An AI medical scribe for plastic and reconstructive surgery

Plastic surgery consultations mix precise measurement with long conversations about expectations, scarring and risk. Both need to be written down well. ClearPass transcribes the consultation and drafts a note that keeps the measurements and the consent discussion, so you can concentrate on the examination and the patient.

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What the note has to show

Reconstructive and aesthetic work are documented differently, but in both the note later answers two questions: what exactly was found, and what did the patient understand before agreeing to surgery.

Lesions and wounds by site, size in millimetres or centimetres, depth, colour, edges, and relation to nearby structures.
For hand injuries: dominant hand, occupation, mechanism, time since injury, tendon function finger by finger, sensation on each side of each digit, circulation.
For burns: mechanism, first aid given, area and depth estimate, special areas involved, tetanus status.
For breast and body contouring: relevant history, examination measurements, previous surgery, smoking, BMI, and the patient's goals in their own words.
Consent: the options discussed including no surgery, the specific risks explained (scarring, asymmetry, wound healing problems, numbness, revision), and the time given to decide.
Follow-up: wound healing, flap or graft appearance, histology with margins, and scar management advice.

Example: review after skin lesion excision

Plastic surgery follow-up, Follow-up structure

Background: Man in his seventies, excision of a 12 mm lesion from the left temple 2 weeks ago with primary closure.
Wound: Healed. Sutures removed today. No infection. Scar 35 mm, flat, mild redness.
Histology: Nodular basal cell carcinoma, completely excised. Closest peripheral margin 2 mm, deep margin 3 mm.
Discussion: Result explained. No further surgery needed. Advised on sun protection and to check the skin monthly. Scar massage from next week.
Plan: Discharged to the family doctor with advice to return if any new or changing lesion. Skin surveillance as per their usual practice.

Invented patient. The follow-up decision is the invented clinician's.

Templates and note structures

Plastic surgery has no guided template group. The Orthopaedics & MSK group includes Hand surgery (trigger finger / Dupuytren / ganglion), and the General group includes Procedure request, which helps when you need approval for surgery. Other visits work with free text and a structure.

Use New patient for a first consultation, Procedure for the operation note (dictate after the case: indication, anaesthetic, markings, technique, closure, dressings, specimens) and Follow-up for dressing clinic and histology reviews. For aesthetic consultations, many surgeons write the same headings every time; save them once with My own structure.

Letters and approvals

A letter of medical necessity for reconstructive procedures, explaining the functional problem so the procedure is not treated as cosmetic.
An appeal when a reconstructive procedure is refused; see the insurance denial appeal.
Patient instructions for wound care, activity, dressing changes, and warning signs.
A letter back to the referring clinician with histology and follow-up needs.
A sick note for recovery time after hand or body surgery.

Reviewing the draft

Check sizes and sites. Lesion size, margin measurements and exact site determine the next step. The Numbers check marks any size never said in the transcript.
Check the risks listed. The consent paragraph should list the risks you discussed, no more and no fewer.
Check digit and side naming. Name fingers rather than numbering them if that is your practice, and confirm left or right.
Keep the patient's goals in their words. For aesthetic work, expectations are part of consent. Make sure the draft has not turned them into clinical language.

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

Can I add clinical photographs to the note?

No. Photo upload reads lab and radiology reports into the note; it is not for clinical photographs. Keep clinical images in your own system.

Does it help separate cosmetic from reconstructive indications?

It writes down the functional problem and reasons you describe, and the prior authorization letter builds a clinical argument from them. Whether a plan covers the procedure is for that plan to decide.

Can I use it for long aesthetic consultations?

Yes. Visits of up to 2 hours can be transcribed. Detailed length keeps every point discussed, which suits consent-heavy consultations.

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.

Start free — 7 days, no card