unit 1: introduction to medical records transcription i

Unit 1: Introduction to Medical Records Transcription I

Discussion board – Introduce yourself this week

A bit about myself

Weekly Seminars – If you miss the seminar please remember to submit option #2. Follow the instructions located in the Course Home for that week and if you have any questions e-mail me.

Participate Discuss Board: We have 4 of these for this course – Week #1, Week #2, Week #6 and Week #7.

Please post by Saturday of that week– if you post Sunday you will lose points.

Please respond to at least two other students – if you don’t respond you lose points.

Weekly Assignments very important that these are turned in by Tuesday.

Assignments are found, completed and turned in using MTClient.

One word of advice: Please do not wait until Tuesday to do the

assignments.

Late work will not be accepted unless there are clear and compelling extenuating circumstances. If you have extenuating circumstances that prevent you from completing course assignments/exams you must contact your instructor immediately—prior to the assignment/exam/quiz due-date unless prevented from doing so by emergency circumstances. Examples of extenuating circumstances are serious personal and/or family illness/hospitalization, death in the family, weather-related evacuation/emergencies, work emergencies, and issues related to active military assignment.

Personal computer/software/internet connectivity issues and course

blocks are not considered extenuating circumstances. Granting of late-work submission due to extenuating circumstances is at the discretion of the instructor and will require documentation for verification of extenuating circumstances. If late work submission is granted, the instructor will establish new due-dates and requirements

without loss of course points.  

Announcement section on your course home tab has Short Videos on how to set up MT Client and how to use MT Client.

If you have any questions e-mail me.

How to Download MTClient: http://www.screencast.com/t/ZDAxOGIz

MT

  How to use MTClient: http://www.screencast.com/users/

holly13060/folders/Jing/media/90f69f85-7331-416b-9a6d-2cdb376e4fdd

Dictation transcription assignments are graded and must be completed using the TMS Online Software.  

You will need to thoroughly read and review your Student Manual, located at www.tms-ku.com

To begin, you must download the TMS software onto your computer from the TMS website: www.tms-ku.com

•   Go to the website and save the application to your desktop.   Your initial user ID and password to access the system will be the first part of your email

address, but in all CAPS. Your user ID and password are case sensitive. •   For example, if your e-mail address is: lsmith@student.kaplan.edu, then your

login and password are LSMITH.   After your first login, you will need to change your password to something unique that you

will remember. •     To change your password, go to File and Change Password. There you will

enter in your new password. •         Your ID will remain the same. •         Please write down your user ID and password for future reference!

Our Tech Support is JJ – MTClient is not supported by Kaplan Techs

If you are having trouble with MTClient email JJ:

JJS@MyTranscriptionClient.com Don’t forget to copy me on the email

Professor Kathy Bishop shared this video regarding Time Management

http://www.screencast.com/users/KathyBishop/folders/Jing/media/a5e6ec72-5eb0-413a-aafe-0170c6d665f7

Textbook Reading for this Unit: Read a portion of Chapter 2 in Medical

Transcription. Fundamentals: Technology, Tools and Techniques, pp. 26-37.

Read Chapter 4 in Medical Transcription Fundamentals: Correspondence and Reports, pp. 75-102.

Read Chapter 1 in the Book of Style: Types, Formats and TATs, pp. 3-22.

Technology, Tools, and Techniques Page 31 – Special Word Processing

Features Macros AutoCorrect Auto Text

Medical Correspondence and Reports Complimentary close:

Sincerely, - Please be sure you spell this correctly

Very truly yours, With kind regards,

Signature title lines: John J. Morrison, MD, PhD – no periods

Medical Reports Sections

Chief Complaint History of Present

Illness Past Medical History Past Surgical History Medications Allergies

Sections Continued Family History Social History Review of Systems Physical Examination Laboratory Data Assessment and Plan

Types of Medical Reports Clinic Note History and Physical Examination Operative Report Consultation Report Progress Note Discharge Summary

Chapter 1 Report Types Formats Turn-Around Times

1.2.5 Character Spacing Single character space after:

The end of a sentence, whether it ends in a period, question mark, exclamation point, quotation mark, parenthesis, bracket or brace

A colon uses as a punctuation mark within a sentence

Each word or symbol A comma A semicolon A period at the end of an abbreviation

Headings/Subheadings Use all capitals for major

section headings. List chief complaint,

diagnoses, preoperative diagnoses, postoperative diagnoses, names of operations

When a single diagnosis is referred to as “number one,” it is better to delete the number

Change “diagnosis” to “diagnoses” when more than one diagnosis is provided

Example: DIAGNOSIS:

Appendicitis, history of myocardial infarction and chronic sinusitis

Transcribed: DIAGNOSES 1. Appendicitis. 2. History of

myocardial infarction. 3. Chronic sinusitis.

http://spreadsheets.google.com/pub?key=0AogA7kp6b8HgcHktMFd1RWlTTUJuODBhMDJvM1A2ZEE&gid=8

http://www.mtdaily.com/abbvs.txt http://www.mtdaily.com/abbvs2.txt

Remember to post to Discussion Board before Saturday and respond to at least two or more posts on three separate days. Try to do different days.

Download MT Client Do practice assignments Reading Assignments Thank you for coming to Seminar! See you next week!