![]() ![]() You can view the full restaurant list here, but some examples include: There currently are more than 30 Priority Pass-participating airport restaurants within the U.S. However, Priority Pass membership affiliated with Chase and U.S. Priority Pass also has a partnership with airport restaurants, mini-suites and more, giving Priority Pass members an opportunity to enjoy perks at locations that either don’t have a traditional lounge or the chance to eat at a restaurant rather than an airport lounge for a change.Īmerican Express-issued Priority Pass memberships no longer include the restaurant benefit as of 2019, and Capital One removed this benefit at the start of 2023. Guests and children often are allowed, but you’ll want to check the rules of your desired lounge location and your Priority Pass membership to be sure of your inclusions. Lounges also vary in terms of quality, from more spartan facilities in Honolulu, to nicer ones, such as The Club at MCO in Orlando. Both the Lufthansa Business Lounge at DTW and the Air France Lounge at BOS are some examples of this. Some lounges, like The Club at ATL in Atlanta, are independent facilities while others are affiliated with airlines. The facilities in the Priority Pass network vary by owner and location. The lounge in Punta Cana even has a pool. However, it leaves out some pretty large hub airports including LaGuardia (LGA), Denver (DEN) and Salt Lake City (SLC), not to mention busy secondary airports like Chicago Midway (MDW), Dallas Love Field (DAL) and Houston Hobby (HOU). Related: Best Priority Pass lounges in the US ![]() Baltimore Washington International (BWI).airports, and some of them have multiple lounges. Priority Pass is accepted at more than 40 U.S. However, there's a good chance Priority Pass can help you on many of your trips. So while the network is large, there’s no guarantee you’ll have an access lounge on every single trip you take. As of this writing, it boasts 1,300 eligible locations in more than 600 airports in over 150 countries.Īlthough those numbers are impressive, many of the lounges are outside of the U.S. Priority Pass is a network of airport lounges, mini-suites and even airport restaurants. Let's take a closer look at the different levels of Priority Pass membership, as well as which cards offer the benefit and how to get the most out of your access. It's also worth noting that Priority Pass membership isn't automatic if you have a credit card that offers membership, you still need to enroll to activate your membership benefits. Although you may already have a Priority Pass card in your wallet, it’s sometimes unclear what that means and what’s included in your membership. Many of the top rewards credit cards offer access to the Priority Pass, a network of airport lounges around the world. It’s for anyone who wants to make their airport travel experience more luxurious and less stressful. Lounge access: It’s not just for the rich and famous. I only wish that the graphic resolution had been updated for larger screens.Editor’s note: This is a recurring post, regularly updated with new information. It is infinitely better than any free program we tried. Personally, I find the narrator's voice to be a little annoying, but otherwise I'm also really pleased with this program. My son is enjoying every exercises and genuinely looks forward to his daily typing practice. The exercises than move through to fun games, typing in stories, etc. Proficiency is gained by typing in nonsense words made up of the keys being taught. The exercises start off very simple, introducing the home keys and the home row. (You will need the included registration code to install the program.) The box ships with a CD, but if you don't have a CD drive, don't fret! The box also includes a link to download the full program. The display only takes up a portion of the centre of the screen and cannot be extended further. The program runs perfectly on Windows 10, although it is clear that it was created for an older OS with a lower screen resolution. He's got a ways to go to reach my speed, but the statistics provided by the program have shown him that his speed is steadily increasing and that really helps to boost his confidence. We've only had this program for about a week, and through daily practice of the fun and varied activities, he's already increased his typing speed significantly. ![]() My little guy spends almost as much time on the computer as I do, and he was getting frustrated by his slow typing speed. ![]()
0 Comments
![]() Follow up with a positive gesture: Once the prank is over, follow up with a positive gesture, like buying your target lunch or bringing in some treats to share.It features a number of augmented reality games that encourage users to ask and answer perosnal questions. Know when to stop: If your target is not finding the prank funny or is feeling upset, it’s time to stop and apologize. Parents need to know that sendit - get it now is a social networking app that works exclusively with Snapchat.Be a good spotlight: If someone pranks you, try to take it in stride and laugh it off.And, once your target realizes it’s fake, be sure to laugh and apologize for scaring them. Be prepared to clean up: If your prank involves a mess or clutter, make sure you have a plan for cleaning it up afterwards. ![]() Just like with anonymous questions on Instagram, you need a third-party app to help you out. Plan ahead: Think through your prank carefully, and make sure you have all the necessary materials or equipment before you start. Heres how to ask anonymous questions on Snapchat.Often, the most effective pranks are simple and easy to execute. I hadnt heard of before but I had a recommendation for them being the best on price and they were. It has been said that you can also ask personal or important questions on 2. Anonymous messaging and feedback are why the app is getting more popular. Keep it simple: You don’t need to spend a lot of money or time on elaborate pranks. In the Sendit app, users can play Sendit games like answering questions, and users send anonymous questions and answers to the users on Snapchat.Be creative: Think outside the box and come up with unique and creative prank ideas that will surprise and delight your targets.Know your audience: Consider the personalities and preferences of the people you are pranking, and make sure the prank is appropriate for them.The goal is to have a good laugh and create a fun atmosphere, not to upset or embarrass anyone, so as suggested, try easy April Fools Prank ideas can be much better. ![]() ![]() Users can also purchase hints if they want to know the other person’s identity. Users can also interact anonymously with other users and ask questions without using games to interact with each other. ![]() ![]() OS:PC UpdateTime: File Size: 435.94KB Hits:97 This manul is for the valued users of Meye Tech, and can be applied in all Meye Tech Apps: Meye, Asee, Kmeye, Kweye, Zmeye, vMeye, iMeye, imSeye, Tmeye,DVRplayer. Has FLAC support of versions 4.1+ together with gapless playback.It has an amazing and diverse collection of themes and wallpapers to enable you to customize the app to your liking.Has options for editing albums, artists, and tracks with an ID3 tag editor.Has a fabulous built-in equalizer, with tremendous bass boost and 3D virtual surrounding and external equalizers.It supports a wide range of music and audio formats like mp3, WAV, and OGG.Why you should choose the BlackPlayer app How to download and install BlackPlayer for Windows and Mac OS.Why you should choose the BlackPlayer app.This manul is for the valued users of Meye Tech, and can be applied in all Meye Tech Apps: Meye, Asee, Kmeye. Has automatic and manual HD album cover management.Has a flat, stylish, and minimalistic design with a sleep timer.Options to add or view embedded lyrics of audio and soundtracks. ![]() How to download and install BlackPlayer for Windows and Mac OS. To enjoy the amazing features of this app, just follow the simple steps below on how to download and install BlackPlayer for PC. Step 1: Download the BlueStacks Android emulator. ![]() This can be done by searching it on your web browsers such as Chrome, Mozilla Firefox, or Opera Mini. Click on a relevant link and download it. You can also get it on Softonic or the Windows play store. Step 3: Log in to your Google play store account Step 2: Install and run the BlueStacks appĬlick on the downloaded file and install it by running it as an administrator. Log in to your account using your email and password. Search for the BlackPlayer app in the search bar and click download. The procedure for download is the same as in your Android device.Ĭlick on the downloaded file within the BlueStacks app and install it by clicking the ‘install and run’ icon. Launch the BlackPlayer within the BlueStacks Android emulator. Descargar vmeyesuper para pc full#Įnjoy the full experience of the amazing music player. Those are the simple steps to download and install BlackPlayer for Mac OS and all versions of Windows 7/8.0/8.1/10/10.1/Vista and XP. Follow them to get the ultimate music experience on your computer. Descargar V380 Pro en PC Jugar V380 Pro en PC con LDPlayer A travs del servicio de monitoreo de video 'V380 Pro', puede ver fcilmente la transmisin en vivo y la reproduccin de apartamentos, villas, tiendas, fbricas, oficinas de trabajo, etc. Here are some of the most common questions asked by BlackPlayer music player users.
![]() ![]() See below for more information or go through the checkout process for more options. Despite being 'unqualified' according to a mission organization, Gladys was determined to be a missionary to China. In her twenties she attended an evangelistic service and dedicated her life to God. She worked as a maid and had very little education. Her amazing life was chronicled in a book called The Small Woman, which Hollywood picked up for the movie. Gladys May Aylward was born in Edmonton, London to a working class family. In 1947, she returned to England for a sabbatical and recovery. Born in Britain in the early 1900s, she became a Baptist missionary to China and served among poor children for 25 years. Gladys later in life When the group arrived at Xian, Aylward collapsed with typhoid fever, which kept her bedridden with delirium for several days. By exploring the lives of inspiring Christian women, this series will enthuse young children about the great things they can do for God.ĭelivery to the UK is FREE if you spend over £10. Gladys Aylward probably had similar feelings. Part of the new Do Great Things For God series. Gladys Aylward rescued a hundred homeless Chinese children by leading them on a difficult journey across the mountains of China. ![]() When she eventually arrived, the villagers were deeply suspicious and threw mud at her! But, with time, Gladys earned the trust of those around her and helped the elderly missionary, Jeannie, to run a guesthouse for tired travellers, where they would read them stories from the Bible every night.Ĭhildren will enjoy this beautifully illustrated children's biography, which can be read to young children aged 4-5 and read by children aged 6 plus. She sneaked onto a ship, and then took another boat, another train, a bus and lastly a donkey! She met scary people who thought she was a spy. Once she felt the call to the mission field, she refused to allow any excuses to hold her back. Gladys had to cross a dark forest, surrounded by packs of hungry wolves. Who Was Gladys Aylward Gladys Aylward was a determined woman. From that point on, she chose to serve God. However one day, she attended a revival meeting at which the speaker talked of dedicating one’s life to Jesus and to ministry. She grew up working as a parlormaid for most of her young life. Without formal education or a missionary organization to back her, Gladys raised her own finances for the. But her train stopped in Siberia and wouldn’t go any further. Summary Gladys Aylward, born in 1904 in London to working-class parents, was at first glance a normal girl. This is the powerful story of Gladys Aylward. China is a very long way away! So Gladys worked day and night until, eventually, she had enough for a train ticket to China. The only problem was that she needed to pay for her journey there. Born in London in 1902, Gladys Aylward left school at fourteen to become a shop assistant and parlour maid. After failing her exam and being told that she couldn’t go, she was eventually given the opportunity by an elderly missionary in China who needed a young woman to help her. ![]() ![]() While in her twenties, Gladys Aylward (1902-1970) felt called to serve God in China and enrolled at missionary school. You can see the story of her life in a movie called The Inn of Sixth Happiness. Gladys Aylward became known around the world for the sacrifice she made to help the Chinese learn the way to God. She went back to China and spent the rest of her life helping the Chinese. The mission of Gladys Aylward began at the door of another missionary we have written of, Hudson Taylor. GNB - Good News Bibles Dyslexia Friendly Gladys Aylward was the first missionary to become a Chinese citizen. Gladys Aylward The Small Woman With Big Dreams.After staying in Hong Kong, she finally settled in Taiwan in 1958 and funded the 'Gladys Aylward Orphanage.' During her last years, she extensively worked in Taiwan for the poor through the ‘Gladys Aylward Children’s Home.’ She died in 1970 at the age of 67.South Georgia & South Sandwich Islands (GBP £) She sought approval from the Chinese government for returning to China which was rejected. While in England, she gave numerous lectures about her work. She returned to England after 1949 as the Communist government was after missionaries. During the 1938 invasion by Japan, Gladys helped more than 100 orphans to safety in Sian. She took Chinese citizenship in 1936, and was appointed a ‘foot inspector’ to enforce the new law against footbinding young girls and she achieved decent success. However, she soon found success as an evangelical Christian missionary. When Gladys arrived in China, she didn’t have any missionary training and faced a lot of hurdles in the beginning. Gladys Aylward was a British-born independent missionary who worked in China. ![]() ![]() ![]() Replay Gain implementations usually involve adding metadata to the audio without altering the original audio data mp4 volume adjuster program to increase free download mp3 increaser software. increase audio volume software sounds increase editing clipped wav file repair how to fix different level audio mp4 normalizing mp4 songs fix mp4 volume. ![]() Mp3 ideal normalization equalise levels on an mp4 download software to increase sound in mp3 song. how to increase wav volume improve mp3 sound software to increase volume improve mp3 quality volume db clipping change wav file volume level change flac file flacgain clipping correction how to change the volume of a ogg. wav normalization download flac song flac same volume on all songs volume level mp3 collection. normalization flac audio levels gain flac files? raise an mp3 volume program change volume mp3 wav gain edit how to change mp3 volume setting normalize a set of music files. mp3 gain tutorial raise volume of mp-file trim silence songs raise volume of file mp3 adjust mp3 song volume mp4 normalisieren programm. audio normalization adjust gain on a wav how to level sound volume of mp4 normalize audio files. normalisieren von mp3 volume normalize mp3 audio normalize what is normalize wav normalisation ogg normalisation peak normalization volume normalizer. encode mp3 normalize mp3 normalizer gain flac in flac volume normalizer mp3 normalization how to normalize mp3 decodieren. Software automatic audio file adjustment mp3gain audio normalizer key sound normalizer wav normalize mp3 normalisieren. Download | Sound Normalizer 8.7 (Audio Normalizer) | Volume Level Tester 1.0 ![]() ![]() ![]() With any luck, they will destroy the starbase for you. 22, Kyrgyzstan, Mandarin, East Asian Languages and Civilizations, University of California. Before you do that, though, place a combat ship next to the ascension starbase, and then give it to the race you want to bribe. 3, Argentina, Amharic, Anthropology, Boston University. You can try to bribe another race to go to war against the one trying to ascend. Galactic Civilizations 3 received most of the favorable reviews from critics. The game was also the first to allow multiplayer play and use games that use hex-based tiles. However, you don't have to fight yourself. It’s the second part of 2006’s Galactic Civilizations II: Dread Lords and the complete version of the game was released in May of 2015. Just make sure, that the AI doesn't capture another crystal. You could also try to go for the Tech victory. However, the other races won't take kindly to your attempt to ascend, and will most likely declare war soon. If you are quick enough, you may beat the AI to the Ascension victory (but it will be close). You could try to find and capture the other three crystals. The Ascension victory requires 1000 points, and each crystal provides one point per turn.Īs for possible actions, well, there aren't many. ![]() Continued abuse of our services will cause your IP address to be blocked indefinitely.If the countdown is at 400, then the AI has most likely two crystals. Please fill out the CAPTCHA below and then click the button to indicate that you agree to these terms. If you wish to be unblocked, you must agree that you will take immediate steps to rectify this issue. If you do not understand what is causing this behavior, please contact us here. If you promise to stop (by clicking the Agree button below), we'll unblock your connection for now, but we will immediately re-block it if we detect additional bad behavior. Overusing our search engine with a very large number of searches in a very short amount of time.Using a badly configured (or badly written) browser add-on for blocking content.Running a "scraper" or "downloader" program that either does not identify itself or uses fake headers to elude detection.Using a script or add-on that scans GameFAQs for box and screen images (such as an emulator front-end), while overloading our search engine.Add -cheat to the launch options, then you can open up the Console with the button. Cheat in this game and more with the WeMod app 2,049 WeMod members play this game. There is no official GameFAQs app, and we do not support nor have any contact with the makers of these unofficial apps. How do I open console in epic games Epic Launcher > Settings > Galactic Civilizations 3 > Additional Command Line Arguments. Our Galactic Civilizations IV trainer has over 11 cheats and supports Epic Games. If you are in the Civilization stage, each time it is used, you will receive 2,000 more money. Step 4: research the defense for the weapon branch the AI uses, and research another weapon type, (AI: MDs, You: Beams.) Step 5: Conquer. Step 3: make everyone else declare war, even the minors. Continued use of these apps may cause your IP to be blocked indefinitely. Anyway, the best course of action is to: Step 1: Attempt to buy the bases. This triggers our anti-spambot measures, which are designed to stop automated systems from flooding the site with traffic. Some unofficial phone apps appear to be using GameFAQs as a back-end, but they do not behave like a real web browser does.Using GameFAQs regularly with these browsers can cause temporary and even permanent IP blocks due to these additional requests. If you are using Maxthon or Brave as a browser, or have installed the Ghostery add-on, you should know that these programs send extra traffic to our servers for every page on the site that you browse. Now that you have enabled the console, to open it launch the game and press (the key to the left of 1 on your keyboard) Galactic Civilizations 3 Cheats Console Commands.The most common causes of this issue are: ![]() the internal name for planetary invasion for example is AltarianPlanetaryInvasion, but some of them are not that obvious. then press ctrl+F and type a word from the tech you are looking for. Your IP address has been temporarily blocked due to a large number of HTTP requests. recommend you use notepad++ to open the xmls but browsers or text editors can do it. ![]() ![]() ![]() Maniac: Enemies deal 2 times more damage than normal, can gain a higher chance of Enemy Advantage when not taken by surprise, and certain weapon fusions cannot be performed (Ultimate Weapons are still available).Hard: Enemies deal 1.5 times more damage than normal and can gain a higher chance of Enemy Advantage when not taken by surprise.Easy: Enemy damage is toned down, and the protagonist is given 10 Plumes Of Dusk to continue in case of a game over.Beginner: Enemy damage is significantly toned down, and the protagonist is given 30 Plumes of Dusk to continue in case of a game over.In Persona 3 Portable, two additional diffculty options, Beginner and Maniac, have been added. In Persona 3 FES, a Hard difficulty option is added for the original story ( The Journey) but in The Answer, there are no difficulty options and Hard is the preset difficulty. The player can choose from Easy and Normal. In Persona 3, the difficulty of the game can be chosen at the start of the game but it cannot be changed once selected until New Game Plus. Easy and Hard difficulties deal 80% and 120% of damage in Normal difficulty.Īs with the PSP remake of Persona, there are three difficulty choices (Easy, Normal and Hard). There are three difficulty choices (Easy, Normal and Hard), which affect how much damage the enemies deal to the player's party. In the PlayStation Portable remake of Persona, the difficulty of the game can be chosen at the start of the game but it cannot be changed once selected. Impossible Difficulty is New Game Plus only.Īnd just like in IV Apocalypse, once the difficulty is changed to Impossible, it cannot be changed back, and when the protagonist gets knocked down, a Game Over occurs instantly. Shin Megami Tensei: Strange Journey Redux Īs opposed to its original release, Strange Journey Redux has three difficulty types that are selected upon creating a Save File, and the player can change the difficulty at any time in the settings. The instances that differentiate the difficulty levels are the damage dealt, the accuracy of allies' attacks, the damage received, the odds of escaping battle, as well as allies' Critical, ailment-infliction and instant-kill rate, and instant-death evasion rate. Although it's possible to switch to or between Casual and Normal, Hard mode can only be selected during the beginning of the game.Īdditionally, a Safety difficulty DLC can be downloaded for free. There are 3 difficulty options at the start of the game: Casual, Normal and Hard. You can help the Megami Tensei Wiki by expanding it. This article is missing specific rates for Paradise and Apocalypse difficulties. However, once the player changes their game into Apocalypse difficulty, once the protagonist dies in battle, it is an instant game over, and one cannot change the difficulty back. There are also additional difficulties available through free DLC, those being the Paradise and Apocalypse difficulty options Unlike its previous entry, Apocalypse allows the player to select between three difficulty options at the start of the game: Skirmish, Conflict and War. To unlock Fellow difficulty, Flynn must die, pay Charon revive him once, die a second time, and Charon's jailers will let him revive another time for free and give the player access to the difficulty, while Master Difficulty cannot be selected until New Game Plus. The player can change the difficulty setting at any time through the Burroughs Menu as long as they've unlocked the difficulties they want to select. There are a total of 3 difficulties: Fellow, Prentice and Master. In the original release, the player could only select a Difficulty when creating a New Save, but the HD Remaster allows them to change it in the Settings menu. There are normally 2 difficulty types, Normal and Hard, however the HD Remaster has a new Merciful difficulty as free DLC. Overview Shin Megami Tensei III: Nocturne ![]() ![]() 1.11 Persona 4: Dancing All Night / 3: Dancing in Moonlight / 5: Dancing in Starlight.1.5 Shin Megami Tensei: Strange Journey Redux. ![]() ![]() ![]() Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. ![]() The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. The employee data is based on information from people who have self-reported their past or current employments at Natus. Zippia gives an in-depth look into the details of Natus, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Natus. Stand and walk for extended periods of time Use miscellaneous hand tools including manual, pneumatic, and powered Grip and hold parts and hand tools continuously (8 hours) Push, pull, bend, twist, and stoop on an on-going basis up to shoulder height daily on an on-going basis without assistanceĪble to lift 50lbs. High school diploma/GED (preferred but not required)īasic English reading ability and comprehension to understand instructions in job booksĪble to work overtime hours according to business needĪble to lift 55lbs. May be designated according to type of activity as Thermal-Cutter Helper. May attach grappling equipment to objects preparatory to movement by crane. Removes, tags or marks, and moves finished work. Places workpieces into furnace to preheat for specified time. Starts gasoline engine to activate electric generators. Grinder, hand scraper, or chemical solutions.Ĭonnects hoses from hand torch to oxygen and fuel gas cylinders or connects cables from power source to electrode holder and workpiece or fixture. Using hoist, pry bars, wrenches, hammer, and wedges.Ĭleans workpieces to remove impurities, such as slag, rust, and grease, using wire brush, portable Lifts, moves and holds, or clamps workpieces to table, into jigs, or into position as directed, manually or by Performs any combination of following duties to assist workers in welding, brazing, and thermal and arcĬutting activities: Moves workpieces, tools, and supplies, manually or by handtruck. Maybe something like: Are you ready to be part of a team that produces industry-leading quality, proven performance and continuous innovation? We’ve got the job for you! We’re a small, third-generation family-owned manufacturing business with a quality-built product and exceptional national reputation. ![]() ![]() ![]() Let’s continue looking at 2 Peter 3 now we know who the judgment is for:ġ1 Since all these things are to be destroyed in this way, what kind of people ought you to be in holy behavior and in godliness.ġ2 Look for and await the coming of the day of Elohim. There will be those who follow man and the traditions thereof and those who instead follow Yahuwah and the commandments He wants us to walk in. The judgment here is for those who do not follow Yahuwah. The destruction of the people here is based upon the judgment of Yahuwah. On the day of Yahuwah’s indignation and wrath.įor He shall make a full and complete end, Their blood will be poured out like dust, Īnd against the high corner towers (battlements).īecause they have sinned against Yahuwah Atonement is made and then judgment comes. So what is this day of Yahuwah? It is when the judgment is handed down. So who are these people that live in darkness that shall be taken by surprise like a thief in the night and who is the thief that we should be fearful?ġ0 But the day of Yahuwah will come like a thief, and then the heavens will vanish with a roar, and the elements will be destroyed with intense heat, and the earth and the works that are on it will be burned up. (A good article to cover which speaks about the Light and the darkness in His calendar can be found here). These people are not living in the darkness which is when the thief comes. Verse 4 tells us that the people of Yahuwah shall be ready and not be surprised the same way one would be when a thief comes to a house in the night. ![]() ![]() Many quote verse 2 alone, which by itself would seem to say that no one will know the time he appears, but ignore what is said in verse 4. And they shall not escape.Ĥ But you, brethren, are not in darkness, so that this Day should overtake you as a thief.ĥ You are all sons of light and sons of the day. The scripture they are referring to is this one.ġ But concerning the times and the appointed times (seasons), brethren, you have no need that I should write to you.Ģ For you yourselves know perfectly that the day of Yahuwah will come as a thief in the night.ģ For when they say, “Peace and safety!” then sudden destruction comes upon them, as labor pains upon a pregnant woman. Many times I have heard people say that we cannot know exactly when He shall come as the scripture says He shall come “Like a thief in the night”. ![]() ![]() ![]() Finally, the large portion of time spent on documentation outside of patient encounters is tedious and repetitive 6, and heavy workloads can lead to dissatisfaction and burnout among clinicians, ultimately impacting their ability to provide patient care 7, 8, 9, 10, 11.Īrtificial intelligence (AI)-based efforts to alleviate these challenges have recently been made, including using automatic speech recognition (ASR) 12, 13, 14, 15, 16, and natural language processing (NLP) technologies to transcribe patient-clinician conversations and automatically generate clinical notes 17, 18, 19, 20. Additionally, clinicians may pay more attention to their computers and make less eye contact with patients, creating communication barriers and reducing patient satisfaction 3, 4, 5. With computer-based note-taking, information registration by typing is not as natural as free-hand note taking for some clinicians, decreasing efficiency and introducing errors 2. Some hospitals maintain the original paper copies of notes, adding burden on data administration and security. ![]() Some providers discard paper-based notes after transferring information to the EHR system, potentially losing details of their initial observations. Indeed, clinicians spend nearly two plus hours on EHR systems per hour of direct patient care 1. A large portion of such notes are unstructured and require complex transformations into computer-based documents. With paper-based note-taking, patient data must be registered first during the patient’s visit, and again during digitization. These methods have a significant impact on clinicians’ workflow and workload. Others prefer typing digital notes directly into EHR systems while talking with patients and polishing the drafts after the encounters. Some clinicians begin with free-text note-taking or structured paper forms, which are then digitized through dictation, typing into electronic health record (EHR) systems, or scanning and indexing to the patient’s records. We open source a proof-of-concept implementation that can lay the foundation for broader clinical use cases.Ĭlinicians produce a considerable amount of data when seeing a patient, including records of patient history, physical examination, lab test requests, referral reports, etc. Semi-structured interviews and trials in clinical settings rendered positive feedback from both clinicians and patients, demonstrating that AI-enabled clinical note-taking under our design improves ease and breadth of information captured during clinical visits without compromising patient-clinician interactions. The output is unobtrusively presented on mobile devices to clinicians for real-time validation and can be automatically transformed into digital formats that would be compatible with integration into electronic health record systems. PhenoPad is an intelligent clinical note-taking interface that captures free-form notes and standard phenotypic information via a variety of modalities, including speech and natural language processing techniques, handwriting recognition, and more. By surveying healthcare providers’ current note-taking practices and attitudes toward new clinical technologies, we developed a patient-centered paradigm for clinical note-taking that makes use of hybrid tablet/keyboard devices and artificial intelligence (AI) technologies. Current clinical note-taking approaches cannot capture the entirety of information available from patient encounters and detract from patient-clinician interactions. ![]() |