What outputs are generated when using OSLER?

If you record your consultation using OSLER, after the recording finishes you will be able to review:

  • a transcription of the consult

  • a medical summary, provided in a standard SOAP format

  • a referral letter (if required)

What do I do with the outputs generated by OSLER?

You should check the outputs and edit them where relevant, then copy them to the clipboard and paste them into the EHR in the relevant page.

How should I edit the note or letter?

You should review carefully the output of the summary note and letter. You can edit the contents by clicking "Open Summary" or "Open Letter". In this new window, you can edit the contents of the summary and letter, before proceeding to copy it.

How do I access the transcriptions, summary and letter?

The three outputs are available in the OSLER chat interface, within the consultation widget. As long as you stay logged in and keep the app window open, you will be able to scroll up and access these. If you close the application, these will no longer be accessible. It is recommended that you copy and paste the relevant information into the EHR as soon as convenient after the consultation, to keep your note taking contemporaneous.

Can I copy the note and/or letter into an EHR without checking the content?

No, you must check carefully the content of the note and letter prior to transferring either of these into a patient record. As a clinician, it is still your professional responsibility to ensure the validity of any documentation added to a patient record, just as it would normally be.

What are best practices for OSLER use?

  1. Prior to starting a clinic, check your audio set up. Create a test consultation, ensuring your microphone is visible as an input, and the microphone audio bar is detecting audio. Record some test audio of at least 30 seconds and transcribe the content, review the transcription to confirm that audio input is functioning correctly.

  2. The transcription system is highly accurate, but requires a microphone of sufficient hardware quality to optimise. Most internal laptop microphones are sufficient. If your device has insufficient recording capabilities (i.e. fails to capture clear audio) consider purchasing an external USB microphone or webcam with an omnidirectional microphone. For the best results, we recommend these wireless lavalier microphones - as both the clinician and patient can wear them.

  3. During a consultation, try to ensure one person is speaking at any given time. Using closed loop communication, repeating back important pieces of information to the patient, also boosts performance.

  4. During a consultation, try to place the device or microphone as close to yourself and the patient as practical, and ensure background noise is minimised where possible.

  5. Transcription errors may occur, you must thoroughly check through the generated clinic note and letter for errors.

  6. If a patient mentions medication names, we recommend repeating these back to improve transcription quality.

  7. You should use the edit function to replace any transcription errors captured in the summary note or letter.

How should I use the record button?

To begin recording the consultation, click the ‘Start new consultation’ button in the chat. A widget will appear where you can change the default microphone device that OSLER will use. Then when ready press the microphone icon to start the recording. Once the consultation has concluded, click the pause icon and then the ‘Finish Consultation’ button. If you want to resume the consultation after pressing pause, you can press the microphone icon (if ‘Finish Consultation’ hasn’t been pressed yet) again, and you can continue with the session.

Please be aware that you cannot restart the recording once ‘Finish Consultation’ has been clicked.

What do I do if OSLER says it can't access my microphone?

OSLER will prompt you for microphone access the first time you start a consultation. If you accidentally deny access, you will have to grant permissions manually. How you do this will depend on your operating system, so please follow the appropriate guide below:

Can OSLER transcribe accents?

Yes, although OSLER may struggle to transcribe fully in particularly strong accents. If a patient has a strong accent, we recommend using closed loop communications, repeating back key parts of the consultation, and especially medication names.