palmERCharting dominates the shift
You spend more time clicking boxes than at bedsides. Charts follow you home. Family time disappears between hospital and laptop.
Less documenting.
More doctoring.
palmER is the premier AI-powered charting platform built for emergency medicine and urgent care. Your notes, written automatically by Ambient Scribe. Your MDM, done in seconds. Better notes. Faster charting.
- 15s
- 1M+
- 80%
- 2h
Clinicians from leading institutions are already using our clinical tools.
From Mayo Clinic, Johns Hopkins, Stanford, Yale, UCSF, UCLA Health, Duke Health, Penn Medicine, and Harvard-affiliated hospitals to 150+ other health systems, academic medical centers, community EDs, and emergency medicine groups.
You came to save lives, not battle documentation.
palmER pairs ambient HPI and Exam scribing with the MDM Assistant that captures differential diagnosis, risk stratification, and disposition reasoning—built for the way an emergency shift actually runs.
Every note has to hold up later
“Did I document everything? Will this hold up if it ever gets reviewed?” The chart you wrote at hour ten is the chart your defense rests on.
Your expertise gets reduced to templates
Cookie-cutter dot phrases bury the complexity of your actual reasoning. Notes that should justify a high-acuity workup read like primary care visits.
The work happens. The chart misses it.
You managed three critical patients at once, but the note reads like a routine visit. Undercoded charts quietly cost you RVUs every shift.
palmER, at a glance.
- A.
- See the patient, the note writes itselfSpeech is transcribed and discarded. No audio is ever stored, so no recording of the encounter ever exists.
- B.
- HPI, Exam, and MDM on one screenChart View: every section editable inline, every patient one click away.
- C.
- A structured MDM in under 15 secondsHPI, exam, labs, imaging: your chart has everything but the part that matters most. Paste it in and palmER writes the MDM.
- D.
- Built for the boardBuilt for the interrupt-driven reality of the ED, where no chart gets finished in one sitting.
- E.
- palmEM answers without leaving the chartGuidelines, differentials, custom discharge instructions, and more.
- F.
- Up to 80% less time chartingAbout two hours back per shift. Twelve days a year.
See the patient. The note drafts itself.
palmER listens during your encounter and writes the HPI and Physical Exam automatically. Walk back to the workstation with the chart already drafted.
- 01
Listen
Start the session and palmER listens through the device microphone, showing a live waveform while you stay with the patient.
- 02
Draft HPI and Exam
The Ambient Scribe drafts your HPI and Physical Exam notes automatically, with relevant positives and negatives.
- 03
Refine and move on
Add findings that were not said aloud. Switch patients without losing context. Stop and restart as the shift demands.
Audio is transcribed and discarded. Never stored.
palmER runs speech recognition on its own on-premises GPUs. Speech is transcribed and immediately discarded. No human-listenable audio ever exists on our servers, and patient data deletes automatically within 24 hours.
Four tools. One workspace.
Ambient capture, MDM generation, HPI and exam drafting, and the palmEM clinical reference, all in a single ED-native workspace.
Defensible MDM notes in seconds
Paste your chart and generate risk stratification, differential reasoning, orders, consults, and disposition.
Encounter notes that write themselves
palmER listens during your encounter and drafts the HPI and Physical Exam automatically. Speech is transcribed and discarded. No audio is ever stored.
The repetitive charting is over
Generate complete histories and focused exams with all the relevant positives and negatives.
Clinical answers inside the workflow
The trusted palmEM AI knowledge base is built into palmER for fast, EM-specific answers.
The MDM your expertise deserves.
In the ED, the MDM is the chart. Clinical reasoning, billing, and medico-legal defensibility intersect in one section, and it is the section that takes the longest to write well. palmER generates a complete, defensible MDM in seconds.
Most Serious. Most Likely. Clinical Insights.
Every MDM highlights what matters most: the diagnoses that cannot be missed, the working differential, and the key clinical findings.
Most Serious
The can't-miss diagnoses for this presentation, there when you need them.
Most Likely
A working differential anchored to this case, not an exhaustive textbook list.
Clinical Insights
The findings that matter, pulled from the chart, and flagged in one place.
Fully documented, E/M-aligned.
Complexity that stays in your head doesn't count. The MDM states the problems addressed, the data reviewed, and the risk you carried, in the structure billing and defensibility both require. What you sign is what you did. The chart stands on its own.
- Documents the problems addressed and the clinical complexity
- Data reviewed and analyzed is summarized and referenced
- Clearly states the risk of complications, morbidity, and mortality
- Documents shared decision-making and capacity assessment when relevant
- Revise any section without losing your previous work
HPI, Exam, and MDM. One screen.
Switch from conversational chat to a unified Chart View whenever you want to review the whole note. Edit inline, ask for a refinement, and copy to your EMR when ready.
Manage every patient on your board.
An emergency shift runs on a board, not an appointment book: multiple patients in parallel, constant interruptions, and unscheduled encounters. palmER's patient panel is built around that reality.
Chest pain
Abdominal pain, RLQ
Dizziness
Laceration, left hand
Migraine
Ankle injury
- 01.
- Active board, completed belowEvery active patient at a glance, with completed encounters filed into their own section under the board.
- 02.
- Room, age, gender, chief complaintQuick context per encounter, so you and the AI both know who you are about to see.
- 03.
- Completion status per assistantHPI, Exam, and MDM each carry their own marker, so you can read what is done and what still needs work off the board.
- 04.
- Switch without losing contextClick a patient and palmER restores the full conversation, transcripts, and generated documentation.
Use Assistant Mode for chart-paste workflows and direct prompts. Use Patient Mode when you want palmER to listen ambiently to encounters and let the HPI and Exam generate automatically. Switch any time.
Six assistants. One suite.
HPI, Exam, and MDM documentation, ConsultER, Chart CheckER, and the palmEM AI clinical reference—built by emergency physicians for emergency clinicians. Everything works alongside any EMR, with no integration project.
The side panel that already knows your patient.
palmER Colab already knows the case, so questions can get straight to the point. It can also draft patient-facing documents, from school notes to custom discharge instructions.
No re-explaining. Ever.
From clinical questions to custom documents, Colab helps with whatever you need.
Explore palmER Colab- 01.
- Beyond clinical decision supportGet help with clinical questions, follow-up tasks, and everything in between.
- 02.
- Discharge instructions from the actual caseGenerate patient-facing instructions that reflect the encounter you documented, not a generic template.
- 03.
- The palmEM reference, built inAsk anything with the palmEM knowledge base built in, without leaving the chart.
Snippets and documentation preferences.
Customize palmER to match your documentation style with reusable snippets and custom instructions.
Save the prompts used every shift
Keep common requests ready, from starting a note to refining one already generated. Choose a saved prompt instead of typing the same instruction again.
Set it once. Keep your style.
Tell each assistant how notes should be written, from structure and detail to what should appear every time. palmER applies those preferences automatically.
Leave when your shift ends, charts already done.
palmER saves about five minutes on every patient. Across a full shift that is two hours back. Across a year, it is twelve days of your life returned to you, your family, and the medicine you came here to practice.
- 5min
- 2h
- 12
This is not a feature. It is your evening back.
You'll never go back to the old way.
What a shift looks like with palmER.
The patients keep coming. The documentation no longer piles up behind them.
01.
Type out the HPI and Exam between every patient.
02.
Stare at a blank MDM at the end of each chart.
03.
Stay an hour past sign-out finishing notes.
04.
Wonder if the chart will hold up if it ever gets reviewed.
01.
The HPI and Exam draft themselves while you see the patient.
02.
Paste the chart and generate the MDM from the full clinical picture.
03.
Chart CheckER gives the completed chart a final quality review.
04.
Walk out with the board cleared and every chart defensible.
Documentation built for acute care.
palmER is for emergency and urgent care clinicians managing multiple patients, making complex decisions, and turning clinical reasoning into clear, defensible documentation.
Emergency physicians
Clear, defensible documentation that reflects the complexity of emergency care.
PAs and NPs
Focused HPI, Exam, and MDM support from the encounter through the completed chart.
Residents and trainees
Structured documentation that makes the clinical reasoning behind each decision clear.
Urgent care clinicians
Fast, focused charts that reflect the care delivered without unnecessary detail.
Medical directors
More consistent documentation across the team with less friction during every shift.
Departments
A shared standard for clearer, more consistent charts across clinicians and shifts.
palmER.
The old way.
- Built for
- The ED. Multiple patients. Constant interruptions.
- A clinic scribe, retrofitted.
- The MDM
- Paste your chart, get the MDM.
- A blank box and a template.
- Thinking
- Documents the why behind each decision.
- Transcribes whatever you dictate.
- Audio
- Transcribed, then gone. Never stored.
- Recordings parked in a cloud.
- Defense
- Risk and shared decisions, captured.
- Hope you remembered to chart it.
- Setup
- Sign in, chart your next patient.
- Implementation plan and IT tickets.
- Reference
- palmEM inside the workspace.
- A browser tab and a prayer.
The ED. Multiple patients. Constant interruptions.
A clinic scribe, retrofitted.
Paste your chart, get the MDM.
A blank box and a template.
Documents the why behind each decision.
Transcribes whatever you dictate.
Transcribed, then gone. Never stored.
Recordings parked in a cloud.
Risk and shared decisions, captured.
Hope you remembered to chart it.
Sign in, chart your next patient.
Implementation plan and IT tickets.
palmEM inside the workspace.
A browser tab and a prayer.
Built for privacy, by physicians who use it.
HIPAA compliant. BAA included.
The BAA is built in, with no extra paperwork required.
Private and secure by default
Data is encrypted in transit and at rest, with strict access controls and audit logging.
No shadow record. No surprises later.
Audio is never stored. Patient data is automatically deleted within 24 hours.
Just listen.
187 minutes of charting in a shift. 36 on palmER.
Documentation takes a quarter of every shift. palmER gives most of it back, and nothing is left waiting after sign-out.
- 5
- 720 → 36
- Hover or click any stage above.
Ask the chart anything.*
?
3 gaps found · risk discussion, repeat ECG timing, shared decision-making
- HPI elems11
- Exam elems8
- Gaps3
?
Not yet · complexity qualifies, but the data review needs more documentation
- complexity90
- data60
- risk85
?
Drafted · plain English, return precautions included
- words240
- grade level6
- edits needed0
From solo coverage to whole departments.
Real clinicians. Real shifts. Their experience with palmER.
Questions, answered.
Everything clinicians ask before they trial it: privacy, your EMR, the price, and whether any of it holds up on a real shift.
What is palmER AI Suite?
palmER AI Suite is a HIPAA-compliant, AI-powered documentation and ambient scribing platform built from the ground up for emergency medicine. With Ambient Scribing, palmER has your HPI and Exam done before you're even back at the computer. Or simply enter a few brief words and get back comprehensive documentation. Paste your full chart for a complete, defensible MDM. Less typing, fewer clicks, and time back for patients, your family, and your life.
What is ambient scribing and how does it work in the ED?
Ambient scribing means the AI listens during your patient encounter and generates documentation from the conversation. Most ambient scribes were designed for office visits in a peaceful clinic: scheduled appointments, one patient at a time. That doesn’t work in the ED.
palmER’s Ambient Scribe was built specifically for emergency medicine. See your patient, and palmER writes your HPI and Physical Exam automatically. Switch between patients instantly. Stop and restart scribing as your shift demands without losing context. Add exam findings or corrections after scribing that weren’t said aloud.
No audio is ever stored on our servers or sent to any third party. Speech data is processed and then immediately discarded.
How does the MDM Assistant work?
Paste your full chart into the MDM Assistant: HPI, past medical history, vitals, exam, labs, imaging, whatever you have. palmER analyzes everything and generates a complete Medical Decision Making note in seconds. The output includes clinically appropriate differential diagnoses, risk stratification, justification for orders and consultations, shared decision-making documentation, and support for appropriate E/M billing levels. Review it, edit if needed, and copy to your EMR.
Is palmER HIPAA compliant? Is my data secure?
Privacy and security aren’t afterthoughts. They’re foundational. palmER is HIPAA-compliant by design. Your data is only used for one purpose: to respond to what you ask for. Nothing else.
- No data is used for AI training.
- No data is sold to anyone.
- No audio is ever stored on our servers or sent to any third party. No one, including us, can ever listen to any encounter.
- With automatic deletion of patient data within 24 hours, we can’t hand over what doesn’t exist.
We use enterprise-grade encryption (AES-256 at rest, TLS 1.2+ in transit), strict access controls, and comprehensive audit logging. We act as your Business Associate under HIPAA, and we maintain Business Associate Agreements with all subprocessors who may handle PHI. When you use AI features, data is routed only to providers with zero-retention agreements, meaning your data is processed to generate a response but never used for training.
For more details, review our Security & HIPAA page.
Is what an AI scribe keeps discoverable?
If it exists, assume it can be requested. When an AI scribe is purchased by your employer or hospital, or comes embedded in your EMR, it may retain the audio of the encounter, the verbatim transcript, the AI’s draft notes, and your typed inputs long after you sign, and retained data is discoverable in litigation. That shadow record can describe the encounter differently than your signed note does, and most clinicians have never seen the contract or hospital policy that decides how long it exists.
palmER keeps nothing to discover. Audio is never saved: it is transcribed and discarded, so no recording of the encounter ever exists. Transcripts, drafts, and chats auto-delete within 24 hours. Once you sign, the note in your EMR is the only lasting record, just as it was before AI.
Even if your hospital already provides a scribe, it is worth asking what it retains. We wrote up what the major tools keep and the questions to ask.
My hospital already provides AI. Why would I pay for palmER?
Hospital-provided AI, whether an ambient scribe or note writing built into the EMR, was bought for the system, not for you. It is typically tuned for scheduled clinic visits and generic notes, not for the multi-patient ED shift or the structured, defensible MDM that emergency medicine documentation hinges on. palmER is built for exactly that: a complete MDM with differential and risk stratification in seconds, plus ambient scribing designed for interrupted, multi-patient work.
There is also the question of what the hospital’s tool keeps. Its retention is set by contract and hospital policy, and retained audio, transcripts, drafts, and inputs are discoverable in litigation. palmER retains nothing: audio is never saved, patient data auto-deletes within 24 hours, and the only lasting record is the note you sign.
And palmER is portable. Your account belongs to you, not your employer, so it goes wherever you practice: the main ED, the community site, the locums shift, your next job. It works alongside any EMR with no integration step, so changing hospitals never means losing your workflow.
What features are included in palmER AI Suite?
- Ambient Scribing: palmER listens during your encounter and writes your HPI and Physical Exam automatically. No audio is ever stored on our servers or sent to any third party.
- MDM Assistant: Paste your full chart and get a complete, defensible MDM note in seconds.
- HPI and Physical Exam Assistants: Enter a brief summary and get comprehensive, complaint-specific notes with pertinent positives and negatives.
- Patient Management: Track patients, switch between encounters, and see documentation status at a glance.
- Chart View: Review HPI, Exam, and MDM on a single screen. Edit inline, refine with follow-up instructions, and copy to your EMR.
- palmEM AI Reference: Ask any emergency medicine question and get instant, evidence-based answers without leaving your workflow.
- Chart CheckER: Run your chart through a quality check before signing. Flags documentation gaps, billing opportunities, and medico-legal vulnerabilities.
- ConsultER: Generate structured consult scripts for specialist communication.
- palmER Colab: Ask clinical questions, generate discharge instructions, and get answers in a side panel that already knows your patient’s case, without interrupting your charting.
How is this different from templates or dictation?
Templates give you the same generic text for every patient. Dictation transcribes what you say but doesn’t do anything with it. You still have to organize, structure, and review everything yourself.
palmER is different. With Ambient Scribing, it listens to your encounter and writes your HPI and Exam for you. With the MDM Assistant, you paste in your full chart and get a defensible MDM that captures your clinical reasoning, differential diagnosis, and risk stratification. The AI understands the clinical context of each case and generates documentation specific to your patient’s presentation.
The difference is that palmER does the thinking about documentation structure so you can focus on the clinical thinking.
Is palmER just another AI scribe?
Ambient scribing built for the ED, not adapted for it. Most ambient scribes were designed for clinic workflows. Scheduled appointments, peaceful office visits, one patient at a time. That falls apart in the emergency department. palmER was built from the ground up by practicing emergency physicians for the way the ED actually works.
palmER listens during your encounter and auto-generates your HPI and Physical Exam before you’re even back at the computer. Paste in your full chart and get a complete, defensible MDM that captures the full complexity of your clinical thinking. Switch between patients instantly. Stop and restart charting as your shift demands without losing context.
Less typing, fewer clicks, and documentation that reflects the care you’re actually providing. No audio is ever stored on our servers or sent to any third party. Speech is transcribed and immediately discarded.
How quickly will I see results?
Right away. Your first note will take seconds instead of minutes. By the end of your first shift, you'll notice the difference in how much time you have left. Most users say they knew within one shift that palmER was going to change how they practice.
Will palmER work with my EMR?
palmER works alongside any EMR. Generate your documentation in palmER, then copy and paste into your EMR. It fits into your existing workflow without any integration or IT setup required.
I am a palmEM subscriber. Is palmER AI Suite included in my subscription?
As a palmEM subscriber, you have access to the palmEM AI knowledge base on the web within palmER AI Suite at no additional cost.
The full palmER AI Suite, including Ambient Scribing, MDM generation, and all documentation assistants, requires a separate subscription at $199/month. These are different products that serve different purposes: palmEM is a mobile clinical reference, palmER AI Suite is a documentation platform.
Who created palmER AI Suite?
palmER AI Suite was built by board-certified emergency physicians who faced the same documentation burden you do. We built what we needed ourselves, and now we are sharing it with our colleagues.
What if I'm skeptical about AI documentation tools?
That's fair. Most of our users were too. The best thing you can do is try it on a real chart during a real shift. The free trial gives you 30 days with full access, no credit card required. One shift is usually enough to see whether palmER fits your workflow.
How does the free trial work?
Sign up and get full access to every feature for 30 days.
- No credit card required to start
- No automatic billing. Your trial simply expires if you don’t subscribe.
- Full access to all palmER AI Suite features for 30 days
After the trial, you can subscribe at $199/month to continue using all features.
Is palmER really worth it?
palmER saves most users 2+ hours per shift. That’s 20+ hours a month. Over 10 days every year. palmER also helps you document the full level of care you’re actually providing.
Is an hour of your time worth $2? That’s what it comes down to. And the 30-day free trial costs you nothing to find out.
Do you offer any discounts?
Group discounts, not at this time. Our costs scale directly with each additional user because every note generated requires significant real-time AI compute. The $199/month pricing reflects the true cost of delivering clinical-grade AI documentation. Many groups are adopting palmER and we’re listening to feedback as we grow; if group pricing becomes feasible, we’ll announce it.
We do offer a trainee discount for students and residents: see our trainee page for details. We also offer an active duty military discount: contact us from your .mil email address.
One thing worth noting: your palmER subscription follows you. It’s not tied to a facility or EMR. Change sites, pick up extra shifts, switch healthcare systems. palmER comes with you.
What if I don't like it after the trial?
No problem. Your trial expires on its own. You won't be billed automatically and you don't need to cancel anything. We only want you to subscribe if palmER makes a real difference in your workflow.
The shift ends. So does the charting.
Start a trial tonight, paste your first chart, and watch the MDM build itself. Thirty days, no card, no auto-billing. If a note misses something, tell us. Clinicians read every report.