Orthopedic Surgery Practice & Decision Support
FirstAssistantAI is an AI first assistant for the orthopedic surgeon: it reads your case, weighs it against the current literature, and hands back the evidence-based plan, predicted outcome, op note, and codes in seconds. Everything is scored to the patient in front of you, not a population average. You make every call; it wins back your time.
Built by Edwin Chaharbakhshi, MD, a surgeon with a computer science background, for surgeons. Every recommendation is reviewed before it reaches you.
The way it has been
The best evidence in the world belongs in every operating room, calibrated to the patient in front of you. Not a population average. Not last decade's data. We are building the clinical decision layer for surgery. That is why it is free for every surgeon.
The clinical decision layer for surgery
One case in. The plan, the prediction, and the paperwork out. You make every decision; it measures every result.
FirstAssistantAI takes on the lookup, the note, the coding, and the follow-up. It is the work that eats your day and quietly drains your margin, handed back to you done so your practice keeps the time and the money.
The operative note and clinic documentation come back written and ready to review. Less charting after hours.
CPT and wRVU are derived from the plan, so you stop under-coding and capture every dollar you earned.
PROMs and check-ins go out automatically, tracking outcomes without tying up your staff.
One entry. Decision support, evidence, codes, op note, prognosis, and outcomes back in seconds.
The score is a calibrated likely range, not a single number, plotted against outcomes for similar cases. Tuned to this patient, not a population mean.
No new fields and no forms. Drop in a dictation or copy your existing note.
The operative note, CPT, and wRVU come back drafted for your review. Capture every dollar you earned.
A full evidence-graded result comes back fast enough to use mid-clinic.
Patient data is encrypted in transit and at rest and handled to HIPAA standards.
Seven evidence-graded procedure modules across the joints you operate on. New modules ship regularly.
Each case is weighed against current evidence and adjusted for the patient in front of you. The full model is proprietary, and a clinician reviews every output before release.
Diagnosis, imaging, exam, and history come together into a structured picture of the patient.
The plan is broken into the decision points that matter, each weighed against current literature and adjusted for this patient's profile.
Imaging and intra-operative findings override the model. A clinician reviews the result before release.
You get a predicted outcome plus the prognosis, documentation, and billing that follow.
A sample of the factors considered, shown by role rather than exact weight. The full model weighs many more variables and is proprietary.
Decision support that surfaces the score and the evidence. The surgeon decides, always.
Decision support, not autonomousEvery recommendation is cited and current. You never practice on last decade's data.
The same evidence that sharpens your plan gives patients a clearer, calmer experience.
Patients who understand their likely outcome, not just hear it went fine. Fewer surprises and less anxiety.
Walk through options with data they can see, not just reassurance, and decide together.
Automated check-ins capture how they are actually doing and surface the patients who need attention.
FirstAssistantAI tracks every outcome, benchmarks you against the national cohort, and shows you exactly where to grow.
You can't improve what you don't measure.
Patient-reported outcomes captured automatically at each visit.
Your results against every other surgeon on the platform and published benchmarks.
Structured PROMs turn every case into evidence of your results: for you, your patients, and your future partners or payers. As reimbursement increasingly follows outcome scores, you will already have the data to show.
Enter the case once and walk away with the full record, ready for your review.
Every decision documented and defensible, with the evidence cited and timestamped.
Patients understand their likely outcome, not just hear it went fine.
Codes and bundling derived from the plan. Capture every dollar you earned.
Outcomes captured automatically from pre-op through long-term follow-up.
See where you stand against the national cohort and your own record.
From your first case to your thousandth, one record that follows you.
FirstAssistantAI builds the evidence-graded plan, pulls the relevant literature, and shows the reasoning behind each step, so you learn the why and not just the what. From your first case to your thousandth, it is the same record.
The platform is free for every surgeon individually. Enterprise adds the shared layer a group needs: standardized PROMs across every surgeon, dashboards for leadership, and the outcomes data that payers and value-based contracts increasingly require.
One standardized outcomes pipeline across every surgeon and case. No chasing follow-ups.
Outcomes by surgeon, procedure, and service line. See variation, prove quality.
The PROMs and quality data MIPS and payer contracts ask for, already collected.
Centralized user management, single sign-on, and a practice-level Business Associate Agreement.
Patient data is protected at every step, and it stays yours.
The full platform is free for individual surgeons, residents and fellows included. Practices that want to collect outcomes across their whole group can talk to us about Enterprise.
Individual access is free with no credit card. Enterprise is priced per practice. Reach out and we will scope it with you.
The questions surgeons ask us most, answered plainly.
No. It is clinical decision support. It surfaces evidence, a predicted-outcome estimate, and draft documentation for you to review. You make every clinical decision, and the software never acts on its own.
It is built and used as clinical decision support, not an autonomous or diagnostic device. It does not diagnose or treat. It presents evidence and recommendations for a licensed clinician to review and act on, and your judgment governs every case.
You are. The surgeon keeps full clinical authority and responsibility at all times. The tool informs your judgment rather than replacing it, and imaging and intra-operative findings always take priority over the model.
No. It is an evidence-based estimate of the likely result for a given plan, not a promise of any individual outcome. Results vary from patient to patient, and the estimate is meant to support your conversation with the patient, not stand in for it.
Each case is weighed against current, peer-reviewed orthopaedic literature and adjusted for the specific patient, and the evidence behind every recommendation is shown to you. The underlying model and its weighting are proprietary. Older evidence is flagged for review rather than used silently, and a clinician reviews outputs before they reach you.
Yes. Patient data is encrypted in transit and at rest and handled to HIPAA standards, and we provide a Business Associate Agreement. Your data is yours, and we do not sell it.
No. It is built to augment, not replace. It takes on the lookup and documentation burden so you and your team can focus on the patient, while you stay in control of every call.
You paste or dictate your note and get the result in seconds. There is no new system to learn and nothing to rip out and replace to get started.
Yes. The full platform is free for every individual surgeon, with no credit card, whether you are a resident, fellow, or attending. There is no catch. Our business is the practice-scale outcomes layer (Enterprise PROMs collection), not your data, and we do not sell your data.
Enterprise is for practices and groups that want to collect and benchmark patient-reported outcomes across all of their surgeons, with shared dashboards, admin and roles, and a practice-level agreement. It is priced per practice. Reach out and we will scope it with you.
Still have a question? Email us.
Whether you are leading cases or preparing for them, this is the easiest way to put AI to work in your practice.