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Old school answer - susan

Posted: Jul 2nd, 2016 - 12:38 pm In Reply to: Capitalizing generic meds - Alex

IME, it depends on what the medical staff records (or director of medical records) decides "they" want. Rather like what can be / should be abbreviated and what's not. What does JACHO (or equivalent) say about such thing?

On an MT basis, imho, it looks lazy and unprofessional, because yes, that's part of your job and one of the reasons we use expanders!

Doctors'expectations have changed imho. Doctors used to read and sign reports and complain bitterly about such things (because they felt it was unprofessional, and reflected on them and the hospital - particularly in the event of reports being entered into legal records).

I wouldn't make this decision based on MT's opinions. I always surveyed my doctors when I wanted to make a change or establish a "rule" for all transcription (pathology office) mostly to avoid endless time-consuming discussions with my staff and with dissenting doctors.


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