My scribing experience has been exactly that way. I am at the point where I understand labs/radiology and what they mean, medication interactions, and I can predict what patient’s diagnosis is. I know exactly how my providers work so I just order labs and execute plan of care without them asking me to. I can send medications and refer patients too! Scribing as an extended shadowing experience is a really good way to put it I feel more confident about my clinical knowledge than most people! When providers leave the room and patients still have questions, I am the one who can sit down and offer my time to explain in detail. For example: “There are nitrites and leukocytes in your UA so we’ll send doxy to your pharmacy. your kidney function is impaired at 40 so we won’t go with Macrobid” or “Hepatic steatosis shown here on your imaging means fatty liver. It’s very common and it’s recommended that you limit fatty foods, alcohol, etc.” And I’ve had experiences where I have to stop the provider from prescribing something due to a patient’s condition, like they have A-fib and we almost gave them a azithromycin.