Synopses & Reviews
Hillcrest Medical Center Beginning Medeical Transcription is designed for those who want to learn beginning medical transcription. This resource will provide a working knowledge of the most common medical reports used in a hospital setting which include: the history and physical examination, consultation, operative reports, pathology reports, radiology reports, and discharge summaries. Correspondence as well as standard ambulatory reports are included, e.g., SOAP notes (subjective, objective, assessment, plan) and HPIP reports (history, physical, impression, plan). This product is unique because it offers the user medical correspondence plus inpatient and outpatient reports. New audio transcription exercises are available in three different formats to accommodate the type of equipment facilities are using to playback audio dictation. Audiotape cassettes (6 audiotapes), CD-ROM (12 CDs) for playback on the computer and Wave files that are purchased and downloaded from the Online Companion web site offer small compressed files that can be copied onto individual computers so each learner can have their own copy of the exercises.
Review
With the new changes, the 7th edition will be even more efficient in teaching basic transcription skills to a group of students. The use of information on the transcription field, the use of the various body systems, and the use of the various reports utilized will help give the student a very realistic view of what it is like to be a transcriptionist. - Katrina Boyette Myricks, Instructor, Holmes Community College, Ridgeland, MS.
Synopsis
This best-selling transcription book is now printed in full color, enhancing the anatomical illustrations presented. The book and practice software create a simulation approach, giving learners a working knowledge of the medical reports most commonly used in hospital and ambulatory care settings. Learners transcribe a variety of reports from inpatient case studies taken from actual medical reports. Organized by body system, reports transcribed include history and physical examination, operative, pathology, radiology, and discharge summary.
Synopsis
This CD-ROM is available for student purchase with the text-workbook only. Included on this CD-ROM are mp3 formatted dictations that accompany all medical reports discussed in the work-textbook plus 20 additional skill-building dictations. Audio glossaries for the 10 case studies and 25 Quali-Care Clinic reports are also provided. With 21 dictating physicians and a variety of multicultural accents and difficulty levels to choose from, students of any beginning level will gain the knowledge and experience needed to begin their career.
Synopsis
HILLCREST MEDICAL CENTER: BEGINNING MEDICAL TRANSCRIPTION, 7th Ed. creates a simulation approach to medical transcription that will give readers a working knowledge of the medical reports most commonly used in both inpatient and outpatient care settings. Readers will transcribe over 100 real medical reports including 10 comprehensive inpatient case studies and 25 outpatient clinic records. HILLCREST MEDICAL CENTER BEGINNING MEDICAL TRANSCRIPTION, 7th Ed. is organized by body system and includes full color anatomy and physiology illustrations and coverage of medical terminology. In addition, HILLCREST MEDICAL CENTER BEGINNING MEDICAL TRANSCRIPTION, 7th Ed. provides a review of proper formatting, grammar, and style in accordance with the AHDI's Book of Style. Transcribed reports include: history and physical examinations; consults; operative, pathology, and radiology reports; SOAP notes; and death and discharge summaries.
About the Author
Patricia A. Ireland has worked as a medical transcriptionist since 1968 and has been teaching in the field for over thirty years. A certified medical transcriptionist since 1981, Ms. Ireland has worked in various settings, including hospitals, clinics, and doctor?s offices, as well as two years including 2 years in Riyadh, Saudi Arabia. Ms. Ireland currently lives in San Antonio, Texas, where she works part-time as a medical transcriptionist, teaches online at Gatlin Education Services, and is an active member of the Alamo Chapter of the Association for Healthcare Documentation Integrity (AHDI).Mary Ann Novak, Ph.D. is an Associate Professor for the Information Management Systems and College of Applied Sciences and Arts in the Southern Illinois University. She is a member of Delta Pi Epsilon and Phi Delta Kappa.
Table of Contents
Preface. Prerequisites. New to this Edition with Featured Items. Course Description. Objectives. Student Text-Workbook. Instructor's Manual. About the Authors. Supplements at a Glance. How to Use StudyWARE?. SECTION 1 INTRODUCTION. Welcome to Hillcrest Medical Center. Confidentiality Policy. Legal Issues. Objectives. Length of Course. Certification. Transcribing Medical Reports. Evaluations. Expand Your Knowledge: Word Games and Exercises. Listing of Appendix. Association for Healthcare Documentation Integrity. Medical Transcriptionist Job Descriptions. AHDI Code of Ethics. Certification Possibilities--RMT and CMT. Health Insurance Portability and Accountability Act: MT checklist. Understanding Medical Records. History and Physical Examination (H&P). Diagnostic Imaging or Radiology Report Operative Report (OP). Pathology Report (Path). Consultation (Consult). Discharge Summary. Death Summary. Autopsy Report. Outpatient Model Reports. SECTION 2 MODEL REPORT FORMS. SECTION 3 REFERENCES. Transcription Rules for Hillcrest Medical Center and Quali-Care Clinic. Style Variations. Capitalization. Numbers. Punctuation. Abbreviations and Symbols. List of Metric Measurements. The Grammar of Microbiology. Vital Signs. CMTips?. Difficult Singular and Plural Words and Phrases. Temperature versus Fever. A Tongue Twister. Dermatology Terms. Pulmonary Terms. Race/Age. Zero Safety. The Digits. Time. Abduction versus Adduction. Class and Stage. Connective Tissues. Subjective versus Objective. Surgical Terms. Obstetric Terms. Cardiology Terms. The ABO Blood Group. Jr, Sr, II, and III. Report Formatting Guidelines. The Future of Medical Transcription. Skill-Building Report Log. Doctors' and Other Professional Names Used. Understanding Medical Terminology. Principles. Prefixes/Pronunciation. Combining Forms. Suffixes. SECTION 4 CASE STUDIES. Case 1 The Reproductive System. Glossary. Case 2 The Gastrointestinal System. Glossary. Case 3 The Cardiopulmonary System. Glossary. Case 4 The Integumentary System. Glossary. Case 5 The Psychology Neurology System. Glossary. Case 6 The Nervous System. Glossary. Case 7 The Orthopedics/Endocrinology System. Glossary. Case 8 The Vascular/Renal System. Glossary. Case 9 The Musculoskeletal System. Glossary. Case 10 The Respiratory System. Glossary. SECTION 5 QUALI-CARE CLINIC. Welcome to Quali-Care Clinic. Quali-Care Clinic Outpatient Report Log. Outpatient Reports. Report 1a&b Consult and Echocardiogram (Cardiology). Report 2 Operative Procedure (Genitourinary). Report 3 Operative Report (Orthopedics). Report 4 Surgical Pathology Report (Breast). Report 5 Emergency Dept Treatment Record (Pediatrics). Report 6 Interventional Radiology (Vascular). Report 7 Spine Clinic HPIP Note (Orthopedics). Report 8 Radiology Report (Orthopedics). Report 9 Clinic SOAP Note (Vascular). Report 10 Surgical Procedure (Orthopedics). Report 11 Operative Report (Plastic Surgery). Report 12 Colonoscopy Procedure (Gastroenterology). Report 13 Clinic HPIP Note (Internal Medicine). Report 14 Operative Report (Neurosurgery). Report 15 Operative Report (Urology). Report 16 Radiology Report (Orthopedic/Neurology). Report 17 Clinic Followup Note (Pediatric Neurology). Report 18 Operative Report (Obstetrics). Report 19 Operative Report (Orthopedics). Report 20 Clinic Followup Note (Vascular). Report 21 Operative Report (Dentistry). Report 22 Operative Report (Orthopedics). Report 23 Consult (Orthopedics). Report 24 Psychological Evaluation (Psychology). Report 25a&b Letter and Consult (Cardiology). SECTION 6 EXPAND YOUR KNOWLEDGE. Crossword Puzzles 1 through 17. Proofreading Exercises 1 through 12. Common Dictation Errors. Appendix. Proofreader's Marks. Challenging Medical Words, Phrases, Prefixes. Sample Patient History Form. The Lund Browder Chart. Laboratory Test Information. Sample Forms for Ordering Laboratory Tests, Scheduling Radiology Tests. Physical Therapy Consults, Sleep Studies. Building a Reference Library. Web Sites for Transcriptionist' Professional Association. "A Healthcare Controlled Vocabulary" by Dr. Neil Davis. Official "Do Not Use" List from The Joint Commission. Bibliography. Index.