“Built-In AI Scribes” Unlock Efficiency That “Connected AI” Scribes Cannot

January 19, 2026

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Two types of AI Scribes : “Built-in” and “Connected”

Artificial intelligence scribes are rapidly becoming essential tools to reduce documentation burden and restore time to patient care. Yet not all AI scribes are created equal. The most important distinction is not how well an AI writes notes, but where it lives.

Across the market, two fundamentally different approaches have emerged: connected AI scribes and built in AI scribes. While both aim to support clinicians, only one has the power to truly transform clinical workflows.Provincial medical organizations such as Doctors of BC and OntarioMD have also published practical guidance on AI scribe technologies, highlighting critical considerations around privacy, secure data storage, and clinical use^{1, 2}.

Connected AI Scribes: Helpful, but Peripheral

A connected AI scribe operates outside the electronic medical record (EMR). It typically interfaces with the EMR through an API, running in a separate tab or pop up window. The visit is recorded externally, the note is generated externally, and then copied or imported back into the EMR.

This approach delivers some value, but it stops short of meaningful transformation. A connected scribe can document, but it cannot act.

AI can bring both back, Canadian physicians spend an average of 23 minutes on behalf of every patient:

9 minutes interacting directly with the patient during the visit,
6 minutes interacting with the EMR during the visit, and another
8 minutes working in the EMR after the visit.

Connected AI scribes address only a fraction of this burden. They focus on generating the clinical note, which touches only part of the 6 minutes spent in the EMR during the encounter. Yet more than half of that time is not documentation at all. Physicians are reviewing chart history, assessing changes since the last visit, completing requisitions, generating prescriptions, and preparing billing.

These are precisely the steps where time is lost, and where connected AI scribes cannot help, because they live outside the EMR.

As a result, clinicians must still complete most downstream tasks manually. In practice, this model amounts to a more advanced copy and paste, rather than a redesigned clinical workflow.

Built-in AI Scribes: Built Where Care Happens

A built in AI scribe is fundamentally different. It is developed directly within the EMR itself, using the same codebase and the same database as every other clinical function.

Because the AI lives inside the platform, clinicians can start recording directly from the patient chart. The AI operates continuously and contextually throughout the visit, without breaking workflow or forcing screen switching.

When AI is fully embedded inside the MYLE EMR, it has complete patient context and can update summaries, prepare referrals, complete forms, support billing, and streamline every step of the visit. The impact is measured in minutes saved per encounter, across every specialty, because the AI functions as part of the clinical environment, not as a disconnected service.

Deep integration also enables a level of reliability, safety, and scalability that add ons cannot match. A built in AI scribe draws on the full patient history, remains compliant within a single secure system, supports multilingual documentation, and fits naturally into clinician workflows with no toggling, no retyping, and no extra logins.

Adoption becomes effortless. Impact becomes immediate.

More importantly, this approach lays the foundation for smarter and safer care by enabling preventive flags, clinical suggestions, and continuity that only platform level integration can deliver.

Top 3 Reasons Why Built-In AI Scribe win over Integrated AI-Scribe

Built In AI Does More Than Generate Notes

Most AI “integrations” stop at drafting documentation. With MYLE, AI goes further. Because it is built in, the system can generate prescriptions, update patient summaries, complete forms, launch requisitions, and initiate tasks directly inside the EMR, in real time and without friction.

2. Built In AI Learns Faster Through Continuous Feedback

A built in AI benefits from two powerful feedback loops: access to the complete patient record, and insight into how clinicians refine AI generated content before saving. This enables continuous improvement, making the system more accurate and more useful over time.

3. Built-in AI Is Secure By Design

When AI lives inside the EMR, security is stronger by default. All data remains within MYLE’s Canadian hosted infrastructure, built to MEDFAR’s security standards. There are no external systems, fewer points of entry, and reduced exposure to cyber risk.

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MEDFAR’s Approach: AI Built at the Platform Layer

It is impossible to transform care by stitching together tools. True transformation requires rethinking the EMR itself. When two separate vendors interface, there are limits, technical, regulatory, and strategic, that make it rare, if not impossible, to achieve the ultimate level of integration that everyone wishes for. With a built-in AI scribe, those limits disappear, unlocking the full potential of AI to transform every step of the care journey.

At MEDFAR, we chose a different path. Rather than interfacing with third party scribes, we made AI a foundational layer of the MYLE platform. By acquiring CareWay, MEDFAR brought a proven AI engine and a highly specialized team directly into the organization.

AI is not a feature on the sidelines. It is embedded into every corner of MYLE to streamline workflows, reduce manual effort, and unlock new possibilities for physicians, staff, and patients.

In real clinical use, this means:

No screen juggling: The AI scribe activates directly within the patient chart
No retyping: Notes, summaries, and structured fields update automatically
No delay: Multilingual voice capture supporting Canada’s diverse populations, generating notes in English and French
No compromise: Fully secure and fully compliant within Canadian hosted infrastructure

In Conclusion: Choose AI That Truly Works Where You Practice

AI scribes are no longer a future promise. They are already proving to be powerful tools to reduce documentation burden, reclaim clinical time, and improve the quality of patient records. But not all AI approaches deliver the same impact.

A connected AI scribe can help you write faster.
A built-in AI scribe changes how you practice.

By living at the core of the EMR, CareWay within MYLE does more than document visits. It acts, learns, and supports every step of the clinical workflow, today and as your practice evolves.

👉 Curious to see what a truly embedded AI can do inside your EMR?
👉 Looking to reduce time in the EMR without adding yet another tool?

Request a demo of CareWay in MYLE and experience how platform-level AI can save time, reduce friction, and support high quality care without compromising security or compliance.

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When AI is built where care happens, it becomes more than a scribe. It becomes a clinical partner.