A community of 30,000 US Transcriptionist serving Medical Transcription Industry


Need good ideas on being productive with - clinic notes


Posted: Sep 14, 2012

Will be many different clinics.  I am accustomed to acute care only but this account will be about 70 percent clinic and 30 percent acute care.  TIA

well you'll need headings - downtime

[ In Reply To ..]
the standard SOAP headings: Subjective, objective, assessment, plan.

i love clinic notes - MT

[ In Reply To ..]
The good thing about clinic notes is that they tend to be very repetitive. If you can set up templates for each doctor, you should be able to do well. Set up stop codes or jump markers at all the places where the dictation changes, like in the vitals. You could probably even set up templates for certain phrases that they say repetitively. This will probably take a bit of time in the beginning as you learn their phrases, but well worth the time spent in the long run.

Good luck!


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