Medical Transcription Fundamentals

Teaching users how to transcribe actual medical dictation so that they can develop the selective hearing skills and experience necessary to gain competency as a medical transcriptionist, this guide offers a unique combination of authentic physician dictation by body systems, coordinated readings and exercises by medical specialty, and supplementary information vital to every medical transcriptionist. Supports text with six hours of authentic physical dictation-not synthetic studio recording; all dictations are carefully selected for subject matter, professionally edited to delete confidential identifying information, and then sequenced in a way to promote comprehension and encourage learning. Groups tapes by medical specialty (i.e., dermatology, urology, gastroenterology, cardiology, pulmonary medicine, endocrinology, orthopedics, obstetrics and gynecology, otorhinolaryngology, and radiology), with each dictation report offering the best example of its type for vocabulary density, technical content, and other instructional criteria; each report includes chart notes, letters, initial office valuations, consultations, history and physical examinations, discharge summaries, operative reports, emergency department reports, procedure notes, and diagnostic studies from each medical specialty. For anyone in the medical profession who wants to learn basic medical transcription, including medical assistants and legal transcription/court reporters.

"Unlike other textbooks that discuss medical concepts in complex and abstract terms, this book outlines the fundamentals of medical specialties in a format that is easy to understand"--Provided by publisher.

Teaching users how to transcribe actual medical dictation so that they can develop the selective hearing skills and experience necessary to gain competency as a medical transcriptionist, this guide offers a unique combination of authentic physician dictation by body systems, coordinated readings and exercises by medical specialty, and supplementary information vital to every medical transcriptionist. Supports text with six hours of authentic physical dictation–not synthetic studio recording; all dictations are carefully selected for subject matter, professionally edited to delete confidential identifying information, and then sequenced in a way to promote comprehension and encourage learning. Groups tapes by medical specialty (i.e., dermatology, urology, gastroenterology, cardiology, pulmonary medicine, endocrinology, orthopedics, obstetrics and gynecology, otorhinolaryngology, and radiology), with each dictation report offering the best example of its type for vocabulary density, technical content, and other instructional criteria; each report includes chart notes, letters, initial office valuations, consultations, history and physical examinations, discharge summaries, operative reports, emergency department reports, procedure notes, and diagnostic studies from each medical specialty. For anyone in the medical profession who wants to learn basic medical transcription, including medical assistants and legal transcription/court reporters.

Synopsis: As the role of medical transcriptionists undergoes significant changes arising from new and evolving technology, refined skills are necessary to thrive in the new environment. This practical text prepares transcriptionists for the demands of their evolving role, including proofreading, editing, and transcribing via computer, while also addressing other equipment used in the profession. Authentic medical transcription documents illustrate formats for medical charts, history and physical exams, operative, x-ray, pathology and other reports. Includes shortcuts for computer formatting! Skill drills teach students to use references to verify information and to become familiar with new and unusual industry terms. Exercises and helpful hints encourage students to practice proofreading and editing skills. Grammar skills are demonstrated and practiced through individual chapters to bolster fundamental knowledge of punctuation, abbreviations, symbols, word endings and more. Explanations of the latest HIPAA guidelines regarding patient confidentiality, risk management and medical records provide guidance on adhering to regulations. Details on advances in speech recognition technology and trends in transcription software, including software for the sight-impaired, prepare students for technology encountered in the workplace. Information about the Certified Medical Transcriptionist (CMT) exam and the new Registered Medical Transcriptionist (RMT) exam, including possible future developments, is included. Punctuation and Grammar Rule synopses are located on the inside front and back covers for quick and easy reference. Completely revised student CD-ROM features chapter-specific quizzes, CMT exam preparation materials, and "real life" transcription exercises.

Master the fundamentals of medical transcription and meet the challenges of the evolving medical transcription field with Medical Transcription: Techniques and Procedures, 7th Edition. Respected authority Marcy O. Diehl delivers proven, practical training in the skills and technology essential to your success, including proofreading, editing, speech recognition technology, and more. This new edition also reflects an increased emphasis on medical editing and other related fields to keep you current with the changing medical transcription profession and fully prepare you for your role in health information management. Comprehensive coverage and practical exercises demonstrate fundamental editing/transcription concepts and boost your proficiency in: Punctuation Capitalization Numbers Abbreviations and symbols Word endings Formation of plural forms Exercises and helpful hints enhance your proofreading and editing skills and help you prevent common errors. Extensive practice and review exercises on Evolve reinforce your understanding and give you the experience to confidently move into the transcription workforce. New chapter highlights the transcriptionist's emerging role as a medical editor and how it impacts health information management and patient safety. Take Note boxes provide quick access to key editing/transcription tips. From the Field sections deliver helpful insight from practicing medical transcriptionists. Updated information familiarizes you with the latest medical transcription equipment. Live transcription exercises help you meet the Association for Healthcare Documentation Integrity (ADHI)'s live transcription requirement and practice applying your transcription skills to scenarios commonly encountered in practice. Additional exercises test your ability to edit voice recognition software-generated reports.