palmER User Guides
Getting Started

Getting Started with palmER AI Suite

Quick start guide to using palmER AI Suite's documentation assistants - learn the platform in minutes and start documenting faster today.

Welcome to palmER AI Suite

You've signed up for palmER AI Suite - now let's get you up and running. This guide covers everything you need to know to start using the platform effectively during your next shift.

What you'll learn:

  • How to access and navigate the platform
  • Overview of each documentation assistant
  • Quick start tips for your first shift
  • Common workflows and best practices

New User Strategy

Start with just the MDM Assistant on your first shift. Once you're comfortable with one tool, gradually add others. Trying to use everything at once can be overwhelming.

Accessing palmER AI Suite

palmER AI Suite is a web-based platform - you access it through your browser, not a mobile app.

Access URLs:

Compatible with:

  • Desktop computers (Mac, Windows, Linux)
  • Laptops
  • Tablets (iPad, Android tablets)
  • Any device with a modern web browser

Browser requirements: Works with Chrome, Firefox, Safari, or Edge. For best performance, keep your browser updated.

Platform Navigation

After logging in, you'll see:

Left sidebar: The main navigation menu with access to all documentation assistants and tools.

Main workspace: Where you'll input information and receive AI-generated documentation.

Top bar: Your account menu, settings, and support links.

Everything is organized for quick access during documentation workflows.

The Core Documentation Assistants

Here's what each tool does and when to use it:

MDM Assistant

Generate comprehensive medical decision-making documentation in seconds

  • Paste your chart data, get a complete MDM note
  • Automatically generates clinically appropriate differential diagnoses
  • Demonstrates risk stratification and clinical reasoning
  • Supports appropriate E/M billing levels

HPI Assistant

Create detailed, complaint-specific histories from brief clinical input

  • Turn 1-2 sentences into a complete HPI
  • Includes appropriate pertinent positives and negatives
  • Adapts to your documentation style
  • Saves 5-10 minutes per chart

Physical Exam Assistant

Generate focused, complaint-appropriate physical exam documentation

  • Creates chief complaint-specific exams
  • Includes relevant systems and findings
  • Maintains professional, consistent documentation
  • Eliminates generic error-prone templates

MDM Assistant

What it does: Generates comprehensive medical decision-making documentation from your chart data.

How to use it:

Copy relevant chart information

Gather HPI, vitals, labs, imaging results, and any other clinical data.

Paste into the MDM Assistant

Input all your chart data into the assistant.

Click generate

Let the AI create your comprehensive MDM note.

Review and edit the output

Verify accuracy and add any clinical nuances.

Copy to your EMR

Paste the final documentation into your medical record.

Best results: Include as much chart data as possible - the AI works better with more context. Don't worry about formatting; just paste everything.

Detailed MDM Assistant guide

HPI Assistant

What it does: Expands brief clinical summaries into complete, professional histories of present illness.

How to use it:

Enter a brief summary

Type a concise summary like: "45 yo F, chest pain x 2 hrs, radiates to arm, diaphoretic"

Click generate

The AI expands your summary into a complete HPI.

Get a full HPI

Receive professionally written documentation with appropriate detail.

Edit and copy to EMR

Review for accuracy, make any needed edits, and paste into your medical record.

Best results: Include key details (age, gender, chief complaint, onset, associated symptoms) but keep it concise.

Detailed HPI Assistant guide

Physical Exam Assistant

What it does: Creates complaint-specific physical exam documentation.

How to use it:

Enter the chief complaint

Type the chief complaint or paste your HPI for context.

Add any abnormal findings

Include specific abnormal exam findings if present.

Click generate

The AI creates a focused, complaint-specific physical exam.

Get your exam documentation

Receive appropriate exam documentation tailored to the presentation.

Edit and copy to EMR

Review for accuracy and paste into your medical record.

Best results: Specify the chief complaint clearly and mention any significant abnormal findings.

Detailed Physical Exam Assistant guide

Additional Tools

Chart CheckER

Review your documentation and get improvement suggestions before signing

  • Pre-sign quality assurance
  • Billing optimization suggestions
  • Documentation completeness review
  • Medico-legal strength assessment

ConsultER

Generate structured scripts for specialist consultations

  • Organized clinical presentation format
  • Workup summary and clinical urgency
  • Specific consultation requests
  • Handles anticipated pushback

palmEM AI Reference

Instant answers to emergency medicine clinical questions

  • Evidence-based clinical guidance
  • Discharge instruction generation
  • Treatment protocol verification
  • Work/school note creation

Chart CheckER

What it does: Reviews your completed documentation and provides suggestions before you sign.

When to use it: Before signing complex charts, high-acuity patients, or when you want to verify billing level support.

What to expect: Specific suggestions for improving documentation completeness, billing optimization, and medico-legal strength.

Detailed Chart CheckER guide

ConsultER

What it does: Generates structured scripts for specialist consultations.

When to use it: Before calling consultants, especially for difficult cases or anticipated pushback.

What you get: Organized presentation including clinical urgency, workup summary, and specific requests.

Detailed ConsultER guide

palmEM AI Reference

What it does: Answers emergency medicine clinical questions instantly.

When to use it:

  • Quick clinical references during documentation
  • Generating discharge instructions
  • Verifying treatment protocols
  • Creating work/school notes

How it works: Ask a question, get an evidence-based answer immediately. No need to leave your documentation workflow.

Same AI as palmEM Mobile App

This is the same powerful AI reference tool from the palmEM mobile app, now integrated into your web-based documentation workflow.

Detailed palmEM AI Reference guide

Your First Shift with palmER

Before your shift:

Bookmark the site

Save the platform URL for quick access during your shift.

Review the MDM Assistant guide

Familiarize yourself with the most powerful time-saving feature.

During your shift:

Start with the MDM Assistant

Focus on just one tool for your first shift to avoid overwhelm.

Paste chart data

For your first patient, copy and paste all relevant chart information into the MDM Assistant.

Review the output

Check the generated MDM for accuracy and edit as needed.

Copy to your EMR

Paste the final documentation into your medical record.

Notice the time savings

Recognize how much faster documentation becomes with AI assistance.

Gradual adoption:

  • Shift 1-2: MDM Assistant only
  • Shift 3-4: Add HPI Assistant
  • Shift 5+: Explore Physical Exam, Chart CheckER, etc.

Common Workflows

Typical documentation workflow:

See patient and document in EMR

Complete your initial patient encounter and start documentation.

Expand your HPI

Use HPI Assistant to expand your brief history into comprehensive documentation.

Generate physical exam

Use Physical Exam Assistant for focused exam documentation.

Complete workup

Gather labs, imaging, and consult results.

Create MDM note

Use MDM Assistant to generate comprehensive MDM documentation.

Pre-sign review

Run through Chart CheckER before signing for quality assurance.

Sign chart

Finalize and sign your documentation.

Consultation workflow:

Complete your workup

Gather all relevant clinical data and test results.

Structure your presentation

Use ConsultER to create an organized consultation script.

Call consultant

Present the case using your organized script.

Document consultation

Record the consultation discussion and recommendations in your chart.

Clinical question workflow:

Question arises

Encounter a clinical question while documenting.

Ask palmEM AI Reference

Get instant, evidence-based answer.

Continue documenting

Apply the answer and continue with your charting.

Tips for Success

The AI isn't perfect: Always review and edit generated content. The AI provides a strong draft, but you're responsible for accuracy.

More input = better output: The more information you provide, the better the AI's generated content. Don't be stingy with context.

Customize to your style: Use Documentation Preferences to adjust outputs to match your documentation style.

Start simple: Don't try to learn all features at once. Master one tool per week.

Use keyboard shortcuts: Copy (Ctrl/Cmd+C) and paste (Ctrl/Cmd+V) become second nature - this speeds up your workflow significantly.

Next Steps

Need Help?

In-platform support: Click your email in the bottom-left corner and select "Contact Us"

Support documentation: Browse this support site for detailed guides on every feature

Common issues: Check troubleshooting for quick solutions

Welcome to faster, better documentation. Your first shift with palmER will show you why emergency physicians are making it part of their standard workflow.