Sunday, March 1, 2009

100. Medical Transcription

Medical transcription, also known as MT, is an allied health profession, which deals in the process of transcription, or converting voice-recorded reports as dictated by physicians and/or other healthcare professionals into text format. Medical transcription is the process of converting / typing health care professionals dictated notes into written transcripts. Medical transcription is the act of translating from oral to printed form (on paper or computer) the record of patient's medical history and treatment. It is mandatory and legally binding on the health care professionals to hardcopy any type of medical treatment, procedure, diagnostic test, etc. and it must be documented into a patient's permanent medical record. The patient information is dictated by health professional into a digital or analog recorder and/or through the use of a phone dictation system.

Basic MT knowledge, skills and abilities: Knowledge of basic to advanced medical terminology is essential. Average verbal communication skills. Above-average memory skills. Ability to sort, check, count, and verify numbers with accuracy. Demonstrated skill in the use and operation of basic office equipment/computer. Ability to follow verbal and written instructions. Records maintenance skills or ability. Above-average typing skills. Knowledge and experience transcribing (from training or real report work) in the Basic Four work types. Knowledge of and proper application of grammar. Knowledge of and use of correct punctuation and capitalization rules. Demonstrated MT proficiencies in multiple report types and multiple specialties.

Medical transcription is challenging, but it is also very rewarding. Medical Transcriptionists are an integral part of the healthcare industry; they are active participants in the care-giving process. Medical Transcription is also a skill which continues to teach. With every new medical specialty, with every new medical procedure, with every new disease or treatment program, the medical transcriptionist is constantly learning. Likewise, professional medical transcriptionists are ALWAYS in demand, because people will continue to need medical care throughout their lives.

Medical Transcriptionist uses a computer and their favorite word processor to transcribe this information into a typed document. These typed documents either in hardcopy or softcopy are then forwarded to the dictator for verification and approval. After approval these signed documents become part of a patient's permanent medical record. These documents can be Initial Evaluation / Consultation, Progress Note, Follow-up Visit, Reassessment Sheet, Psychological Test, 6-month Psychological Evaluation, Letter, Lab/Test Results, SOAP Note, Nutritional Assessment, Preoperative Assessment, Postoperative Assessment, Workmen's Comp, Telephone Conversation, Treatment Plan Summary, Completion Note, History & Physical examination, Discharge Summary etc.

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