hospitals are adding scribe programs to their campuses all over the world. there are three types of programs. some smaller programs are in-house in the facility (run by the health system or office, scribes are direct employees of the facility). other programs are in-house at a medical group that contracts with the facility (scribes are direct employees of the medical group), such as at ema, vituity (formerly cep america), and citymd. aside from these, there are also independent medical scribe companies that contract with a hospital or doctor's group to provide services. some major independent medical scribe companies include precision scribes, scribeamerica, scribe connect, scrivas, physicians angels, and elite medical scribes.