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Most GI documentation splits in two. Procedure reports are often built from structured fields in an endoscopy writer, with a free text findings and impression box at the end. Clinic notes for inflammatory bowel disease, liver disease and reflux are long narrative notes with drug names, scores and lab trends. Dictation helps most in the free text parts, which is where a general speech tool also does the most damage.
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Where general dictation breaks on GI language
GI vocabulary is heavy with biologic drug names, eponyms and grading systems. A general tool hears the sounds and writes the nearest everyday word. The Healthcare dictionary carries corrections for mishearings like these:
| Heard as | Corrected to |
|---|---|
| cold snare polypectamy | cold snare polypectomy |
| skatzki ring | Schatzki ring |
| esophageal vareces | esophageal varices |
| hematocheeza | hematochezia |
| akalasia | achalasia |
| Boerhave syndrome | Boerhaave syndrome |
| colcistectomy | cholecystectomy |
| cholangio carcinoma | cholangiocarcinoma |
| a dalimumab | adalimumab |
The last row is a common pattern with biologics: the recognizer splits one drug name into two words. VoicePrivate joins the pieces back when the joined form is a dictionary term. It also catches drug names that come out close but wrong, matching them by sound to the dictionary spelling, and it never rewrites one real drug name into a different one.
What the Gastroenterology setting does
On Mac, pick Gastroenterology in Settings, under Medical specialty. VoicePrivate then primes recognition with GI terms, so words such as vedolizumab, mesalamine, calprotectin, Barrett esophagus, ERCP, elastography and gastroparesis are expected rather than guessed. A long misheard word that is a near miss of one of those core terms is matched to the GI term first. The rest of the 74,000+ medical terms stay available. On Windows there is no specialty picker, and the full medical dictionary is used for every note.
GI documents you can dictate
| Document | What goes into it |
|---|---|
| Colonoscopy report | Indication, Boston Bowel Preparation Scale, extent reached, polyp size, location and morphology by Paris classification, cold snare polypectomy, retrieval, surveillance interval |
| EGD report | Los Angeles classification for esophagitis, Barrett esophagus length, Schatzki ring, hiatal hernia, gastric ulcer with Forrest classification, biopsies for Helicobacter pylori |
| ERCP note | Cannulation, sphincterotomy, choledocholithiasis, stone extraction, stent placement, findings for cholangitis |
| IBD clinic note | Ulcerative colitis or Crohn disease extent, calprotectin trend, current biologic such as vedolizumab, infliximab or ustekinumab, steroid exposure with budesonide |
| Hepatology note | Cirrhosis with Child-Pugh score and MELD score, elastography result, esophageal varices, ascites, hepatic encephalopathy |
| Consult letter | Reason for referral, findings, impression and plan back to the referring physician |
Example: dictating a screening colonoscopy impression
Most endoscopy writers fill the structured fields for you. Dictation covers the free text. Here is one case, field by field.
- Findings box. Press Command+Shift+Space and say: "Boston Bowel Preparation Scale 8. Cecum reached and confirmed by appendiceal orifice and ileocecal valve. A 6 millimeter sessile polyp in the ascending colon, Paris 0-Is, removed with cold snare polypectomy and retrieved." Press the hotkey again.
- Second finding: press Command+Shift+Space and say: "A 3 millimeter polyp in the sigmoid colon removed with cold snare. Scattered diverticulosis in the sigmoid. Small internal hemorrhoids on retroflexion." Press the hotkey again.
- Impression and plan: press Command+Shift+Space and say: "Two polyps removed, pathology pending. If tubular adenoma, repeat colonoscopy in 7 years. Resume diet. Letter to the referring physician." Press the hotkey again.
VoicePrivate transcribes after each stop and pastes the whole passage at once. Nothing appears on screen while you are still speaking, so finish the sentence before you look.
Pasting into Provation, gMed and your EHR
VoicePrivate does not need an integration. It places the text on your clipboard, pastes it at the cursor and then restores whatever was on your clipboard before. That works in endoscopy report writers such as Provation and gMed, and in EHRs such as Epic, Oracle Health (Cerner), athenahealth, ModMed and eClinicalWorks. If your report writer or EHR runs inside Citrix or another remote session, that session must allow clipboard redirection from your computer. Read the EHR dictation guide for the steps in each system.
On-device processing
Speech is processed on the Mac or Windows PC that runs VoicePrivate. Audio never leaves that computer, and transcripts are not sent to a cloud service. The note lives wherever you paste it, under the same controls as your other records. With Auto-save transcriptions on, which is the default, each dictation is also kept in the app's Library on that computer. Turn it off in Settings if you want the EHR to hold the only copy.
Price
Healthcare Edition costs $297 a year or $34.99 a month per clinician. There is no free trial. Individual monthly and annual plans have a 30-day money-back guarantee on the first payment. GI groups with 2 to 20 clinicians can buy team seats.
Gastroenterology dictation FAQ
Can I dictate into an endoscopy report writer?
Yes, into any free text field that accepts a paste. VoicePrivate pastes at the cursor, so click into the findings or impression box before you press the hotkey.
Does it know GI drug names and scores?
Yes. The Healthcare dictionary covers biologics such as vedolizumab and infliximab, scores such as the Boston Bowel Preparation Scale, Child-Pugh score and MELD score, and classifications such as Paris, Los Angeles and Forrest.
Does the text appear while I speak?
No. Press the hotkey to start, press it again to stop, and the finished text is pasted a moment later.
Will it work in Citrix?
Yes, if the Citrix session allows clipboard redirection from your computer. VoicePrivate runs on your local machine and pastes into the remote window.
Is there a free trial?
No. Individual monthly and annual plans are charged at checkout with a 30-day money-back guarantee on the first payment. Team plans and renewals are not covered.
GI work overlaps with surgical dictation for colorectal and hepatobiliary cases, pathology dictation for biopsy results and radiology dictation for CT and MRCP language. If you are comparing costs, see Dragon Medical One pricing and alternatives.