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MR260 Medical Transcription II Week 4-Chapter 6

MR260 Medical Transcription II Week 4-Chapter 6. “Orthopedic Practice & Critical Thinking” Essentials of Medical Transcription Instructor: Amber Krasny MBA, CPC, CMRS. What You need for this class…. Both textbooks:

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MR260 Medical Transcription II Week 4-Chapter 6

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  1. MR260 Medical Transcription IIWeek 4-Chapter 6 “Orthopedic Practice & Critical Thinking” Essentials of Medical Transcription Instructor: Amber Krasny MBA, CPC, CMRS

  2. What You need for this class… • Both textbooks: • Essentials of Medical Transcription, A Modular Approach, Destafano & Federman, Second Edition • AAMT Book of Style for Medical Transcription • Any other resource books you may have available such as medical dictionary, PDR, Merck Manual, etc.

  3. How the class will work… • This is an open book Seminar. • Be prepared to respond to the questions on each slide, where indicted. • Be prepared to share your thoughts with the other class participants. • After the questions slide you will see an answer slide so you can check to see how you did.

  4. Is everyone ready?

  5. Review: Critical Thinking Process • We will review the information about Critical Thinking again this week ensure that we understand the process and how important it is to our jobs as Medical Transcriptionists. • We are all amateur detectives in our jobs. • Critical thinking skills are the skills used by all good detectives. • Critical thinking skills are the skills used by all good researchers, scientists, and doctors.

  6. The Research Cycle: Jamie McKenzie, Ed.D. • questioning • planning • gathering • sorting & sifting • synthesizing • evaluating

  7. Questions • In your words define the 6 steps on the previous slide. • Here is a hint for Synthesize: to combine different ideas, influences, or objects into a new whole, or be combined in this way. • How do they pertain to what you will be doing as a new MT? • How and when will you use these steps in your job as a new MT?

  8. To find out more… • To find out more about Dr. McKenzie and this subject go to his website at these two links. • http://www.fno.org/oakharbor.html • http://www.fno.org/libskill.html

  9. 4 Steps to Critical Thinking • Identify the elements of your document • Body system and/or specialty • type of document • report headings, paragraph content, and the other sentences in the paragraph that you have already transcribed • Find the diagnosis or procedure. • Use any other information you may have on hand, such as the medical record or previous reports.

  10. 4 Steps to Critical Thinking • Evaluate your assumptions about those elements • Does this word, test, etc. belong in or with this body system, procedure, operation, diagnosis? • Judge your choices probability or acceptability of being right.

  11. 4 Steps to Critical Thinking Cont. • Evaluate your choices by asking: “With what I already know, which is the most probable or likely to be correct, and why?”

  12. Group Discussion • Finally, After going through this and none of the things seem right, or you can’t find an answer what do you do? NO, don’t throw your books out the window!!

  13. Now here are some opportunities to use what you just learned.

  14. Exercise • The next few slides have sentences to review. • Using the Critical Thinking Model we just discussed choose the correct word(s) for the sentence.

  15. H&P Orthopedic Practice • “There has been some increasing elevation of the 5th toe, with a callous/caliculus over the dorsolateral/dorsallateral aspect of the toe at the PID/PIP joint.” • “He has tenderness of the lower cervical/cervix spine and over the left trapezius/trapzoid, but he has full range of motion of his C-spine. • Medications: • The patient received a codeine/cortisone injection to relieve the inflammation • The patient was given Biaxin/Vioxx for his bone infection.

  16. More Orthopedics • Last week Mary had surgery to excise a deep, soft cystic mass in the area of the 1st dorsal interosseous/interoccular. The procedure went well and she is recovering nicely. • The nail bed on the right great toe is healing well following removal of the nail for paronychia/phalangeal infection. • Procedures: • Arthroplasty/aromatherapy/arteriogram • Lipofuscin/laminectomy/laparoscope

  17. More Questions • Number the lumbar vertebral discs. • What does the AC joint stand for? • What is Vicodin? • What does the acronym MRI stand for? • You hear: Dorsiflexion is ten to fifteen degrees with plantar flexion to twenty-five degrees. You transcribe as:

  18. Define the words below: • Acromion • Apophysis • Calcaneus • Colles fracture • Crepitus • Debridement • Fusiform • Genu varum • Metatarsus • osteophyte

  19. Use of these words… • Next, use five of these words in a sentence as you might hear it in your transcription.

  20. The End • Well that’s all for tonight! Next week we’ll do some more metacognating!! • Thanks for joining us. I hope you learned something to help you in your transcription career. • See you next week! Same time—same place! • Bye for now!

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