The bolded is exactly why it will be MORE work for the physician, because they scribe note is their note, just transcribed by you, the scribe. It also takes less time to read and edit a note that is written based off of what the physician said themselves in order to just check that nothing was missed. That's different from reading a med student note that they know nothing about and have to not only check for formatting, missed exams/findings, and correct documentation, but also have to recheck the H&P and all the physical exams themselves then make sure that they're finding and documenting the same thing. Yes, they can still sign off on the med student note without writing a new one, but it's more work. I don't know how that isn't obvious.
I'm...honestly not sure you know what scribing is. The physician doesn't tell you what to write. That's what Dragon is for.
Do you take the history yourself? No. The doctor has a conversation with the patient, in whatever meandering, crazy order it comes in, and then you turn it into an HPI, a detailed ROS, and all the PMHx, SHx, FHx sections. You decide what is pertinent and belongs in HPI, and what gets left for the ROS. They don't tell you the physical exam findings. They perform the physical exam, and you have to notice which parts they performed. If they say nothing, it was normal, and you have to know the language for that. If there is an abnormal finding, that's pretty much the only part they say out loud. Sometimes they'll just say 'make sure you document that wound' and you describe it yourself. You learn from experience which of the observation/hard-to-see exam findings that doctor includes, and with more experience, you start to learn which pertinent exams findings come up in which kinds of complaints. If there's something particular that they observed as normal for a given case, they might point it out. If they read your HPI later and find out that you didn't include the right pertinent positives/negatives, you get reamed (or you hear them fix it themselves, which sucks). If they don't like your language, you hear them fix it. If you miss a particularly important detail that sounded minor, you'll be told why it was important, so you don't do it again. If you notice that they didn't ask an important question or document a particular exam finding, it's within your job description to point it out (though how and if you do so obviously depends on the personality of the doc...I recommend always asking about it as if
you missed hearing them say it).
They don't tell you what to do with the labs, you enter those into the note yourself and add the interpretation (e.g. leukocytosis with left shift, mild normocytic anemia).
Radiology reports are entered as they come from the radiologist, obviously. Keeping track of which labs were back and which ones the doctor cares about was part of your job. Obviously the doc pays attention and ultimately reviews everything, but you are expected to be the other pair of eyes on the patient tracker. You don't natter at them every time part of the order set comes through, but if something important comes up that needs attention, or the bit that confirms their diagnosis is in, you let them know.
Before I'd sign it, they'd tell me which diagnosis to enter so I could track down the ICD codes. I'd always get bonus points if I entered the right discharge information and appended the appropriate patient education materials to the chart, too...less work for them later. I always made it a game to guess the diagnosis and get all of that prepped early, so that when the last finding or whatnot came back to confirm, they could tell me "sign it out as a x, recommend y" and I could just click 'sign' right then.
We also entered all procedure notes - using templates, granted, but that's true later on, too.
So, no...there's very little of it that is just writing down what the physician said. Scribes organize the information, sort it, format it, etc. Reading a scribe note
is reading through a full note that you've never seen before, making sure nothing is missed in history or exam or procedures and that it is well organized and understandable. Either way they have to verify the history and exams with the patient, so that's the same for both...the physician does the H+P once themselves in both cases.
