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Official Course
Description: MCCCD Approval: 12/14/04 |
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MTR202 20052-20085
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L+L |
3 Credit(s) |
5 Period(s) |
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Medical-Surgical Transcription |
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Transcription of inpatient medical and surgical documents
suitable for permanent records of patient care. Transcriptionists
proofreading and editing dictation. Application of medico-legal principles of
inpatient and outpatient clinical settings. |
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Go to Competencies Go to Outline
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MCCCD Official Course Competencies: |
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MTR202 20052-20085 |
Medical-Surgical
Transcription |
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1. |
Transcribe inpatient and outpatient clinical surgical reports from various originators who may exhibit accents and dialects, with increasing speed and accuracy. (I) |
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2. |
Recognize discrepancies in dictation and clarify/edit according to standard transcription procedures. (II) |
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Demonstrate increasing skill in transcriptionist proofreading. (III) |
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4. |
Apply medico-legal principles related to inpatient settings. (IV) |
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Go to Description Go to top of
Competencies
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MCCCD Official Course Outline: |
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MTR202 20052-20085 |
Medical-Surgical
Transcription |
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I. Surgical Reports A. Surgical specialties 1. orthopedic 2. plastic 3. cardiovascular 4. emergency room 5. trauma services 6. general 7. neurosurgery 8. dentistry/oral 9. urological 10. thoracic B. Speech variations 1. accents 2. dialects 3. impediments 4. other II. Recognizing Discrepancies A. Common discrepancies B. Applying medical terminology/anatomy/physiology C. Maintaining meaning D. Maintaining dictator's style E. Listening in context F. Inconsistencies G. Misunderstandings H. "Flagging" procedure I. Other III. Proofreading A. Transcription method B. Techniques IV. Medico-Legal A. Release of records B. Confidentiality C. Risk management D. Health Insurance Portability and Accountability Act (HIPAA) standards |