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Hospital Medical Transcriber

UCI Series Concepts

Class Specifications - H.45
Senior Hospital Medical Transcriber - 4687
Hospital Medical Transcriber - 4688

October, 1975

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SERIES CONCEPT

Hospital Medical Transcribers transcribe highly technical patient reports
prepared by doctors (on media such as magnetic tapes or rough drafts), by
typing on standard, electric, semi-automatic magnetic tape typewriters, or
similar equipment; and perform other related duties as required.

A distinguishing feature of the Series is the requirement of a complete 
working knowledge of the medical terminology transcribed, including the 
definition and usage of medical, clinical, anatomical, physiological and 
pharmaceutical terms. In addition to this working knowledge of medical 
terminology, the Series is distinguished from the Typist Clerk Series in that 
the end product emphasizes patient care rather than research or teaching.

The above transcription duties must be performed an average of 20 or more 
hours per week. The Hospital Medical Transcriber's work setting may vary from
Transcription Rooms with semi-automatic magnetic tape typewriters and magnetic
tape dictation equipment to individual locations with standard typewriters 
where other patient-related clerical and secretarial duties are performed.

The Class Concepts for the Hospital Medical Transcriber Series reflect two 
levels of difficulty. Senior Hospital Medical Transcriber is the advanced 
operational level; Hospital Medical Transcriber is the operational level.

Positions in this Series do not normally require the performance of 
supervisory duties. However, Senior Hospital Medical Transcribers may act as 
technical resources for less experienced personnel, and may supervise other 
Hospital Medical Transcribers during the absence of a higher level supervisor.


                          CLASS CONCEPTS

Senior Hospital Medical Transcriber

Under general supervision, Senior Hospital Medical Transcribers perform the
duties described in the Series Concept at the advanced operational level of
skill. Work is usually performed with production schedules requiring speed
and accuracy.

Incumbents are required to have excellent typing abilities and a subject 
matter knowledge of the medical terminology, to the extent that it affects 
the accuracy and consistency of the report. Subject matter knowledge is 
knowledge of medical terminology obtained through experience and education. 
Thus incumbents must be able to spell correctly, recognize inconsistencies 
and mistakes denoted by the medical terminology, and resolve them by querying 
the doctor or other experts.

Examples of situations in which Senior Hospital Medical Transcribers would be
required to exercise subject matter knowledge would be when they must 
recognize prefixes and suffixes and differentiate their usage, e.g. peri-para, 
inter-intra, arterioles-arterials, vesicals-vesicles, and other similar 
sounding terms. Another example of a situation requiring subject matter 
knowledge would be the usage by a doctor of the term congenital when referring 
to an older patient, when what was intended might be congestive.

Senior Hospital Medical Transcribers understand the need for absolute accuracy
in reports, and have extensive contact with medical staff to clarify
misunderstandings and possible inconsistencies.  They must also recognize 
the legal nature of the reports produced; and handle corrections, content, 
and patient identification in a legally approved manner.

The change in classification from the Hospital Medical Transcriber to the
Senior class is based upon objective standards of production performance, with
a secondary criterion of job knowledge, usually a product of on-the-job
experience.

Examples:

1) In a Hospital Medical Records Department Transcription Room, incumbents
transcribe magnetic tape dictation of operation reports; letters; operating
room deficiency lists; and discharge, outpatient, and death summaries using
an MTST system by typing on continuous yellow scratch sheets.

2) In a Hospital Pathology or Radiology Department (in a  non-Transcription
Room setting), incumbents transcribe doctors' reports an average of 20 or more
hours per week from stenorette tapes and handwritten rough drafts by typing
with a standard electric typewriter.  The balance of the time is devoted to
the unit's associated clerical and secretarial work such as answering 
telephones, filing, scheduling and record-keeping.

Hospital Medical Transcriber

Under supervision, incumbents transcribe material which has less complex 
medical terminology and judgment requirements than those described in the 
Senior Hospital Medical Transcriber Class Concept. An example of this 
situation would be positions in sections of the Clinical Laboratories such as 
EKG and Coagulation which require typing of doctors' handwritten reports 
containing less complex and extensive medical terminology.

This class may also be used for those positions in which incumbents are 
receiving training and developing skills which when performed at the advanced 
journeyman level will meet the requirements stated in the Senior Hospital 
Medical Transcriber Class Concept.

MINIMUM QUALIFICATIONS

Senior Hospital Medical Transcriber

(1) Graduation from high school or a General Education Diploma, ability to 
type, and knowledge of the applicable medical terminology involved; and (2) 
either (a) two years of hospital clerical experience, one of which must be 
medical transcription; or (b) one year of recognized business training as a 
Medical Transcriber with one year of experience in Medical transcription; or 
an equivalent combination of education and experience; and knowledges and
abilities essential to the successful performance of the duties assigned to
the position.

Hospital Medical Transcriber

1) Graduation from high school or a General Education Diploma, ability to 
type, and either an aptitude for or knowledge of the applicable medical 
terminology involved; and (2) either (a) one year of hospital clerical 
experience, or (b) six months of recognized business training as a Medical 
Transcriber; or an equivalent combination of education and experience; and 
knowledges and abilities essential to the successful performance of the 
duties assigned to the position.

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