Rethinking Pediatric Rheumatology Notes: Dr. Tommy Gerschman’s Case for AI Scribing
Heidi Team
August 22, 2025•7 min read
Dr. Tommy Gerschman x Heidi at a glance
"I used to say the bane of my clinical existence was charting and documenting. Now, I just talk to my patients. Heidi handles the rest." - Dr. Tommy Gerschman, Pediatric Rheumatologist in North Vancouver, BC
Key outcomes:
- Streamlined documentation for all new consults
- Eliminated variability and stress from end-of-day note writing
- Increased efficiency without sacrificing clinical detail or nuance
- Improved patient interactions by allowing full focus during sessions
- Enhanced workflow collaboration with national and provincial health organizations
Read on if you might also be experiencing:
- Frustration with the time and cognitive load of consult letters
- Stress from documentation delays or inconsistent processes
- Burnout from juggling charting, patient care, and clinical leadership
- Lack of trust in other AI scribes due to hallucinations or poor customization
Background
Dr. Tommy Gerschman is a pediatric rheumatologist based in North Vancouver, BC. In addition to his clinical work, he plays a national role in healthcare innovation, helping lead digital documentation pilots through the Canadian Rheumatology Association, Doctors of BC, and the Specialist Services Committee. A long-time early adopter of digital tools, he has spent years refining his approach to new consults and specialist documentation.
Challenges
Dr. Gerschman sees an average of12 pediatric patients a day, with up to two-thirds being new consults that require detailed, personalized letters to referring physicians. Documentation has always been a major source of friction.
Heavy admin load with consult letters
- "If I dictated my letter right after the consult, it took four or five minutes. But if I left it until the end of the day, it could take 10 to 12."
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