Maricopa Community Colleges  MTR201   19916-19942 
Official Course Description: MCCCD Approval: 04/23/91
MTR201 19916-19942 LAB 2 Credit(s) 6 Period(s)
Physician's Office Transcription
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. Prerequisites: Admission to program or MRT101 or permission of department. Corequisites: (HUC105, MTR202, MTR203, MTR270, and MTR272); or permission of department.
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MCCCD Official Course Competencies:
 
MTR201   19916-19942 Physician's Office Transcription
1. Transcribe medical dictation from medical specialty offices with increasing speed and accuracy. (I)
2. Utilize proper format for medical office practice reports. (II)
3. Explain and demonstrate transcriptionist proofreading techniques. (III)
4. 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)
5. Research unfamiliar procedures, language or terminology using appropriate references or resources. (V)
6. Apply medico-legal principles when transcribing medical documents. (VI)
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MCCCD Official Course Outline:
 
MTR201   19916-19942 Physician's Office Transcription
    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. EENT
          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. Joint Commission on Accreditation of Health Care Organizations (JCAHCO) standards
                  B. Corrections
                  C. Confidentiality
                  D. Right to privacy
                  E. Release of information
                  F. Physician's acceptance of a patient
                  G. Patient referrals
                  H. Informed consent
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