Course Title

Medical Transcription

Course Description

This course will provide students with a strong foundation for placement in the Medical Office using machine transcribers. Emphasis is on developing transcription skills from voice media into usable medical communication. Correct formatting of medical documents, medical definitions, and correct spelling of medical terminology are also emphasized.

Contact

Gina Hubbard
405-743-5117
ghubb@okcareertech.org

Knowledge and Skills

• AAMA Grammar ·        Determine the correct usage of the following: numbers, measurements, test results, visual acuity, catheter sizes, cranial nerves, drugs, and injections ·        Determine the correct punctuation ·        Utilize correct sentence structure
  Letter Transcription ·        Identify the correct placement of the physician, typist, and dictators initials ·        Determine the correct heading format for the continuation page headers ·        Identify the correct placement for typists initials, enclosures, and copy notations ·        Utilize the modified block format for letters ·        Identify the two standard business letter styles ·        Identify accepted practices when typing multiple page letters ·        Utilize mixed punctuation in business letters
  Medical Terminology ·        Define the following terms: aphasia, choledoch/o, cysto, inter, stomat/o,  -malacia, olig/o, ectasis, a-, an-, ana-, and –rrhaphy ·        Define the following abbreviations: gtt, BBB, UA, a.c., AP, NSAID, Bx, and KUB ·        Identify the word elements and organs in the digestive system ·        List the five body cavities ·        Identify the four major parts of the colon ·        Determine the correct spelling and usage for the following words:  mucous, pustules, dysphasia, and salpingo-oophorectomy ·        Identify spelling errors in paragraphs ·        Identify the bones in the extremities ·        Determine the correct format for listing vertebrae ·        Identify the three major components of medical terminology
  Law and Ethics Define non-privileged information Determine the reasons for keeping accurate, thorough patient medical records Determine properties of patient record Define PHI Define standards of care Define HIPAA and Confidentiality Practices Define TPO Determine what format to use for filing information in patient records Determine what information is to be released to patients without doctor’s review Determine the procedures for filing transcribed documents in medical charts
  Medical Report Transcription ·        List the synonyms for diagnosis ·        Identify the different types of medical reports ·        Determine the different formats for each report ·        Identify the Chart Notes and Progress Notes formats ·        Define POMR and which section of the report it would be located in ·        Identify how to list the pre-operative and post-operative diagnoses if they are exactly the same ·        Define physical examination and its acronym ·        Define interval history

Brainbench http://www.brainbench.com

Accountability Measures, Assessments, or Evaluation Procedures

Required Brainbench Certifications (or equivalent industry certification):

• Medical Transcription                                 

Recommended Additional Competency Testing:           

• Anatomy & Physiology
• English Vocabulary
• Spelling (US)

Industry Alignments

American Association of Medical Transcription

• Certified Medical Transcriptionist

Curriculum Resources

• Recognized Primary Course Textbooks and Instructional Resources:

   

  South-Western - Medical Terminology - ISBN 1-4188-6226-6

  Health Professions Institute – SUM Beginning Medical Transcription Unit – Software

  Health Professions Institute – The Medical Transcription Workbook

  Health Professions Institute – Foot pedal

  Delmar Thomson – Hillcrest Medical Center:  Beginning Medical Transcription Course, 6^th edition, ISBN:  978-1-4018-4108-9

  Paradigm Publishing – Medical Transcription, ISBN:  1-56118-654-6

   

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