What can an AI scribe not do yet?

Orders, codes, the physical exam and the plan, according to the practice owners who use them every day. Three clinicians in one 2026 pain medicine thread described the same map without comparing notes: good for the history and the discussion, weak on orders and the exam, with diagnosis codes and billing levels still entered by hand.

What does it do well?

The history. Physicians across specialties say the tool captures what the patient told them better than they would have typed it, and that it helps most when they cannot finish a note right away and need a reminder of what happened.

What does it do poorly?

One said their tool was strong on the history and diagnosis discussion and weak on orders and the physical exam. Another said theirs handled the exam and plan narrative, but assessment diagnosis codes, orders and visit codes all had to be entered manually. A third liked theirs for the history and did not like it for treatment. Across other forums the pattern repeats: the plan is the part physicians most often rewrite or delete.

Why those parts?

Because they are not transcription. An order is an action. A code is a judgment about what the visit was. An exam is mostly observed, not said. A plan is your decision. A tool that listens to a conversation has the least to work with exactly where the consequences are highest.

How should I plan around it?

Split the note on purpose. Let the tool write the history. Narrate the exam if you want it captured. Write the plan yourself, and enter orders and codes as you always have. For the detail, see who should write the plan and whether it puts in orders.

The short version

Today's AI scribes write the history well and leave orders, codes, the exam and the plan to you. Plan your workflow around that split rather than waiting for it to change. For practices, Solanto will write the history, keep the judgment yours, and keep what you promised in front of you instead of burying it.

The price is on the page, not behind a call. Early access is open: solanto.ai/pricing

Forward this to the colleague about to buy a scribe expecting it to do the whole note.