Medical scribes and transcriptionists have different roles in the healthcare industry. Scribes focus on documenting the key elements of patient appointments, such as the patient's history, examination, lab results, radiographic impressions, etc., in real-time. On the other hand, transcriptionists only transcribe the voice dictations assigned to them by physicians, typically after the appointment. The main difference is that scribes work closely with medical professionals to document patient information during appointments, while transcriptionists manage the documentation process after the appointments have occurred.