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To residency directors & teaching faculty
On our residents' future in the age of AI

Dear colleagues,

I'm an emergency physician, still working full-time shifts. I'm also a full-stack developer. Those two lives have converged on the thing I now care about most: how our residents will learn medicine in the world of AI.

AI is arriving in residency whether we design for it or not. Our residents are already using it — quietly, on their phones, with no guardrails and no teaching value, and with no one asking what it is doing to the way they learn to think. I don't believe the answer is to ban it, and I don't believe the answer is to hand their education to whichever vendor gets there first.

So I'm using the skills at my disposal — years in the ED and the ability to build the software myself — to look for novel paths that assist their work and protect their learning at the same time: documentation help that doesn't erase clinical reasoning, teaching tied to the actual patient they just saw, a don't-miss check that sharpens judgment instead of replacing it, and program-level visibility for the people responsible for their growth.

I want to be plain about my motives, because our field has earned its skepticism: I have no ulterior motive. I am not selling any information — not to any company, corporation, or venture capital. This is just a concerned colleague using the tools he has to influence the direction of our field.

If you are like-minded — if you're wrestling with the same questions for your own program — please reach out and help. I'd genuinely value your criticism, your ideas, and your program's perspective. This should be shaped by educators, not just engineers.

With respect,

Dr. Chelehmalzadeh

Emergency physician · Full-stack developer · Founder, tebIQ

Chief residents & program directors get direct program admin — monitor your residents' progress, message them, and share feedback, all scoped to your program. I'll set you up personally.
Reach out — mchelehmal@tebscribe.com

Teaching points on YOUR patients

After you see the patient, one tap gets attending-style teaching tied to that exact presentation — not a textbook chapter.

🎓 TEACHING — CHEST PAIN, 54M
• Exertional pattern + diaphoresis outweighs a normal first troponin — serial testing decides.
• Reproducible chest-wall tenderness lowers, but never excludes, ACS.
DON'T MISS
1Aortic dissection — tearing pain, pulse deficit, widened mediastinum
2PE — pleuritic pain, hypoxia out of proportion, Wells

The don't-miss check

Every teaching card leads with the worst-first differential and the one-line discriminator that rules each killer in or out.

WORST FIRST
SAH — thunderclap onset? worst of life?
Meningitis — fever + neck stiffness + photophobia
CO poisoning — same-household symptoms, winter, headache resolves outside
ASK BETTER"Was the onset instant or over minutes?"

Unlimited private scribe

Plus unlimited phone-to-desktop dictation — your phone is the mic, no recording device needed. Dictate every patient. On-device transcription, works offline, nothing leaves your phone on the free path — plus 5 full-AI charts a month.

YOUR NOTES
🎙 Rm 12 — abd pain, workup pending
🎙 Rm 7 — ankle inversion injury
🎙 Rm 3 — dyspnea, CHF history
Scribe notes: unlimited · Full-AI charts: 3 of 5 left this month

🔒 Encrypted in transit and at rest (AES). The dictation relay holds only the last few seconds of text and wipes it after delivery. Never used for training. Never sold.

How can this be free?

Because I'm the engineer. The free path runs on your phone's own on-device dictation power, engineering that mirrors your phone straight into any text box on your desktop, and a small, fast model that only arranges your own dictated words — it never invents clinical content; your dictation is the note. All of that costs pennies, not dollars. What you get out of it is the thing that matters: less charting time.

The rest is carried by the paid product — the full-AI charting that attendings and groups subscribe to. That's the business; the resident path is the mission.

And your data is not the price of admission: the free path transcribes on your phone, everything synced is encrypted in transit and at rest, and nothing is ever used for training or sold — to anyone. Program directors with questions about privacy or approval can reach me directly.

For years, residents asked me for access and I said no — because I couldn't yet protect their data and their learning the way I wanted to. The on-device path changed that. Saying no was the wrong approach, and this page is me correcting it.

— Dr. Chelehmalzadeh, ER physician & founder

"Built by a practicing ER attending who remembers 3 a.m. charting."

tebIQ is made by TebScribe LLC — physician-founded, physician-run.

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