Dictate the MDT outcome at the end of the meeting and the review letter between two patients on the day unit. Dictadoc transcribes on your computer, splits the text into paragraphs and keeps your dictations in an encrypted database.
What an oncologist writes over a course of treatment
A patient stays under oncology for months, often years, and every step leaves a document for the GP, the other specialists and sometimes the patient.
The MDT outcome
The case presented, the discussion and the recommended treatment. One meeting works through a long list of patients, and each of them is waiting for the recommendation to know what happens next.
The new patient letter
The diagnosis, the staging, the treatment offered and what the patient was told. The consultation is long, and the GP needs to know what the patient heard before seeing them again.
The treatment review letter
Tolerance of the last cycle, examination, bloods and the decision to go ahead. A short letter, dictated between two patients on the day unit, and written again before every cycle.
The discharge summary
Neutropenic sepsis, a complication or a decline in general condition. The summary goes back over the history of the disease and every line of treatment already given, and it grows longer with each admission.
Day to day
What holds up your oncology letters
A treatment history in a single block
Today
An oncology letter covers the diagnosis, the lines of treatment, tolerance, bloods and imaging. Dictated in one go into a general dictation tool, it comes out as one paragraph, and you split it by hand before it goes.
With Dictadoc
Say "new paragraph" where one part ends and the next begins, and the break is there when the take is transcribed. The default layout follows those words, with no AI. If you prefer, a layout model on the computer picks the breaks instead, and it never changes what you said.
Paragraph layout
Spoken punctuation
The letter goes back through the word processor
Today
The letter goes into the department's Word template or into an email to the referrer. Pasted as plain text, it arrives with a blank line between every paragraph, and the list of previous treatments has to be reformatted by hand.
With Dictadoc
Read the report through in Dictadoc, copy it, then paste it into Word or an email. Paragraphs and lists arrive as they are, with no blank lines added between them.
Copy to Word
Sensitive dictations left on the computer
Today
Recordings sit on the dictaphone's memory card or in a folder on the computer until the letter is typed. They contain a diagnosis, sometimes a prognosis, and nobody knows when they will be deleted.
With Dictadoc
Dictadoc keeps your letters by default, while you check them, in an encrypted database whose key is held by the system keychain. A report you delete is erased from the disk. If you would rather leave nothing on the computer, choose "Erase everything on close" at first launch, or change it later in the settings.
Encrypted retention
Erased when you quit
Dictation example
A review letter before the next cycle
Clinic review before cycle six of first-line chemotherapy.
What you say
Seen before cycle six of first-line chemotherapy [full stop] tolerating treatment reasonably well [comma] with fatigue for three days after each cycle [full stop] grade one peripheral neuropathy in the fingertips with no functional impairment [full stop] weight stable at seventy-four kilograms [full stop][new paragraph] haemoglobin one hundred and fourteen grams per litre [comma] neutrophils and platelets within normal limits [full stop][new paragraph] plan [colon][new line] proceed with cycle six at full dose [full stop][new line] restaging CT scan before cycle seven [open parenthesis] for rediscussion at the MDT [close parenthesis][full stop][new line] clinic review with the scan results [full stop]
What Dictadoc writes
Seen before cycle six of first-line chemotherapy. Tolerating treatment reasonably well, with fatigue for three days after each cycle. Grade one peripheral neuropathy in the fingertips with no functional impairment. Weight stable at 74 kg.
Haemoglobin 114 g/L, neutrophils and platelets within normal limits.
Plan:
Proceed with cycle six at full dose.
Restaging CT scan before cycle seven (for rediscussion at the MDT).
Clinic review with the scan results.
The words in brackets are commands. Dictadoc replaces them with punctuation and line breaks.
With the "Numbers, units and dosages" setting turned on.
The settings list every command for your language.
Privacy
What you dictate stays on your computer
Transcribed on your computer
Your computer transcribes your voice itself. Nothing you dictate is sent over the internet.
Erased on quit, if you want
Choose to keep nothing, and reports and recordings are erased when you quit Dictadoc.
Encrypted on your disk
The reports you keep stay in an encrypted database whose key is held by your system keychain.
For a clinic or hospital
Dictadoc Server transcribes for every workstation in your organisation, on a server on your premises. Nothing leaves your network.
Not in any particular way. Dictadoc has no list of oncology drugs or regimens, and its general drug lists cover French dictation only. Add the molecules you prescribe to your vocabulary, spelled as they must appear, and Dictadoc writes them that way in every report. Check every drug name and every dose.
Can Dictadoc write the MDT outcome from the notes?
No. Dictadoc writes what you dictate and nothing else. It does not summarise notes, rephrase a discussion or complete a recommendation. The paragraph layout only decides where the text breaks, without changing a word, and you read everything before it goes out.
Can I dictate the outcomes for a whole MDT meeting?
Yes, with one report per patient, each with its own title. Dictadoc keeps reports by default, so the meeting's outcomes stay in that day's list, and a search by title finds a given patient. Each outcome can then be copied to wherever your MDT outcomes are recorded.
Are bloods and weight written as numbers?
Yes, if "Numbers, units and dosages" is on. "One hundred and fourteen grams per litre" becomes "114 g/L" and "seventy-four kilograms" becomes "74 kg". A number with no unit, such as a cycle number, stays in words. Dictadoc does not calculate body surface area or a dose: it is not a medical device, and you check every figure.
How do we equip several oncologists in one department?
A licence covers one computer and cannot be transferred. For a team, Dictadoc Server transcribes on one computer in the hospital for every workstation in the department.
Install the app on Mac or Windows, buy a licence, then enter the key you receive by email in Dictadoc. The licence year starts on the day you activate it.
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