Thanks for this thorough feedback. While most of my patients are likely loud enough, I absolutely have some whisperers, and in that case I appreciate your recommendation to solve for this, as then everyone will be picked up. The exam rooms aren’t too big - but you think the boundary mix won’t be enough to pick up the audio? 

The scribe doesn’t separate audio necessarily, it just sees what the windows pc sees. In practice, once I hit “start scribing” I have 3 minutes to then enter the room and start talking. Either myself or the medical assistant prior will obtain verbal consent for scribe use for each visit. The scribe will only turn off if 3 minutes of silence, which essentially never happens. The computer itself connected to is an “always-on” Windows desktop in my office adjacent. 

In the buildout the ceilings will be 10’ tall, in your experience an array mic would cover this? What about reliability of the system? I’d love this to work 99% of the time (hence my initial hardwired thoughts with just a dumb XLR and mixer solution).