What is medical
transcription?
Translating from oral to written form the record of a person’s
encounter with a healthcare professional
Patient sees doctor
Doctor dictates report
Dictation goes to transcriptionist
Transcriptionist creates report
Report returned to doctor
Doctor reviews and signs off
Report goes into patient's recordHandwriting notes was the beginning of patient
recording--although still used today, it is not as popular
Dictation (preferred choice by 80% of doctors) using
sound files, tapes, phone system
Structured data entry (keyboard, touch screen, mouse)
EMR system — reports created by physician
¥The physician dictates the medical information into a recording device.
The medical transcriptionist listens to the dictation and transcribes it
onto a computerized file which is then sent to the healthcare provider.
Dictation remains the most intuitive and least time-consuming means of
data entry. Physicians can dictate anytime, anywhere using a PDA,
digital dictation machine or telephone at their convenience.
Provides expressive power to describe patient's condition and other
health-related events.
Dictating patient records provides for more efficient use of doctor's time.