COURSE SYLLABUS
Course Prefix/Number: ALMT 135
Course Title: Medical Transcription I
Division: Outreach and Workforce Development
Program: Medical Transcription
Credit Hours: Five (5)
Initiation/Revision Date: Fall 2006
Vocational
Medical Transcription I will take a system by system approach including an introduction to the field of medical transcription with focused study in dermatology/plastics, gastrointestinal, and cardiopulmonary information. Authentic physician dictation will be utilized.
1. A mastery of English and spelling as evidenced by completion of English Composition I.
2. A minimum typing speed of 50 words per minutes as evidenced by the Mavis Beacon or equivalent.
3. Completion of Microcomputer Business Applications.
4. Or instructor permission.
Memmler’s
Structure and Function of the Human Body, 7th ed. By Cohen and
Wood, 2000. Published by Lippincott
Williams & Wilkins,
The Language
of Medicine, 7th ed., by Davi-Ellen Chabner, 2003. Published by W.B. Saunders Co.,
H&P: A Nonphysician’s guide to the Medical History and Physical Examination, 3rd ed., by John H. Dirckx, M.D., 2001. Published by Health Professions Institute.
Laboratory Tests and Diagnostic Procedures in Medicine, by John H. Dirckx, M.D., 2004. Published by Halth Professions Institute.
Understanding Pharmacology for Health Professionals, 3rd ed., by Susan M. Turley, 2003. Published by Prentice Hall.
Human Diseases, 2nd ed., by John H. Dirckx, M.D., 2003. Published by Health Professions Institute.
The Medical Transcription Workbook, 1999. Published by Health Professions Institute.
Dorland’s Illustrated Medical Dictionary, latest edition. Published by Elsevier or Stedman’s Medical Dictionary, latest edition. Published by Lippincott Williams & Wilkins.
Saunders Pharmaceutical Word Book, 2006, by Drake and Drake. Published yearly by Elsevier.
Stedman’s Abbreviations, Acronyms & Symbols, 2nd ed. Published by Lippincott Williams & Wilkins.
The AAMT Book of Style for Medical Transcription, 2nd ed. Published by AAMT.
A standard collegiate dictionary.
**Optional – Vera Pyle’s Current Medical Terminology, current edition. Published every other every by Health Professions Institute.
**Optional – Medical Phrase Index, current edition. Published by PMIC.
**Optional – Stedman’s Cardiovascular and Pulmonary Words, current edition. Published by Lippincott, Williams & Wilkins.
**Optional – Stedman’s GI & GU Words, current edition. Published by Lippincott, Williams, &Wilkins.
**Optional – Stedman’s Dermatology and Immunology Words, current edition. Published by Lippincott, Williams, & Wilkins.
**Optional – Stedman’s Plastic Surgery, ENT, and Dentristy Words, current edition. Published by Lippincott, Williams, & Wilkins.
TRANSCRIPTION MATERIALS
**Optional – Needed if desire to type at home.
**The SUM Program Beginning Medical Transcription Unit (available on CD-ROM or standard-size cassette tapes).
**WAV pedal or cassette player with pedal.
Three-ring notebook.
Flash drive for saving transcription files.
Overhead projector, transparencies, various class handouts, computer simulation.
I. Anatomy and Physiology: The student will demonstrate a thorough knowledge of anatomy and physiology in the areas of dermatology, gastroenterology, cardiology and pulmonology as evidenced by unit assessments.
A. On an anatomical drawing, identify and label the component structures or organs within a given body system.
B. Describe the function of structures or organs within a given body system.
C. Correctly spell common structures, organs, and body systems.
D. Correctly pronounce common structures, organs, and body systems.
II. Medical Terminology: The student will a thorough knowledge of medical terminology in the areas of dermatology, gastroenterology, cardiology, and pulmonology as evidenced by unit assessments.
A. Spell and define common prefixes, suffixes, word roots, and combining forms for each body system.
B. Build medical words using prefixes, suffixes, and root words for each body system.
C. Spell and define common medical terms for each body system.
D. Pronounce common medical terms for each body system.
E. Identify and translate common abbreviations and acronyms for each body system.
F. Form the plurals of English, Latin, Greek, and French medical words.
G. List examples of words whose spelling varies in different forms.
H. Describe the difference between brief forms and medical slang and give examples for each body system.
III. Medical Science: The student will demonstrate a thorough knowledge of the history and physical report as well as editing techniques as related to dermatology, gastroenterology, cardiology, and pulmonology as evidenced by unit assessments.
A. Describe the purpose and general content under each of the main headings within the history and physical examination report.
B. Demonstrate editing techniques by identifying and correcting medical spelling errors and wrong words as well as medical inconsistencies within a report.
IV. Human Diseases or Disease Processes: The student will demonstrate a thorough knowledge of human diseases and the disease processes associated with dermatology, gastroenterology, cardiology, and pulmonology as evidenced by unit assessments.
A. Describe how disease are named and classified.
B. Identify common genetic disorders.
C. List common infectious diseases.
D. Define immunity and identify the common immunological diseases.
E. Define neoplasia and differentiate between malignant and benign.
F. Identify common traumatic injuries.
G. Identify common disease for each body system.
H. Pronounce and spell common disease names.
I. Define common abbreviations for symptoms and disease processes for each body system.
V. Pharmacology: The student will demonstrate a thorough knowledge of pharmacology as related to dermatology, gastroenterology, cardiology, and pulmonology as evidenced on unit tests.
A. Describe the pharmacologic action of common drugs within all major drug categories by body system.
B. Identify the trade names of common generic drugs.
C. Identify several important drugs within a given category.
D. Identify the drug category to which a common drug belongs, when given its generic or trade name.
E. Pronounce and spell common generic or trade name drugs within a given drug category.
F. List five forms in which drugs are manufactured.
G. List six routes of drug administration and give on advantage and disadvantage for each route.
H. List the four steps of the drug cycle and explain how a drug is changed or affected during each step.
I. Describe the difference between local, systemic, therapeutic, allergic, and side effcts of drugs.
J. Demonstrate the proper use of drug reference materials.
K. Define common drug abbreviations, including units of measurement.
L. Describe a receptor and its role in drug action.
M. Describe a neurotransmitter and its function.
VI. Laboratory tests and Diagnostic Procedures in Medicine I: The student will demonstrate a thorough knowledge of the laboratory tests and diagnostic procedures in the areas of dermatology, gastroenterology, cardiology, and pulmonology as evidenced on unit assessments.
A. Describe the process of medical diagnosis and explain the role of laboratory tests and diagnostic procedures.
B. Explain units and standards of measurement.
C. Explain some ways by which the concept of normal is defined.
D. Distinguish diagnostic from screening tests and sensitivity from specificity.
E. List and define various forms of physical measurements, including body fat measurements, goniometry, strength testing, and pelvimetry.
F. Classify and define various tests that measure temperature, respiratory, and pressure, including ocular tonometry, gastrointestinal manometry, invasive and noninvasive measurements of pressure in the cardiovascular system, spirometry, and plethysmography.
G. Explain the basic principles and diagnostic uses of electrocardiography, ambulatory electrocardiography, stress testing, and pulse oximetry.
H. Explain the basic principles and diagnostic uses of endoscopic procedures of the upper and lower gastrointestinal tract, the genitourinary tract, and the female reproductive system.
VII. Beginning Medical Transcription Practice/Professional Issues: The student will demonstrate the ability to transcribe medical reports in the areas of dermatology, gastroenterology, cardiology, and pulmonology as evidenced by unit assessments. The student will demonstrate a thorough knowledge of professional issues related to the field of medical transcription as evidenced by unit assessments.
A. Select the correct format for a dictated medical report.
B. Transcribe letters, consultations, chart notes, history and physical reports, and discharge summaries.
C. Edit the transcript to correct obvious grammatical and punctuation errors.
D. Identify obvious medical inconsistencies.
E. Produce a final, neat, error-free transcript.
F. Increase transcription speed and productivity throughout the course.
I. Introduction and Dermatology/Plastics
Anatomy and Physiology (The body as a whole and the integumentary system)
A. Introduction to course and overview of contents.
B. Body organization by systems.
C. Anatomical directions and body cavities.
D. Tissues, glands, and membranes.
E. Structure and function of the skin.
F. Hair and nails.
Medical Terminology (The body as a whole and the integumentary system)
A. Introduction to course and course overview of contents.
B. Basic word structure.
C. Planes and anatomical positions.
D. Body cavities.
E. Structure of the skin.
F. Prefixes, suffixes, word roots, combining forms.
G. Pathology; surgical and laboratory procedures.
H. Abbreviations.
I. Vocabulary, spelling, and pronunciation.
Medical Science
A. Introduction to course and overview of contents.
B. Physical diagnosis.
C. Introduction to the history and physical.
D. Review of systems: skin.
E. Examination of the skin
Human Diseases or Disease Processes (The nature of the disease; disease of the skin)
A. Introduction to the course and overview of contents.
B. The nature of disease; how disease are named.
C. Common disease terms.
D. Anatomy and physiology of the skin.
E. Signs, symptoms, and diagnostic procedures of the skin.
F. Diseases and disorders of the skin.
Pharmacology
A. Introduction to course and overview of course contents.
B. History of drugs.
C. Drug legislation.
D. Drug terminology.
E. Dermatologic drugs.
F. Antifungal drugs.
Laboratory Tests and Diagnostic Procedures in Medicine (Physical measurements, anthropometry, musculoskeletal measurements and clinical pelvimetry)
A. General introduction to medical diagnosis and the role of laboratory tests and diagnostic procedures, units and standards of measurement, the concept of normal, and the difference between the diagnostic and screening tests.
B. Body fat measurements, goniometry, strength testing, and pelvimetry.
Beginning Medical Transcription Practice/Professional Issues.
A. Introduction of course and overview of contents.
B. The modern healthcare team.
C. Technology and tools of the trade.
D. The patient health record.
E. Medical transcription practice: integumentary system.
II. Gastrointestinal – Unit 1
Anatomy and Physiology (The gastrointestinal system)
A. Organs of the gastrointestinal tract.
B. Structure and function of the gastrointestinal tract.
Medical Terminology (The digestive system)
A. Structures of the digestive tract.
B. Prefixes, suffixes, word roots, combining forms.
C. Pathology; surgical, x-ray, and laboratory procedures.
D. Abbreviations.
E. Vocabulary, spelling, and pronunciation.
Medical Science
A. Chief complaint and history of present illness.
B. Family history.
C. Social history.
D. Habits.
E. Review of systems: gastrointestinal.
F. Examination of abdomen and groin.
Human Diseases or Disease Processes (Gastrointestinal diseases)
A. Anatomy and physiology of the digestive system.
B. Signs, symptoms, and diagnostic procedures of the gastrointestinal system.
C. Disease and disorders of the digestive system.
Pharmacology
A. Gastrointestinal drugs.
B. Antidiabetic drugs.
Laboratory Tests and Diagnostic Procedures in Medicine (Introduction to temperatures, rates, and pressures)
A. Measures of temperature.
B. Measures of respiration.
C. Measures of pressure, including ocular tonometry, gastrointestinal manometry.
D. Invasive and noninvasive measurements of pressure in the cardiovascular system.
E. Spirometry and plethysmography.
Beginning Medical Transcription Practice/Professional Issues.
A. The patient health record.
B. Dictated medical reports.
C. Gastrointestinal system review.
D. Medical transcription practice: gastrointestinal.
III. Gastrointestinal – Unit 2
Anatomy and Physiology (Digetion)
A. The process of digestion.
Medical Terminology (Additional suffixes and prefixes)
A. Common suffixes.
B. Common prefixes.
C. Medical word formation.
Medical Science
A. Past medical history.
B. Overview of physical examination.
C. Vital signs.
D. General appearance.
Human Diseases or Disease Processes (Trauma and poisoning)
A. Types of trauma.
B. Poisoning.
Pharmacology
A. Drug design and testing.
B. Drug names (chemical, generic, trade) and marketing.
C. Drug sources.
D. Drug categories.
E. Drug forms and routes of administration.
F. Systems of measurement.
Laboratory Tests and Diagnostic Procedures in Medicine (Digestive tract and genitourinary system)
A. Endoscopic procedures of the upper and lower gastrointestinal tract.
B. Endoscopic procedures of the genitourinary system.
C. Endoscopic procedures of the female reproductive system.
Beginning Medical Transcription Practice/Professional Issues.
A. The chart note.
B. Grammar review: Spelling rules, parts of speech, subjects and predicates, types of sentences. C. Terminology review: suffixes, prefixes, abbreviations, slang, units of measure.
D. Medical transcription practice: gastrointestinal.
IV. Cardiopulmonary – Unit 1
Anatomy and Physiology (The respiratory system)
A. Organs of the respiratory system.
B. Structure and function of the respiratory system.
C. The process of respiration.
D. Gas exchange and transport.
Medical Terminology (The respiratory system)
A. Structure of the respiratory system.
B. Prefixes, suffixes, word roots, combining forms.
C. Pathology; surgical, x-ray, and laboratory procedures.
D. Abbreviations.
E. Vocabulary, spelling, and pronunciation.
Medical Science
A. Review of systems: respiratory.
B. Examination of the thorax.
C. Examination of the lungs.
Human Diseases or Disease Processes (Disease of the respiratory system)
A. Anatomy and physiology of the respiratory system.
B. Signs, symptoms, and diagnostic procedures in respiratory diseases.
C. Diseases and disorders of the respiratory system.
Pharmacology
A. Pulmonary drugs.
B. Emergency drugs.
C. Anticoagulants.
Laboratory Tests and Diagnostic Procedures in Medicine (Contrast radiography)
A. Encephalography (ventriculography) and myelography.
B. Bronchography.
C. Barium swallow, upper GI series, small bowel follow through, and barium enema.
D. Cholecystography and endoscopic retrograde cholangiopancreatography.
E. Intravenous pyelogram, retrograde pyelography, and voiding cystourethrogram.
F. Hysterosalpingography.
G. Angiography including cerebral angiography, coronary angiography, aortography, renal angiography, peripheral angiography, venography, and lymphangiography.
H. Arthrography.
I. Dacryocystography, galactography, fistulography.
Beginning Medical Transcription Practice/Professional Issues.
A. The history and physical examination.
B. Pulmonary system review.
C. Medical transcription practice: pulmonary.
V. Cardiopulmonary – Unit 2
Anatomy and Physiology (The cardiovascular system)
A. Structure and function of the heart.
B. Electrica conduction of the heart; heart studies.
C. Blood, blood vessels and circulation.Medical Terminology (The cardiovascular system)
A. Structure of the heart.
B. Blood and circulation.
C. Prefixes, suffixes, word roots, combining forms.
D. Pathology; surgical, x-ray, and laboratory procedures.
E. Abbreviations.
F. Vocabulary, spelling, and pronunciation.
Medical Science
A. Review of systems: cardiovascular.
B. Examination of the heart.
Human Diseases or Disease Processes (Diseases of the cardiovascular system; disorders of blood cells and coagulation)
A. Anatomy and physiology of the cardiovascular system and blood.
B. Signs, symptoms, and diagnostic procedures of the cardiovascular system.
C. Diseases and disorder of the cardiovascular system.
D. Disorder of blood cells, blood-forming tissues, and coagulation.
E. Diagnostic procedures in hematologic disease.
Pharmacology
A. Cardiovascular drugs.
B. IV fluids and blood products.
Laboratory Tests and Diagnostic Procedures in Medicine (Electrocardiology)
A. Electrocardiography.
B. Ambulatory electrocardiography.
C. Stress testing.
D. Pulse oximetry.
Beginning Medical Transcription Practice/Professional Issues.
A. Surgery and the operative report.
B. Cardiovascular system review.
C. Medical transcription practice: cardiovascular.
1. Lecture
2. Audio-Visual aids
3. Example and demonstration
4. Physician dictation
5. Revision of dictation
6. Conference
7. Tests
8. Unannounced requirements, including unannounced tests, possible
9. Paper/pencil assignments
Evaluation of student performance is determined primarily from results of vocabulary notebook, examinations, basic skills tests, terminology tests, homework, and transcription lab work. Class attendance and participation is a must.
Because of the necessity of error-free documents and the demand of employers requiring 96% accuracy or higher, the following grading scale is used:
95-100% A
89-94% B
83-88% C
76-82% D
75% or below F
Written assignments 15%
Vocabulary Notebook 15%
Terminology/Skills tests 20%
Dictation practice 15%
Dictation tests 35%
Student gain will be assessed based on performance on written assignments, tests, and the progress of dictation skills.
Absences that occur due to students participating in
official college activities are excused except in those cases where outside
bodies, such as the State Board of Nursing, have requirements for minimum class
minutes for each student. Students who are excused will be given reasonable
opportunity to make up any missed work and will not be penalized for the
absence. Proper procedure should be
followed in notifying faculty in advance of the student’s planned participation
in the event. Ultimately it is the
student’s responsibility to notify the instructor in advance of the planned
absence.
Unless students are participating in a school activity or are excused by the instructor, they are expected to attend class. If a student’s unexcused absences exceed one-hundred (100) minutes per credit hour for the course or, in the case of on-line or other non-traditional courses, the student is inactive for one-eighth of the total course duration, the instructor has the right, but is not required, to withdraw a student from the course. Once the student has been withdrawn for excessive absences, the registrar’s office will send a letter to the student, stating that he or she has been withdrawn. A student may petition the chief academic officer for reinstatement by submitting a letter stating valid reasons for the absences within one week of the registrar’s notification. If the student is reinstated into the class, the instructor and the registrar will be notified.
Academic
Integrity
NCCC
expects every student to demonstrate ethical behavior with regard to academic
pursuits. Academic integrity in
coursework is a specific requirement.
Definitions, examples, and possible consequences for violations of
Academic Integrity, as well as the appeals process, can be found in the College
Catalog, Student Handbook, and/or Code of Student Conduct and Discipline.
CELL PHONE POLICY
Student cell phones and
pagers must be turned off during class times. Faculty may approve an exception
for special circumstances.
NOTE:
Information and statements in this document are subject to change at the discretion of NCCC. Changes will be published and made available to the students.
NOTE:
If
you are a student with a disability who may need accommodation(s) under the
Americans with Disabilities Act (ADA), please notify the Director of Advising and Counseling, Chanute Campus, Student
Union, 620-431-2820 ext 280 or the
Dean, Ottawa Campus, 785-242-2607 ext 312, as soon as possible. You will need to bring your documentation for
review in order to determine reasonable accommodations, and then we can assist
you in arranging any necessary accommodations.