelings of loneliness.
  • Will refer patient to a therapist to address anxiety and depression.
  • Patient should seek immediate care if they experience worsening depression or suicidal thoughts.

Scribe #2

Scribe #3

Chief Complaint

Patient is a 75 year old female presenting today with pain, cough, and chest pain.

History of Present Illness
  • Patient has pain.
  • Patient has severe cough and chest pain.
  • Patient has COPD.
  • Patient is depressed.
  • Patient has burning dysuria.

Past Medical History
  • Arthritis
  • COPD
  • Anxiety/depression

Social History
  • Has a son
  • Lives in nursing home

Objective

Physical exam limited secondary to patient visit occurring over virtual platform.

Plan
  • Will order x-ray.
  • Will order labs.
  • Referral for therapist.
  • Referral for podiatrist.

Scribe #3

Submissions must be received by 11:59pm PT on May 29, 2023 to qualify. The winner will be selected by 11:59pm PT on May 31, 2023.