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AI for Canadian primary care, inside Med Access and Oscar

Charting done before the patient leaves the room.

Most AI scribes hand you a draft in another tab and leave the copy-paste to you. Medulla scribes, charts, bills, answers clinical questions, and runs phone visits right on the encounter page, so when your last patient leaves, so do you.

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Free 2-week trial. No credit card required.

“I have all my work done by the end of my day, which is unprecedented.”
Dr. Toye Oyelese · Medical Director, Westside Medical Associates · Kelowna, BC
Medulla open inside an EMR encounter, showing the AI scribe drawer alongside the patient chart.

Works on

Trusted by clinicians at family practices across Canada.

  • Camrose Medical Clinic
  • Sahali Mall Medical Clinic
  • Westside Medical Associates
  • Burke Mountain Medical Centre
  • Mill Bay Medical Centre
  • Clearwater Medical Center
  • Aberdeen Medical Clinic
  • Hope Medical Center
  • Haven Medical Clinic
  • Avee Health
  • Village Park Medical
  • North Shore Medical Hub
  • Parkside Family Health
  • Health Garage
  • Megafu Medical Clinic

Sound familiar?

You got an AI scribe. You kept the busywork.

The first wave of AI scribes saved some typing and added a second job: babysitting the tool. If your day still ends with checking, copying, and matching notes to charts, this is why.

The bolted-on way

  • Lives in a separate tab you feed each visit into, leaving a pile of notes to match back to the right charts at day's end.
  • Hands you a draft you re-read line by line, because you cannot be sure what it heard.
  • Even the ones that write back dump the whole note into your template's first field and leave the sorting to you.
  • Its AI chat has never seen the chart, so the advice stays generic no matter how much you paste in.
  • Billing still gets coded from memory after your last patient.

The Medulla way

  • One drawer on the encounter page. The note is bound to the open chart, so it can never land on the wrong patient.
  • Concise, accurate notes most clinicians sign on the first pass.
  • Fills your template field by field: Subjective, Objective, Assessment, and Plan each land where they belong.
  • Clinical answers grounded in the patient in front of you, cited to Canadian sources.
  • Diagnostic and billing codes suggested at sign-off, from what was actually discussed.

Medulla works inside Med Access and Oscar, on the encounter you already have open.

“We are 19 family doctors, most of us came in as Tali users. I wasn't expecting to be won over. It quietly gives you time back without getting in your way.”
Dr. Saad Khan Westside Medical Associates · Kelowna, BC

Made for your templates

Your note lands in the template, field by field.

Encounter templates split the note into fields: Subjective, Objective, Assessment, Plan. Other scribes that claim to fill your encounter dump the whole note into the first box and leave the splitting to you. Medulla places each part of the note into its own field, exactly where you would have put it, in one click.

Encounter · your EMR
Medulla · Your note

Subjective

Eye ache and pressure when working too close to the screen. Symptoms occur without glasses.

Objective

Fundoscopic exam: retina appears normal. Visual screening performed for each eye.

Assessment

Eye strain and refractive error, likely outdated prescription glasses.

Plan

Referral to ophthalmology for refraction and comprehensive eye exam.

Fill encounter fields
Observations SOAP template
Subjective Note

Eye ache and pressure when working too close to the screen. Symptoms occur without glasses.

Objective Note

Fundoscopic exam: retina appears normal. Visual screening performed for each eye.

Assessment Note

Eye strain and refractive error, likely outdated prescription glasses.

Plan

Referral to ophthalmology for refraction and comprehensive eye exam.

Sounds simple. It is the difference between signing off and spending your evening re-sorting a wall of text, thirty times a day.

See it fill your own template.

Start free trial

Free 2-week trial. No credit card required.

How it works

From hello to signed-off note, without leaving your EMR.

  1. 01

    Open Medulla on any encounter

    The drawer slides in alongside the patient chart. No new tab, no new app to switch into.

  2. 02

    In person or on the phone

    Medulla scribes the visit, charts what was discussed, suggests billing codes, and answers your clinical questions.

  3. 03

    Notes go straight into your EMR

    Direct push to Med Access or Oscar. 1-click. Done.

What Medulla does for you

Everything the visit needs, on the encounter page.

From the first two minutes to sign-off, here is what Medulla handles while you stay with your patient.

01 · AI Insight

Every patient, fresh in your mind.

The moment you open the encounter, AI Insight reads the chart and hands you the patient's story: what you covered last time, what matters now, with priorities like overdue screenings surfaced automatically. Nothing to gather, nothing to upload.

Explore AI Insight
Encounter · your EMR
Medulla
Scribe
AA
AI Insight

Patient story

68F, seen three weeks ago after a fall. Type 2 diabetes and hypertension on the chart. Last A1C 8.2%, trending up. Statin started in March, adherence unclear. Diabetic foot exam overdue.

Suggested priorities

  • Foot exam overdue
  • A1C trending up
  • Recheck BP

Synthesized from the chart automatically. Nothing to upload.

Scribe Ask

02 · AI Scribe

The note is written before the visit ends.

An accurate transcript streams live while you stay with the patient. Tap finish and a concise SOAP note is written in seconds, ready to review while the patient is still in the chair. It gets your accent the first time, and most clinicians sign off on the first pass.

“It summarizes the pertinent information and removes the extraneous. It definitely increases my efficiency and allows me to focus on the patient's care and management.”
Dr. Franky Mah · Sahali Mall Medical Clinic · Kamloops, BC
Explore AI Scribe
Encounter · your EMR
Medulla
Scribe
AA
Note Transcript Patient Handout

Subjective

  • Sore throat and low-grade fever, three days
  • No cough or shortness of breath
  • Painful swallowing, worse in the morning

AI Bill Suggestions

Dx: Acute pharyngitis 462
In-person clinic visit 98031
Fill encounter fields AI Chart
Scribe Ask

03 · Ask

Clinical answers that already know your patient.

Drug interactions, differentials, dosing, and guideline lookups, grounded in the chart in front of you and cited to Canadian sources like Choosing Wisely Canada and your province's guidelines. No pasting chart details into a consumer chatbot.

Explore Ask
Encounter · your EMR
Medulla
Ask
AA
Safe to start an ACE inhibitor here?
Reasonable. Her last labs show eGFR 58 and K+ 4.9, both within range to start low and recheck in one to two weeks. Watch the overlap with her current NSAID.
Choosing Wisely Canada Her chart: eGFR 58, K+ 4.9

Private and encrypted. HIPAA and PIPEDA compliant.

Scribe Ask

04 · AI Autochart

The chart updates itself. You just say yes.

The note is only half the work. Medulla proposes the problem-list additions, medication changes, care-plan items, and follow-ups the visit calls for, each one a checkbox. Accept what fits and every item is written into your EMR at once, instead of a field at a time through tabs and modals.

Explore AI Autochart
Encounter · your EMR
Medulla
Scribe
AA
AI Chart 3 items
Accept all · Discard all

Medical

Essential hypertension

Preferences

Lisinopril renewed

Care plan

Follow up in 3 months
Add to patient chart (2)
Scribe Ask

05 · AI Billing Assistant

Stop coding from memory at the end of the day.

As you finish, diagnostic and service codes appear beside the note, grounded in what was actually discussed and your province's fee schedule. Give them a look, apply, and the codes go in with the note, so you bill for the work you actually did.

Explore AI Billing
Encounter · your EMR
Medulla
Scribe
AA

AI Bill Suggestions

BC · MSP
Dx: Type 2 diabetes mellitus 250
Dx: Essential hypertension 401
In-person clinic visit 98031

Grounded in this visit.

Assessment

Diabetes and hypertension, both stable on current therapy. A1C reviewed and at target.

Fill encounter fields

Codes go in with the note.

Scribe Ask

06 · Telemedicine

Patients see your clinic's number, not your cell.

Set your clinic number once and every phone visit goes out under your clinic line, a local number patients recognize and answer. The patient's number is already on the chart, so you click to call, and the visit is scribed like any other. The note is done by hang-up.

Explore Telemedicine
Encounter · your EMR
Medulla
Scribe
AA

Call Margaret D.

Number pulled from the chart.

Patients will see

(604) 555-0142

Your clinic line · local BC

Set Caller ID

Patient's phone number

(250) 284-5578
1 2 3 4 5 6 7 8 9 * 0 #
Call
Scribe Ask

Why we go deep

A generic AI scribe shaves minutes off your day. An EMR-native one changes how you practice.

You've spent years bending Med Access or Oscar to fit the way you work, and you'd rather not start all over.

So we chose to integrate deeply with the EMRs you already use, because true efficiency gains only happen when AI lives inside the encounter, not next to it or in shallow integrations.

All of it, right on the encounter page.

Click to call

Your EMR already has the patient's phone number. Why type it in again? So you just click to call.

Codes grounded in the chart

Billing and diagnostic code suggestions built from what is actually in the record.

Medulla knows the patient

Ask a clinical question and the answer reasons about the patient in front of you, with Canadian sources cited. Fully HIPAA and PIPEDA-compliant, private and encrypted conversation.

AI Insight

A patient story synthesized from the chart with suggested visit priorities, waiting at the top of every encounter. No more scrambling to piece together the patient's history from the different parts of your EMR in those precious first few minutes. Clinicians tell us they can't work without it.

See it on your EMR

Documentation done before the next patient walks in.

Start your free trial and see it work on your own encounters.

Start free trial

No credit card required.

Questions

Questions we hear a lot.

Which EMRs does Medulla work with?

Med Access, Oscar Pro, Oscar 19, Juno, Open OSP, Avee Health, and Avaros. The real answer is how deep the integration goes. Plenty of tools claim EMR integration but only push a note back at the end. Medulla works inside the chart both ways: it picks up the patient's phone number so you just click to call, grounds every billing and diagnostic code suggestion in what is actually in the record, and lets the AI chat reason about the patient in front of you so nothing gets missed. That two-way context is the core of what makes Medulla work.

Do I have to change how I work?

No. Medulla opens as a drawer alongside your patient chart, inside the EMR you already use. No new tab, no new app, and no re-learning your workflow.

Does Medulla fill my encounter template properly?

Yes, field by field. If your encounter uses a template like SOAP, Medulla splits the generated note and places each part into its own field: Subjective, Objective, Assessment, and Plan land exactly where they belong, not in one blob in the first box.

How do I set up the integration with my EMR?

There is nothing to toggle on your end, and no need to loop in your MOA or contact your EMR vendor to switch anything on. Install the Medulla extension, sign in to your EMR, sign in to Medulla, and you are ready to go.

I'm not the only clinician in my clinic. Does Medulla affect the others?

No. Medulla runs just for you, only when you are signed in. It does not change the shared EMR or touch anyone else's setup, so your colleagues are not affected and there is nothing you need to tell them. If they want it too, you can invite them from inside Medulla, and they add Medulla to their own login the same way. See how to invite a practitioner.

How is Ask different from ChatGPT?

Ask is clinical AI built into the encounter, not a general chatbot. It already knows the patient in front of you, so it answers from their conditions and history rather than you pasting chart details into a consumer tool. Every answer is grounded in Canadian sources like Choosing Wisely Canada, Health Canada, PubMed, and provincial guidelines, and cites each one. And because it lives right in your EMR, you get a timely answer without ever leaving the patient's chart or your flow, private and encrypted, compliant with HIPAA and PIPEDA.

Is patient information secure?

Yes. Medulla is built and hosted in Canada and is PIPEDA compliant, so patient data stays in the country and never gets pasted into consumer AI tools. Read our privacy notice.

How much does it cost?

Plans start at CAD $59 per clinician a month, and every plan begins with a 2-week free trial, no credit card required. See full pricing.

What if I'm not on one of those EMRs?

We are focused on the EMRs above for now, but we are always building new integrations and taking on design partners for what comes next. On a different EMR? Tell us what you use at [email protected]

Which clinicians is Medulla built for?

Medulla is optimized for primary care and longitudinal settings, where you see the same patients over time and their history matters. That means family physicians, nurse practitioners, and the primary care teams they work alongside, across family practices, walk-in clinics, and community care. If you carry a panel of patients, Medulla was built for you.

More questions? Browse help.medulla.ca.