I can’t believe it has been one year since we started our blog! Our blog is aimed directly at the Medical Transcription Editor (MTE) to give you information, practice, and tips to help you have a smooth transition from transcriber to editor. It also gives MTEs a direct connection to us here at M*Modal to ask questions or express concerns.
Over the year, we have talked about many topics: Overediting, shortcuts, account specifications, increasing productivity, working from home, AHDI, and time management just to name a few! We have also had the priviledge of having several guess bloggers post articles in addition to the ones Misty, Julie, and I have written. If you are new to the blog, I encourage you to look over the older posts—there is a lot of helpful information there! We are also very proud of our exercises located on the Editing Fun page. When you are first transitioning to editing, it is so important to practice those newly learned keyboard shortcuts. Be sure to stop over there and check out the exercises.
What we love most about the blog is being able to interact with you directly, the MTE! We love to hear feedback and questions from you so please make sure to post a comment!
We hope you have enjoyed this past year with us as much as we have!
Thanks, Bethany @ M*Modal
Well, last week in Pittsburgh, we had several days of beautiful sunshine and spring-like weather! However this week I was thrown back into the reality of winter when I awoke to 10 inches of snow on the ground!! Even though spring isn’t here just yet, it is never too early to think spring! For me, thoughts of spring always bring to mind spring cleaning! Okay, maybe not right away—warm weather, birds chirping, and flowers come to mind first, but cleaning does make an appearance on my list somewhere! As you think about tackling those spring cleaning chores around your home, it is a great time to do a little cleaning and purging of your work area and computer too. This will make sure that you have the most current and correct information and make finding that information a little easier!
Contact Information—People change email addresses and instant message usernames all the time. This would be a great time to check with your manager and others on your team to be sure everyone’s information is still up to date. Delete any old addresses so you don’t accidentally use them and then wonder why your email was never answered!
Your Accounts—Take a little time to go through any documentation you have related to your accounts. Check with your account manager to make sure the information you have regarding account specifications is up to date. Have the managers or QA personnel changed for your account?
Office procedures—Have there been any changes in how you must set your schedule, request time off, benefits? Sometimes information regarding changes like these can get lost in the lines of communication when working from home.
Your computer—This is a great time to do a little maintenance on your computer. Clearing out old or unneeded files will help to free up space. Delete old programs that you never use. Evaluate your filing system and determine if it is working for you—can you find what you need quickly? Or are you constantly wasting time looking for this reference document or that link? Run the system maintenance tools such as check disk and disk defragmenter as well as a spam and virus checker to help your system run smoother.
Set your goals—Jot down a few career goals you have for yourself that you would like to come to fruition by this summer—possibly credentialing, reaching higher production levels, a management opportunity? Post this list by your monitor to encourage you.
Til next time,
Bethany @ M*Modal
WHEN EDITING A DOCUMENT, YOUR OBJECTIVES SHOULD BE TO:
- Edit for content, not cosmetics.
- Increase productivity and efficiency.
- Always make necessary edits.
- Submit an accurate medical document.
When transcribing, it is very simple for us to improve what we hear structurally and grammatically. As we listen to the dictation, we can easily change what is spoken as we type it. We can make dictators look better. Unfortunately, when editing drafts, this is neither easy nor recommended. When editing drafts, we may be tempted to overedit. Overediting often involves changes to grammar, punctuation, dictation style, and readability. Making such edits can be unnecessary. The task of the MTE is to ensure the medical accuracy of the submitted document – not to make the document ‘picture perfect.’
Here is an example of a submitted draft document where the MTE did not overedit. Notice that one could easily ‘clean up’ the grammar and readability of the draft, but the medical accuracy is perfect!
Toothache, needs dental work. Concerned blood pressure will be too high to get this done. Taking her chronic blood pressure medications without any side effects. Had blood work drawn. No neurologic, cardiorespiratory, peripheral vascular, or other end-organ symptoms.
Understandably, some accounts may require more editing than others. Talk to your account manager or supervisor about what may or may not constitute as overediting.
We each must create our own definition for overediting. It is a fine line between editing and improving readability or grammar. When editing, keep overediting in the back of your head and ask yourself if all the edits you are making are really necessary.
WHEN IN DOUBT, ALWAYS EDIT:
- Left/Right Discrepancies
- Gender Discrepancies
- Measurements in Lab Results
- Inconsistencies in Medication Dosages
Let’s look at another example:
Draft reads: NECK: Supple there is no nuchal rigidity.
A. NECK: Supple, there is no nuchal rigidity.
B. NECK: Supple. There is no nuchal rigidity.
C. NECK: Supple and there is no nuchal rigidity.
D. Leave as is.
Which would you choose?
In both A and B, the number of keystrokes to make the edit is 1. In A, inserting a comma is just one keystroke. In B, if you insert the period correctly, AnyModal Edit will auto-capitalize the word ‘There.’ Both A and B are correct.
The answer C would be considered overediting. The meaning of A, B, and C are all the same, but C requires 4 keystrokes – the word ‘and’ and the space between ‘and’ and ‘there.’
Both C and D are incorrect. It would not be correct to leave the sentence as-is. Without the punctuation, the sentence makes no sense.
- Correct readability, but do not improve it.
- There is a fine line between editing and tampering.
- Correct inconsistencies and discrepancies in your documents.
- Transcribe and edit for medical accuracy, not cosmetics!
Until next time,
Bethany at M*Modal