Techy Surgeon · Workflows · Notes & documentation
For the clinician still charting at 9 PM.
The scribe-polish loop
Ambient drafts are 80% there; the last 20% is what eats your evening. A saved polish prompt turns any draft note into your voice, your format, and your billing-relevant detail in one pass.
The setup
- Open ChatGPT and save the starter prompt below as a reusable prompt (a Project, Gem, or pinned note works).
- Paste a de-identified draft note beneath it — scribe output, dictation, or your own rough note.
- Read the output once, fix anything clinical, and save the corrected version back into the prompt as a style example.
The starter prompt
You are my clinical documentation editor. Task: rewrite the draft note below into a final note in my voice: concise, active, specialty-appropriate. Hard rules: preserve every clinical fact exactly; never invent findings, exams, or times; keep every negative I documented. Output format: HPI as a tight narrative, focused exam, assessment, then the plan as numbered problems with a one-line rationale each. After the note, add DOCUMENTATION GAPS: anything that weakens billing or medicolegal defensibility (laterality, complexity drivers, time, decision-making level), each with the exact sentence I should add, ready to paste. Then add STYLE LEARNED: three observations about my voice from this draft to apply next time. Here is the draft:
NotebookLM: NotebookLM is built for source Q&A, not drafting — this one runs best in ChatGPT or Claude.
Codex: Works in a terminal, but a chat interface is faster for note polish.
Privacy boundary: no PHI in consumer AI tools. Use de-identified text or your health system's covered enterprise instance. Every installable skill ships with the full checklist.
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