Team Documentation (Scribing)

© 2012 UCSF Center for Excellence in Primary Care


Team documentation, also known as scribing, involves a non-clinician team member staying in the exam room during a medical visit to enter orders or type progress notes as the clinician calls them out. Team documentation can help return the clinician's focus to the patient encounter, improving the patient and clinician experience. Some models of team documentation have been shown to increase clinician productivity while also increasing their direct interaction time with patients.

Download our toolkit to learn more about team documentation and scribing and how to evaluate your program: