|
Dictation Guidelines for PhysiciansAdherence to these Guidelines will assure the highest quality transcribed reports in the shortest amount of time possible.1. At the beginning of the dictation, take the deepest breath you possibly can and then try to dictate the entire report before you have to inhale again. 2. When dictating a particularly difficult word or phrase, please turn your head and speak directly into your armpit. 3. If you have to sneeze or cough suddenly, please remove your head from your armpit and sneeze or cough directly into the microphone. 4. If you must eat while you dictate, please stay away from foods such as marshmallows, bananas, and pudding; apples, pretzels, and celery are much better choices. 5. Please do not stop dictating when you yawn; it throws off our rhythm. 6. Do not stop dictating in the event of a minor background noise such as an office party, the janitor’s vacuum cleaner, a screaming infant, etc.; again, it throws off our rhythm. 7. Talk as fast as you possibly can. Fair is fair, after all, and we type as fast as we can! 8. Dates of admission and discharge are not important for old H&Ps or discharge summaries. 9. Abbreviate whenever possible. Everyone loves a mystery and we are trying to learn new skills, such as mind-reading. 10. Finally, be sure to wait until the end to tell us what kind of report you are dictating, or to "scratch" this dictation since it was already dictated. --Used by Permission from the Author, Kelly Ratzlaff- Thanks, Kelly! :) "This is an outpatient history and physical dictated by Dr. Evans. Date of proposed procedure is on Friday the...gulp... 13th!" Doctor was laughing: "I was just assaulted by somebody from Georgia. But, please don't put that in the Op Note.""This is Dr. Smith dictating a superbly executed surgery..."This one is a hoot dictated on an Op Note! "We then closed the next layer with...ah, ah...whatchoocallit, ah, ah, ah, 2-0 Vicryl." "THIS IS DR. C. DICTATING ANOTHER FASCINATING OPERATIVE SUMMARY...""....Oh, I'm sorry....I almost hit a groundhog in the middle of the road at 60 miles an hour....Now where was I?" (My comment: No wonder there was static on the line!!)
Please feel free to print and distribute any of the reports from this web site. My only requirement is that you give credit to this web site by placing the referral note below back to this site: "Patients and Medical Transcription" at http://www.mt-stuff.com If you do use these sample reports for students or classes, please let me know. My goal for this web site is to mentor future MTs to carry on our professional craft and legacy; I would like to know I helped in some small way to achieve that goal. Thank you and May God Bless You, Rosemarie ![]() ![]() ![]() |