How to Set Up Templates on Your Computer for Medical Transcriptionist
In modern medical practice, physicians, nurses, and medical assistants are often bogged down by large amounts of paperwork and reporting. Rather than spending valuable time recording your medical findings, it may be worth while to hire a medical transcriptionist so you can spend more time with your patients. Creating a template for the transcriptionist to fill out based on your recorded dictation notes is a great way to standardize the format of information.
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Instructions
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Open up a new file on a word processing program on your computer. Either a Mac or PC will work, but your transcriptionist must have a compatible system.
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Type up the main categories of information gathered during the patient interview. This should include the patient's identifying information, chief complaint, history of present illness, past medical and surgical history, list of medications, allergies, and immunization history.
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Insert the categories of information gathered during the physical exam as well as assessment and plan. Include a review of systems section, organized in chart format and divided up based on organ system.
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Organize the template in the order you typically gather information from the patient. The transcription process will be less prone to error if your template is organized in the same order that you dictate your notes.
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Tips & Warnings
To save money on a human transcriptionist, you could purchase voice recognition software and input the data yourself.
Review the transcribed notes to ensure accuracy in your medical recording.
References
Resources
- Photo Credit computer image by Orlando Florin Rosu from Fotolia.com
