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Welcome to the DAX and Dragon Copilot Community!

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Posted on by Andrea J. Community Manager

🌟 Welcome to the DAX and Dragon Copilot Community! 🌟

We're thrilled to have you here! Please watch this welcome video from our CMIO, Jared Pelo: https://aka.ms/UserCommunityWelcome
Let's kick things off with some introductions. Please share:

Your name
Your organization
Your specialty

To get the conversation rolling, choose one of the following to share:

How long you've been using DAX Copilot
Your knowledge level with AI in healthcare
How often you use DAX Copilot

Feel free to add any fun facts or experiences you've had with DAX and Dragon Copilot. We're excited to learn more about you and your journey with AI!

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AM-19122051-0 on at

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Hello all. My name is Tony Mercando and I practice cardiology half-time at White Plains Hospital Physician Associates in Westchester County New York, just north of New York City. My undergraduate training was in electrical engineering in the early days of digital electronics (in the 1970s!). I am also the director of AI Strategy at White Plains Hospital, and involved with AI applications and governance in the Montefiore Health System.

I have used Dragon speech recognition since about 2003 (> 20 years!), even before my practice moved to an EMR in 2005. I was involved with the DAX rollout at Montefiore, and have been using DAX, since November 2024 (I figure now over 3000 visits). We use the integrated Epic version.

Like Tim who posted above, I use the HPI and A&P in all my notes, but I sometimes temporarily bring in the PE and Results sections to remind me about relevant information in those sections that came out during the encounter.

I am also excited about extending the functionality of DAX to be able to read notes and other data in the EMR and give me relevant and possibly actionable information during a patient visit.
Robert Budman, MD MBA Microsoft CMIO on at

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Great post Tim! Yes, many docs like the hybrid approach you use with some Notewriter (particularly ROS and PE like you said) and some DAX to complete the note. The same would go for well conceived and soundly built SmartLists and SmartBlocks for required data that are easy to click through. Then supplement with narrative summaries from DAX. Sometimes it's hard to determine what is more efficient between DAX and clicking. I do see a lot of notes that still have far too many *** wild cards that slow down physicians. Those can often be captured from DAX easier.

Keep up the great work!
TB-14111506-0 on at

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Hey everyone, so great to "meet" you all!

I'm Timothy Beirne, MD, a family physician with Carilion Clinic in western Virginia. After 23 years of practice in Bedford and Vinton, Virginia, I'm now a float physician in the back half of my career.

I started in the world of paper charts, first learned Centricity and then moved to Epic in 2009. I've been using DAX AI since June 2024. All I can say is, "DAX, where have you been all my life?!"

I'm not a "techie," but have dabbled enough since the dawn of Windows on the PC to stay just behind the cutting edge. DAX was my intro to A.I., and now I'm like most dabbling with ChatGPT, Gemini, etc. I'm loving OpenEvidence, by the way...

I use DAX on every patient at this point. I still don't like the way it works with physical exam. Currently I just find it so much easier to click the boxes in Epic notewriter for ROS and PE, but I use it for all my HPI and A/P's. I wouldn't ever think of going back, and the air turns a little blue around me when there's a glitch DAX isn't working.

I too am looking forward to all the bells and whistles to come. I'll be over the moon the day I can tell the computer to put my orders in for me, instead of entering them manually!

Thank you all!

Tim
LB-06082337-0 on at

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Hi, all. I'm Lorne Bigley, family medicine physician, and clinical informaticist at PeaceHealth in Eugene, OR. I've been on "full service" since Jan 2021, and the full AI version since April 2024, which was a HUGE upgrade. A shame having people in the mix made it worse. I'm the physician champion for our system, and we currently have about 200 users on DAX now. I see patients 60% of the time, and use it on every patient, except procedures.

I read what I can about AI, and dabble in it for personal use. Really looking forward to getting the new features Epic has been developing to use in conjunction with DAX.
MR-06082038-0 on at

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Hello to all. I am Matt Roehrs, CMIO at AnMed in Anderson,SC. I am a family physician and, in addition to my administrative role, continue to practice 2 days/week. I began using DAX Copilot in Epic in March 2025 and now use it with every encounter and can't imagine practicing without it. Our organization currently has about 75 providers using DAX but we will soon begin offering DAX to all providers.

I am also a "newbie" with AI in healthcare but have also recently begun work incorporating AI generated draft replies to patient portal messages. I look forward to learning from this community.
SB-06081956-0 on at

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I'm Steve Borowitz. I'm a pediatric gastroenterologist at the University of Virginia and have been the primary physician champion for our DAX implementation and was part of our initial pilot. I've been using DAX for about fifteen months now. In addition to the obvious benefit of DAX in easing the cognitive and time burdens of clinical documentation, I am particularly interested in how to best use DAX to further our educational mission. I have had substantial experience using DAX with medical students, pediatric residents and fellows in pediatric gastroenterology and I am extremely intrigued about the potential of using the DAX recordings, transcripts and final edited notes to evaluate our trainees and chart their progress. I'm also interested in the potential of capturing discrete clinical data as part of the documentation process to enable us to visualize patterns we currently cannot readily see, but also, to launch just in time decision support.
KB-06081649-0 on at

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Hey all. Kevin Byram here. A rheumatologist at Vanderbilt in Nashville TN, specializing in vasculitis and rare disease. I have been using DAX since Jan 2025, having used a human scribe for the 18 months prior to that. I use DAX daily for 10-20 patient encounters. I am very interested in AI in healthcare and use it frequently in some of our undiagnosed disease work. I have lots of thoughts on DAX (goods and bads), so looking forward to learning from and interacting with you all.

DAX's biggest strength is dealing with verbosity, but in that DAX struggles with detail sometimes (dates associated with labs, nuance in an imaging report, trended labs).

I think the community should continue to try to develop Best Practices to get the most out of DAX's programming (eg, what patterns in prompting or templating get more accurate and consistent results). It is almost as if we are "building the plane as it flies" so continuously trying to pause and solidify best approaches will be helpful.
BP-06081801-0 on at

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Hello from Southcentral Pennsylvania. I am Brian Pollak, an Internal Medicine primary care physician with WellSpan Health. I started with DAX full service in July 2000 and switched to DAX "full service" in July 2021. We started using DAX integrated with Epic in February 2024. I believe that this integration was the biggest step that facilitated spreading DAX Copilot more broadly throughout our health care system. I am the Physician Champion for DAX at WellSpan. We currently have over 400 providers in 6 counties across 29 specialties using DAX.

I think that deeper integration with the EHR will be key to expanding DAX's abilities. I want to be able to ask DAX, "Which antidepressants has this patient tried?" Or, "Summarize what has happened since this patient's last visit with me."

Connecting to reliable medical resources will also add utility, so that I can ask, "Which GDMT heart failure interventions need to be addressed in this patient?"

I have been playing with AI at work in other ways, too. For example, I made a Microsoft Copilot Agent that helps me to understand Medicare coding and compliance for specific services.

Thank you for setting up the forum!
CL-06081700-0 on at

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Hello from the Pacific Northwest!

I'm Cecilia Lauder, a family medicine physician and system physician informaticist for Providence. Have been on DAX Copilot since January of 2024 and before that, the Stone Age days of full service DAX for a few years. We used to have a DAXism of the day posts back when we had the flowery language reminiscent of the Jane Austen era so it's been pretty fascinating to see the speed at which improvements have happened over the last 18 months. I use it whenever I am in clinic and find it's a great tool to use when your patient has R46.7 - Verbosity and circumstantial detail obscuring reason for contact: This code is used when a person's excessive talking and providing unnecessary details make it difficult to determine the primary reason for their visit or interaction. Looking forward to learning from all of you.
EA-31071641-0 on at

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Howdy from Texas! I am Eric Alford, a family medicine physician and CMO at Baylor Scott & White Health. I've been using DAX since April of 2024 and have been involved in the AI healthcare world for a few years now serving as the physician lead on our ambient listening projects within our enterprise. While I definitely do not consider myself an expert on the subject matter, and I am not an informaticist, my strength is in workflow optimization, implementation, and operationalizing/scaling. I use DAX every day that I am in clinic, and I love it! I look forward to working with all of you and continuing to move forward with this truly game-changing technology!