palmERpalmER vs Dragon Copilot.
Microsoft Dragon Copilot arrives through the health system. palmER you can start yourself on your next shift. Here is how the two differ where it matters in the ED.
There are two ways an AI scribe gets into your workflow: your hospital buys it, or you buy it. Microsoft Dragon Copilot takes the first route. palmER takes the second.
We are emergency medicine physicians. We built palmER so you can start on your own, with the next patient, without waiting on a procurement cycle.
At a glance
| palmER | Dragon Copilot | |
|---|---|---|
| Built for | Emergency medicine and urgent care | Physicians, nurses, radiologists, and other healthcare professionals across specialties and care settings (Microsoft) |
| How you get it | Self-serve 30-day free trial, no credit card | Contact a representative; no public pricing or trial terms on the reviewed product page (Microsoft) |
| Fits your EMR by | Copy and paste, no integration project | EHR and health IT integration, including Epic, Epic Rover, and PowerScribe One (Microsoft) |
| Ambient capture | Drafts your HPI and Physical Exam notes | Ambient capture with specialty-specific notes (Microsoft) |
| Audio | Not stored | Not described on the reviewed product page |
What Dragon Copilot does well
Microsoft positions it across the whole health system, spanning ambient capture, specialty-specific notes, and coding support for multiple roles and care settings. If your department already runs on Microsoft, Nuance, Epic, and PowerScribe One, all of that lands inside tools your colleagues already use.
The reviewed product page does not describe a dedicated workflow for building the MDM after the workup, or for carrying several patients at once. Dragon Copilot can be used in an emergency department, but its public materials are not organized around an ED shift.
The part of the chart that costs you the most
Ambient capture hears the encounter and drafts the story. The MDM is a different problem. You cannot write it when you walk out of the room, because the workup is not back yet.
palmER handles it on purpose. Paste the chart once labs, imaging, and consults have returned, and it builds the full MDM from what came back. Not a transcript of a conversation that ended 2 hours earlier.
Around it, palmER tracks your patients through the shift, reviews charts for missing documentation before you sign, writes discharge instructions, and helps you shape a consult call. palmEM reference is built in.
What each one leaves behind
palmER stores no audio. Drafts and questions auto-delete within 24 hours. Nothing you enter trains an AI model. Because nothing is wired into the EMR, only the text you review and paste becomes part of the record.
Microsoft's reviewed product page uses enterprise security and compliance language but does not publish product-specific PHI retention or model-training details. Ask your vendor directly. We wrote more about why that question matters in what does your AI scribe save.
Which one fits
Your health system may want one assistant across the whole hospital on the Microsoft and Nuance stack. Dragon Copilot is built for that scale.
If you want documentation built for emergency medicine and urgent care now, without waiting on procurement, palmER is available directly, whether or not a system-wide deployment is already in place.
Try palmER free for 30 days, no credit card. Or read the full palmER and Dragon Copilot comparison first.
From the palmER clinical team — built by board-certified emergency physicians.
Compare palmER and Dragon Copilot