SST851 - Medical Transcription I

Outline info
Semester
School
Last revision date 2017-05-29 00:31:48.526
Last review date 2017-07-17 00:15:32.938


Subject Title
Medical Transcription I

Subject Description
Students transcribe dictation covering medical specialties and develop proficiency in the transcription of medical reports from machine transcribers, attempting to duplicate actual working conditions found in a medical setting.

Credit Status
This is a credit subject applicable towards the Medical Unit Clerk, Medical Administrative Assistant and Medical Transcriptionist Specialist Certificates offered through the Faculty of Continuing Education and Training.

Learning Outcomes
Upon successful completion of this subject the student will be able to:

1. Identify the role and responsibilities of the medical transcripionist in a health setting.

2. Recognize the importance of the confidential nature of health information, patient confidentiality, maintaining accurate patient records and professional integrity.

3. Demonstrate proficiency in using both medical and English dictionaries to determine the correct spelling of medical terms, conditions and abbreviations.

4. Use the Compendium of Pharmaceuticals and Specialties (CPS) to verify the spelling of generic and brand name drugs.

5. Accurately transcribe dictated medical reports as appropriate.

6. Accurately proofread and correct keyed material by appropriately using medical vocabulary, spelling and punctuation skills.

7. Recognize and apply the correct medical terminology associated with specialty areas related to obstetrics/gynecology; cardiopulmonary; orthopedics; dermatology, and genitourinary.

8. Use laboratory values and abbreviations of same.

9. Recognize both American and Canadian spelling formats of medical terminology

10. Recognize the different formatting for history and physical reports, discharge summaries, pathology, and operative radiology reports.

Cheating and Plagiarism
Each student should be aware of the College's policy regarding Cheating and Plagiarism. Seneca's Academic Policy will be strictly enforced.

To support academic honesty at Seneca College, all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third party services. Please visit the Academic Honesty site on http://library.senecacollege.ca for further information regarding cheating and plagiarism policies and procedures.

Discrimination/Harassment
All students and employees have the right to study and work in an environment that is free from discrimination and/or harassment. Language or activities that defeat this objective violate the College Policy on Discrimination/Harassment and shall not be tolerated. Information and assistance are available from the Student Conduct Office at student.conduct@senecacollege.ca.

Accommodation for Students with Disabilities
The College will provide reasonable accommodation to students with disabilities in order to promote academic success. If you require accommodation, contact the Counselling and Disabilities Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.

Prerequisite(s)
Grammar is Important (SST 051), Advanced Information Processing (AIP 203) and Medical Terminology (SST 831).

It is your responsibility to ensure that program requirements and subject prerequisites as outlined are met. Prerequisites are included for your academic protection. Subject content and your professor's teaching assumes that students are academically prepared and instruction will proceed accordingly. Students lacking prerequisites not only jeopardize their own ability to succeed but present unnecessary interruption. If you lack appropriate prerequisites (or advance standing for the prerequisite subject) you may be asked to withdraw or transfer to a more appropriate subject with the risk of academic/financial penalty.  It is your responsibility to save documents, articles and notes that the instructor has provided on BlackBoard or in class. Students will not be able to access BlackBoard as of the last day of the student's class.

Topic Outline
Students will transcribe history and physical reports; discharge summaries; consultation notes; correspondence; operative reports; pathology reports and radiology reports from case histories related to the following areas:

  • obstetrics/gynecology
  • cardiopulmonary
  • orthopaedics
  • dermatology
  • genitourinary  

The order of the topics is at the discretion of the professor. The content of one module does not have to be completed before another module is started, nor do the modules have to be taught in the order listed. Rather, by the end of the subject, all the topics will have been covered.

Additional transcription will be available if they have completed the assigned work.

Mode of Instruction

  • Teacher directed classes in a networked microcomputer room
  • Computer demonstrations on correct use of medical reports
  • Transcription of machine-dictated medical reports
  • Transcribed documents are reviewed with students each class to determine the correct usage of medical terms, abbreviations, metric measurements and application of grammar and punctuation rules
  • In-class medical terminology quizzes and spelling tests
  • Proofreading exercises
  • Medical and English dictionaries and medical word books are to be used when transcribing. Students are responsible for having them with them at all times
  • The students will be provided with hand-outs pertaining to current healthcare privacy legislation, laboratory values, pharmaceuticals, medical terminology, punctuation and English grammar    
  • Blended models of delivery may also be available

Prescribed Texts
Introduction to Medical Office Transcription Latest Edition. Karonne J. Becklin, Edith M. Sunnarborg. McGraw Hill.

Reference Material
Sloan's Medical Work Book, by Ellen Drake, W. B. Saunders Publishers, Latest Edition.

Required Supplies
None

Promotion Policy

Grading Policy
A+ 90%  to  100%
A 80%  to  89%
B+ 75%  to  79%
B 70%  to  74%
C+ 65%  to  69%
C 60%  to  64%
D+ 55%  to  59%
D 50%  to  54%
F 0%    to  49% (Not a Pass)
OR
EXC Excellent
SAT Satisfactory
UNSAT Unsatisfactory

For further information, see a copy of the Academic Policy, available online (http://www.senecacollege.ca/academic-policy) or at Seneca's Registrar's Offices.


Modes of Evaluation
Since this is a professional credit subject, marking standards reinforce professional practice by demanding legible, tidy work. Written materials should be well organized, correctly formatted and grammatically correct, with proper spelling and punctuation.

Please Note

Assignments, tests and the final examination are evaluated on subject knowledge as well as correct language usage, organization, and mastery of the subject. 
In recognition of the significance of proper language skills in the workplace, marks are deducted, in accordance with departmental policy, for language errors on all tests, assignments and exams. (i.e. spelling, grammar, word usage, sentence, and paragraph structure, etc.) 

Assignments

  • The student must retain a copy of all assignments.
  • If assignments are handed in late without sufficient medical or other reason, which must be documented and approved, two marks per day will be deducted for each day the assignment is late up to a maximum of 10 marks in total. 
  • Assignments will not be accepted after the return of graded assignments to the class and/or the provision to the class of the answers to the assignment.
  • Written assignments must be word processed. At the professor’s discretion, assignments that are not word processed, may be subject to mark deduction or not accepted. 
  • For particulars, please obtain standards, dates, etc. from your instructor.

Absenteeism and Tests
  • Students should be aware that absenteeism will impact on their ability to achieve satisfactory grades.
  • If you miss a test, you must provide the reason in writing to the instructor within one week  If your reason is accepted, the weighting of that test will be added to that of the final exam. Otherwise, you will be given a zero for the test. You must submit an original doctor’s certificate identifying the date, length of time of expected absence and the specific reason for your absence, or other appropriate documentation.
  • Progress tests and quizzes may not be announced in advance and details of the assignment requirements may be explained in class.

Final Exam/ Final Assignment
  • Students must attain a grade of at least 50% to pass the course.
Field Placement Requirements

Students who do not successfully complete all professional subjects may not be eligible for placement. 


Academic Honesty

Students at Seneca College are expected to be honest and forthright in their academic endeavours. When students cheat on an examination, steal the words or ideas of another, or falsify their research results, it corrupts the learning process. A Seneca College degree, diploma or certificate signifies to society mastery of a set of defined learning outcomes in a designated field of study. If academic credit is obtained dishonestly, the value of every graduate's diploma in the field of study is diminished, as is the reputation of the college as a whole.

Penalties for Academic Dishonesty

The penalty for a first offence is a grade of '0' on the assignment or examination. The penalty for the second offence is expulsion for a time period determined by the Academic Honesty Committee, normally for a minimum of three semesters. For further information refer to the policies section of the Seneca College student handbook, or to the following website: http://library.senecacollege.ca/Academic_Honesty/.


Grading is based on the following marking scheme: 

Two in-class transcription assignments 10% each
Five vocabulary tests 2% each 10%
Mid-Term test 25%
Final Exam 45%

Materials permitted into tests and exams are at the discretion of the instructor.

In order to satisfy medical office standards, the grading of all transcribed documents will be as follows:

2 mark deduction for major errors
  • incorrect grammar, spelling and proof reading
  • transcription errors (change in meaning or intent)
  • not following verbal or written instructions

1 mark deduction for minor errors
  • transcription error (does not alter meaning or intent)
  • incorrect capitalization, word division, or hyphenation
  • style and format errors
  • punctuation errors

Spelling Tests
Spelling tests will be averaged out for the final mark of 10% 


Final Exam
1. One printout of each document is allowed. 
2.  Printing is removed from the printer by the faculty member present. 
3.  Students can proof read their printing AFTER they have completed the exam and downloaded their report to the instructor's dropbox on SeneLab Tools.
4.  If the error is clearly noted by the student on the hard copy, marks will not be deducted.

Approved by: Sandra Noble