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A pediatric clinic day mixes well child visits with ear infections, wheezing and school forms. The well visit note alone covers growth percentiles, development, screening tools such as the M-CHAT, anticipatory guidance and which immunizations were given. General dictation misses words like "funisitis", writes "pertusus" and does not know DTaP from "DTAP". The Healthcare dictionary in VoicePrivate has 740 pediatric terms, and it draws on neonatal, infectious disease and developmental vocabulary as well.
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Pediatric notes you can dictate
- Well child visits
- Growth with weight, length and head circumference percentiles, developmental milestones, M-CHAT at 18 and 24 months, lead screening, fluoride varnish, immunizations and guidance.
- Sick visits
- Otitis media, croup, bronchiolitis, strep, asthma exacerbations and febrile illness, with exam, assessment and plan.
- Newborn and nursery
- Newborn exam, APGAR score, feeding, neonatal jaundice with bilirubin and phototherapy decisions.
- Chronic and behavioral follow up
- ADHD with Vanderbilt scores and methylphenidate dosing, asthma control and albuterol use, failure to thrive.
- Forms and letters
- School and camp forms, sports physicals, letters for accommodations.
Pediatric words general dictation gets wrong
- "pertusus" to pertussis
- "funisitus" to funisitis
- "air in mediastinum" to pneumomediastinum
- "newborn score" to APGAR score
- "bak to sleep" to back to sleep
- "esophageal atresia type C" to esophageal atresia
These come from the pediatrics list in the Healthcare dictionary, which keeps the misheard form next to the right term.
What choosing Pediatrics does
On Mac, open Settings and set the Medical specialty to Pediatrics. Recognition is then primed with well child, developmental milestones, percentile, M-CHAT, bronchiolitis, respiratory syncytial virus, otitis media, amoxicillin, croup, dexamethasone, immunizations, MMR, varicella, DTaP, hepatitis A, influenza vaccine, fluoride varnish, lead screening, ADHD, methylphenidate, asthma, albuterol, neonatal jaundice, phototherapy, bilirubin, failure to thrive and febrile seizure. A long misheard word that is a near miss of one of them is matched to it first. Windows has no picker and uses the full medical dictionary.
Example: an 18 month well child visit
- Growth. Click into the note, press Command+Shift+Space and say: "Weight 50th percentile, length 60th, head circumference 45th." Press the hotkey again.
- Development: press the hotkey and say: "Walks well, 10 words, points to show interest. M-CHAT low risk, score 1. Developmental milestones on track." Press the hotkey again.
- Screening and vaccines: press the hotkey and say: "Lead screening sent. Fluoride varnish applied. DTaP and hepatitis A given today, influenza vaccine dose 2." Press the hotkey again.
- Sick concern and plan: press the hotkey and say: "Right otitis media on exam, start amoxicillin 90 milligrams per kilogram per day divided twice daily for 10 days. Return at 2 years." Press the hotkey again.
Weight-based doses are dictated as you say them. Read the pasted dose before signing, as with any dictation.
Into Epic, PCC and other EHRs
VoicePrivate pastes through the clipboard and then puts back what you had copied, so nothing is installed inside the EHR. It works in the text fields of Epic, PCC, Office Practicum, athenahealth, eClinicalWorks and Oracle Health (Cerner). When the EHR runs in Citrix or another remote desktop, that session must allow clipboard redirection from your computer. Text shortcuts expand a short phrase, such as your standard anticipatory guidance for an age, into the full paragraph. The EHR dictation guide covers each system.
On-device facts
VoicePrivate transcribes on the Mac or Windows PC it is installed on. Audio never leaves that computer, and nothing is sent to a cloud service. 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 is $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. Pediatric groups of 2 to 20 clinicians can buy team seats.
Pediatrics dictation FAQ
Does it know vaccine names?
Yes. Vaccine names and abbreviations such as DTaP, MMR and varicella are in the Healthcare dictionary.
Can I dictate percentiles and weight-based doses?
Yes. Say them as you would write them. Read the pasted numbers before signing.
Does text appear while I talk?
No. Press the hotkey to start and again to stop. The finished text is pasted a moment later.
Can the whole practice use it?
Yes. Team plans cover 2 to 20 clinicians, and each clinician installs it on their own computer.
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.
Pediatric care connects to emergency medicine dictation for urgent visits and psychiatry dictation for behavioral health. Small practices should read Dragon Medical for a small practice and dictation for a group practice.