Southern State Community College
Curriculum Committee – March 2014
MAST 2212 – Medical Transcription
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I.
COURSE TITLE:
Medical Transcription
COURSE NUMBER: 2212
CATALOG PREFIX:
MAST
II.
PREREQUISITES: Medical Assisting or Medical Transcription Program Acceptance
III.
CREDIT HOURS: 3
LECTURE HOURS:
LABORATORY HOURS: 1 (2 contact)
OBSERVATION HOURS: 0
IV.
2
COURSE DESCRIPTION:
Introductory course in medical transcription including the use of transcription equipment,
computer word processing, formatting and use of appropriate medical forms. Includes
ethical and legal issues for the medical transcriptionist as well as transcription guidelines
for punctuation, capitalization, proofreading and making corrections, and use of
references. Emphasis is placed on accuracy, correct spelling, and punctuation of chart
notes and letters with an introduction to the history and physical report and hospital
discharge summary. This course follows CAAHEP/AAMA accreditation standards in
place for Medical Assistants.
V.
GRADING:
Grades will be accorded as follows:
A = 90 – 100
B = 80 – 89
F = 0 – 79 Must repeat the course
Successful attainment of the objectives of this course will be measured by the student
passing all performance procedures and a final course grade of A or B. Students will be
graded on his/her performance of the competency-based skills listed in the course
description. Students must pass all class tests before the competency score will be
averaged into the grade as a score.
Honesty and integrity are major elements in professional behavior and are expected of
each Health Science Division student. Cheating is considered unacceptable behavior
within all Health Science Division courses. Students having academic difficulties should
seek guidance assistance from the instructor, academic advisor, or college counselor.
A student observed or found to be cheating on a test or assignment in any Health Science
Division course will be given a “zero” on the test or assignment. A written report of the
incident, signed by the instructor and the student, will be placed in the student’s
permanent file. This notice will remain on file and in effect for the remainder of the
MAST 2212 – Medical Transcription
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student’s enrollment in the Health Science Division. Should a second incident of
cheating occur in any Health Science Division course, the student will be given a failing
grade for the course and will be dismissed from the Health Science Division for one year
and possibly from SSCC, as per college guidelines.
The “zero” grade for dishonesty will mot be used as the drop grade in a course in which a
drop grade option is given.
If a student allows another student to copy or “cheat off” of their work than the same
ramifications will be given to that student as well.
The student witnessing cheating is morally obligated to report the incident to the
instructor.
VI.
ADOPTED TEXT (S):
Medical Transcription Techniques and Procedures (with audio CD) 7th edition,
by: Diehl Elsevier Science
ISBN: 1-4377-0439-5
Hillcrest Medical Center Beginning Medical Transcription (with audio CD) 7th Edition,
By: Ireland and Stein, Delmar/Cengage Learning
ISBN: 0-538-45433-4
VII.
COURSE OBJECTIVES:
At the completion of his course, the student will be able to:
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Identify the background and importance of medical records.
Explain the skills a transcription must possess and know why terminology is so vital.
Identify opportunities for (the physically challenged transcriptionist.
Define and explain the purpose of a medical report or record.
Define privileged and nonprivileged information.
Enumerate the guidelines for release or information from both the private medical office
and the hospital.
Explain the importance of subpoenas for patient records.
Describe the operation of different types of dictation and transcription equipment.
Identify components of a computer system.
Explain the capabilities of word processing computer software.
Explain various methods to manage and store computer data.
Identify types and features of computer printers.
State the purpose of a modem.
Identify ergonomic factors that affect the transcriptionist’s work environment.
MAST 2212 – Medical Transcription
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List some of the indication features used in dictation machines.
Demonstrate proper computer and transcriber equipment maintenance.
Perform the steps of transcription preparation.
Define vocabulary terms related to office equipment.
Demonstrate the ability to use reference materials to select the proper punctuation need in
unfamiliar copy.
State the grammatical terms for different parts of speech and for the various parts of a
sentence and match these terms with a written example.
Use the vocabulary of punctuation by writing the rule, using your own words and the
proper terms, while working with an illustration of the rule in use.
Demonstrate the ability to use proper punctuation marks accurately by inserting
punctuation into unpunctuated copy.
Demonstrate the ability to capitalize words accurately from copy prepared in lower case
letters.
Explain the special uses of capital letters in the preparation of medical reports and
correspondence.
Use the reference materials to check unfamiliar medical and business terms.
Explain when a number should be typed as a figure, typed in spelled-out form, or typed
as a roman numeral.
Demonstrate your ability to prepare accurately typed material containing numbers,
symbols, and abbreviations commonly found in medical writing.
Assess how the business letter reflects the public image of medical practice.
Describe the specific qualities that make a letter mail-able.
Demonstrate the three basic mechanical formats of letter preparation.
Use a specific letter format in preparation of a letter from copy typed as a single
paragraph.
Prepare envelopes using the recommended U.S. Postal Service procedure.
Prepare a two-page letter following the rules of multiple-page letters.
Illustrate how important it is to check your copy very carefully for possible errors.
Demonstrate the ability to use recognize formal proofreader’s symbols.
Redo a document that has been corrected and marked.
Identify and correct errors after editing phrases, sentences, and documents.
Locate the spelling of medical terms by using a medical dictionary.
Find medical terms by use of cross references.
Identify where English words and medical words are divided.
Identify appropriate compound English and medical words in a sentence.
Identify French and other unusual medical terms.
Use the Physician’s Desk Reference as a drug speller and to identify generic and brandname drugs.
Explain the rules for making medical and English words plural.
Construct plural and adjective endings of medical terms.
Identify homonyms, antonyms and medical eponyms.
Explain the necessity of typing accurate chart notes on patient progress.
Demonstrate the proper procedure and format for transcribing patient medical chart notes
MAST 2212 – Medical Transcription
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List the basic information to be found in patient notes in emergency departments and
medical offices.
Identify the various mechanical formats used to prepare a history and physical report.
Prepare a formal history and physical using a variety of acceptable styles.
Identify standard medical abbreviations, laboratory terms, metric measures and
laboratory units as presented.
Spell, pronounce and define terminology that is a part of medical reports and
correspondence, diagnostic procedures, and surgical procedures as well as terminology
related to body systems.
Transcribe from dictated tapes the reports and formats used in various medical settings,
i.e. office, clinic, hospital and laboratory.
Identify and apply standard rules of medical transcription utilizing accepted medicolegal
principles.
A.
COURSE OBJECTIVES:
Objectives meet AAMA/CAAHEP 2008 Entry Level content:
Concepts of Effective Communication Psychomotor Domain:
IV.P.3 Use medical terminology, pronouncing (spelling) terms
correctly:
 To communicate information
 To complete patient history
 To gather/assemble data
 To record/document observations
IV.P.10 Compose professional/business letters
Legal Implications
IX.P.1 Respond to issues of confidentiality
IX.P.3 Apply HIPPA rules in regard to privacy/release of information
VIII. COURSE METHODOLOGY:
This course may use lecture, discussion, video, chapter and workbook assignments, handin assignments, computer assignments, work projects, skill demonstration, skill
competency, practical scenarios, patient simulation, and written tests as appropriate to the
course objectives.
Student medical assistants are expected to apply information and knowledge gained in
this course to other medical assisting courses, including clinical assignments in MAST
1125, 1126, 2225, and 2226.
IX.
COURSE OUTLINE:
Transcription I
MAST 2212 – Medical Transcription
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Medical Transcription Techniques and Procedures
Chapter 1: The Medical Transcriptionist’s Career, Including Ethical and
Legal Responsibilities
Chapter 2: Equipment and Technology
Chapter 3: Punctuation
Chapter 4: Capitalization
Chapter 5: Transcribing Numbers, Figures, and Abbreviations
Chapter 6: Letter Transcription
Chapter 7: Proofreading, Making Corrections, and Quality Assurance
Chapter 8: Using Reference Books: Learn How to Get Help From the
Experts
Chapter 9: Word Endings: Plurals, Nouns, and Adjectives
Chapter 10: Grammar Review
Chapter 11: Outpatient Medical Chart Notes and Daily Progress Notes
Transcription II
Hillcrest Medical Center Beginning Medical Transcription
Section 1: Introduction
Section 2: Model Report Forms
Section 3: References
Section Four: Case Studies
Cases 1 through 10
SAMPLE Calendar Outline:
WEEK 1
WEEK 2
WEEK 3
WEEK 4
WEEK 5
WEEK 6
WEEK 7
WEEK 8
Orientation: Review Book, Appendix B. Chapter 1 - Projects 1-1, 1-2;
Vocabulary
Chapter 2 - Abbreviations; Shortcut Keys
Chapter 3 continued; complete projects
Chapter 3 to page 67 – assigned projects and weekly abbreviation study
Chapter 4 – Assigned projects
Chapter 6 – Assigned projects; Envelopes and folding letters; USP
Abbrev Quiz; You will need business envelopes today for class work
EXAM; Chapter 5 – Assigned projects
Chapters 7 – Assigned projects and study 177-181 proofreading symbols
Quiz
Chapter 9 - Projects
Chapter 8 - Projects 8-2, 8-4, 8-8
Chapter 10 and 11 - Projects; Review on your own for letter competency.
MID TERM EXAM (1-110; CD Assigned Letter Transcription
Continue CD Assigned Letter Transcription– draft copy, proof/edit/print
final copy and print
Letter Competency; CD assigned Chart Note Transcription
CD assigned Chart Note Transcription – draft copy, proof/edit/print final
MAST 2212 – Medical Transcription
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WEEK 9
WEEK 11
WEEK 12
WEEK 13
WEEK 14
WEEK 15
WEEK 16
Chart Note Competency
Preview Report Formats/Templates; Read through pg 61 before next class.
Begin Case 1 through 3;
Case 1-3 due before end of class; Begin Case 4
TERMINOLOGY VOCAB EXAM (1-3); Finish Case 4 and begin Case 5;
Case 5 due before end of class; Begin Case 6
Case 6 due before end of class; Begin Case 7
TERMINOLOGY EXAM (4-6); Case 7 due before end of Class; Begin
Case 8
Case 8 due before end of class; Begin Case 9
TERMINOLOGY EXAM Cases (7-10) Case 9 due before end of class;
Begin Case 10
Case 10 due before end of class; Review chapters covering any weak areas
before competency
H & P Competency (with cover letter/envelope); Work on Case Work
when competency completed
Report Competency; Work on Case Work when competency completed
FINAL EXAM (Vocab 1-10)
Students will complete:
Chapter/Vocab Tests
Medical Transcription (4 Letters and 5 Chart Notes)
Hillcrest 1-2 reports each Case (1-10 as assigned)
Medical Transcription 1 Letter and 1 Chart Note Competency
Hillcrest1 H&P and 1 other Report Competency
Final Exam
X.
OTHER REQUIRED ROOKS, SOFTWARE AND MATERIALS:
Taber’s Medical Dictionary
USB Storage Device
USB Footpedal (REQUIRED FOR ONLINE COURSE)
Head Phones (choose inexpensive with small plug for transcription unit/computer
headphone jack)
Three-ring loose-leaf binder and dividers with tabs (12 dividers)
Minimum computer requirements recommended for Blackboard Instruction (ONLINE)
XI.
EVALUATION:
Knowledge of content is evaluated by student performance of competency based skills,
assignments, and work projects per instructor. All exams are comprehensive. A quiz may
be given at instructors’ discretion. Competency-based skill performance is required on
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each skill discussed and demonstrated. After completion of this course, the student will
be requested to complete a form to assist in evaluation of course content and instruction.
Class participation will be evaluated by the students’ ability to contribute to class
discussion.
Students must earn a passing average score on exams and must pass all competencies
with accuracy rate of 85%. Failure in any of these areas will result in failure of the
course.
No make-up tests will be given.
Sample Grading Scale:
Non-graded Assignments and Corrections – Course Requirement
Exams – 20% Passing Score Required as above
Transcription Side A and B – 20%
Letter and Chart Note Competencies – 20% Passing Score Required on
each as above
Coursework – 20% (Notebook, Textbook Assignments, Various Graded
Assignments/Corrections)
Final Exam – 20%
*Students must pass both competencies in order to receive a passing grade for course. All
student competencies require a minimum satisfactory score of 85%. Students repeating a
competency will not receive the same grade as a student demonstrating mastery on the
first try. The second attempt will be accessed a 10 point penalty. Repeat competencies
will first be scored to evaluate meeting of minimum standard of 85%. Next, any
applicable penalties or repetition will be deducted as illustrated below. Example:
First repetition:
Maximum Score (100)
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(minus) Error Points
Subtotal must equal 85% or higher (Pass or Fail)
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(minus) 10 Penalty Points
Competency Score
XII.
SPECIFIC MANAGEMENT REQUIREMENTS:
Additional lab time may be required for students to use the secretarial lab.
Students will be required to complete a written test at the times designated in the Course
Schedule. Students are required to participate in all class activities.
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To meet the objectives of each course in Medical Assisting, students must attend all
scheduled classes. At the beginning of the quarter all instructors will pass out a “Class
Schedule”, which lists all class meetings. If a student must miss class due to extenuating
circumstances, than the student is expected to call and inform the instructor by either
talking with the instructor, e-mail, or leaving a message should the instructor not be
available.
Students will be allowed two (2) class absences. Absences over two times will result in a
drop of one letter grade from the final grade; the third absence will reduce a final grade
of A to a B, or may drop the B to an F, therefore having to repeat the course. Two
instances of significant tardiness or leaving early will be considered equivalent to an
absence for purposes of this calculation.
Students may withdraw from classes up to and including the week before final exams by
giving written notice of their intent to withdraw to the Student Services Office.
Attendance in class is an important part of the learning process. Excess absence may
result in a failure. Faculty may count attendance as part of the grading policy and a
failure to officially withdraw may result in a failing grade. Withdrawal from classes may
affect the student’s financial aid. See the FEE SCHEDULE section of the College
Catalog for the policy on refunds and financial aid.
Faculty may recommend that the College withdraw students who have missed more than
20% of the total scheduled classes of a course and issue a grade of WI to the student.
Any student who misses a scheduled competency, either demonstration or check-off must
make an appointment, within one week of return to school, with the instructor to make up
this portion of the class. Failure to do so will result in a “Fail” for the competency,
therefore failure of the course. It is the student’s responsibility to make arrangements for
this.
XIII. OTHER INFORMATION:
Classroom Conduct: Civility in the classroom is very important. As professionals, we
expect students to conduct themselves in a courteous and respectful manner. Disruptive,
rude, sarcastic, obscene or disrespectful speech or behavior have a negative impact on
everyone, and will not be tolerated. Students need to remember that the online discussion
boards and chat rooms in the online course are considered classrooms and the same
rules apply. Students will use these tools in the online classroom for information that
pertains to the course; it is not to be used for personal exchanges of a social nature. If
you engage in any such conduct you will be asked to leave and you will receive a “zero”
for any work completed on that day. The instructor reserves the right to permanently
remove a student from the class for inappropriate conduct after consultation with the
Department coordinator and Academic Dean.
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Inclement Weather: In the event of campus delay (when this class start time is impacted
by said delay) the class will begin at the scheduled campus opening time to complete any
remaining class time permitted.
FERPA: Work submitted in this class may be seen by others. Others may see your
work when being distributed, during group project work, or if it is chosen for
demonstration purposes. Other instructors may also see your work during the
evaluation/feedback process. Student assignments and exams are kept on file for review
by various Accrediting Boards of both the Medical Assisting and Institutional Boards.
On occasion papers may be traded with another student or work-study for grading
purposes.
There is also a possibility that your papers may be submitted electronically to other
entities to determine if references are cited appropriately. Plagiarism is a serious offense.
Work submitted by the student must be the students’ own creation. The instructor
reserves the right to fail any student who submits plagiarized or duplicated work. A
grade of “zero” will automatically be given to the duplicated submissions. The instructor
will be the sole judge in such cases. If a student cannot demonstrate conclusively that a
work was not copied or plagiarized or, in the case of the original author, was copied
without consent, the penalty will stand.
DISABILITIES: Students with disabilities may contact the Disabilities Service Office,
Central Campus, at 800-628-7722 or 937-393-3431.