159: Tech Tools for Vets 3: Instinct ❤️ Scribble - What Happens When Your PIMS And Your Scribe Get Married? With Dr Caleb Frankel and Rohan Relan

*The long-term vision is that you walk into a clinic, hit record at the beginning of the day - you walk out at the end of the day, and you never put your hands in a computer. You just did medicine, and everything went into the right place.’* Sound too good to be true? Maybe. But it's closer than you think. If you've already adopted a veterinary AI scribe, you'll know it's transformed your day. But scribes are just the gateway drug. The really interesting question is what your scribe connects to next - and the answer, for a growing number of vets, is the brain of the clinic itself: your practice management software. This conversation brings together **Dr Caleb Franke**l, ER vet and founder of Instinct - the PIMS used by many of the world's largest specialty and emergency hospitals, and now built out for general practice too, and **Rohan Relan**, founder of Scribble Vet. Earlier this year, Instinct acquired Scribble - and what they're building together is a glimpse of where veterinary software could be heading. **You'll  hear:** - Why **up to 80%** of your veterinary work day is swallowed by a keyboard - **What "beyond scribing" looks like** - from infographics, to embedded drug references that update in real time as you talk, to anaesthesia records that fill themselves in from across the room. - **The "easy to verify, hard to generate" principle** - why the best AI tools in clinic don't try to replace you, they let you stay in the loop without doing the grunt work. - **What it means when your scribe and your PIMS talk to each other**. - **Why an "open API" matters more than you think** when individual vets can magically build for their own tools. - **The tech patient safety layer** that can catch your mistakes before you make them - **Where this all goes next** - and why both guests believe we're still only seeing the beginning of what AI in clinical practice can do. We recorded this as a video with screen sharing, so if you want to follow along and see what these tools actually look like in action, watch it on Spotify. For our clinical content, show notes, and our full back catalogue, head to ⁠thevetvault.com⁠.  While you're there, check out our subscriber-only clinical podcast, our newsletter, and come and hang out with us in real life at ⁠Vets On Tour. **Topics and Timestamps** Why Instinct Acquired Scribble 2:08 Beyond Scribes: The Bigger Vision 7:48 Demo: Scribble + Instinct Integration 10:06 Plums Drug Reference Integration 11:30 Mid-Roll: Events & Announcements 14:49 Pushing Notes to Instinct 16:27 Scribble Features: Translations, Care Cards & More 19:29 Record Review & AI Verifiability 21:28 Instinct PIMS Overview 24:17 Instinct Expands to General Practice 24:51 Instinct Features: Estimates, Safety Warnings & Clinical Tools 32:03 Embedded Scribble: Voice-Controlled Anesthesia Records 38:07 AI Safety: Human in the Loop 38:46 APIs, MCP Servers & Vibe Coding for Vets 45:02 Open vs Closed PIMS Philosophy 50:39