Why Sampson.
Sampson isn't a clinic scribe with an EM template bolted on. Sampson is built from the ground up for emergency medicine by board-certified EM attendings who use it every shift — no VC funding, no private equity, and your data never gets sold.
Who built this and why.
Built by board-certified EM attendings across an academic county Level 1 trauma center, multiple high-volume community EDs, freestanding EDs, and small rural EDs. Different shops. Same reality: documentation was eating us alive. You know what we're talking about — getting crushed the moment you walk into a shift, and 2 hours later you're 12 patients deep and haven't started a single note. Residents who bolus you with 5 patients in your first 30 minutes. Staying hours past your shift to catch up on notes, only to cut corners to save a few minutes — leaving billing items on the table and leaving yourself incompletely protected. Did you really fully defend not imaging that last back pain patient? Or did you just write “no red flags” and sign it because you should have been home by now?
We tried every other scribe available to us. Six of them. All a total bust for the realities of the ED. Fine for one room, one patient, one quiet clinic visit. Useless when you're seeing 4 patients back to back in the lobby, 5 rigs stacked up in your EMS bay, and the APP has 3 to staff with you the minute you sit down to catch up on your other patients.
So we built our own. Between patients. On real shifts. And we've been battle-testing it in the same departments that broke everything else.
What "ER-Native" actually means.
Most “EM” scribes are clinic products with a template sticker. Sampson is an ER-Native Scribe — designed around how emergency medicine actually works.
See four back to back. Pick up a 2-fer, then a 3-fer. No closing sessions between rooms. Attestation mode covers your resident and APP attestations with the same 2023 E/M billing optimization and legal defensibility. The stuff that pays and the stuff that protects you when someone asks three years later.
That's the difference between another cute little AI scribe and a serious workhorse.
Your data stays yours.
We don't train our model on your data unless you specifically give us permission (everyone is opted out by default). We don't sell your data to anyone — not notes, not transcripts, not even de-identified data, and not to advertisers or data brokers. The data we hold onto long term is the bare minimum for HIPAA compliance and to run the service.
We're not in the business of training AI doctors — we have no interest in building our replacement. BAAs in place. Encrypted in transit and at rest. You record, you review, you paste. From your EHR's perspective, you wrote the note.
We built a documentation tool. Not a data product masquerading as one.
You didn't train this long to chart a third of the shift.
You can run a complex resus. You can nail a difficult airway. You're not the problem. This job has turned us all into the world's most over-qualified data entry clerks.
All the greedy corporate solutions out there just took the scribes they already built for primary care clinic, slapped an “EM Template” on them, and tried to pass them off as legit solutions. We know. We tried them. They sucked. So we built an ER-Native Scribe.
Built for the way shifts actually go.
See four patients back to back. Pick up a 2-fer, then a 3-fer. Sampson keeps them straight — no stopping to close one out, no starting a new session, no additional steps.
And when your residents hit you with seven patients in the first ten minutes of a shift, you don't chart seven times. One stream of consciousness into your phone and you've got seven attestations — paste them right there, or update them after you've actually seen the patient.
No clinic scribe does this. They were built for one room, one patient, one note. This is what “built for emergency medicine” actually means.
Great notes. Paid correctly. Decisions defended.
These notes are legitimately good — and done before your orders are in.
Complex MDM doesn't vanish into a Level 3 because you were too busy to dictate the whole thing. Built around 2023 E/M billing updates. Stop leaving money on the table.
Three years from now, your defense is locked in — why a CT wasn't indicated, why discharge was appropriate, and yes, the patient was informed of that incidental finding — it's right there in their DC instructions.
No investors. No overlords.
No VC money. No private equity. Nobody optimizing shareholder value. Sampson exists because people just like you got tired of choosing between finishing charts and going home on time — and because every off-the-shelf option failed.
Built between patients, on real shifts, across an academic county Level 1 trauma center, high-volume community EDs, freestanding EDs, and small rural EDs. Different shops, same reality — and every off-the-shelf option failed in all of them.
Your data stays yours. We don't sell it, we don't train on it without your explicit permission, and we're not in the business of building our own replacement. We built a documentation tool, not a data product masquerading as one.
Our notes. Our licenses. Our RVUs. We are Sampson's harshest critics.