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Official Course
Description: MCCCD Approval: 12/14/04 |
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MTR201 20086-99999
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L+L |
3 Credit(s) |
5 Period(s) |
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Physician's Office Transcription |
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Transcription of doctor's office medical records suitable
for permanent record of patient care. Transcriptions' proofreading skills.
Emphasis on proper formatting, accuracy, speed and skill building.
Utilization of appropriate resources and medico-legal principles. |
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Go to Competencies Go to Outline
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MCCCD Official Course Competencies: |
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MTR201 20086-99999 |
Physician's Office
Transcription |
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1. |
Transcribe medical dictation from medical specialty offices with increasing speed and accuracy. (I) |
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2. |
Utilize proper format for medical office practice reports. (II) |
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Explain and demonstrate transcriptionist proofreading techniques. (III) |
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Utilize medical terminology and Business English skills to proofread, edit, revise and clarify appropriately medical dictation, without altering the meaning of the document or changing the originator's style. (IV) |
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Research unfamiliar procedures, language or terminology using appropriate references or resources. (V) |
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6. |
Apply medico-legal principles when transcribing medical documents. (VI) |
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Go to Description Go to top of Competencies
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MCCCD Official Course Outline: |
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MTR201 20086-99999 |
Physician's Office
Transcription |
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I. Transcribing and Specialty Transcribing A. Transcribing 1. history and physical 2. consultation 3. progress reports 4. medical office diagnostic procedures 5. medical office treatment procedures B. Medical Specialties 1. gastroenterology 2. urology 3. gynecology and neonatology 4. neurology 5. cardiology 6. pulmonology 7. hematology 8. orthopedics 9. dermatology 10. Ear, Nose and Throat (ENT) 11. endocrinology 12. oncology 13. psychiatry 14. pediatrics 15. dentistry 16. family practice C. Entering development 1. accuracy 2. speed 3. work organization II. Format Medical Report A. History and physical B. Consultation C. Chronological D. Subjective, objective, assessment, plan (SOAP) notes III. Proofreading A. Transcriptionist method B. Techniques IV. Editing Medical Documents A. Proofreading B. Revising C. Clarifying D. Authenticity V. Research Terms A. Dictionary B. Medical dictionary C. Physician's Desk Reference D. Hospital Formulary (Facts & Comparisons) E. American Association of Medical Transcriptions' (AAMT) Style Guideline F. Other VI. Medical-Legal Principles A. Release of Records B. Confidentiality C. Risk Management D. Health Information Portability and Accountability Act (HIPAA) Standards |