Chabot College
October 1998
Removed Fall 2010
Course Outline for Health 59E
History and Physical Examinations
Catalog Description:
59E - History and Physical Examinations
1 unit
This is a self-paced program with learning at a distance opportunities providing mastery learning
modules in transcription of medical reports. Credit earned based on competency of each module.
Modules must be completed in sequence. Modules include: A) Physician Office Notes; B)
Radiology; C) Emergency Room Notes; D) Pathology/ EKG; E) History and Physical Examinations;
F) Consultations; G) Discharge Summaries; H) Operatives- General; I) Operatives - Urology &
Reproductive; J) Operatives-Cardiovascular; K) Operatives - Orthopedics & Oncology; L) Special
Reports. Prerequisites: Health 51A Medical Terminology, Health 58 Introduction to Medical
Transcription, Health 59A Physician Office Notes, Health 59B Radiology, Health 59C Emergency
Room Notes, Health 59D Pathology/EKG or equivalent experience. 3 hours laboratory.
[Typical contact hours: 52.5]
Pre-requisite Skills
Before entering the course, the student should be able to demonstrate knowledge of:
1.
physician office notes
2.
radiology reports
3.
emergency room notes
4.
pathology/ EKG reports
5.
medical terminology
6.
use of transcription equipment
7.
confidentiality and ethics of medical transcription
8.
regulatory requirements of medical documentation
9.
format of medical reports
10.
quality improvement, productivity and cost analysis of medical transcription.
11.
medical report cycle.
Expected Outcomes for Students
Upon completion of the course, the student should be able to:
1.
describe requirements for various medical reports
2
demonstrate use of micro computers
3
assess accuracy of transcribed reports
4
discuss confidentiality and ethics of medical transcription
5
discuss medical report cycle and customers of transcribed reports
Chabot College
Course Outline for Health 59E, Page 2
October 1998
Course Content
1.
2.
3.
4.
5.
6.
7.
Confidentiality and ethics of medical transcription
Use of micro computers
Regulatory requirements of documentation
Format of medical reports
Transcription of medical reports related to topic
Medical report cycle
Quality improvement in transcription
Methods of Presentation
1.
2.
3.
4.
Self-explanatory objectives workbook & audio tapes
Discussion
Laboratory work
Demonstration
Methods of Evaluating Students Progress
1.
2.
3.
Transcription assignments
Laboratory assignments
Examination
Textbook(s) (typical)
1.
2.
3.
4.
Medical Transcription Module Workbook
Medical Word Book (Sloan)
Forest Medical Center Medical Transcription (Delmar)
Advanced Medical Transcription (Delmar)
Special Student Materials
1.
2.
3.
4.
Transcription equipment rental
Stereo headset with mini-connector
3 ½ computer disk
Audio cassettes (60 minute)
DP:al 10/98