An AI medical scribe for ENT and otolaryngology
ENT clinics move fast: an ear, a nose, a throat and a neck lump before lunch, with a scope in your hand for half of them. Almost every finding has a side. ClearPass transcribes the visit and writes the English note so you can keep your hands on the endoscope, then review the draft with attention on left and right.
What an ENT note must hold
ENT documentation depends on precise anatomy. A useful note lets a colleague reproduce what you saw without repeating the scope.
- Side for every ear, nasal and neck finding, and whether symptoms are unilateral or bilateral.
- Ear: otoscopy per side, tuning fork results (Rinne and Weber), audiogram thresholds and type of loss, tympanometry.
- Nose and sinuses: obstruction side, discharge, smell, polyp grade on nasendoscopy, septal deviation, prior sprays and duration.
- Throat and voice: tonsil size, number of episodes of tonsillitis per year, voice change duration, smoking, laryngoscopy findings.
- Neck: lump size, site by level, consistency, mobility, and red-flag symptoms.
- Sleep: snoring, witnessed apnoeas, daytime sleepiness score, and any sleep study result.
Example: chronic rhinosinusitis follow-up
A SOAP note, Concise. Invented patient.
S: 14 months of bilateral nasal obstruction, worse on the left, with reduced smell and post-nasal drip. Used mometasone spray daily for 5 months and saline irrigation; one 2-week course of doxycycline. Partial improvement only. O: Anterior rhinoscopy: septum deviated to the left. Nasendoscopy: grade 2 polyps in both middle meati. SNOT-22 score 48. CT sinuses (report): Lund-Mackay 14, bilateral maxillary and ethmoid opacification. A: Chronic rhinosinusitis with nasal polyps, not controlled on maximal medical therapy. P: Discussed FESS with septoplasty; risks explained. Continue spray until surgery.
The duration and type of prior medical treatment are what a surgical approval turns on, so make sure the draft kept them.
ENT guided templates
The ENT (Otolaryngology) group includes templates for chronic rhinosinusitis and FESS, tonsillectomy and adenoidectomy, septoplasty, hearing loss and audiometry, grommets for glue ear, epistaxis, vertigo, neck mass, hoarseness and laryngoscopy, thyroid nodule, salivary gland disease, otitis externa and media, tinnitus, obstructive sleep apnoea, foreign bodies, allergic rhinitis and functional rhinoplasty.
Each guided template asks for the fields that the case usually needs, such as number of tonsillitis episodes or audiogram results, so typed cases come out complete.
Letters from an ENT visit
Common outputs are a referral letter for audiology or speech therapy, patient instructions after a nosebleed or ear surgery, and a school letter for a child with glue ear under Something else.
Sinus surgery, sleep studies and imaging often need approval. Start with the prior authorization letter, and for sleep work see sleep study prior authorization. A refused request can be reworked with the denial appeal mode.
Scoping and talking at the same time
During nasendoscopy or laryngoscopy your hands are busy and the patient cannot talk. Describe what you see as you go, for example 'left middle meatus: polyp to the inferior turbinate, right side clear', and the findings land in the examination section.
For a child with glue ear, the parent often gives most of the history. Speakers are separated, so the note can attribute school concerns and hearing observations to the parent.
What to check in an ENT draft
- Left and right in every line. This is the most common and most consequential error in ENT notes.
- Audiogram values in dB and the frequencies they refer to.
- Tonsillitis episode counts per year and over how many years.
- Medication durations: how long a steroid spray was actually used.
- Neck level and size of any lump, taken from your exam or the ultrasound report.
What ClearPass does not do
- It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
- It is not a medical device and does not make clinical decisions. It is a documentation aid.
- It does not connect to your EMR. The note is copy-ready text that pastes into any system.
Privacy
Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.
Questions
Will it know which ear I am describing?
It writes what you say. If you say 'right drum retracted' it writes right. If you point and say 'this one', it cannot know. Say the side aloud.
Can I upload an audiogram?
You can photograph the printed audiogram report; the thresholds and conclusions are read into the note. Check the values against the chart, and remove identifiers from the photo first.
Is it useful during nasendoscopy?
Yes. Describe the findings aloud as you scope. The note is written after you tap Stop.
Can it write a note for a child seen with a parent?
Yes. Speakers are separated and the history is written from what the parent and child said. See the pediatrics page for more.
What does ClearPass cost?
The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.
Try it on your next clinic day
The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.
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