Archive for the ‘Your Doc’ Category

Medical Transcription and Doctor uses incorrect wording?

Friday, November 6th, 2009

Q: Having had lots of experience in writing,  I become nervous when I review the preferred formats page on the Med Workshops site and in the first line, see this: “SUBJECTIVE: The patient is a 35-year-old female who complain of a cough for one week.”
Clearly, the word should be complains. Also, “one week” should be “1 week” per the MT Workbook.  What should I do when dictation is grammatically incorrect?

A: Good catch.  We change the medical transcription samples often.  The doctor may dictate “complain”  instead of  “complains”.  We use real-life sample reports.  During your training you must transcribe verbatim. The “one week” is correct in this instance.  I know I know!  There can be two or more correct ways and this is the preferred way—- that’s life in Medical Transcription.   We can’t change it.  If you went through our program and didn’t experience these inconsistencies, we wouldn’t be introducing you to the real world; the work world.  As the mother of Medical Transcription, Vera Pyle said,  “there are often several acceptable ways to transcribe the same report”.