nation’s only nonprofit professional society representing more than 18,000 medical scribes in over 1,800 medical institutions. acmss certifies medical scribes as either a certified medical scribe specialist or a certified medical scribe apprentice. in india, s10 health offers specialized training and careers in virtual medical scribing. in india, cpms (certificate program in medical scribing) by new generation jobs is the one and only industry integrated job oriented scribe certification program. as per client feedback, cpms graduates are equivalent or better than the american scribes. scribe program economics the decision about whether to commence a scribe program at a clinic, practice or facility, is usually either decided based on economic information, the impact on physicians or a combination of both. most scribes earn between $13 and $25 per hour, and they often receive health insurance, dental insurance, and paid vacation time. gains for the facility can be realised by increasing physician productivity (patients per doctor per unit of time), increasing patient throughput (cost of opening treatment spaces and staffing them, compared to the number of patients that occupy that space per unit of time) and the per-patient revenue (which varies markedly depending on the health system and facility). costs for the facility include start-up (implementation), training scribes (if undertaken in-house) and operational costs (scribe labor, support/management staff labor and equipment updates/replacement). economic information regarding the impact of a scribe program has been summarised in a systematic review undertaken by heaton et al. the cost of training program and training scribes in-house has been reported and there is a multicentre randomised study evaluating the impact of scribes on emergency physician productivity and patient throughput which demonstrates increased physician productivity and reduced patient length of stay in emergency rooms. remote scribe as the covid-19 prevailed all over the world, enforcement and social distancing transformed the medical scribes into telescribes. clinician used their own mobile phones or tablets to record the conversation and notes during patient visit which then sent to the scribe to transform into ehr. to overcome this, physicians shifted to the digital scribing. digital scribing is the advancement in technology that works by the voice and converts the vocal message into written notes which makes the voice into meaningful text. with the ease of recording data this technology improved the quality of time between the patient and physician, increased healthcentre productivity and decreases lengthy training of the scribes as well as physicians. there is little research available about the successful implementation of this technology and many areas still need research. it is observed that digital scribing reduces the overall cost of the hiring and training of a scribe other than upfront costs in initiating this system. so, there is a need to research to determine the time required to recover the invested cost after implementation of the system. it is considered that this system has the ability to replace medical scribes if the software used ensures validity and integrated with the ehr. the other limitation is that when patient visits a scribe, some information remains unclear like length of stay time in hospital, outside lab visit and text sent through the patient portal etc. all this information needs to be appropriately edited into the record otherwise no one can eliminate the necessity of a physical scribe at the clinic.