COURSE SYLLABUS
Course Prefix/Number: ALMT 235
Course Title: Medical Transcription II
Division: Outreach and Workforce Development
Program: Medical Transcription
Credit Hours: Five (5)
Initiation/Revision Date: Fall 2006
Vocational
Medical Transcription II includes study in ENT/ophthalmology, pediatrics, genitourinary and the male reproductive system, obstetrics/gynecology and the female reproductive systems, and beginning orthopedics. Authentic physician dictation will be utilized.
1. Passing grade of B or higher in Medical Transcription I.
2. Or instructor permission.
**Same required texts as Medical Transcription I with the exception of optional texts that may be purchased as additional references.
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 – Stedman’s Ophthalmology Words, current edition. Published by Lippincott, Williams & Wilkins.
**Optional – Stedman’s OB/GYN and Pediatric Words, current edition. Published by Lippincott, Williams, &Wilkins.
**Optional – Stedman’s Orthopedic and Rehab 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 ENT/ophthalmology, pediatrics, genitourinary, obstetrics/gynecology, and beginning orthopedics 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 ENT/ophthalmology, pediatrics, genitourinary, obstetrics/gynecology, and beginning orthopedics 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 ENT/ophthalmology, pediatrics, genitourinary, obstetrics/gynecology, and beginning orthopedics 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 ENT/ophthalmology, pediatrics, genitourinary, obstetrics/gynecology, and beginning orthopedics 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 ENT/ophthalmology, pediatrics, genitourinary, obstetrics/gynecology, and beginning orthopedics 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 ENT/ophthalmology, pediatrics, genitourinary, obstetrics/gynecology, and beginning orthopedics as evidenced on unit assessments.
A. Explain procedures for measuring visual field acuity.
B. Discuss audiometry and its interpretation.
C. Describe the balance system and explain how it is tested.
D. Describe the instruments and methods used to endoscopically examine the eyes, ears, nose, and upper and lower respiratory tract.
E. Discuss the basic principles, diagnostic value, limitations, and importance of plain radiographic procedures, including standard PA chest x-ray, plain x-rays of the abdomen and extremities, mammography, and bone densitometry.
F. Describe laboratory procedures in microbiology, the use of stains in diagnosis, and the use of smears and cultures, and explain the clinical application of these procedures in diagnosis and management of the disease.
G. Describe basic procedures in molecular biology, explain the basic principles of genetics, and list and discuss tests for genetic abnormalities.
H. List and describe basic laboratory tests or urine, stool, and other body fluids, and discuss the diagnostic applications of these tests.
VII. Beginning Medical Transcription Practice/Professional Issues: The student will demonstrate the ability to transcribe medical reports in the areas of ENT/ophthalmology, pediatrics, genitourinary, obstetrics/gynecology, and beginning orthopedics 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. Demonstrate proper use of reference materials.
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.
G. Explain quantity versus quality in medical transcription.
H. Describe what is meant by patient confidentiality and give several examples of proper and improper use of patient medical information.
I. Explain risk management and the transcriptionist’s role.
I. ENT/Ophthalmology
Anatomy and Physiology (The ears, nose, throat and eyes)
A. Structure and function of the ears.
B. Structure and function of the mouth and pharynx.
C. General and special senses.
D. Structure and function of the eyes.
Medical Terminology (The sense organs)
A. Structure of the ears and eyes.
B. Prefixes, suffixes, word roots, combining forms.
C. Pathology; surgical and laboratory procedures.
D. Abbreviations.
E. Vocabulary, spelling, and pronunciation.
Medical Science
A. Review of systems: head, eyes, ears, nose, throat, mouth, and teeth.
B. Examination of the head, face, and neck.
Human Diseases or Disease Processes (Diseases of the ears, nose, throat, and eyes)
D. Anatomy and physiology of the ears, nose, throat, and eyes.
E. Signs, symptoms, and diagnostic procedures of the ears, nose, throat, and eyes.
F. Diseases and disorders of the ears, nose, throat, and eyes.
Pharmacology
A. Ears, nose, and throat drugs.
B. Ophthalmic drugs.
Laboratory Tests and Diagnostic Procedures in Medicine (Measurement of vision and hearing.
A. Visual field testing.
B. Visual acuity testing.
C. Audiometry.
D. Tests for balance.
Beginning Medical Transcription Practice/Professional Issues.
A. Reference books.
B. Word research techniques.
C. Eyes, ears, nose, and throat review.
D. Medical transcription practice: ears/nose/throat and ophthalmology.
II. Pediatrics
Anatomy and Physiology (The endocrine system)
A. Metabolism, nutrition, and body temperature.
B. Organs of the endocrine glands.
C. Structure and function of the endocrine glands.
D. Hormones.
Medical Terminology (The endocrine system)
A. Glands of the endocrine 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. The pediatric history and physical.
Human Diseases or Disease Processes (Genetic disorders; Disorders of metabolism, nutrition, and endocrine function)
A. Disease features and procedures diagnostic for hereditary disease, disorders, and chromosomal abnormalities.
B. Anatomy and physiology of the endocrine glands.
C. Physiology of metabolism and nutrition.
D. Disorders of the principal endocrine glands: pituitary, thyroid, parathyroid, adrenal.
E. Disorders of the pancreas.
Pharmacology
A. Endocrine drugs.
B. Anti-infective drugs.
Laboratory Tests and Diagnostic Procedures in Medicine (Visual exam of the eyes, ears, nose, and throat)
A. Ophthalmoloscopy and slit lamp examination.
B. Otoscopy.
C. Endoscopic examination of the upper and lower respiratory tracts.
Beginning Medical Transcription Practice/Professional Issues.
A. Flagging medical documents.
B. Proofreading and editing.
C. Endocrine system review.
D. Medical transcription practice: pediatrics.
III. Genitourinary/Male Reproductive
Anatomy and Physiology (The urinary and male reproductive systems)
A. Organs of the urinary system.
B. Structure and function of the urinary system.
C. Metabolic wastes.
D. The formation of urine.
E. Organs of the male reproductive system.
F. Structure and function of the male reproductive system.
G. Sexually transmitted diseases.
Medical Terminology (The urinary and male reproductive systems)
A. Structures of the urinary tract.
B. Structures of the male reproductive tract.
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: genitourinary.
B. Examination of the male genitalia and prostate.
Human Diseases or Disease Processes (Diseases of the excretory and male reproductive systems; sexually transmitted diseases)
A. Anatomy and physiology of the excretory system and male reproductive system.
B. Signs, symptoms, and diagnostic procedures of the genitourinary systems.
C. Diseases and disorders of the male reproductive system and excretory system.
D. Sexually transmitted diseases.
Pharmacology
A. Urinary tract drugs.
B. Steps in the drug cycle.
Laboratory Tests and Diagnostic Procedures in Medicine (Urine, stool, and other body fluids.
A. Tests of urine.
B. Tests of stool.
C. Tests of other body fluids.
Beginning Medical Transcription Practice/Professional Issues.
A. Quality assurance.
B. Transcribing for the ESL dictator.
C. Genitourinary system review.
D. Medical transcription practice: genitourinary.
IV. Obstetrics/Gynecology and Female Reproductive
Anatomy and Physiology (The female reproductive system)
A. Organs of the female reproductive system.
B. Structure and function of the female reproductive system.
C. The menstrual cycle.
D. Conception, pregnancy, and birth.
E. The breasts and lactation.
F. Contraception.
Medical Terminology (The female reproductive system)
A. Structure of the female reproductive tract.
B. The breasts
C. Menstruation, pregnancy, and birth.
D. Prefixes, suffixes, word roots, combining forms.
E. Pathology; surgical, x-ray, and laboratory procedures.
F. Abbreviations.
G. Vocabulary, spelling, and pronunciation.
Medical Science
A. Examination of the external female genitalia.
B. Pelvic examination.
Human Diseases or Disease Processes (Disease of the female reproductive system; breast diseases)
A. Anatomy and physiology of the female reproductive system and the breasts.
B. Signs, symptoms, and diagnostic procedures of the female reproductive system and the breasts.
C. Diseases and disorders of the female reproductive system and the breasts.
D. Pregnancy and childbirth.
Pharmacology
A. Obstetrical drugs.
B. Gynecological drugs.
Laboratory Tests and Diagnostic Procedures in Medicine (Microbiology)
A. Laboratory procedures in microbiology.
B. Use of stains.
C. Use of cultures and smears.
Beginning Medical Transcription Practice/Professional Issues.
A. Patient confidentiality.
B. Female reproductive system review.
C. Medical transcription practice: obstetrics and gynecology.
V. Beginning Orthopedics
Anatomy and Physiology (The skeletal system)
A. Structure of bone.
B. Bones of the body.
Medical Terminology (The musculoskeletal system: Bones)
A. Types of bones.
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: neuromuscular.
Human Diseases or Disease Processes (Musculoskeletal disorders)
A. Anatomy and physiology of the musculoskeletal system.
B. Signs, symptoms, and diagnostic procedures of the musculoskeletal system.
C. Diseases and disorder of the musculoskeletal system.
Pharmacology
A. Musculoskeletal drugs.
Laboratory Tests and Diagnostic Procedures in Medicine (Molecular biology)
A. Molecular biology procedures.
B. Basics of genetics.
C. Tests for genetic abnormalities.
Beginning Medical Transcription Practice/Professional Issues.
A. Risk management.
B. Musculoskeletal system review.
C. Medical transcription practice: orthopedics.
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.