palmERpalmER vs Suki.
Suki puts a voice assistant in the EHR. palmER puts your shift in one workspace.
Your EHR has a voice assistant. Your shift needs palmER.
Suki puts a voice assistant in the EHR. palmER puts your shift in one workspace.
Keep multiple workups moving, write the MDM, prepare the consult, and finish discharge paperwork in one space. palmER works beside any EMR, so your charting workflow can come with you from one practice site to the next. And it was built by emergency medicine physicians. Start with your own account and your next patient.
Try every palmER tool free for 30 days. No credit card. No automatic billing.
At a glance
| palmER | Suki | |
|---|---|---|
| Built for | Emergency medicine and urgent care | Multiple specialties and clinical settings |
| Ambient documentation | Drafts the HPI and Physical Exam automatically | Generates clinical documentation from the patient encounter |
| The MDM | A structured MDM: differential, risk, data reviewed, disposition | Not described in Suki's public materials |
| The rest of the shift | Clinical questions, consult calls, discharge papers, chart review, palmEM reference | General clinical assistance within the EHR |
| Your EMR | Works alongside any EMR; no integration required | Requires EHR integration for integrated use |
| Access | Individual signup | Contract-led; no public self-serve trial found |
Who chooses the tool?
Your hospital may already provide an AI documentation tool. If it does not fit the way you work a shift, write the MDM, or help with the rest of it, you can choose something that does.
Using palmER throughout a shift
palmER starts with the clinician working an emergency medicine or urgent care shift: multiple patients, constant interruptions, and decisions that need a clear MDM.
palmER helps you manage the whole shift, from documenting the initial encounter to keeping up with multiple workups, writing the MDM, reviewing charts, communicating with consultants, and generating the documents your patients need for discharge.
It works alongside any EMR without requiring an integration project. You review the documentation, make any changes you want, and control exactly what enters the medical record.
What your MDM needs to explain
A useful MDM explains the differential, risk, data reviewed, and disposition to someone who was not there for the encounter.
palmER writes a structured MDM with all of that in it, written so it reads just like you wrote it. A dedicated ED MDM workflow was not found in Suki's reviewed public materials.
Note retention and model training
palmER never stores ambient audio. Transcripts, drafts, edits, and questions automatically delete within 24 hours. Nothing you enter is used to train AI models. Read how palmER handles data on our security page.
Suki's security FAQ says audio and transcripts are deleted after 30 days, while the final clinical note is retained for the service contract. Its privacy policy allows de-identified data to be used for model training.
Check the retention period for each type of content you enter or generate. A policy covering audio alone does not tell you what happens to notes, prompts, and questions.
We wrote about what AI scribes keep, and why it is discoverable, 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
Put an emergency medicine workspace beside the EMR you already use. palmER brings your MDM, active workups, clinical questions, consult preparation, and discharge documents together, with chart review before you sign.
No integration project stands between you and your next chart. Start the full-access 30-day trial, then choose unlimited access for $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 Suki comparison for features, pricing, and sources.
Frequently asked questions
- Is palmER a good Suki 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. A dedicated ED MDM workflow was not established in the Suki sources reviewed. With palmER, chart review, clinical answers, consult preparation, and discharge tools are included in the same subscription.
- What does Suki cost?
- Suki does not publish a price on the reviewed pages; its public purchase path starts with contacting sales. 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 Suki retain after an encounter?
- Suki's security FAQ says original audio and transcripts are deleted after 30 days, final clinical notes persist for the service contract, and de-identified/anonymized data is used for model training; it also says there are no voice signatures. 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