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Make generated notes longer or more detailed

How to adjust templates, Specific Instructions, and model choice when Motics notes are too short.

Written by Dr. Harvinder Power

Quick answer

If a generated note is too short, first make the template more explicit. If one session needs more detail, use Specific Instructions. If the session is complex, regenerate with a more detailed model and compare the result.

What to change in the template

  1. Open the template you used.

  2. Add clear headings for the details you expect, such as history, objective findings, assessment, plan, safety-netting, and follow-up.

  3. Add bracketed instructions under each heading.

  4. Save the template.

  5. Regenerate the note and compare the output.

Useful template instructions

  • Include relevant positives and negatives where mentioned.

  • Include clinical reasoning, assessment, plan, safety-netting, and follow-up details.

  • Use complete sentences rather than very short bullet points.

  • Do not over-compress the history or objective findings.

  • Write enough detail for another clinician to understand the case without reading the transcript.

When to use Specific Instructions

Use Specific Instructions when one note needs to be longer or focused in a particular way.

Example:

Make this a detailed MSK initial assessment note with relevant positives and negatives, clinical reasoning, plan, and safety-netting.

When to change model

Model choice can change the level of detail and instruction-following. Current Motics model names include Nightingale, Crick, Wilkins, Fleming, Newton, Curie, and Medawar.

  • Start with Nightingale for detailed long-form notes and reports.

  • Try Wilkins for complex sessions where nuance matters.

  • Use Crick for balanced speed and intelligence.

  • Use Curie if your team prefers its detailed style for a specific workflow.

  • Use Medawar when testing long-form content workflows.

When to edit the template instead

Edit the template if notes are repeatedly too short. Template changes apply to future notes using that template, while Specific Instructions apply only to one generation.

Best practice

  • Use separate templates for initial assessment, follow-up, GP letter, and patient summary.

  • Do not rely on one heading called "Summary" if you need a detailed clinical note.

  • Regenerate a past session after changing the template so you can compare the output.

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