palmER vs Doximity Scribe.
Doximity Scribe is a free scribe for eligible U.S. clinicians. palmER is an entire ED shift's worth of help.
The note is free. Your time is not.
Doximity Scribe is a free scribe for eligible U.S. clinicians. palmER is an entire ED shift's worth of help.
palmER earns its place with the work around the note. Turn chart input into an EM-native MDM, prepare the consult call, review the chart, and draft discharge instructions, work notes, and school notes. Keep multiple active patients and clinical questions in one workspace built for emergency and urgent care.
Try every palmER tool free for 30 days. No credit card. No automatic billing.
At a glance
| palmER | Doximity Scribe | |
|---|---|---|
| Built for | Emergency and urgent care clinicians | General-purpose scribe for Verified U.S. Doximity clinicians |
| Cost | $199/month for every tool; 30-day free trial, no credit card | Free for eligible verified U.S. clinicians |
| Ambient capture | Listens at the bedside and drafts your HPI and Physical Exam | Template-based notes |
| The MDM | A structured MDM: differential, risk, data reviewed, disposition | Not described in Doximity's public Scribe materials |
| The rest of the shift | Clinical questions, consult calls, discharge documents (including work and school notes), chart review, palmEM reference | Visit summaries and templates |
| Your EMR | Copy and paste beside any EMR, no integration project | Chart transfer advertised; supported EHRs not specified |
| Data handling | Audio not stored. Patient data auto-deletes within 24 hours. Data not used to train AI models. | Scribe Notes available for 29 days; terms and BAA permit broader data use and retention |
Scribing is only the beginning
The initial patient conversation happens early. The chart keeps developing as results return, treatment takes effect, the patient is reassessed, consultants weigh in, and the disposition takes shape.
That is where the MDM comes together.
palmER builds the MDM from the workup, including the differential, data reviewed, risk, clinical reasoning, and disposition. 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. New details from later ambient sessions update the existing MDM automatically.
It also helps you keep up with multiple active workups, answer clinical questions, prepare consult calls, review charts, and generate the documents your patients need for discharge, including work and school notes.
The difference is not simply one note versus another. It is how much of the rest of the shift the tool can help with.
The 29-day retention period is not the whole story
Doximity's Help Center says Scribe Notes are available for 29 days before permanent deletion. That statement does not establish a 29-day deletion deadline for every type of submitted data.
Its Terms of Service grant broad, perpetual rights to process and use submitted content, including for AI model improvement, subject to applicable law. Its Business Associate Agreement permits processing PHI to provide and improve covered services, use of de-identified data, and certain retention after termination. Those permissions are broader than the Help Center's note-availability window.
Retained encounter data can also become relevant to a legal request. The useful comparison is the data each product retains and the rights its agreements permit.
With palmER, your content belongs to you. palmER processes it to provide the service, never uses it to train AI models, and automatically deletes patient data within 24 hours. Encounter audio is not stored.
palmER also works beside the EMR rather than inside it. You review the documentation, make any changes you want, and decide what enters the medical record. Only the final text you choose to paste becomes part of the chart.
The less encounter data that persists outside the medical record, the less there is to retain, expose, or produce later.
We cover this in more detail in What Does Your AI Scribe Save?.
Document the care that deserves its own note
From critical care and procedures to sepsis, palmER spots documentation needs and drafts the supporting notes, so your chart reflects the care you delivered. Review the draft, add your details, and finish the documentation without starting another note from scratch.
Put palmER to work on your next shift
A free note does not make your remaining work free. Your MDM, consult preparation, chart review, and discharge paperwork still cost you time. palmER puts dedicated help for those tasks in one workspace built for emergency and urgent care.
For $199/month, every tool is yours without usage limits. Try the full Suite free for 30 days, with no credit card and no automatic billing.
Start your 30-day free trial. Your next patient is a good place to start.
See the full palmER vs Doximity Scribe comparison for features, pricing, and sources.
Frequently asked questions
- Is palmER a good Doximity Scribe 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. A dedicated ED MDM workflow was not established in the Doximity Scribe sources reviewed. With palmER, chart review, clinical answers, consult preparation, and discharge tools are included in the same subscription.
- What does Doximity Scribe cost?
- Scribe is free for verified U.S. physicians, NPs, PAs, and medical students. No separate paid Scribe tier was found. 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 Doximity Scribe retain after an encounter?
- Doximity's Help Center says Scribe Notes are available for 29 days before permanent deletion. The Terms classify Scribe submissions as User Content and grant a broad perpetual license for processing and use, including creating, training, fine-tuning, and improving AI or ML models. The BAA allows automated and ML or generative-AI processing of PHI and permits a limited retained copy after termination. 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