Medical Transcription /
Healthcare Documentation Curriculum

Curriculum

Chapter 1: Introduction

2 Hours The student will be introduced to the transcription field and learn how the profession has evolved and advanced to current day.

Chapter 2: Program Orientation

14 Hours The student will learn how the learning management system works and how to navigate and use built-in features. Instruction will be provided on use of the foot pedal, headset, and transcription platform. The student will be introduced to different learning styles, including tips on how to study and be successful with test taking. The student will also learn how to use Stedman’s Online.

Chapter 3: Computer fundamentals

13 Hours In this chapter the student will become familiar with basic computer skills, including the use of hardware, software, peripherals, and wireless technology; use of the internet as a resource; and use of various methods for data storage and networking.

Chapter 4: Microsoft Outlook

14 Hours This chapter teaches the student how to use the features in Microsoft Outlook 2007/2010, and how to use ribbons, quick access toolbar, and navigation pane. The student learns how to address, compose, read, reply, forward, and format email messages.

Chapter 5: Microsoft Word

14 Hours The purpose of this chapter is to teach the student available features in Microsoft Word 2007/2010 such as copy and paste, find and replace, and how to format documents. Students will learn how to use Word features to produce a professional edited document.

Chapter 6: Microsoft Excel

13 Hours This chapter is an introduction to Microsoft Excel 2007/2010. The student will learn about an electronic spreadsheet, the Excel program, what it can do, identify elements within the program, and understand basic terminology.

Chapter 7: Keyboarding Techniques

15 Hours The purpose of this chapter is to familiarize the student with correct ergonomic setup and placement of the hands on the keyboard. The student will complete exercises to increase their keyboarding skill and speed, as well as an introduction to transcription.

Chapter 8: Grammar and Style

36 Hours This chapter is a refresher of English grammar and punctuation rules. The student will be able to recognize and identify proper usage of English grammar and correctly punctuate sentences. The student will understand the difference between formal and medical grammar and style and why these differences are important in medical documentation.

Chapter 9: Medical Report Formatting

27 Hours The purpose of this chapter is to educate the student on how to format medical records. Specifically, the chapter will cover report types, report components, formatting rules, and using resources effectively. The student will become familiar with specific topics that are included in different sections of reports.

Chapter 10: Body as a Whole

36 Hours This chapter introduces medical terms by teaching the student word parts (combining forms, suffixes, and prefixes). The student will then be able to break down words to define terms and will begin transcribing simple medical sentences.

Chapter 11: Pharmacology

36 Hours The student will be exposed to general pharmacology fundamentals, including development, administration, and schedules, and will learn the basics of drug nomenclature. The student will also be able to define the classification and function of different drug types and will learn how to effectively research medication names. The student will be able to properly format medication references in a patient record.

Chapter 12: EMDAT Launch

2 Hours

Chapter 13: Speech Recognition

27 Hours The student will be introduced to speech recognition technology and the role in the health information management industry. The student will learn common myths associated with the emergence of SRT, the history of SRT, and how SRT works. The student will have a working understanding of the speech recognition engine and how medical transcription/healthcare documentation specialists and medical editors fit into SRT. Speech Recognition will be worked on from this point on in the program. The student will use an outside medical transcription/healthcare documentation platform to complete report editing for this chapter.

Chapter 14: Skeletal System

40 Hours The student will learn the structure and function of the skeletal system as well as common diseases, disorders, treatment modalities, and medications used to treat skeletal disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the skeletal system.

Chapter 15: Muscular System

30 Hours The student will learn the structure and function of the muscular system as well as common diseases, disorders, treatment modalities, and medications used to treat muscular disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the muscular system.

Chapter 16: Lymphatic System, Immunology, and Allergy

27 Hours The student will learn the structure and function of the lymphatic system as well as common diseases, disorders, treatment modalities, and medications used to treat endocrine disease, immune diseases and allergies. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the lymphatic system.

Chapter 17: Endocrine System

27 Hours The student will learn the structure and function of the endocrine system as well as common diseases, disorders, treatment modalities, and medications used to treat endocrine disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the endocrine system.

Chapter 18: Sensory System

27 Hours The student will learn the structure and function of the sensory system as well as common diseases, disorders, treatment modalities, and medications used to treat sensory disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the sensory system.

Chapter 19: Preparing for Proficiency Improvement Examination– 1 (PIE-1)

5 Hours The purpose of this chapter is to provide exam information, including an overview of the exam, tips for preparing, and accessing the final examination. The student will work with an instructor, who will provide feedback in preparation for the exam.

Chapter 20: Proficiency Improvement Examination - 1 (PIE-1)

5 Hours The purpose of this chapter is to provide an opportunity for self-assessment after completion of the first part of the program.

Chapter 21: Phrase Express Launch

2 Hours

Chapter 22: Integumentary System

23 Hours The student will learn the structure and function of the integumentary system as well as common diseases, disorders, treatment modalities, and medications used to treat integumentary disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the integumentary system.

Chapter 23: Cardiovascular System

66 Hours The student will learn the structure and function of the cardiovascular system as well as common diseases, disorders, treatment modalities, and medications used to treat cardiovascular disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the cardiovascular system.

Chapter 24: Respiratory System

30 Hours The student will learn the structure and function of the respiratory system as well as common diseases, disorders, treatment modalities, and medications used to treat respiratory disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the respiratory system.

Chapter 25: Gastrointestinal System

36 Hours The student will learn the structure and function of the reproductive system as well as common diseases, disorders, treatment modalities, and medications used to treat reproductive disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the reproductive system.

Chapter 26: Genitourinary System

32 Hours The student will learn the structure and function of the genitourinary system as well as common diseases, disorders, treatment modalities, and medications used to treat genitourinary disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the genitourinary system.

Chapter 27: Reproductive System

30 Hours The student will learn the structure and function of the reproductive system as well as common diseases, disorders, treatment modalities, and medications used to treat reproductive disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the reproductive system.

Chapter 28: Nervous System

30 Hours The student will learn the structure and function of the nervous system as well as common diseases, disorders, treatment modalities, and medications used to treat nervous disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the nervous system.

Chapter 29: Psychiatry

27 Hours The student will learn the common diseases, disorders, treatment modalities, and medications used to treat psychiatric disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to psychiatry. Students will use an outside medical transcription/healthcare documentation platform to complete report editing for this chapter.

Chapter 30: Oncology

42 Hours The student will learn common causes, diseases, disorders, treatment modalities, and medications used to treat malignant disease. Common procedures and laboratory tests will be discussed. The student will learn combining forms and abbreviations pertaining to the oncology system.

Chapter 31: Surgical Documentation A & B

92 Hours The student will learn the medical and surgical equipment names for all body systems and use these to create operative reports in this advanced unit. The student will become familiar with terms used in operative reports and the course of events when a patient is taken to the operating room for a procedure.

Chapter 32: Advanced A, B, & C

141 Hours This chapter places the emphasis on dictations only. Students will find the dictations in these sets to be more challenging and contain more advanced terminology than those in previous chapters. These dictations will help prepare students for some of the more difficult dictations encountered in the working environment. Upon completion of this chapter, the student will be familiar with a variety challenging and acute care dictations. Section A is 46 hours, Section B is 46 hours, and Section C is 49 hours.

Chapter 33: Professional Issues

20 Hours The student will learn the ethics and procedures that should be followed as a medical transcription/healthcare documentation specialist. The student will also discover the differences between an onsite employee and an independent contractor. Confidentiality and security issues will be discussed. Human resource materials will be covered to help the student understand how to present and conduct themselves in a professional manner.

Chapter 34: Career Development A & B

40 Hours The student will obtain a basic knowledge of the electronic health record (EHR), understand the 8 core functions of the EHR, learn the advantages and issues surrounding implementation, and acquire an understanding of HIPAA and PIPEDA.

Chapter 35: Electronic Health Records (EHR)

10 Hours The student will obtain a basic knowledge of the electronic health record (EHR), understand the 8 core functions of the EHR, learn the advantages and issues surrounding implementation, and acquire an understanding of HIPAA and PIPEDA.

Chapter 36: Preparing for Proficiency Improvement Examination-2 (PIE-2)

5 Hours The purpose of this chapter is to provide exam information, including an overview of the exam, tips for preparing for the exam, and accessing the final examination. The student will work with an instructor, who will provide feedback in preparation for the exam.

Chapter 37: Proficiency Improvement Examination-2 (PIE-2)

5 Hours The purpose of this chapter is to provide exam information, including an overview of the exam, tips for preparing for the exam, and accessing the final examination. The student will work with an instructor, who will provide feedback in preparation for the exam.

Chapter 38: Practicum Preparation/Fluency Platform Launch

15 Hours This session is intended to prepare the student for the practicum. Once students have received the initial practicum instructions from Student Services, they will be contacted by their practicum supervisor (mentor) via email. They will receive a request for an interview and will be provided information to attend an orientation session, based on the platform they will be using for the practicum (EMDAT or Fluency). Upon completion of the interview, the student will need to download the platform software, and attend an instructor-led orientation session. After completion of the orientation the supervisor sends the student an email containing their platform access information, as well as necessary documentation such as account specifics, user guides, interview tips, orientation summary, practicum chat instructions, and practicum instructions. The student will then begin transcribing in their respective platform. This pertains to CanScribe practicum students only.

Chapter 39: Practicum (Practical Work Experience)

100 Hours This session is intended to help the student transition from the educational world into the “real” world of a working medical transcription/healthcare documentation specialist. The student will have the opportunity to participate in an interview process and are assigned a supervisor for the entire Practicum.

Chapter 40: Preparing for Proficiency Improvement Examination-3 (PIE-3)

5 Hours Upon completion of this chapter, the student will be better prepared to sit the exam.

Chapter 41: Proficiency Improvement Examination – 3 (PIE-3)

10 Hours The purpose of this chapter is to provide an opportunity for self-assessment after completion of the program.

Total Hours: 1176