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 me.

 How to Download MTClient:    How to use MTClient:  /folders/Jing/media/90f69f b- 9a6d-2cdb376e4fdd /folders/Jing/media/90f69f b- 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  To begin, you must download the TMS software onto your computer from the TMS website:  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 address, but in all CAPS. Your user ID and password are case sensitive.  For example, if your address is: 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 JJ:   Don’t forget to copy me on the

 Professor Kathy Bishop shared this video regarding Time Management  p/folders/Jing/media/a5e6ec72-5eb0-413a- aafe-0170c6d665f7 p/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  Read Chapter 4 in Medical Transcription Fundamentals: Correspondence and Reports, pp  Read Chapter 1 in the Book of Style: Types, Formats and TATs, pp

 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

 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.

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 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!