Troy works the moment you open it. A few minutes of setup makes your first notes noticeably better: teach Troy your voice, tell it your specialty, and pick the dictating style that fits your day.
Have about 3 GB of free storage and a Wi-Fi connection for the AI download, and a quiet room for the minute it takes to record Voice ID.
Troy is in beta. Use the TestFlight invitation from CodeBlueMD to install it. Not invited yet? Join the beta.
Scroll to the end, then tap I Acknowledge & Accept. Troy is beta software and is not FDA-cleared, so always review a note before it goes into a chart.
If you have a SafeKey, plug it in and tap Connect SafeKey. Troy asks for Bluetooth and pairs on its own.
No SafeKey yet? Tap Continue without a computer. You can record and review on your phone and connect later in Settings → SafeKey. If your EMR runs in Chrome, the free browser extension does the same job with no hardware.
On the Ready to dictate screen you can tap Start dictating right away, or Add AI notes · 2.5 GB download to turn your dictation into HPI, A&P and SOAP notes.
To add it later: Settings → Download Troy AI. It's a one-time download, and after that the AI runs fully offline on your iPhone.
Plug in, stay on Wi-Fi, and keep Troy open until it says the model has loaded. To switch AI notes on or off later, use Structure my notes in Settings → Advanced.
Voice ID learns what you sound like, so Troy can tell your voice from a patient's, a nurse's, or the TV in the room. It's the single best thing you can do for accuracy in a busy clinic.
Go to Settings → Teach Troy → Voice ID — Teach Troy Your Voice, or tap Set up Voice ID on the main screen.
When it's done you'll see Voice Enrolled. Your voiceprint stays on your iPhone.
If Troy suggests re-recording, or the main screen says Check Voice ID for this microphone after you switch mics, tap the Voice ID row again and re-record. It takes about a minute.
In Settings → Advanced → Voice isolation:
| Setting | Best for |
|---|---|
| Off | A quiet office where only you speak. Transcribes everything the mic hears. |
| Light (default) | Most clinics. Reduces background noise and checks it's your voice in Dictation. |
| Strong | Busy rooms with nearby conversation. Filters more, but very short or overlapping voices can still get through. |
For the strictest option, turn on Strict doctor-only delivery. Troy then types only phrases it's sure came from you and holds anything uncertain for you to review.
If you see "Voice uncertain — automatic typing paused", nothing is lost: review the held text when you finish recording.
Open Settings → My Practice:
| Option | Where | Choices |
|---|---|---|
| Mic button | Settings → Dictating | Tap to talk (default) or Hold to talk, which works like a PowerMic: hold while speaking, release to pause. |
| Pause length | Settings → Dictating | Quickest, Quick (default), Normal or Relaxed. Pick Relaxed if Troy cuts in while you're thinking. |
| Where words go | Main screen | Type to computer types into your EMR as you speak (needs SafeKey or the extension). Review on phone lets you check everything first. |
| Note format | Main screen | Dictation (word-for-word), HPI, A&P, SOAP, or Encounter (ambient visit note, with patient consent). |
| Send without review | Settings → Dictating | Off by default. Leave it off so you review each note before it's sent. |
Tap the microphone. The first time, iOS asks to use the Microphone and Speech Recognition; allow both. Speech recognition runs on your iPhone.
| Say | What happens |
|---|---|
| "scratch that" | Erases what you said since your last pause. |
| "delete that" | Erases the last word. |
| "new line" / "new paragraph" | Starts a new line or paragraph. |
| "period", "comma", "question mark", "colon", "semicolon" | Inserts the punctuation. |
| "SafeKey tab" | Jumps to the next field in your EMR. |
| "SafeKey sign" | Types your signature. |
| "dot RP", "dot normal", "dot tele" | Expands a shortcut: return precautions, normal exam, telehealth consent. Edit or add your own in Settings → SafeKey → Shortcuts. |
SafeKey commands work in Dictation with Type to computer on.
When you correct a word in a note, Troy asks Remember this fix?. Tap Remember and it writes it your way from then on.
For names, drugs or terms Troy keeps missing, use Settings → Teach Troy → Teach a word: say the word three times and tick how Troy heard it. Your list lives under My word fixes.
Tap Ask Troy next to the note format to ask a clinical question, or open a saved note from History and ask about it. It uses the on-device AI, so nothing leaves your phone. Answers are for reference only, so use your own clinical judgement.