palmERpalmER vs Ambience.
Ambience is a hospital documentation and coding platform. palmER is your shift, handled.
Your hospital buys a platform. You need a shift handled.
Ambience is a hospital documentation and coding platform. palmER is your shift, handled.
palmER gets to work on the jobs that keep you charting: the MDM, the consultant call, the clinical question, and the discharge papers. Keep multiple patients in one workspace, spot documentation gaps before signing, and leave less work for the end of the shift. You can choose palmER yourself and start today.
Try every palmER tool free for 30 days. No credit card. No automatic billing.
At a glance
| Feature | palmER | Ambience |
|---|---|---|
| Category | EM and urgent care charting platform | Documentation and coding product used across many specialties |
| Emergency medicine | The whole product | One of multiple specialties |
| The MDM | A structured MDM: differential, risk, data reviewed, disposition | ED MDM generation |
| The rest of the shift | Clinical questions, consult calls, discharge papers (work and school notes), chart review, palmEM reference | Chart questions, patient tracking, and discharge documentation |
| How you get it | Self-serve, 30-day free trial, no credit card | Demo request; no public pricing or trial terms found |
| Your EMR | Copy and paste beside any EMR, no integration project | Integrates with supported EHRs |
| Audio | Not stored | Not described in the reviewed public pages |
| Patient data | Drafts and questions auto-delete within 24 hours | Governed by customer agreements and BAAs |
Start with the MDM. Keep going with palmER.
palmER's MDM Assistant works from chart input. Paste the available chart information to draft an MDM in seconds: the differential, risk assessment, data reviewed, and disposition reasoning. Ambient Scribe also captures the results, plans, consults, reassessments, and disposition you discuss, and that list goes into the MDM alongside the chart you paste. The workup does not have to be complete; update the draft as the encounter progresses. New details from later ambient sessions update the existing MDM automatically.
palmER gives you an emergency medicine workspace you can choose yourself, use beside any EMR, and carry between practice sites. And patient data is automatically deleted within 24 hours.
Shift management beyond the initial note
palmER also helps with the work around the MDM:
- Bedside ambient scribing that automatically drafts your HPI and Physical Exam.
- Drafts of patient discharge papers, including work and school notes.
- Structured scripts for consultant calls and fast answers to real-time clinical questions.
- Chart review and direct access to the palmEM emergency medicine reference.
You can try palmER on your next shift. Nothing touches your EMR until you review and paste it. There is no EMR integration project, and you can use the same workflow when you work at another site.
Data Retention: What Does the Hospital Contract Allow?
The hospital contract matters when comparing retention. Ambience's privacy policy publishes no specific data retention period, stating that product data is governed by customer agreements where de-identified information may be shared as HIPAA permits.
palmER stores no audio. Transcripts, drafts, edits, and questions automatically delete within 24 hours, and your inputs are never used to train AI models. You review and paste the text that becomes part of the EMR. For more on retention and discovery, read what does your AI scribe save.
Put palmER to work on your next shift
An ED MDM is the starting point. palmER brings it together with clinical answers, consult preparation, multiple active workups, chart review, and discharge documents. Critical care, procedure, and sepsis documentation are part of the same workspace.
You can choose palmER yourself and use it beside any EMR. Get every tool free for 30 days, then $199/month. No credit card to start and no automatic billing.
Start your 30-day free trial. Your next patient is a good place to start.
See the full palmER vs Ambience comparison for features, pricing, and sources.
Frequently asked questions
- Is palmER a good Ambience alternative?
- Yes. palmER was built for emergency and urgent care clinicians who want help with their entire shift: EM-native MDM, multiple active workups, clinical answers, consult preparation, chart review, and discharge documents. You can start yourself, use it beside any EMR, and try every tool free for 30 days.
- How does palmER compare on MDM?
- Paste your chart and palmER builds a structured ED MDM, including clinical reasoning, differential, data reviewed, risk, and disposition. You do not need to write out the reasoning first. palmER also uses the results, plans, consults, reassessments, and disposition you discuss during ambient scribing, and updates an existing MDM when you discuss something new. Ambience also publicly describes ED MDM generation. With palmER, chart review, clinical answers, consult preparation, and discharge tools are included in the same subscription.
- What does Ambience cost?
- Ambience does not publish a price on the reviewed pages; access starts with a demo request. palmER is $199/month for unlimited access to every tool. Approved students and residents pay $49/month after verification. The full-access 30-day trial requires no credit card and ends without automatic billing.
- What does Ambience retain after an encounter?
- Ambience's public website privacy policy excludes product offerings and says customer agreements and BAAs govern provider-customer data; it does not publish a product retention or model-training window. palmER never stores encounter audio, automatically deletes patient data within 24 hours, and uses AI providers under zero-retention agreements.
From the palmER clinical team — built by board-certified emergency physicians.
See the full comparison