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Nursing Info. Lab. (lec on MedTrans.)

Nursing Info. Lab. (lec on MedTrans.)

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Published by: frederick_imperial_1 on Nov 29, 2010
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01/14/2013

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WHAT IS MEDICAL TRANSCRIPTION?
Medical Transcription is the act of translating from oral to written form the recordof a person’s medical history, diagnosis, prognosis, and outcome.Medical Transcriptionist is a medical language specialist who transcribesdictation by physicians and other healthcare providers in order to documentpatient care.
ROLE OF MEDICAL TRANSCRIPTIONISTS
Interprets, translates, and edit medical dictation for content and clarity toproduce a permanent medical record.
The Modern Healthcare Team
MT: Partners in Medical Communication
 
Understanding the Profession of Medical Transcription
Transcription has existed since the beginning of medical care andresearch.
Ancient cave writings attest to the earliest forms of healthcaredocumentation. While the medium changed from metal plates to claytablets, to hieroglyphs on temple walls, to papyrus, to parchment, topaper, and most recently to electronic files, the reasons for maintainingrecords have always been the same—to record an individual's health careand the achievements in medical science.
Until the 20th century, physicians served as both providers of medical careand scribes for the medical community. After 1900, when standardizationof medical data became critical to research, medical stenographersreplaced physicians as scribes, taking their dictation in shorthand.
MEDICAL TRANSCRIPTION
Medical Transcriptionists as Professionals
Since 1978, medical transcriptionists have been represented by aprofessional organization, the American Association for MedicalTranscription (AAMT), now Association for Healthcare DocumentationIntegrity (AHDI), which has developed a competency profile (COMPRO®)and a model curriculum for transcription educators, as well as a model jobdescription.
“Learn everything you can…from anyone you can…fromanywhere you can…”
Maria Anna Claudio-Paragas, DMD
 
Through the efforts of AAMT, medical transcriptionists have becomerecognized as healthcare professionals with expertise in medicallanguage.
Physicians and other healthcare providers employ state-of-the-artelectronic technology to dictate and transmit highly technical andconfidential information for their patients. These medical professionals relyon skilled medical transcriptionists to transform spoken words intocomprehensive records that accurately communicate medical information.
Frequently Asked Questions about Medical Transcription
WHAT DOES A MEDICAL TRANSCRIPTIONIST NEED TO KNOW?
Medical understanding is critical for the professional medicaltranscriptionist.
Medical transcription requires a practical knowledge of medical language,anatomy, physiology, disease processes, pharmacology, laboratorymedicine, and the internal organization of medical reports. A medicaltranscriptionist is truly a medical language specialist who must be awareof standards and requirements that apply to the health record, as well asthe legal significance of medical transcripts.
Reports of patient care take many forms, including histories and physicalexaminations, progress reports, emergency room notes, consultations,operative reports, discharge summaries, clinic notes, referral letters,radiology reports, pathology reports, and an array of documentationspanning more than 60 medical specialties and subspecialties!
WHAT DO MEDICAL TRANSCRIPTIONISTS STUDY?
To prepare for this profession, medical transcriptionists study medicallanguage, including Greek and Latin suffixes, prefixes, and roots biologicalscience, including anatomy and physiology of all body systems andvarious disease processes
medical science
medical and surgical procedures, involving thousands of instruments,supplies, appliances, and prosthetic devices
pharmacology
laboratory values, correlating laboratory test results with a patient'sdiagnosis and treatment
use of medical reference materials and research techniques
WHAT DOES QUALITY MEDICAL TRANSCRIPTION REQUIRE?
above-average knowledge of English punctuation and grammar 
“Learn everything you can…from anyone you can…fromanywhere you can…”
Maria Anna Claudio-Paragas, DMD
 
excellent auditory skills, allowing the transcriptionist to interpret soundsalmost simultaneously with keyboarding
advanced proofreading and editing skills, ensuring accuracy of transcribedmaterial
versatility in use of transcription equipment and computers, sincetranscriptionists may work in a variety of settings
highly developed analytical skills, employing deductive reasoning toconvert sounds into meaningful form
CERTIFICATION
The "Certified Medical Transcriptionist" (CMT) credential is offered via atwo-part exam administered by the Medical Transcription CertificationCommission at AAMT. Becoming a CMT may lead to increased pay butrequires a commitment to and an investment in one's ownprofessionalism.
Philippines: NC II Certificate for Medical Transcription by TESDA
WHY HAVEN'T I HEARD ABOUT MEDICAL TRANSCRIPTIONBEFORE?
 
While medical transcription is among the most fascinating of allied healthprofessions, the general public knows little about those who practice thisskill. It was not until 1999 that the US Department of Labor assigned aseparate job classification (Standard Occupational Classification #31-9094) so that statistics could be gathered on medical transcriptionists.Before that, transcriptionists were misclassified as typists, wordprocessors, medical secretaries, and dictating machine operators.
Through the efforts of the American Association for Medical Transcription(AAMT), visibility and recognition of the profession have increased, andthe terms medical transcriptionist and medical language specialist havegained widespread acceptance.
Medical transcriptionists work in settings that are usually far removed fromthe examining rooms, clinics, and hospital floors where health care isprovided. Patients rarely have the opportunity to hear about those whotranscribe their medical reports, and medical transcriptionists rarely meetthe subjects of their work.
Through the efforts of the American Association for Medical Transcription(AAMT), visibility and recognition of the profession have increased, andthe terms medical transcriptionist and medical language specialist havegained widespread acceptance.
EMPLOYMENT FOR MEDICAL TRANSCRIPTIONISTS
“Learn everything you can…from anyone you can…fromanywhere you can…”
Maria Anna Claudio-Paragas, DMD

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